DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgos, Ricardo	DOIID	931931	NAIC NPN	17193129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/5/2016	9/14/2017
Inactive	Non Resident	Agent	Casualty	10/5/2016	9/14/2017
* 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
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	11/14/2016	9/14/2017
Inactive	Midvale Indemnity Company	300292	Agent - Property	11/14/2016	9/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	11/14/2016	9/14/2017
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	11/14/2016	9/14/2017