black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL WAYNE CLARK

PRODUCER NON-RESIDENT

License Number:
PRN109798
Status:
First Licensure:
12/28/2004
Cancel Date:
None

Mailing:
SALT LAKE CITY, UT 84108
Phone:
+1 (801) 288-1600
Fax:
+1 (801) 288-1944
Email:
sclark@dalebarton.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/28/2004

Agency

Name Issue Date License Number Expiration Date Cancel Date
DALE BARTON AGENCY
12/28/2004 AGN85665

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/18/2010 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
03/18/2010 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
03/18/2010 PCF44
ALLIED INSURANCE COMPANY OF AMERICA
09/24/2015 PCF216138 09/25/2023
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
08/28/2015 PCF223935
AMCO INSURANCE COMPANY
08/28/2015 PCF223938
BANKERS STANDARD INSURANCE COMPANY
03/18/2010 PCF152165
BERKLEY REGIONAL INSURANCE COMPANY
01/28/2022 PCF48727
THE CHARTER OAK FIRE INSURANCE COMPANY
01/21/2011 PCF403 06/30/2014
DEPOSITORS INSURANCE COMPANY
08/28/2015 PCF223940
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/18/2010 PCF50104
NATIONWIDE ASSURANCE COMPANY
10/05/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
08/28/2018 PCF30 09/25/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
10/05/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
08/28/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
11/07/2016 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
10/05/2021 PCF151089
PACIFIC EMPLOYERS INSURANCE COMPANY
03/18/2010 PCF546
THE PHOENIX INSURANCE COMPANY
01/21/2011 PCF557 06/30/2014
THE TRAVELERS INDEMNITY COMPANY
01/21/2011 PCF602 06/30/2014
UNITED STATES FIRE INSURANCE COMPANY
12/14/2023 PCF101256
WESTCHESTER FIRE INSURANCE COMPANY
03/18/2010 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
11/18/2010 PCF177973

Authority

Description Issue Date Termination Date Status
CASUALTY 12/28/2004 Active
PROPERTY 12/28/2004 Active

Responsible For

Name License Number
DALE BARTON AGENCY AGN85665

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1616151

Other Addresses

Address Type
1100 E 6600 S STE 400
MURRAY, UT 84121-7418
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: 05/15/2025 01:09:32 AM