DEPARTMENT OF INSURANCE

Name	Pacific Diversified Ins Services Inc	DOIID	814458	NAIC NPN	2742128

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	Casualty	7/12/2013	3/31/2021
Inactive	Non Resident	Agent	Property	7/12/2013	3/31/2021

*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	Pacific Diversified Insurance 15005 Concord Circle Suite 110Morgan Hill, CA 95037

Phone Information

Type	Phone
Business / Home Office	(408) 842-2131 Ext-2176