black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PROVIDENT PROTECTION PLUS INCORPORATED

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN50580
Status:
Active
First Licensure:
08/01/1997
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
96 ROUTE 206
AUGUSTA, NJ 07822
Mailing:
96 ROUTE 206
AUGUSTA, NJ 07822
Phone:
+1 (973) 579-6776
Fax:
+1 (973) 579-0111
Email:
victoria.amorese@providentprotectionplus.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/01/1997 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
 03/25/2016 PCF393 06/07/2017
ALLIED INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 06/04/2020 PCF223935
AMCO INSURANCE COMPANY
 06/04/2020 PCF223938
AMERICAN MODERN HOME INSURANCE COMPANY
 01/16/2007 PCF808 12/13/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 10/16/2017 PCF234561
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 06/12/2018 PCF659 08/07/2019
THE CHARTER OAK FIRE INSURANCE COMPANY
 06/12/2018 PCF403 08/07/2019
COMMERCE AND INDUSTRY INSURANCE COMPANY
 03/25/2016 PCF413 06/07/2017
DEPOSITORS INSURANCE COMPANY
 06/04/2020 PCF223940
FARMINGTON CASUALTY COMPANY
 06/12/2018 PCF995
GREAT NORTHERN INSURANCE COMPANY
 11/09/2021 PCF455
HARLEYSVILLE INSURANCE COMPANY
 08/26/2008 PCF129870
HARLEYSVILLE MUTUAL INSURANCE COMPANY
 08/26/2008 PCF74622 05/01/2012
HARLEYSVILLE PREFERRED INSURANCE COMPANY
 08/26/2008 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
 07/15/2005 PCF908
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 06/04/2020 PCF151937
NATIONWIDE ASSURANCE COMPANY
 12/30/2019 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 08/28/2018 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 12/30/2019 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 08/28/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 04/25/2012 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 12/30/2019 PCF151089
NETHERLANDS INSURANCE COMPANY
 08/06/2019 PCF827 05/10/2024
PEERLESS INSURANCE COMPANY
 08/06/2019 PCF548
THE PHOENIX INSURANCE COMPANY
 06/12/2018 PCF557 08/07/2019
PROGRESSIVE NORTHERN INSURANCE COMPANY
 07/06/2016 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 07/06/2016 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
 08/06/2019 PCF248658 11/10/2023
SELECTIVE INSURANCE COMPANY OF NEW YORK
 11/29/2004 PCF437 05/20/2009
SELECTIVE INSURANCE COMPANY OF NEW YORK
 08/04/2009 PCF437
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 06/12/2018 PCF575 08/07/2019
ST. PAUL GUARDIAN INSURANCE COMPANY
 06/12/2018 PCF701 08/07/2019
ST. PAUL MERCURY INSURANCE COMPANY
 06/12/2018 PCF576 08/07/2019
THE STANDARD FIRE INSURANCE COMPANY
 06/12/2018 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
 06/12/2018 PCF348 08/12/2024
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 06/12/2018 PCF935 08/07/2019
TRAVELERS COMMERCIAL CASUALTY COMPANY
 06/12/2018 PCF83507 08/07/2019
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 06/12/2018 PCF56556 08/07/2019
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 06/12/2018 PCF585 08/07/2019
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 06/12/2018 PCF435 08/07/2019
THE TRAVELERS INDEMNITY COMPANY
 06/12/2018 PCF602 08/12/2024
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 06/12/2018 PCF711 08/07/2019

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
MARY D. ACEBAL
 06/12/2021 PRN385710
CATHERINE DECKER
 05/01/2025 PRN514450
GEORGE B. HARPER JR
 08/01/1997 PRN32939
MONICA LARSEN
 09/07/2023 PRN462397
GEORGE LISTA
 12/08/2009 PRN173079

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
GEORGE LISTA PRN173079

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1011712

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: 05/13/2025 07:18:53 PM