black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARC J. MICHALEWSKY

PRODUCER NON-RESIDENT

License Number:
PRN379150
Status:
First Licensure:
03/31/2021
Cancel Date:
None

Mailing:
SEASIDE HEIGHTS, NJ 08751
Phone:
+1 (845) 293-4727
Email:
mmichalewsky@premium-surety.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/31/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
ROOSEVELT ROAD SPECIALTY SURETY SOLUTIONS LLC
08/26/2025 AGN525052
SURETY UNDERWRITING SOLUTIONS LLC
08/21/2025 AGN524539
WORLD INS ASSOC LLC
03/31/2021 AGN304312

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 03/31/2021 Active
PROPERTY 03/31/2021 Active

Responsible For

Name License Number
ROOSEVELT ROAD SPECIALTY SURETY SOLUTIONS LLC AGN525052
SURETY UNDERWRITING SOLUTIONS LLC AGN524539

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5728429

Other Addresses

Address Type
125 PARK AVE
NEW YORK, NY 10017-5529
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: 11/01/2025 05:33:34 PM