black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMY J. DOLLIVER

PRODUCER RESIDENT

License Number:
PRR475404
Status:
First Licensure:
02/02/2024
Cancel Date:
None
Renewal Date:
01/31/2027

Continuing Education:
Required by 01/31/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
3

Mailing:
WELLS, ME 04090
Phone:
+1 (207) 298-5514
Email:
amy.j.dolliver.vaf55v@statefarm.com

History

License Type Start Date End Date
PRODUCER RESIDENT 02/02/2024 01/31/2027

Agency

Name Issue Date License Number Expiration Date Cancel Date
COLE HARRISON AGENCY
11/17/2025 AGR29527

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN PET INSURANCE COMPANY
03/21/2024 PCF204502 05/06/2025
CONCORD GENERAL MUTUAL INSURANCE COMPANY
11/17/2025 PCF416
GREEN MOUNTAIN INSURANCE COMPANY INC
11/17/2025 PCF73
PATRIOT INSURANCE COMPANY
11/17/2025 PCD208274
STATE FARM FIRE AND CASUALTY COMPANY
02/07/2024 PCF586 05/06/2025
STATE FARM LIFE INSURANCE COMPANY
03/05/2024 LHF25 05/06/2025
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
02/07/2024 PCF588 05/06/2025
STATE MUTUAL INSURANCE COMPANY
11/17/2025 PCD102
VERMONT ACCIDENT INSURANCE COMPANY INC
11/17/2025 PCF883

Authority

Description Issue Date Termination Date Status
CASUALTY 02/02/2024 Active
HEALTH 02/28/2024 Active
LIFE 02/28/2024 Active
PROPERTY 02/02/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21064348

Other Addresses

Address Type
960 SANFORD RD
WELLS, ME 04090
Office

CE Courses

Date Description Course Number Content Areas
11/05/2025 AGENCY RISK MANAGEMENT - ESSENTIALS OF SERVICE 29983
3
credits in General Education
Total:
3

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: 11/19/2025 02:56:35 PM