DEPARTMENT OF INSURANCE

Affiliations

Name	Ortiz, Edwin	DOIID	990154	NAIC NPN	17613665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/5/2018	8/31/2024
Active	Non Resident	Agent	Property	4/5/2018	8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	6/3/2020	1/6/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	6/3/2020	1/6/2022
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	11/5/2021
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	11/5/2021
Active	American Modern Home Insurance Company	300791	Agent - Casualty	12/2/2021
Active	American Modern Home Insurance Company	300791	Agent - Property	12/2/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/21/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/21/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/18/2022
Active	Bristol West Insurance Company	301655	Agent - Property	5/18/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/16/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/16/2018
Active	Homesite Insurance Company	301139	Agent - Casualty	12/14/2021
Active	Homesite Insurance Company	301139	Agent - Property	12/14/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/14/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/14/2021
Active	Midvale Indemnity Company	300292	Agent - Casualty	12/14/2021
Active	Midvale Indemnity Company	300292	Agent - Property	12/14/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/2/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/2/2020
Active	RLI Insurance Company	301217	Agent - Casualty	12/8/2021
Active	RLI Insurance Company	301217	Agent - Property	12/8/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/3/2020	1/6/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/3/2020	1/6/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/3/2020	1/6/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/3/2020	1/6/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	9/2/2020
Active	United Financial Casualty Company	301886	Agent - Property	9/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	11/29/2021
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/29/2021