black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ELLIOTT POWELL BADEN & BAKER INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN249771
Status:
First Licensure:
05/01/2015
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1521 SW SALMON ST
PORTLAND, OR 97205-1783
Mailing:
1521 SW SALMON ST
PORTLAND, OR 97205-1783
Phone:
+1 (503) 445-8445
Fax:
+1 (503) 445-8485
Email:
jperucca@epbb.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/01/2015 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
05/16/2017 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
05/16/2017 PCF1019
PHILADELPHIA INDEMNITY INSURANCE COMPANY
01/03/2024 PCF46041

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARC JEFFREY BAKER
01/31/2019 PRN325302
JILL MARIE PERUCCA
03/12/2021 PRN350066

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARC JEFFREY BAKER PRN325302

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
691573

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: 06/19/2025 09:08:49 PM