black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHISHOLM INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN64783
Status:
First Licensure:
09/15/1999
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
16 BOSTON POST RD
WAYLAND, MA 01778-2434
Mailing:
PO BOX 399
WAYLAND, MA 01778-0399
Phone:
+1 (508) 358-6111
Fax:
+1 (508) 401-6584
Email:
jgoodfellow@chisholminsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/15/1999 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
06/20/2016 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
04/09/2020 PCF234561
DORCHESTER MUTUAL INSURANCE COMPANY
09/15/1999 PCF426 08/27/2013
FEDERAL INSURANCE COMPANY
10/12/2001 PCF439 12/21/2005
GRAPHIC ARTS MUTUAL INSURANCE COMPANY
08/15/2018 PCF453
GREAT NORTHERN INSURANCE COMPANY
10/12/2001 PCF455 12/21/2005
THE HANOVER INSURANCE COMPANY
03/09/2004 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
03/09/2004 PCF505 10/28/2015
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
09/15/1999 PCF535 08/27/2013
PACIFIC INDEMNITY COMPANY
10/12/2001 PCF547 12/21/2005
PATRONS OXFORD INSURANCE COMPANY
09/30/2002 PCD7
UTICA MUTUAL INSURANCE COMPANY
08/15/2018 PCF610
VIGILANT INSURANCE COMPANY
10/12/2001 PCF613 12/21/2005
WEST NEWBURY MUTUAL FIRE INSURANCE COMPANY
09/15/1999 PCF615 12/31/2003

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
THOMAS B. CHISHOLM
09/15/1999 PRN64780

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
THOMAS B. CHISHOLM PRN64780

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3686952

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: 05/21/2025 02:12:53 AM