DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Trevizo, Ozumy	DOIID	716437	NAIC NPN	15031447

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/22/2009		6/30/2026
Active	Non Resident	Agent	Casualty	10/22/2009		6/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	8/24/2023		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/03/2024	04/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	2/7/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	2/7/2013
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/9/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/9/2011
Inactive	Old Republic Insurance Company	301225	Agent - Property	3/1/2017	7/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Asurion Insurance Services Inc	509331	Agent - Casualty	3/21/2011
Active	Asurion Insurance Services Inc	509331	Agent - Property	3/21/2011