Agency Information

M I C A INS SERVICES INC

Address:

2602 E THOMAS RD

PHOENIX, AZ 85016

Phone

602-956-5276

URL:

Email:

mhubbard@mica-insurance.com

National Producer Number:

9060062

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3275602	09/22/2017	Active	09/22/2017	09/30/2026
Non-Res. Surplus Lines Broker	3275603	09/22/2017	Active	09/22/2017	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/22/2017	Active	09/22/2017
Health	09/22/2017	Active	09/22/2017
Life	09/22/2017	Active	09/22/2017
Property	09/22/2017	Active	09/22/2017
Surplus Lines	09/22/2017	Active	09/22/2017

Name	Association Type	Agent	Begin Date	End Date
SARAH ELIZABETH MAE STORMS	Designated Resp Lic Prdcr	Yes	05/21/2020	-

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