Individual Information

JOHN K CLARK

Address:

EVANS, GA 30809-8265

Status:

Active

Email:

john.clark@markel.com

Date:

05/19/2006

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	220460	05/19/2006	Active	05/19/2006	05/31/2027
Non-Res. Motor Club Agt/Agy	3384145	10/11/2018	Active	10/11/2018	10/31/2027
Non-Res. Surplus Lines Broker	1021835	03/12/2015	Active	03/12/2015	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/19/2006	Active	05/19/2006
Health	08/14/2018	Active	08/14/2018
Life	08/14/2018	Active	08/14/2018
Motor Club	10/11/2018	Active	10/11/2018
Property	05/19/2006	Active	05/19/2006
Surplus Lines	03/12/2015	Active	03/12/2015

Company Name	Appointment Type	Status	Active Date
1536
FIRSTCOMP INSURANCE COMPANY	Casualty	Active	08/22/2018
	Property	Active	08/22/2018
1652
Company Name	Appointment Type	Status	Active Date
MARKEL AMERICAN INSURANCE COMPANY	Casualty	Active	08/22/2018
	Property	Active	08/22/2018
1105
Company Name	Appointment Type	Status	Active Date
MARKEL INSURANCE COMPANY	Casualty	Active	05/22/2012
	Health	Active	08/22/2018
	Property	Active	05/22/2012
84127
Company Name	Appointment Type	Status	Active Date
SURETEC INSURANCE COMPANY	Casualty	Active	08/05/2020

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
MARKEL SERVICE INC	Designated Resp Lic Prdcr	Agency	03/27/2020	-

1 - 1