black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AXIS INS SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN203776
Status:
First Licensure:
06/05/2012
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
795 FRANKLIN AVE STE 206
FRANKLIN LAKES, NJ 07417-1354
Mailing:
795 FRANKLIN AVE STE 206
FRANKLIN LAKES, NJ 07417-1354
Phone:
+1 (201) 847-9175
Fax:
+1 (201) 847-9174
Email:
msmith@axisins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/05/2012 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED WORLD INSURANCE COMPANY
06/29/2013 PCF54304
ALLIED WORLD SPECIALTY INSURANCE COMPANY
06/29/2013 PCF108064
CAPITOL INDEMNITY CORPORATION
11/28/2016 PCF162568 03/16/2020
GENERAL STAR NATIONAL INSURANCE COMPANY
12/28/2017 PCF514 11/04/2022
GREAT MIDWEST INSURANCE COMPANY
07/16/2014 PCF82030
HDI GLOBAL INSURANCE COMPANY
04/18/2024 PCF167923
IMPERIUM INSURANCE COMPANY
07/16/2014 PCF80207
MOUNT VERNON FIRE INSURANCE COMPANY
12/05/2013 PCF83792

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JAVIER GONZALEZ
06/14/2012 PRN200937
MIKE SMITH
06/05/2012 PRN141381

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MIKE SMITH PRN141381

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5735604

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: 05/22/2025 11:07:27 PM