black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAXIME TAYLOR ANDRE CLARK

PRODUCER NON-RESIDENT

License Number:
PRN431626
Status:
First Licensure:
09/24/2022
Cancel Date:
None

Mailing:
PROVIDENCE, RI 02908
Phone:
+1 (856) 779-7212
Fax:
+1 (856) 779-7289
Email:
licensing@americancollectors.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/24/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN COLLECTORS INSURANCE LLC
03/12/2024 AGN229774

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
07/23/2024 PCF201383
AMICA MUTUAL INSURANCE COMPANY
09/27/2022 PCF49 10/16/2023
AMICA PROPERTY AND CASUALTY INSURANCE COMPANY
09/27/2022 PCF297692 10/16/2023

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 09/24/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18568832

Other Addresses

Address Type
PROVIDENCE, RI 02908
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: 05/25/2025 06:10:31 PM