Individual Information

MATTHEW HOWARD CLARK

RANCHO SANTA FE, CA 92067-6344

Active

matt@pmia.com

07/06/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3352895	07/06/2018	Active	07/06/2018	07/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/06/2018	Active	07/06/2018
Property	07/06/2018	Active	07/06/2018

Company Name	Appointment Type	Status	Active Date
113
AIG PROPERTY CASUALTY COMPANY	Casualty	Active	11/27/2018
	Property	Active	11/27/2018
1474
Company Name	Appointment Type	Status	Active Date
CRESTBROOK INSURANCE COMPANY	Casualty	Active	03/23/2020
	Property	Active	03/23/2020
402
Company Name	Appointment Type	Status	Active Date
FARMERS PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	07/19/2018
	Property	Active	07/19/2018
458
Company Name	Appointment Type	Status	Active Date
NATIONWIDE GENERAL INSURANCE COMPANY	Casualty	Active	08/24/2022
	Property	Active	08/24/2022
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	03/23/2020
	Property	Active	03/23/2020
114730
Company Name	Appointment Type	Status	Active Date
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE	Casualty	Active	07/24/2018
	Property	Active	07/24/2018
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	09/20/2022
	Property	Active	09/20/2022
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	12/15/2021
	Property	Active	12/15/2021

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
CNKDWC LLC	Designated Resp Lic Prdcr	Agency	07/29/2021	-
CLARK INSURANCE AGENCY, INC.	Designated Resp Lic Prdcr	Agency	10/04/2022	-

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