Agency Information

HEATH BURCHILL AGENCY INC

Address:

231 COFFMAN ST

LONGMONT, CO 80501

Phone

720-494-0500

URL:

Email:

hburchil@amfam.com

National Producer Number:

7834607

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3404234	12/27/2018	Active	12/27/2018	12/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/27/2018	Active	12/27/2018
Property	12/27/2018	Active	12/27/2018

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	01/02/2019
	Property	Active	01/02/2019
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	01/02/2019
	Property	Active	01/02/2019
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	01/02/2019

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
HEATH R BURCHILL	Designated Resp Lic Prdcr	Yes	02/12/2021	-

1 - 1