black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID A. HARNOIS

PRODUCER NON-RESIDENT

License Number:
PRN93773
Status:
Active
First Licensure:
03/24/2003
Cancel Date:
None

Mailing:
PHOENIX, AZ 85051
Phone:
+1 (973) 738-6020 x111
Fax:
+1 (973) 908-6077
Email:
david.harnois@vgm.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 03/24/2003

Agency
Name Issue Date License Number Expiration Date Cancel Date
AFFINITY AGENCY GROUP LLC
 04/06/2012 AGN201740
CREATIVE INSURANCE SERVICES INC
 03/24/2003 AGN54793 05/23/2013

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/15/2006 PCF434 02/08/2008
EVEREST REINSURANCE COMPANY
 04/17/2025 PCF757
EXCELSIOR INSURANCE COMPANY
 04/01/2003 PCF46786 12/02/2009
FIRST LIBERTY INSURANCE CORPORATION
 07/24/2005 PCF31779 11/26/2007
GREAT AMERICAN INSURANCE COMPANY
 09/15/2021 PCF764
GREENWICH INSURANCE COMPANY
 11/08/2011 PCF43984 01/19/2016
LIBERTY INSURANCE CORPORATION
 07/24/2005 PCF999 11/26/2007
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 07/24/2005 PCF330 11/26/2007
LIBERTY MUTUAL INSURANCE COMPANY
 07/24/2005 PCF331 11/26/2007
LM INSURANCE CORPORATION
 07/24/2005 PCF31778 11/26/2007
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 01/11/2013 PCF527
NETHERLANDS INSURANCE COMPANY
 04/01/2003 PCF827 12/02/2009
NEW YORK MARINE AND GENERAL INSURANCE COMPANY
 09/30/2014 PCF36395 11/02/2021
PEERLESS INSURANCE COMPANY
 04/01/2003 PCF548 12/02/2009
SAMSUNG FIRE & MARINE INSURANCE CO., LTD (US BRANCH)
 08/07/2014 PCF208107 07/01/2016
SECURITY NATIONAL INSURANCE COMPANY
 10/09/2018 PCF189490
SEQUOIA INSURANCE COMPANY
 04/23/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
 10/09/2018 PCF136874
WAUSAU BUSINESS INSURANCE COMPANY
 02/15/2006 PCF47449 02/08/2008
WAUSAU UNDERWRITERS INSURANCE COMPANY
 02/15/2006 PCF833 02/08/2008
WESCO INSURANCE COMPANY
 10/09/2018 PCF49735
XL SPECIALTY INSURANCE COMPANY
 11/08/2011 PCF43958 01/19/2016

Authority
Description Issue Date Termination Date Status
CASUALTY 03/24/2003 Active
HEALTH 03/24/2003 Active
LIFE 03/24/2003 Active
PROPERTY 03/24/2003 Active

Responsible For
Name License Number
AFFINITY AGENCY GROUP LLC AGN201740

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7130622

Other Addresses
Address Type
32731 N 74TH WAY
SCOTTSDALE, AZ 85266-4291
 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: 05/14/2025 08:16:00 PM