Agency Information

M CLARK AGENCY, LLC

Address:

1055 NORTH HILL BLVD.

RENO, NV 89506

Phone

775-525-5901

URL:

Email:

mclark2@farmersagent.com

National Producer Number:

20697212

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	3895202	04/27/2023	Active	04/27/2023	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/27/2023	Active	04/27/2023
Health	04/27/2023	Active	04/27/2023
Life	04/27/2023	Active	04/27/2023
Property	04/27/2023	Active	04/27/2023

Company Name	Appointment Type	Status	Active Date
17528
AETNA HEALTH OF UTAH INC	Health	Active	06/06/2024
1795
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	04/27/2023
	Property	Active	04/27/2023
105597
Company Name	Appointment Type	Status	Active Date
EDUCATORS HEALTH PLANS LIFE, ACCIDENT & HEALTH, INC.	Health	Active	11/10/2023
1281
Company Name	Appointment Type	Status	Active Date
HOMESITE INSURANCE COMPANY	Casualty	Active	07/14/2023
	Property	Active	07/14/2023
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	06/29/2023

row(s) 1 - 7 of 7

Name	Association Type	Agent	Begin Date	End Date
BRANDI JOLENE CLARK	Designated Resp Lic Prdcr	Yes	04/27/2023	-
MICHAEL E CLARK	Designated Resp Lic Prdcr	No	04/27/2023	-

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