black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WAVERLEY INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN62743
Status:
First Licensure:
06/03/1999
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
44 TRAPELO RD
BELMONT, MA 02478-4445
Mailing:
PO BOX 79190
WAVERLEY, MA 02479-0190
Phone:
+1 (617) 484-5216
Fax:
+1 (617) 489-4626
Email:
accounting@waverleyins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/03/1999 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
12/07/2001 PCF396
CITIZENS INSURANCE COMPANY OF AMERICA
03/29/2004 PCF937 01/24/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/06/2004 PCF445 04/02/2009
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/12/2023 PCF445
THE HANOVER INSURANCE COMPANY
03/29/2004 PCF712 01/24/2012
HARLEYSVILLE WORCESTER INSURANCE COMPANY
06/03/1999 PCF908 02/26/2007
MASSACHUSETTS BAY INSURANCE COMPANY
03/29/2004 PCF505 01/24/2012
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
12/07/2001 PCF79
NORTHERN SECURITY INSURANCE COMPANY INC
10/09/2009 PCF36
PHILADELPHIA INDEMNITY INSURANCE COMPANY
11/20/2013 PCF46041 12/11/2013
VERMONT MUTUAL INSURANCE COMPANY
06/03/1999 PCF37

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JORG P. BASSIACOS
04/16/2019 PRN329580
JAMES EDWARD KING
01/07/2021 PRN372239

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JAMES EDWARD KING PRN372239

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1998585

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: 06/09/2025 12:27:17 PM