black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SULLIVAN GARRITY & DONNELLY INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN44833
Status:
Active
First Licensure:
02/13/1996
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
10 INSTITUTE RD
WORCESTER, MA 01609-2796
Mailing:
10 INSTITUTE RD
WORCESTER, MA 01609-2796
Phone:
+1 (508) 754-1767
Fax:
+1 (508) 754-1885
Email:
insurancelicensing@acrisure.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/01/1997 04/01/2027
ORGANIZATION NON-RESIDENT BROKER 02/13/1996 09/30/1997

Employer
Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY CENTENNIAL INSURANCE COMPANY
 10/08/2008 PCF880 03/07/2012
21ST CENTURY PREMIER INSURANCE COMPANY
 10/08/2008 PCF321 03/07/2012
ACE AMERICAN INSURANCE COMPANY
 03/04/2016 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 03/04/2016 PCF44
AIG PROPERTY CASUALTY COMPANY
 05/14/2009 PCF393
AIU INSURANCE COMPANY
 10/08/2008 PCF308
ALLIED INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF216138
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
 01/09/2020 PCF366
AMERICAN HOME ASSURANCE COMPANY
 10/08/2008 PCF367
AMERICAN ZURICH INSURANCE COMPANY
 01/09/2020 PCF914
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/24/2017 PCF659 01/16/2025
BANKERS STANDARD INSURANCE COMPANY
 03/10/2016 PCF152165
THE CHARTER OAK FIRE INSURANCE COMPANY
 11/26/2001 PCF403 06/30/2014
THE CHARTER OAK FIRE INSURANCE COMPANY
 06/27/2019 PCF403 01/16/2025
CIGNA HEALTH AND LIFE INSURANCE COMPANY
 08/14/2012 LHF860
CIGNA HEALTHCARE OF MAINE INC.
 08/10/2006 HMD4 04/22/2014
CITIZENS INSURANCE COMPANY OF AMERICA
 03/23/2004 PCF937
COMMERCE AND INDUSTRY INSURANCE COMPANY
 09/24/2015 PCF413
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 05/20/2020 PCF416 11/02/2022
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 06/12/2023 PCF416 09/30/2024
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
 08/10/2006 LHF149 09/25/2014
DRIVERS EDGE INSURANCE COMPANY
 05/14/2009 PCF364 03/07/2012
FARMINGTON CASUALTY COMPANY
 04/12/2006 PCF995 06/30/2014
FEDERAL INSURANCE COMPANY
 07/27/2005 PCF439
FIDELITY AND GUARANTY INSURANCE COMPANY
 05/03/2022 PCF832 03/19/2025
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 05/02/2008 PCF445 09/03/2019
GREAT NORTHERN INSURANCE COMPANY
 12/27/2010 PCF455
GREEN MOUNTAIN INSURANCE COMPANY INC
 05/20/2020 PCF73 09/30/2024
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
 07/12/2019 LHF644
THE HANOVER INSURANCE COMPANY
 03/23/2004 PCF712
HARLEYSVILLE INSURANCE COMPANY
 05/15/2014 PCF129870
HARLEYSVILLE PREFERRED INSURANCE COMPANY
 05/15/2014 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
 05/15/2014 PCF908
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 02/29/2016 PCF50104
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 10/08/2008 PCF482
MASSACHUSETTS BAY INSURANCE COMPANY
 03/23/2004 PCF505
NATIONWIDE ASSURANCE COMPANY
 01/27/2020 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 12/06/2018 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 01/27/2020 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 12/06/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 05/15/2014 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 01/27/2020 PCF151089
NORTHERN SECURITY INSURANCE COMPANY INC
 08/31/2005 PCF36
PACIFIC EMPLOYERS INSURANCE COMPANY
 03/10/2016 PCF546
PACIFIC INDEMNITY COMPANY
 12/27/2010 PCF547
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
 01/30/2015 PCF212805
SAFECO NATIONAL INSURANCE COMPANY
 11/25/2020 PCF248658 11/10/2023
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 11/20/2006 PCF575 06/30/2014
ST. PAUL GUARDIAN INSURANCE COMPANY
 11/20/2006 PCF701 06/30/2014
ST. PAUL MERCURY INSURANCE COMPANY
 11/20/2006 PCF576 06/30/2014
THE STANDARD FIRE INSURANCE COMPANY
 11/26/2001 PCF584 01/16/2025
TRAVELERS CASUALTY AND SURETY COMPANY
 07/23/2019 PCF348 01/16/2025
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 07/26/2023 PCF974 01/16/2025
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 04/12/2006 PCF935 01/16/2025
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 06/18/2007 PCF56556 01/16/2025
THE TRAVELERS INDEMNITY COMPANY
 11/26/2001 PCF602 07/18/2018
TRAVELERS PERSONAL INSURANCE COMPANY
 08/01/2019 PCF201268 01/16/2025
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 02/08/2022 PCF711 01/16/2025
VERMONT ACCIDENT INSURANCE COMPANY INC
 05/20/2020 PCF883 09/30/2024
VERMONT MUTUAL INSURANCE COMPANY
 08/31/2005 PCF37
VIGILANT INSURANCE COMPANY
 12/27/2010 PCF613
WATFORD INSURANCE COMPANY
 08/13/2009 PCF92579 09/29/2014
WESTCHESTER FIRE INSURANCE COMPANY
 03/04/2016 PCF177973
WESTERN SURETY COMPANY
 07/21/2004 PCF96
ZURICH AMERICAN INSURANCE COMPANY
 01/09/2020 PCF61397
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
 01/09/2020 PCF165251

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
ROBERT DENNIS BLUTE III
 06/10/2019 PRN281322
SHELLIE A. DYKE
 07/26/2024 PRN489822
KERRY E. O KEEFE
 07/01/2024 PRN487199
GEORGE F. SULLIVAN JR
 08/18/2006 PRN130402
JAMES ROY SULLIVAN
 08/02/2024 PRN490507
JON ANDREW SULLIVAN
 04/20/2021 PRN379708
THOMAS JAMES SULLIVAN
 02/24/2025 PRN508478

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
THOMAS JAMES SULLIVAN PRN508478

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3121525

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 02:45:04 PM