black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMY JO DAUM

PRODUCER NON-RESIDENT

License Number:
PRN188465
Status:
First Licensure:
03/24/2011
Cancel Date:
None

Mailing:
HARPERS FERRY, WV 25425
Phone:
+1 (703) 431-4809
Fax:
+1 (540) 687-8262
Email:
specialword@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/24/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
BROADSTONE EQUINE INSURANCE AGENCY LLC
03/24/2011 AGN111009 07/01/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA
05/29/2014 PCF357 09/19/2018
AMERICAN RELIABLE INSURANCE COMPANY
12/15/2016 PCF45416
HARTFORD FIRE INSURANCE COMPANY
03/18/2013 PCF464
XL SPECIALTY INSURANCE COMPANY
02/11/2014 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 03/24/2011 Active
PROPERTY 03/24/2011 Active
INDEPENDENT PRODUCER 03/24/2011 09/28/2011 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2114080

Other Addresses

Address Type
C/O AMY DAUM
50 A P HILL PL
HARPERS FERRY, WV 25425-5751
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: 05/21/2025 02:06:20 AM