black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GEORGE PETERSEN INSURANCE AGENCY, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN333364
Status:
First Licensure:
06/25/2019
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
416 E ST
EUREKA, CA 95501-0312
Mailing:
175 W COLLEGE AVE
SANTA ROSA, CA 95401-5062
Phone:
+1 (707) 360-4163
Fax:
+1 (916) 596-1079
Email:
jfisher@gpins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/25/2019 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
05/11/2020 PCF201383
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/17/2020 PCF445
PHILADELPHIA INDEMNITY INSURANCE COMPANY
03/16/2024 PCF46041
SAFECO NATIONAL INSURANCE COMPANY
08/01/2024 PCF248658
UNITED STATES FIRE INSURANCE COMPANY
03/23/2023 PCF101256

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLES LAWTON BUSSMAN
06/25/2019 PRN193126
KENNETH ROBB DAER
09/01/2019 PRN337566

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KENNETH ROBB DAER PRN337566

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1502220

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: 10/29/2025 07:00:00 PM