DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

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