black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CLARK INSURANCE AGENCY

RESIDENT PRODUCER AGENCY

License Number:
AGR48250
Status:
Active
First Licensure:
01/15/1997
Cancel Date:
None
Renewal Date:
12/01/2026

Street Location:
6 ELM ST
CALAIS, ME 04619-1846
Mailing:
6 ELM ST
CALAIS, ME 04619-1846
Phone:
+1 (207) 454-8800
Email:
clarkinsurance@myfairpoint.net

History
License Type Start Date End Date
RESIDENT PRODUCER AGENCY 01/15/1997 12/01/2026

Employer
Name Issue Date License Number Expiration Date Cancel Date
AEGIS SECURITY INSURANCE COMPANY
 09/01/2011 PCF49874 12/14/2023
ALLIED EASTERN INDEMNITY COMPANY
 06/29/2017 PCF242683
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 05/15/2008 PCF75617 10/27/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 05/15/2008 PCF145893 09/25/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 08/02/2017 PCF145893
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 04/25/2018 PCF864
ALLSTATE INDEMNITY COMPANY
 04/25/2018 PCF522
ALLSTATE INSURANCE COMPANY
 04/25/2018 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 04/25/2018 PCF84066
AMERICAN ECONOMY INSURANCE COMPANY
 04/03/2015 PCF363 12/10/2021
AMERICAN ECONOMY INSURANCE COMPANY
 05/13/2022 PCF363
AMERICAN FIRE AND CASUALTY COMPANY
 07/24/2012 PCF200822 11/10/2023
AMERICAN MODERN HOME INSURANCE COMPANY
 06/29/2015 PCF808 12/13/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 01/19/2018 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
 06/29/2015 PCF123448 10/28/2021
AMERICAN STATES INSURANCE COMPANY
 04/03/2015 PCF377 12/10/2021
BEAZLEY INSURANCE COMPANY INC.
 08/06/1997 PCF1001 05/24/2005
BLUE RIDGE INSURANCE COMPANY
 01/29/2002 PCF47153 08/29/2005
BRISTOL WEST INSURANCE COMPANY
 11/11/2004 PCF78370
CASCO INDEMNITY COMPANY
 01/01/2013 PCF921
CITIZENS INSURANCE COMPANY OF AMERICA
 02/11/2000 PCF937
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 07/02/2007 PCF416
DAIRYLAND INSURANCE COMPANY
 11/03/1997 PCF721
DORCHESTER MUTUAL INSURANCE COMPANY
 02/10/2009 PCF426 08/27/2013
EASTERN ADVANTAGE ASSURANCE COMPANY
 06/29/2017 PCF242684
EASTERN ALLIANCE INSURANCE COMPANY
 06/29/2017 PCF242682
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/27/2017 PCF434
EXCELSIOR INSURANCE COMPANY
 11/21/2006 PCF46786 05/09/2024
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 12/22/2011 PCF445
GENERAL INSURANCE COMPANY OF AMERICA
 04/03/2015 PCF447 12/09/2022
GENERAL INSURANCE COMPANY OF AMERICA
 01/09/2023 PCF447
GREAT FALLS INSURANCE COMPANY
 09/28/2012 PCD185974 02/10/2022
GREEN MOUNTAIN INSURANCE COMPANY INC
 05/25/2023 PCF73
THE HANOVER INSURANCE COMPANY
 02/11/2000 PCF712
INTEGON PREFERRED INSURANCE COMPANY
 08/21/2024 PCF873
MAIN STREET AMERICA ASSURANCE COMPANY
 02/22/2024 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
 02/22/2024 PCF235440
MASSACHUSETTS BAY INSURANCE COMPANY
 02/11/2000 PCF505
MIC GENERAL INSURANCE CORPORATION
 05/18/2023 PCF66467
MIDVALE INDEMNITY COMPANY
 09/17/2020 PCF79410
NETHERLANDS INSURANCE COMPANY
 11/22/2006 PCF827 05/10/2024
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 12/29/1999 PCF87 12/13/2018
NGM INSURANCE COMPANY
 02/22/2024 PCF86
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
 02/10/2009 PCF535 08/27/2013
NORTHERN SECURITY INSURANCE COMPANY INC
 11/01/2022 PCF36
OHIO CASUALTY INSURANCE COMPANY
 05/29/2012 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
 01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
 07/24/2012 PCF200581 11/10/2023
PEERLESS INDEMNITY INSURANCE COMPANY
 11/21/2006 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 11/21/2006 PCF548
PROGRESSIVE CASUALTY INSURANCE COMPANY
 09/27/1999 PCF637 03/10/2010
PROGRESSIVE NORTHERN INSURANCE COMPANY
 07/28/1999 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 03/18/1999 PCF27738
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
 06/12/2014 PCF562
SAFECO NATIONAL INSURANCE COMPANY
 02/27/2017 PCF248658 11/10/2023
SAFECO NATIONAL INSURANCE COMPANY
 06/20/2024 PCF248658
SAFETY INDEMNITY INSURANCE COMPANY
 04/01/2025 PCF246091
SAFETY INSURANCE COMPANY
 04/01/2025 PCF246090
SAFETY PROPERTY AND CASUALTY INSURANCE COMPANY
 04/01/2025 PCF246092
SENTINEL INSURANCE COMPANY LTD
 10/01/2009 PCF84269 09/07/2017
STAR INSURANCE COMPANY
 01/10/2008 PCF59785 08/12/2015
STATE MUTUAL INSURANCE COMPANY
 05/25/2023 PCD102
SUPERIOR SPECIALTY INSURANCE COMPANY
 01/10/2008 PCF35220 05/19/2009
SUPERIOR SPECIALTY INSURANCE COMPANY
 11/21/2011 PCF35220 08/12/2015
UNION MUTUAL FIRE INSURANCE COMPANY
 12/29/1999 PCF95
UNITED FINANCIAL CASUALTY COMPANY
 11/07/2006 PCF61704 03/31/2012
UNITED OHIO INSURANCE COMPANY
 01/01/2013 PCF192494
VERMONT ACCIDENT INSURANCE COMPANY INC
 05/25/2023 PCF883
VERMONT MUTUAL INSURANCE COMPANY
 11/01/2022 PCF37
WEST AMERICAN INSURANCE COMPANY
 07/24/2012 PCF200576

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
DAWN-ANN T. CLARK
 01/15/1997 PRR23522
HAROLD R. CLARK JR
 05/22/2003 PRR95293
TAMMY DOW
 10/19/2021 PRR400485

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
DAWN-ANN T. CLARK PRR23522

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3684569

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 02:05:18 PM