black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL BROOKS II

PRODUCER NON-RESIDENT

License Number:
PRN453147
Status:
First Licensure:
06/01/2023
Cancel Date:
None

Mailing:
NORTH BERGEN, NJ 07047
Phone:
+1 (800) 524-7024
Fax:
+1 (201) 737-0795
Email:
samuel.brooks@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/01/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/07/2023 PCF260762
THE CHARTER OAK FIRE INSURANCE COMPANY
07/03/2023 PCF403
THE PHOENIX INSURANCE COMPANY
07/03/2023 PCF557
SECURITY NATIONAL INSURANCE COMPANY
09/07/2023 PCF189490
SEQUOIA INSURANCE COMPANY
09/07/2023 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/07/2023 PCF136874
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
07/03/2023 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
07/03/2023 PCF435 08/12/2024
THE TRAVELERS INDEMNITY COMPANY
07/03/2023 PCF602 08/12/2024
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
07/03/2023 PCF711
WESCO INSURANCE COMPANY
09/07/2023 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 06/01/2023 Active
PROPERTY 06/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20461604

Other Addresses

Address Type
1 ADP BLVD
ROSELAND, NJ 07068-1728
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: 05/15/2025 12:30:00 AM