black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID J. SHAFER

PRODUCER NON-RESIDENT

License Number:
PRN283035
Status:
First Licensure:
02/23/2017
Cancel Date:
None

Mailing:
MATAWAN, NJ 07747
Phone:
+1 (888) 470-1060
Email:
michael.sakurada@libertymutual.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/23/2017

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS INSURANCE COMPANY OF WAUSAU
03/03/2017 PCF434
FIRST LIBERTY INSURANCE CORPORATION
03/03/2017 PCF31779
LIBERTY INSURANCE CORPORATION
03/03/2017 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
03/03/2017 PCF330
LINCOLN LIFE ASSURANCE COMPANY OF BOSTON
02/28/2017 LHF339 04/20/2018
LINCOLN LIFE ASSURANCE COMPANY OF BOSTON
05/04/2018 LHF339 10/10/2019
LM INSURANCE CORPORATION
03/03/2017 PCF31778

Authority

Description Issue Date Termination Date Status
CASUALTY 02/23/2017 Active
PROPERTY 02/23/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5719200

Other Addresses

Address Type
1 GATEHALL DR STE P009
PARSIPPANY, NJ 07054-4514
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: 05/23/2025 10:41:53 AM