DEPARTMENT OF INSURANCE

Name	Koty Leavitt Ins Agency Inc	DOIID	755788	NAIC NPN	2110954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	6/16/2011	3/31/2023
Inactive	Non Resident	Agent	Casualty	6/16/2011	3/31/2023

*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	6992 E Broadway Blvd Tucson, AZ 857102803

Internet Information

Type	Address
Business Email	LLOYD-KOTY@LEAVITT.COM

Phone Information

Type	Phone
Business / Home Office	(520) 571-1900