black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LARRY E. VANDER GIESSEN

PRODUCER NON-RESIDENT

License Number:
PRN156717
Status:
First Licensure:
08/08/2008
Cancel Date:
None

Mailing:
QUINCY, WA 98848
Phone:
+1 (509) 787-2816
Fax:
+1 (509) 787-1620
Email:
larryv@basininsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/08/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
BASIN INS ASSOC INC
08/14/2008 AGN156894

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
01/12/2011 PCF81110
AMERICAN FIRE AND CASUALTY COMPANY
10/22/2014 PCF200822 08/24/2017
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
12/14/2010 LHF842
OHIO CASUALTY INSURANCE COMPANY
10/22/2014 PCF73059 08/24/2017
OHIO SECURITY INSURANCE COMPANY
10/22/2014 PCF200581 08/24/2017
US SPECIALTY INSURANCE COMPANY
01/12/2011 PCF31516
WEST AMERICAN INSURANCE COMPANY
10/22/2014 PCF200576 08/24/2017

Authority

Description Issue Date Termination Date Status
CASUALTY 08/08/2008 Active
PROPERTY 08/08/2008 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
679033

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: 06/26/2025 01:52:13 AM