black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LATITUDE INSURANCE

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN446728
Status:
First Licensure:
03/21/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
171 S PINE STREET
TELLURIDE, CO 81435
Mailing:
PO BOX 3541
TELLURIDE, CO 81435-3541
Phone:
+1 (970) 728-2200
Email:
clifford@latitudeins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/21/2023 04/01/2027

Alias, DBA or Trade Name

Name
INS OF THE SAN JUANS

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
11/26/2024 PCF201383
FEDERAL INSURANCE COMPANY
04/17/2024 PCF439
GREAT NORTHERN INSURANCE COMPANY
06/20/2023 PCF455
PACIFIC INDEMNITY COMPANY
06/20/2023 PCF547
THE STANDARD FIRE INSURANCE COMPANY
08/30/2024 PCF584
VIGILANT INSURANCE COMPANY
06/20/2023 PCF613

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CLIFFORD HANSEN
03/21/2023 PRN197784

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CLIFFORD HANSEN PRN197784

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20507312

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: 05/25/2025 04:32:27 AM