black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BONNIE PERNICE

PRODUCER NON-RESIDENT

License Number:
PRN502634
Status:
First Licensure:
12/03/2024
Cancel Date:
None

Mailing:
OAKLAND, NJ 07436
Phone:
+1 (267) 400-3929
Fax:
+1 (201) 615-2390
Email:
bonnie.pernice@music-ins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/03/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
SRM INSURANCE BROKERAGE LLC
12/03/2024 AGN63906

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF AMERICA
07/14/2026 PCF456095
SELECTIVE INSURANCE COMPANY OF NEW YORK
07/14/2026 PCF437
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
07/14/2026 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
07/14/2026 PCF456098
SELECTIVE WAY INSURANCE COMPANY
07/14/2026 PCF456096

Authority

Description Issue Date Termination Date Status
CASUALTY 07/31/2025 Active
PROPERTY 07/31/2025 Active
SURPLUS LINES 12/03/2024 Active

Responsible For

Name License Number
SRM INSURANCE BROKERAGE LLC AGN63906

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3430262

Other Addresses

Address Type
OF AMERICA
40 WANTAGE AVE
BRANCHVILLE, NJ 07890-0001
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: 08/05/2026 08:17:49 PM