black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JUSTIN W. BURGOS

PRODUCER NON-RESIDENT

License Number:
PRN304315
Status:
First Licensure:
03/02/2018
Cancel Date:
None

Mailing:
LAKEVILLE, MN 55044
Phone:
+1 (313) 788-7842
Fax:
+1 (763) 302-7200
Email:
justin.burgos@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/02/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS OF ILLINOIS INC
03/02/2018 AGN51320 01/01/2020
WILLIS OF MINNESOTA INC
03/22/2018 AGN96590 01/10/2019
WILLIS TOWERS WATSON MIDWEST INC
01/10/2019 AGN36667

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
07/29/2019 PCF216138 09/25/2023
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
07/29/2019 PCF223935
AMCO INSURANCE COMPANY
07/29/2019 PCF223938
DEPOSITORS INSURANCE COMPANY
07/29/2019 PCF223940
GREENWICH INSURANCE COMPANY
11/22/2024 PCF43984
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
07/29/2019 PCF151937
NATIONWIDE ASSURANCE COMPANY
10/05/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
01/01/2020 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
10/05/2021 PCF422
NATIONWIDE MUTUAL INSURANCE COMPANY
07/29/2019 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
10/05/2021 PCF151089
XL REINSURANCE AMERICA INC
02/25/2019 PCF582 11/22/2024
XL SPECIALTY INSURANCE COMPANY
02/25/2019 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 03/02/2018 Active
PROPERTY 03/02/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8320839

Other Addresses

Address Type
8400 NORMANDALE LAKE BLVD STE 1700
MINNEAPOLIS, MN 55437-3837
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: 06/19/2025 08:16:33 PM