black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELLY JORDAN CARPENTER

PRODUCER NON-RESIDENT

License Number:
PRN458384
Status:
First Licensure:
07/29/2023
Cancel Date:
None

Mailing:
CHICAGO, IL 60618
Phone:
+1 (802) 655-9000
Fax:
+1 (802) 871-5609
Email:
kcarpenter@dealerpolicyinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
POLLY INSURANCE AGENCY, LLC
08/02/2023 AGN269202 08/15/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
07/29/2023 PCF223935 08/15/2023
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
08/11/2023 PCF864 09/01/2023
ALLSTATE INDEMNITY COMPANY
08/11/2023 PCF522 09/01/2023
ALLSTATE INSURANCE COMPANY
08/11/2023 PCF354 09/01/2023
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
08/11/2023 PCF84066 09/01/2023
AMCO INSURANCE COMPANY
07/29/2023 PCF223938 08/15/2023
DEPOSITORS INSURANCE COMPANY
07/29/2023 PCF223940 08/15/2023
MAIN STREET AMERICA ASSURANCE COMPANY
08/11/2023 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
08/11/2023 PCF235440
MIDVALE INDEMNITY COMPANY
08/11/2023 PCF79410
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
07/29/2023 PCF151937 08/15/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
07/29/2023 PCF32 08/15/2023
NGM INSURANCE COMPANY
08/11/2023 PCF86

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2023 Active
PROPERTY 07/29/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18790381

Other Addresses

Address Type
2300 ST GEORGE RD
WILLISTON, VT 05495-7433
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: 05/14/2025 11:46:58 AM