DEPARTMENT OF INSURANCE
Affiliations
NameSalazar, Carlos FDOIID1296459NAIC NPN20841465
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines9/6/2023 1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines9/5/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines9/5/2024 
ActiveGrange Indemnity Insurance Company300793Agent - Personal Lines4/8/2025 
ActiveGrange Insurance Company300234Agent - Personal Lines4/8/2025 
ActiveGrange Property & Casualty Insurance Company601680Agent - Personal Lines4/8/2025 
InactiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines1/8/20246/10/2024
ActiveTrustgard Insurance Company300104Agent - Personal Lines4/8/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePolly Insurance Agency, LLC992125Agent - Personal Lines3/24/2025 

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