black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL A. FAIRLEY

PRODUCER NON-RESIDENT

License Number:
PRN479313
Status:
First Licensure:
03/16/2024
Cancel Date:
None

Mailing:
BASKING RIDGE, NJ 07920
Phone:
+1 (646) 553-5185
Fax:
+1 (312) 784-6002
Email:
sam.fairley@rtspecialty.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/16/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
RSG SPECIALTY LLC
03/16/2024 AGN176560

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
05/09/2025 PCF366
AMERICAN ZURICH INSURANCE COMPANY
05/09/2025 PCF914
ZURICH AMERICAN INSURANCE COMPANY
05/09/2025 PCF61397

Authority

Description Issue Date Termination Date Status
CASUALTY 03/16/2024 Active
PROPERTY 03/16/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1981076

Other Addresses

Address Type
RT SPECIALTY LLC
17 WALNUT CIR
BASKING RIDGE, NJ 07920-1022
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/10/2025 08:40:15 AM