black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PHILIP A. PROVENZANO

PRODUCER NON-RESIDENT

License Number:
PRN243364
Status:
First Licensure:
12/10/2014
Cancel Date:
None

Mailing:
METUCHEN, NJ 08840
Phone:
+1 (732) 632-2790 x104
Fax:
+1 (732) 632-2779
Email:
gslaughter@globalindemins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/10/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
GLOBAL UNDERWRITERS AGENCY INC
12/16/2014 AGN243661

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
04/09/2019 PCF81110
UNITED STATES SURETY COMPANY
04/09/2019 PCF115462
US SPECIALTY INSURANCE COMPANY
04/09/2019 PCF31516

Authority

Description Issue Date Termination Date Status
CASUALTY 12/10/2014 Active
PROPERTY 12/10/2014 Active

Responsible For

Name License Number
GLOBAL UNDERWRITERS AGENCY INC AGN243661

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5709649

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 05:27:26 AM