black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GOTHIC INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN383996
Status:
First Licensure:
05/24/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
100 OTTAWA AVE SW
GRAND RAPIDS, MI 49503-5087
Mailing:
PO BOX 1788
GRAND RAPIDS, MI 49501-1788
Phone:
+1 (800) 748-0351
Fax:
+1 (800) 847-3129
Email:
insurancelicensing@acrisure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/24/2021 04/01/2027

Alias, DBA or Trade Name

Name
MCLAUGHLIN INSURANCE & RISK MANAGEMENT

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
11/22/2021 PCF640
AMERICAN FIRE AND CASUALTY COMPANY
12/13/2021 PCF200822 11/10/2023
BANKERS STANDARD INSURANCE COMPANY
11/22/2021 PCF152165
BRISTOL WEST INSURANCE COMPANY
12/30/2021 PCF78370
CONTRACTORS BONDING AND INSURANCE COMPANY
12/28/2021 PCF1000
FEDERAL INSURANCE COMPANY
11/22/2021 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/30/2021 PCF445
GENERAL INSURANCE COMPANY OF AMERICA
12/13/2021 PCF447 11/10/2023
GREAT NORTHERN INSURANCE COMPANY
11/22/2021 PCF455
NETHERLANDS INSURANCE COMPANY
12/13/2021 PCF827 05/10/2024
OHIO CASUALTY INSURANCE COMPANY
12/13/2021 PCF73059
OHIO SECURITY INSURANCE COMPANY
12/13/2021 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
01/13/2024 PCF200581
PACIFIC INDEMNITY COMPANY
11/22/2021 PCF547
PEERLESS INDEMNITY INSURANCE COMPANY
12/13/2021 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
12/13/2021 PCF548
RLI INSURANCE COMPANY
10/01/2024 PCF695
SAFECO NATIONAL INSURANCE COMPANY
12/13/2021 PCF248658 11/10/2023
SELECTIVE INSURANCE COMPANY OF NEW YORK
01/19/2022 PCF437
WEST AMERICAN INSURANCE COMPANY
12/13/2021 PCF200576

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COURTNEY LYNNE KOLENDA
05/24/2021 PRN323398
JOHN EDWARD MCLAUGHLIN JR
06/16/2021 PRN247406

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
GOTHIC INSURANCE SERVICES, LLC (MELROSE, MA)
08/10/2021 BRN390912

Supervised Entity

None.

Responsible Individual

Name License Number
COURTNEY LYNNE KOLENDA PRN323398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19734803

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 11:39:44 PM