black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WILLIAM LAWRENCE BURBINE

PRODUCER NON-RESIDENT

License Number:
PRN105126
Status:
Active
First Licensure:
07/12/2004
Cancel Date:
None

Mailing:
LOWELL, MA 01851
Phone:
+1 (978) 322-7115
Email:
bburbine@fredcchurch.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 05/09/2014
*** NOT ACTIVE *** 12/09/2009 05/08/2014
PRODUCER NON-RESIDENT 07/12/2004 12/08/2009

Agency
Name Issue Date License Number Expiration Date Cancel Date
ATLANTIC INSURANCE AGENCIES
 09/14/2009 AGR23900 12/09/2009
FRED C CHURCH INC
 05/09/2014 AGN50941
OMNI UNDERWRITING MANAGERS LLC
 04/20/2005 AGR68774 02/03/2009

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 05/09/2014 PCF145893
AMERICAN ECONOMY INSURANCE COMPANY
 04/21/2009 PCF363 12/10/2009
AMERICAN STATES INSURANCE COMPANY
 04/21/2009 PCF377 12/10/2009
AMERICAN ZURICH INSURANCE COMPANY
 05/09/2014 PCF914 10/27/2014
ASSURANCE COMPANY OF AMERICA
 05/09/2014 PCF651 10/27/2014
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 07/05/2007 PCF659 03/05/2009
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 07/25/2005 PCF396 02/04/2009
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 05/09/2014 PCF396 12/12/2016
THE CHARTER OAK FIRE INSURANCE COMPANY
 07/05/2007 PCF403 03/05/2009
CITIZENS INSURANCE COMPANY OF AMERICA
 08/05/2004 PCF937 02/09/2009
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
 05/09/2014 PCF72568 10/27/2014
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 03/09/2009 PCF416 12/10/2009
EXCELSIOR INSURANCE COMPANY
 04/21/2009 PCF46786 12/10/2009
FEDERAL INSURANCE COMPANY
 02/05/2007 PCF439 12/10/2009
FEDERAL INSURANCE COMPANY
 05/09/2014 PCF439
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 05/09/2014 PCF868 10/27/2014
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
 04/21/2009 PCF71263 12/10/2009
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 04/22/2008 PCF445 03/26/2009
GENERAL INSURANCE COMPANY OF AMERICA
 04/21/2009 PCF447 12/10/2009
GREAT FALLS INSURANCE COMPANY
 05/09/2014 PCD185974 02/10/2022
GREEN MOUNTAIN INSURANCE COMPANY INC
 03/09/2009 PCF73 12/10/2009
THE HANOVER INSURANCE COMPANY
 08/05/2004 PCF712 02/09/2009
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 05/09/2014 PCD35999
MARYLAND CASUALTY COMPANY
 05/09/2014 PCF500 10/27/2014
MASSACHUSETTS BAY INSURANCE COMPANY
 08/05/2004 PCF505 02/09/2009
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 05/09/2014 PCF79 12/12/2016
MIDDLESEX MUTUAL ASSURANCE COMPANY
 11/16/2009 PCF844 12/10/2009
MMG INSURANCE COMPANY
 02/19/2009 PCD5 12/10/2009
MMG INSURANCE COMPANY
 05/09/2014 PCD5
NETHERLANDS INSURANCE COMPANY
 04/21/2009 PCF827 12/10/2009
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 08/11/2009 PCF87 12/10/2009
NORTHERN INSURANCE COMPANY OF NEW YORK
 05/09/2014 PCF501 10/27/2014
OHIO CASUALTY INSURANCE COMPANY
 04/21/2009 PCF73059 12/10/2009
PEERLESS INDEMNITY INSURANCE COMPANY
 04/21/2009 PCF97399 12/10/2009
PEERLESS INSURANCE COMPANY
 04/21/2009 PCF548 12/10/2009
THE PHOENIX INSURANCE COMPANY
 07/05/2007 PCF557 03/05/2009
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
 09/07/2021 PCF212805
PROGRESSIVE NORTHERN INSURANCE COMPANY
 09/13/2004 PCF51006 02/09/2009
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 09/13/2004 PCF27738 02/09/2009
THE STANDARD FIRE INSURANCE COMPANY
 07/05/2007 PCF584 03/05/2009
STATE MUTUAL INSURANCE COMPANY
 03/09/2009 PCD102 12/10/2009
TRAVELERS CASUALTY AND SURETY COMPANY
 07/05/2007 PCF348 03/05/2009
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 07/05/2007 PCF974 12/10/2009
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 07/05/2007 PCF31810 03/05/2009
TRAVELERS COMMERCIAL INSURANCE COMPANY
 07/05/2007 PCF31811 03/05/2009
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 07/05/2007 PCF585 03/05/2009
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 07/05/2007 PCF435 03/05/2009
THE TRAVELERS INDEMNITY COMPANY
 07/05/2007 PCF602 03/05/2009
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 07/05/2007 PCF711 03/05/2009
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 07/05/2007 PCF31808 03/05/2009
UNION MUTUAL FIRE INSURANCE COMPANY
 08/11/2009 PCF95 12/10/2009
UNITED FINANCIAL CASUALTY COMPANY
 08/11/2006 PCF61704 02/09/2009

Authority
Description Issue Date Termination Date Status
CASUALTY 05/09/2014 Active
PROPERTY 05/09/2014 Active
PROPERTY AND CASUALTY 07/12/2004 12/09/2009 Terminated

License/Disciplinary Action

None.

PRODUCER RESIDENT

License Number:
PRR91938
Status:
Withdrawn/Terminated by Licensee
First Licensure:
01/15/2003
Cancel Date:
05/09/2014
Renewal Date:
05/09/2014

Mailing:
LOWELL, MA 01851
Phone:
+1 (978) 322-7115
Email:
bburbine@fredcchurch.com

History
License Type Start Date End Date
PRODUCER RESIDENT 12/09/2009 05/08/2014
*** NOT ACTIVE *** 02/23/2004 12/08/2009
PRODUCER RESIDENT 01/15/2003 02/22/2004

Agency
Name Issue Date License Number Expiration Date Cancel Date
ATLANTIC INSURANCE AGENCIES
 12/09/2009 AGR23900 02/22/2013
OMNI UNDERWRITING MANAGERS LLC
 01/15/2003 AGR68774 02/23/2004

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 06/17/2011 PCF145893 05/09/2014
AMERICAN AND FOREIGN INSURANCE COMPANY
 01/24/2003 PCF838 02/23/2004
AMERICAN ECONOMY INSURANCE COMPANY
 12/10/2009 PCF363 02/01/2014
AMERICAN STATES INSURANCE COMPANY
 12/10/2009 PCF377 02/01/2014
AMERICAN ZURICH INSURANCE COMPANY
 01/18/2010 PCF914 05/09/2014
ARROWOOD INDEMNITY COMPANY
 01/24/2003 PCF837 02/23/2004
ASSURANCE COMPANY OF AMERICA
 01/18/2010 PCF651 05/09/2014
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 02/25/2003 PCF659 02/23/2004
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 01/28/2003 PCF396 02/23/2004
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 02/16/2010 PCF396 05/09/2014
THE CHARTER OAK FIRE INSURANCE COMPANY
 02/25/2003 PCF403 02/23/2004
CHUBB INDEMNITY INSURANCE COMPANY
 02/04/2003 PCF591 02/23/2004
CITIZENS INSURANCE COMPANY OF AMERICA
 01/28/2003 PCF937 02/23/2004
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
 01/18/2010 PCF72568 05/09/2014
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 12/10/2009 PCF416 07/30/2013
EXCELSIOR INSURANCE COMPANY
 12/10/2009 PCF46786 02/01/2014
EXECUTIVE RISK INDEMNITY INC.
 02/04/2003 PCF42522 02/23/2004
FEDERAL INSURANCE COMPANY
 02/04/2003 PCF439 02/23/2004
FEDERAL INSURANCE COMPANY
 12/10/2009 PCF439 05/09/2014
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 01/18/2010 PCF868 05/09/2014
FIRST NATIONAL INSURANCE COMPANY OF AMERICA
 12/10/2009 PCF71263 02/01/2014
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 02/18/2003 PCF445 02/23/2004
FRANKENMUTH INSURANCE COMPANY
 06/07/2011 PCF83684 03/12/2013
GENERAL INSURANCE COMPANY OF AMERICA
 12/10/2009 PCF447 02/01/2014
GLOBE INDEMNITY COMPANY
 01/24/2003 PCF839 02/23/2004
GREAT FALLS INSURANCE COMPANY
 09/07/2011 PCD185974 05/09/2014
GREAT NORTHERN INSURANCE COMPANY
 02/04/2003 PCF455 02/23/2004
GREEN MOUNTAIN INSURANCE COMPANY INC
 12/10/2009 PCF73 07/30/2013
THE HANOVER INSURANCE COMPANY
 01/28/2003 PCF712 02/23/2004
HARTFORD ACCIDENT & INDEMNITY COMPANY
 02/03/2003 PCF462 02/23/2004
HARTFORD CASUALTY INSURANCE COMPANY
 02/03/2003 PCF967 02/23/2004
HARTFORD FIRE INSURANCE COMPANY
 02/03/2003 PCF464 02/23/2004
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 02/03/2003 PCF1021 02/23/2004
HARTFORD UNDERWRITERS INSURANCE COMPANY
 02/03/2003 PCF992 02/23/2004
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 02/03/2010 PCD35999 05/09/2014
MARYLAND CASUALTY COMPANY
 01/18/2010 PCF500 05/09/2014
MASSACHUSETTS BAY INSURANCE COMPANY
 01/28/2003 PCF505 02/23/2004
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 02/16/2010 PCF79 05/09/2014
MIDDLESEX MUTUAL ASSURANCE COMPANY
 12/10/2009 PCF844 01/23/2014
MMG INSURANCE COMPANY
 01/21/2003 PCD5 02/23/2004
MMG INSURANCE COMPANY
 12/10/2009 PCD5 05/09/2014
NETHERLANDS INSURANCE COMPANY
 12/10/2009 PCF827 02/01/2014
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 11/25/2003 PCF87 02/23/2004
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 12/10/2009 PCF87 06/06/2013
NORTHERN INSURANCE COMPANY OF NEW YORK
 01/18/2010 PCF501 05/09/2014
OHIO CASUALTY INSURANCE COMPANY
 12/10/2009 PCF73059 02/01/2014
PACIFIC INDEMNITY COMPANY
 02/04/2003 PCF547 02/23/2004
PATRIOT INSURANCE COMPANY
 06/07/2011 PCD208274 03/12/2013
PATRONS OXFORD INSURANCE COMPANY
 01/23/2003 PCD7 02/23/2004
PEERLESS INDEMNITY INSURANCE COMPANY
 12/10/2009 PCF97399 02/01/2014
PEERLESS INSURANCE COMPANY
 12/10/2009 PCF548 02/01/2014
THE PHOENIX INSURANCE COMPANY
 02/25/2003 PCF557 02/23/2004
PROGRESSIVE NORTHERN INSURANCE COMPANY
 01/28/2003 PCF51006 02/23/2004
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 01/28/2003 PCF27738 02/23/2004
ROYAL INSURANCE COMPANY OF AMERICA
 01/24/2003 PCF684 02/23/2004
SAFEGUARD INSURANCE COMPANY
 01/24/2003 PCF574 02/23/2004
THE STANDARD FIRE INSURANCE COMPANY
 02/25/2003 PCF584 02/23/2004
STATE MUTUAL INSURANCE COMPANY
 12/10/2009 PCD102 07/30/2013
TRAVELERS CASUALTY AND SURETY COMPANY
 02/25/2003 PCF348 02/23/2004
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 02/25/2003 PCF974 02/23/2004
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 12/10/2009 PCF974 12/11/2009
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 02/25/2003 PCF31810 02/23/2004
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 02/25/2003 PCF585 02/23/2004
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 02/25/2003 PCF435 02/23/2004
THE TRAVELERS INDEMNITY COMPANY
 02/25/2003 PCF602 02/23/2004
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 02/25/2003 PCF711 02/23/2004
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 02/25/2003 PCF31808 02/23/2004
TRUMBULL INSURANCE COMPANY
 02/03/2003 PCF47441 02/23/2004
TWIN CITY FIRE INSURANCE COMPANY
 02/03/2003 PCF963 02/23/2004
UNION MUTUAL FIRE INSURANCE COMPANY
 11/25/2003 PCF95 02/23/2004
UNION MUTUAL FIRE INSURANCE COMPANY
 12/10/2009 PCF95 06/06/2013
VIGILANT INSURANCE COMPANY
 02/04/2003 PCF613 02/23/2004
YORK INSURANCE COMPANY OF MAINE
 02/01/2003 PCF498 02/23/2004

Authority
Description Issue Date Termination Date Status
PROPERTY AND CASUALTY 12/09/2009 05/09/2014 Terminated
PROPERTY AND CASUALTY 01/15/2003 02/23/2004 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7568203

Other Addresses
Address Type
41 WELLMAN ST
LOWELL, MA 01851-5161
 Office

CE Courses
Date Description Course Number Content Areas
05/16/2012 COMMERCIAL PROPERTY FROM PRIMARY TO SECONDARY MARKETS ME17037
2
credits in General Education
Total:
2
05/15/2012 E-COVERAGE ME17051
3
credits in Ethics
12
credits in General Education
Total:
15
06/21/2010 GUIDE TO AGENCY E & O RISK MANAGEMENT FOR PRODUCERS ME15679
7
credits in General Education
Total:
7

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: 05/14/2025 12:06:51 AM