black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CLIA INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN59422
Status:
First Licensure:
12/03/1998
Cancel Date:
07/01/2013
Renewal Date:
07/01/2013

Mailing:
3455 E PARIS AVE SE
GRAND RAPIDS, MI 49512-2960

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/03/1998 06/30/2013

Alias, DBA or Trade Name

Name
CHARTER LAKES MARINE INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/29/1998 PCF640 05/16/2013
ACE PROPERTY & CASUALTY INSURANCE COMPANY
12/29/1998 PCF44 05/16/2013
AMERICAN MODERN HOME INSURANCE COMPANY
09/15/2008 PCF808 07/01/2013
AMERICAN MODERN SELECT INSURANCE COMPANY
12/17/2012 PCF123448 07/01/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/20/2006 PCF445 06/19/2013
INSURANCE COMPANY OF NORTH AMERICA
12/29/1998 PCF480 05/16/2013
MARKEL AMERICAN INSURANCE COMPANY
09/03/2003 PCF48506 07/01/2013
NORTHERN ASSURANCE COMPANY OF AMERICA
04/12/2004 PCF1020 02/25/2009
NORTHERN INSURANCE COMPANY OF NEW YORK
11/20/2006 PCF501 07/01/2013
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/25/2005 PCF51006 07/23/2009
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/25/2005 PCF27738 03/04/2013
RLI INSURANCE COMPANY
03/12/2008 PCF695 07/01/2013
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
06/14/2011 PCF575 12/21/2012

Affiliated Agent

None.

Branch Office

None.

Supervised Entity

None.

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
961088

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: 01/13/2026 02:39:36 AM