black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

RITA MARIE JORGENSON

PRODUCER NON-RESIDENT

License Number:
PRN299625
Status:
First Licensure:
12/10/2017
Cancel Date:
None

Mailing:
MONTEVIDEO, MN 56265
Phone:
+1 (320) 269-3144
Fax:
+1 (320) 269-3154
Email:
rita@goldleafsurety.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/10/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
GOLDLEAF SURETY SERVICES LLC
12/10/2017 AGN167733

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLEGHENY CASUALTY COMPANY
04/24/2018 PCF156083 01/21/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
11/18/2019 PCF223935
AMCO INSURANCE COMPANY
11/18/2019 PCF223938
AMERICAN CONTRACTORS INDEMNITY COMPANY
10/29/2018 PCF81110
COREPOINTE INSURANCE COMPANY
09/26/2023 PCF398
DEPOSITORS INSURANCE COMPANY
11/18/2019 PCF223940
DEVELOPERS SURETY AND INDEMNITY COMPANY
09/26/2023 PCF149532
HARCO NATIONAL INSURANCE COMPANY
03/13/2019 PCF325
HUDSON INSURANCE COMPANY
10/05/2020 PCF165252
INTERNATIONAL FIDELITY INSURANCE COMPANY
04/24/2018 PCF46340 05/27/2023
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
11/18/2019 PCF151937
NATIONWIDE GENERAL INSURANCE COMPANY
11/18/2019 PCF30 09/25/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
11/18/2019 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
11/18/2019 PCF32
NGM INSURANCE COMPANY
04/09/2020 PCF86
US SPECIALTY INSURANCE COMPANY
10/29/2018 PCF31516
WESTERN SURETY COMPANY
11/08/2018 PCF96

Authority

Description Issue Date Termination Date Status
CASUALTY 12/10/2017 Active
PROPERTY 12/10/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6984374

Other Addresses

Address Type
3246 E HIGHWAY 7 STE 150
MONTEVIDEO, MN 56265-1744
Office

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: 05/16/2025 10:02:28 PM