Agency Information

PTZ INSURANCE AGENCY LTD

Address:

223 W ERIE STREET, 6TH FLOOR

CHICAGO, IL 60654

Phone

866-597-2424

URL:

Email:

licensing@independenceamerican.com

National Producer Number:

5328528

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3251136	06/23/2017	Active	06/23/2017	06/30/2026
Non-Res. Producer Firm	17834	04/07/2004	Active	04/07/2004	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	07/01/2018	Active	07/01/2018
Casualty	04/07/2004	Active	04/07/2004
Property	04/07/2004	Active	04/07/2004

Company Name	Appointment Type	Status	Active Date
11242
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	09/28/2023
	Property	Active	09/28/2023
632
Company Name	Appointment Type	Status	Active Date
NORTH RIVER INSURANCE COMPANY (THE)	Casualty	Active	05/09/2016
	Property	Active	05/09/2016
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	05/09/2016
	Property	Active	05/09/2016

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
KIMBERLY MARIE PENDRED	Designated Resp Lic Adjuster	No	02/25/2022	-
MELISSA GUSS	Designated Resp Lic Prdcr	Yes	03/31/2020	-

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