black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ERICKSON LARSEN INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN213315
Status:
First Licensure:
02/05/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6425 SYCAMORE CT N
MAPLE GROVE, MN 55369-6028
Mailing:
6425 SYCAMORE CT N
MAPLE GROVE, MN 55369-6028
Phone:
+1 (763) 535-0055
Fax:
+1 (763) 535-4051
Email:
vdavis@ericksonlarseninc.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/05/2013 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAPITOL INDEMNITY CORPORATION
02/19/2013 PCF162568

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JENNIFER M. JENSEN
02/05/2013 PRN213023

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JENNIFER M. JENSEN PRN213023

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
136307

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: 05/19/2025 10:09:09 AM