black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GRANT DVORAK

PRODUCER NON-RESIDENT

License Number:
PRN335429
Status:
First Licensure:
08/01/2019
Cancel Date:
None

Mailing:
GREEN BAY, WI 54303
Phone:
+1 (920) 521-2182
Fax:
+1 (920) 969-1220
Email:
gdvorak@jminsure.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/01/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
08/07/2019 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
08/29/2019 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
08/07/2019 PCF120263 05/03/2021
AMERICAN MODERN HOME INSURANCE COMPANY
08/14/2019 PCF808 06/08/2021
BANKERS STANDARD INSURANCE COMPANY
08/29/2019 PCF152165
CHUBB INDEMNITY INSURANCE COMPANY
08/29/2019 PCF591
CHUBB NATIONAL INSURANCE COMPANY
08/29/2019 PCF80404
FEDERAL INSURANCE COMPANY
08/29/2019 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
08/13/2019 PCF445 05/18/2021
GREAT NORTHERN INSURANCE COMPANY
08/29/2019 PCF455
HOMESITE INSURANCE COMPANY OF THE MIDWEST
08/09/2019 PCF116371
MIDVALE INDEMNITY COMPANY
08/09/2019 PCF79410
PACIFIC INDEMNITY COMPANY
08/29/2019 PCF547
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/09/2019 PCF51006 05/10/2021
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/09/2019 PCF27738 05/10/2021
RLI INSURANCE COMPANY
08/28/2020 PCF695 05/03/2021
VIGILANT INSURANCE COMPANY
08/29/2019 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 08/01/2019 Active
PROPERTY 08/01/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19241030

Other Addresses

Address Type
24 JEWELERS PARK DR
NEENAH, WI 54956-3702
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: 05/13/2025 12:55:34 PM