black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CLIFFORD HANSEN

PRODUCER NON-RESIDENT

License Number:
PRN197784
Status:
First Licensure:
12/02/2011
Cancel Date:
None

Mailing:
TELLURIDE, CO 81435
Phone:
+1 (970) 728-2200
Fax:
+1 (970) 728-2201
Email:
clifford@latitudeins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/02/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
INS OF THE SAN JUANS
03/07/2017 AGN283556 07/01/2023
LATITUDE INSURANCE
03/21/2023 AGN446728
ROARING FORK INSURANCE, LLC
10/02/2018 AGN318347 07/01/2019
ROARING FORK INSURANCE, LLC
01/28/2020 AGN318347
VANTAGE ADMINISTRATION SERVICES LP
05/15/2013 AGN216541 04/10/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
01/19/2021 PCF393
AMERICAN FAMILY HOME INSURANCE
05/31/2023 PCF201383 12/13/2023
CHUBB NATIONAL INSURANCE COMPANY
03/10/2017 PCF80404
COMMERCE AND INDUSTRY INSURANCE COMPANY
01/19/2021 PCF413
FEDERAL INSURANCE COMPANY
01/13/2012 PCF439
GREAT NORTHERN INSURANCE COMPANY
03/10/2017 PCF455
NATIONWIDE GENERAL INSURANCE COMPANY
08/09/2022 PCF30 08/24/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
08/09/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
08/09/2022 PCF32 08/24/2023
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
08/09/2022 PCF151089 08/24/2023
NGM INSURANCE COMPANY
07/30/2019 PCF86
PACIFIC INDEMNITY COMPANY
03/10/2017 PCF547
SAFECO NATIONAL INSURANCE COMPANY
02/11/2020 PCF248658 11/10/2023
THE STANDARD FIRE INSURANCE COMPANY
08/30/2024 PCF584
VIGILANT INSURANCE COMPANY
03/10/2017 PCF613
WESCO INSURANCE COMPANY
04/03/2012 PCF49735 03/30/2015

Authority

Description Issue Date Termination Date Status
CASUALTY 12/02/2011 Active
HEALTH 12/02/2011 Active
PROPERTY 12/02/2011 Active

Responsible For

Name License Number
LATITUDE INSURANCE AGN446728
ROARING FORK INSURANCE, LLC AGN318347

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15116535

Other Addresses

Address Type
171 S PINE STREET
TELLURIDE, CO 81435
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: 05/13/2025 10:35:20 PM