DEPARTMENT OF INSURANCE

Name	Leavitt Recreation & Hospitality Ins Inc	DOIID	660397	NAIC NPN	659760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/7/2014		3/31/2027
Active	Non Resident	Agent	Property	8/16/2007		3/31/2027
Active	Non Resident	Agent	Casualty	8/16/2007		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/30/2014	1/24/2018

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	942 14th Street Sturgis, SD 57785

Internet Information

Type	Address
Internet	jill-dell@leavitt.com
Business Email	jill-dell@leavitt.com

Phone Information

Type	Phone
Business / Home Office	(605) 423-4341