black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FAIRMONT INSURANCE BROKERS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN473906
Status:
First Licensure:
01/12/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1600 60TH ST
BROOKLYN, NY 11204-2138
Mailing:
1600 60TH ST
BROOKLYN, NY 11204-2138
Phone:
+1 (718) 232-3300
Fax:
+1 (718) 256-9062
Email:
hal@fairmontins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/12/2024 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS ASSURANCE COMPANY
01/22/2025 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
01/22/2025 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
01/22/2025 PCF285637
FIDELITY AND GUARANTY INSURANCE COMPANY
05/13/2024 PCF832
MOUNT VERNON FIRE INSURANCE COMPANY
03/20/2025 PCF83792
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
05/13/2024 PCF711

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MOISHE MISHKOWITZ
01/12/2024 PRN473768

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MOISHE MISHKOWITZ PRN473768

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15714310

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: 05/19/2025 12:38:01 PM