black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

U S MARINE INS GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN263982
Status:
First Licensure:
02/08/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4210 VALLEY RIDGE BLVD STE 138
PONTE VEDRA, FL 32081-5184
Mailing:
4210 VALLEY RIDGE BLVD STE 138
PONTE VEDRA, FL 32081-5184
Phone:
+1 (262) 336-4537
Fax:
+1 (262) 336-4537
Email:
licensing@usmig.net

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/08/2016 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AGCS MARINE INSURANCE COMPANY
06/01/2017 PCF48335
XL SPECIALTY INSURANCE COMPANY
09/01/2025 PCF43958

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DEXTER DAVID BELL
11/21/2025 PRN533964
DAVID VINCENT BROOKS
12/31/2025 PRN536856
ROBERT K. BURGESS
01/06/2026 PRN537078
MICHAEL CANEVELLO
11/26/2025 PRN534329
JOSEPH DIPAOLA
03/06/2024 PRN478154
GINA IRENE DOMITROVICH
01/08/2026 PRN537364
MELANIE JAKUSZ
01/08/2026 PRN537333
WILLIAM SCOTT LIGHT
02/08/2016 PRN21902
JAMES MCAVOY
03/06/2026 PRN542239
CHRISTOPHER RICH MONTEZ
12/01/2025 PRN534498
DERREK SMITH
10/29/2025 PRN485167

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DERREK SMITH PRN485167

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17791427

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: 06/11/2026 02:46:10 AM