black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID CHAPMAN AGENCY

RESIDENT PRODUCER AGENCY

License Number:
AGR64504
Status:
First Licensure:
08/30/1999
Cancel Date:
None
Renewal Date:
12/01/2026

Mailing:
372 MAIN ST
PO BOX 429
DAMARISCOTTA, ME 04543-0429
Phone:
+1 (207) 563-8600
Email:
dcins@tidewater.net

History

License Type Start Date End Date
RESIDENT PRODUCER AGENCY 08/30/1999 12/01/2026

Employer

Name Issue Date License Number Expiration Date Cancel Date
ATHOME INSURANCE COMPANY
04/10/2007 PCF503 07/18/2011
BRISTOL WEST INSURANCE COMPANY
11/11/2004 PCF78370 06/22/2022
CONCORD GENERAL MUTUAL INSURANCE COMPANY
09/01/1999 PCF416
GREEN MOUNTAIN INSURANCE COMPANY INC
09/01/1999 PCF73
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
07/28/2016 PCF562
STATE MUTUAL INSURANCE COMPANY
09/01/1999 PCD102
VERMONT ACCIDENT INSURANCE COMPANY INC
09/01/1999 PCF883

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JOHN DAVID GALLAGHER
08/30/1999 PRR10935
SARAH A. WORSTER
04/06/2006 PRR125890

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
DAVID CHAPMAN AGENCY (NEW HARBOR ME)
12/14/1999 BRR66546

Supervised Entity

None.

Responsible Individual

Name License Number
SARAH A. WORSTER PRR125890

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3681361

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: 05/14/2025 02:49:59 PM