black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

A. DAVID RISMAN INSURANCE AGENCY, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN111544
Status:
Active
First Licensure:
03/14/2005
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
689 FELLSWAY
MEDFORD, MA 02155-4931
Mailing:
689 FELLSWAY
MEDFORD, MA 02155-4931
Phone:
+1 (781) 396-2116
Fax:
+1 (781) 395-2300
Email:
lgervais@risman.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/26/2019 04/01/2027
*** NOT ACTIVE *** 06/20/2019 10/25/2019
NON-RESIDENT PRODUCER AGENCY 03/14/2005 06/19/2019

Employer
Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
 05/14/2009 PCF393 06/20/2019
AIG PROPERTY CASUALTY COMPANY
 10/26/2019 PCF393
AMERICAN ECONOMY INSURANCE COMPANY
 03/01/2013 PCF363 06/20/2019
AMERICAN FIRE AND CASUALTY COMPANY
 03/01/2013 PCF200822 06/20/2019
AMERICAN STATES INSURANCE COMPANY
 03/01/2013 PCF377 06/20/2019
AMTRUST INSURANCE COMPANY
 10/04/2023 PCF260762
BRISTOL WEST INSURANCE COMPANY
 11/03/2020 PCF78370
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 04/14/2021 PCF396
COMMERCE AND INDUSTRY INSURANCE COMPANY
 09/09/2016 PCF413 06/20/2019
COMMERCE AND INDUSTRY INSURANCE COMPANY
 10/26/2019 PCF413
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 06/16/2023 PCF416
DORCHESTER MUTUAL INSURANCE COMPANY
 05/16/2008 PCF426 08/27/2013
DRIVERS EDGE INSURANCE COMPANY
 05/14/2009 PCF364 03/07/2012
EXCELSIOR INSURANCE COMPANY
 06/18/2008 PCF46786 10/03/2011
EXCELSIOR INSURANCE COMPANY
 03/01/2013 PCF46786 06/20/2019
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 11/03/2020 PCF445
GENERAL INSURANCE COMPANY OF AMERICA
 03/01/2013 PCF447 06/20/2019
GREEN MOUNTAIN INSURANCE COMPANY INC
 06/16/2023 PCF73
HARTFORD CASUALTY INSURANCE COMPANY
 07/09/2008 PCF967 05/09/2017
MAIN STREET AMERICA ASSURANCE COMPANY
 05/28/2007 PCF997 06/20/2019
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
 06/15/2016 PCF235440 06/20/2019
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 04/14/2021 PCF79
MOUNT VERNON FIRE INSURANCE COMPANY
 05/18/2022 PCF83792
NETHERLANDS INSURANCE COMPANY
 06/18/2008 PCF827 06/20/2019
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 12/19/2016 PCF87 12/12/2018
NGM INSURANCE COMPANY
 05/28/2007 PCF86 06/20/2019
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
 06/22/2007 PCF535 08/27/2013
OHIO CASUALTY INSURANCE COMPANY
 09/26/2008 PCF73059 10/03/2011
OHIO CASUALTY INSURANCE COMPANY
 03/01/2013 PCF73059 06/20/2019
OHIO SECURITY INSURANCE COMPANY
 03/01/2013 PCF200581 06/20/2019
PATRONS OXFORD INSURANCE COMPANY
 06/27/2022 PCD7
PEERLESS INDEMNITY INSURANCE COMPANY
 06/18/2008 PCF97399 10/03/2011
PEERLESS INDEMNITY INSURANCE COMPANY
 03/01/2013 PCF97399 06/20/2019
PEERLESS INSURANCE COMPANY
 06/18/2008 PCF548 06/20/2019
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/23/2017 PCF51006 06/20/2019
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 05/23/2017 PCF27738 06/20/2019
SAFECO NATIONAL INSURANCE COMPANY
 07/18/2020 PCF248658 11/10/2023
SAFETY INDEMNITY INSURANCE COMPANY
 06/01/2020 PCF246091
SAFETY INSURANCE COMPANY
 06/01/2020 PCF246090
SAFETY PROPERTY AND CASUALTY INSURANCE COMPANY
 06/01/2020 PCF246092
SECURITY NATIONAL INSURANCE COMPANY
 10/04/2023 PCF189490
SEQUOIA INSURANCE COMPANY
 10/04/2023 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
 01/03/2017 PCF584 06/20/2019
THE STANDARD FIRE INSURANCE COMPANY
 05/20/2022 PCF584
TECHNOLOGY INSURANCE COMPANY INC
 10/04/2023 PCF136874
UNION MUTUAL FIRE INSURANCE COMPANY
 12/19/2016 PCF95 06/20/2019
VAULT RECIPROCAL EXCHANGE
 07/01/2022 IIF325911
VERMONT ACCIDENT INSURANCE COMPANY INC
 06/16/2023 PCF883
WESCO INSURANCE COMPANY
 10/04/2023 PCF49735
WEST AMERICAN INSURANCE COMPANY
 03/01/2013 PCF200576 06/20/2019

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
KERRI ANN BOUTIN
 10/26/2019 PRN334188

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
KERRI ANN BOUTIN PRN334188

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3355904

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: 05/13/2025 10:41:11 PM