black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATHLEEN M. BERGERON

PRODUCER NON-RESIDENT

License Number:
PRN278975
Status:
First Licensure:
11/22/2016
Cancel Date:
None

Mailing:
BENNINGTON, VT 05201
Phone:
+1 (413) 652-5335
Fax:
+1 (413) 776-7044
Email:
kbergeron@cpg.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/22/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE CHURCH INSURANCE AGENCY CORPORATION
11/22/2016 AGN51702

Employer

Name Issue Date License Number Expiration Date Cancel Date
CHURCH INSURANCE COMPANY
11/29/2016 PCF595
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
12/05/2016 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
12/05/2016 PCF702
GREAT AMERICAN INSURANCE COMPANY
12/05/2016 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
12/05/2016 PCF326

Authority

Description Issue Date Termination Date Status
CASUALTY 11/22/2016 Active
PROPERTY 11/22/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2314521

Other Addresses

Address Type
65 VALLEY ST
ADAMS, MA 01220-1637
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: 05/23/2025 11:46:33 PM