black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PROFESSIONAL RISK BROKERS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN111144
Status:
First Licensure:
02/28/2005
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3436 TORINGDON WAY STE 200
CHARLOTTE, NC 28277-4350
Mailing:
3436 TORINGDON WAY STE 200
CHARLOTTE, NC 28277-4350
Phone:
+1 (704) 364-5161
Fax:
+1 (704) 364-6019
Email:
mark.conklin@gapris.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/28/2005 04/01/2027

Alias, DBA or Trade Name

Name
GREAT AMERICAN PROFESSIONAL RISK INS SERVICES

Employer

Name Issue Date License Number Expiration Date Cancel Date
EXCELSIOR INSURANCE COMPANY
08/27/2007 PCF46786 09/27/2012
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
03/08/2005 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
03/08/2005 PCF702
GREAT AMERICAN INSURANCE COMPANY
03/08/2005 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
12/16/2008 PCF326
NETHERLANDS INSURANCE COMPANY
08/27/2007 PCF827 09/27/2012
OHIO CASUALTY INSURANCE COMPANY
03/07/2005 PCF73059
PEERLESS INDEMNITY INSURANCE COMPANY
08/27/2007 PCF97399 09/27/2012
PEERLESS INSURANCE COMPANY
08/27/2007 PCF548 09/27/2012

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARK CONKLIN
02/13/2019 PRN130173

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARK CONKLIN PRN130173

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2099294

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: 06/18/2025 04:24:43 PM