black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CANAAN MICHAEL CROUCH

PRODUCER NON-RESIDENT

License Number:
PRN279241
Status:
First Licensure:
11/30/2016
Cancel Date:
None

Mailing:
PONTE VEDRA, FL 32081
Phone:
+1 (949) 534-9105
Fax:
+1 (949) 484-7317
Email:
landmark@3hcs.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/30/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
JENCAP SPECIALTY INSURANCE SERVICES INC
11/23/2021 AGN293552
LANDMARK E & S INS BROKERS LLC
12/07/2016 AGN279616 12/07/2021

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 11/30/2016 Active
PROPERTY 11/30/2016 Active
SURPLUS LINES 11/30/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
13294647

Other Addresses

Address Type
53 BERMUDA GREENS AVE
PONTE VEDRA, FL 32081-4371
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: 10/29/2025 02:39:19 AM