black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BURNS & WILCOX INS SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN188167
Status:
Active
First Licensure:
03/16/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
9370 CHESAPEAKE DR STE 200
SAN DIEGO, CA 92123-1065
Mailing:
9370 CHESAPEAKE DR STE 200
SAN DIEGO, CA 92123-1065
Phone:
+1 (248) 932-9000
Fax:
+1 (248) 327-4622
Email:
licensing@burns-wilcox.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/16/2011 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
 02/13/2017 PCF393
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 03/22/2012 PCF659 07/02/2014
CHUBB INDEMNITY INSURANCE COMPANY
 10/11/2011 PCF591
CHUBB NATIONAL INSURANCE COMPANY
 10/11/2011 PCF80404
COMMERCE AND INDUSTRY INSURANCE COMPANY
 02/06/2020 PCF413
EXECUTIVE RISK INDEMNITY INC.
 10/11/2011 PCF42522
FEDERAL INSURANCE COMPANY
 08/16/2011 PCF439
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
 09/03/2014 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
 09/03/2014 PCF702
GREAT AMERICAN INSURANCE COMPANY
 09/03/2014 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
 09/03/2014 PCF326
GREAT NORTHERN INSURANCE COMPANY
 10/11/2011 PCF455
PACIFIC INDEMNITY COMPANY
 10/11/2011 PCF547
THE PHOENIX INSURANCE COMPANY
 03/22/2012 PCF557 07/02/2014
THE STANDARD FIRE INSURANCE COMPANY
 03/22/2012 PCF584 07/02/2014
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 03/22/2012 PCF31810 07/02/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 03/22/2012 PCF56556 07/02/2014
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 03/22/2012 PCF585 07/02/2014
THE TRAVELERS INDEMNITY COMPANY
 03/22/2012 PCF602 07/02/2014
VIGILANT INSURANCE COMPANY
 10/11/2011 PCF613

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
SAMUEL CARSON
 02/25/2021 PRN335204
RICHARD LAKE GOBLER
 06/03/2015 PRN251031

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
SAMUEL CARSON PRN335204

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2440535

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 03:19:22 PM