black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAWN-ANN T. CLARK

PRODUCER RESIDENT

License Number:
PRR23522
Status:
First Licensure:
10/22/1988
Cancel Date:
None
Renewal Date:
10/31/2026

Continuing Education:
Required by 10/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
CALAIS, ME 04619
Phone:
+1 (207) 454-8800
Fax:
+1 (207) 454-3092
Email:
clarkinsurance@myfairpoint.net

History

License Type Start Date End Date
PRODUCER RESIDENT 10/22/1988 10/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
CLARK INSURANCE AGENCY
01/15/1997 AGR48250
MAINE INSURANCE AGENCY
07/11/1990 AGR2761 02/27/1998

Employer

Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY PREMIER INSURANCE COMPANY
02/05/2009 PCF321 06/07/2010
AEGIS SECURITY INSURANCE COMPANY
09/01/2011 PCF49874 03/13/2018
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
05/15/2008 PCF75617 10/28/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
05/15/2008 PCF145893 09/25/2015
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
08/21/2018 PCF864
ALLSTATE INDEMNITY COMPANY
08/21/2018 PCF522
ALLSTATE INSURANCE COMPANY
08/21/2018 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
08/21/2018 PCF84066
AMERICAN ECONOMY INSURANCE COMPANY
06/28/2021 PCF363
AMERICAN FIRE AND CASUALTY COMPANY
06/20/2014 PCF200822
AMERICAN MODERN HOME INSURANCE COMPANY
06/29/2015 PCF808 12/13/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
01/19/2018 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
06/29/2015 PCF123448 10/28/2021
ATHOME INSURANCE COMPANY
12/28/2005 PCF503 06/07/2010
BEAZLEY INSURANCE COMPANY INC.
08/06/1997 PCF1001 05/24/2005
BLUE RIDGE INSURANCE COMPANY
01/29/2002 PCF47153 07/28/2005
BRISTOL WEST INSURANCE COMPANY
02/18/2004 PCF78370
CASCO INDEMNITY COMPANY
01/01/2013 PCF921
CITIZENS INSURANCE COMPANY OF AMERICA
02/11/2000 PCF937
CONCORD GENERAL MUTUAL INSURANCE COMPANY
07/02/2007 PCF416
DAIRYLAND INSURANCE COMPANY
04/24/1997 PCF721
EMPLOYERS INSURANCE COMPANY OF WAUSAU
02/27/2017 PCF434
EXCELSIOR INSURANCE COMPANY
11/21/2006 PCF46786 04/26/2024
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
05/11/2004 IIF106 03/21/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/30/2002 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
03/19/2013 PCF37337 02/27/2014
FOREMOST SIGNATURE INSURANCE COMPANY
03/19/2013 PCF176307 02/27/2014
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
04/23/1999 PCF326 12/08/2006
GREAT FALLS INSURANCE COMPANY
09/28/2012 PCD185974 02/10/2022
GREEN MOUNTAIN INSURANCE COMPANY INC
05/25/2023 PCF73
THE HANOVER INSURANCE COMPANY
02/11/2000 PCF712
INFINITY INSURANCE COMPANY
02/10/2006 PCF72865 02/23/2015
INTEGON NATIONAL INSURANCE COMPANY
04/29/1997 PCF310 02/04/2003
INTEGON NATIONAL INSURANCE COMPANY
07/15/2023 PCF310
MAIN STREET AMERICA ASSURANCE COMPANY
03/23/2020 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
03/23/2020 PCF235440
MASSACHUSETTS BAY INSURANCE COMPANY
02/11/2000 PCF505
MIDVALE INDEMNITY COMPANY
09/15/2020 PCF79410
NETHERLANDS INSURANCE COMPANY
11/21/2006 PCF827 04/26/2024
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
12/29/1999 PCF87 12/13/2018
NGM INSURANCE COMPANY
03/23/2020 PCF86
NORTHERN INSURANCE COMPANY OF NEW YORK
05/11/2004 PCF501 02/02/2015
NORTHERN SECURITY INSURANCE COMPANY INC
11/01/2022 PCF36
OHIO CASUALTY INSURANCE COMPANY
06/20/2014 PCF73059
OHIO SECURITY INSURANCE COMPANY
06/20/2014 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
11/21/2006 PCF97399 12/23/2021
PEERLESS INSURANCE COMPANY
11/21/2006 PCF548
PROGRESSIVE CASUALTY INSURANCE COMPANY
04/09/1997 PCF637 03/10/2010
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/28/1999 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
04/09/1997 PCF27738
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
06/11/2014 PCF562
SAFECO NATIONAL INSURANCE COMPANY
02/27/2017 PCF248658
SENTINEL INSURANCE COMPANY LTD
10/01/2009 PCF84269 06/04/2013
STAR INSURANCE COMPANY
12/18/2007 PCF59785 08/12/2015
STATE MUTUAL INSURANCE COMPANY
05/25/2023 PCD102
SUPERIOR SPECIALTY INSURANCE COMPANY
12/18/2007 PCF35220 05/19/2009
SUPERIOR SPECIALTY INSURANCE COMPANY
11/21/2011 PCF35220 08/12/2015
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
06/07/2007 IIF107 10/19/2012
UNION MUTUAL FIRE INSURANCE COMPANY
12/29/1999 PCF95
UNITED FINANCIAL CASUALTY COMPANY
05/15/2007 PCF61704 03/31/2012
UNITED OHIO INSURANCE COMPANY
01/01/2013 PCF192494
VERMONT ACCIDENT INSURANCE COMPANY INC
05/25/2023 PCF883
VERMONT MUTUAL INSURANCE COMPANY
11/01/2022 PCF37
WEST AMERICAN INSURANCE COMPANY
06/20/2014 PCF200576

Authority

Description Issue Date Termination Date Status
CASUALTY 10/22/1988 Active
PROPERTY 10/22/1988 Active

Responsible For

Name License Number
CLARK INSURANCE AGENCY AGR48250

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3684568

Other Addresses

Address Type
CLARK INSURANCE AGENCY
6 ELM ST
CALAIS, ME 04619-1846
Office

Other Phone Numbers

Phone Number Type
+1 (207) 454-8800 Office

CE Courses

None.

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: 05/14/2025 02:34:04 AM