black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EDWIN ORTIZ

PRODUCER NON-RESIDENT

License Number:
PRN383063
Status:
First Licensure:
05/14/2021
Cancel Date:
None

Mailing:
KANSAS CITY, MO 64157
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5560
Email:
edwin.ortiz@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/14/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
11/29/2021 AGN121078
VIVINT WARRANTY AND HOME INSURANCE, LLC
05/14/2021 AGN344038

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/14/2021 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
11/05/2021 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
12/02/2021 PCF808
BANKERS STANDARD INSURANCE COMPANY
12/14/2021 PCF152165
BRISTOL WEST INSURANCE COMPANY
05/18/2022 PCF78370
CHUBB INDEMNITY INSURANCE COMPANY
12/14/2021 PCF591
CHUBB NATIONAL INSURANCE COMPANY
12/14/2021 PCF80404
FEDERAL INSURANCE COMPANY
12/14/2021 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/02/2021 PCF445
GREAT NORTHERN INSURANCE COMPANY
12/14/2021 PCF455
HOMESITE INSURANCE COMPANY OF THE MIDWEST
12/14/2021 PCF116371
MIDVALE INDEMNITY COMPANY
12/14/2021 PCF79410
PACIFIC INDEMNITY COMPANY
12/14/2021 PCF547
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/13/2021 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/13/2021 PCF27738
RLI INSURANCE COMPANY
12/08/2021 PCF695
VIGILANT INSURANCE COMPANY
12/14/2021 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 05/14/2021 Active
PROPERTY 05/14/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17613665

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/15/2025 06:06:35 AM