Individual Information

ELIZABETH LEIGH MOORE

CONCORD, CA 94518-3817

Active

elizabeth@ameliarisk.com

05/18/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	214126	01/04/2006	Active	05/18/2023	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/04/2006	Active	05/18/2023
Property	01/04/2006	Active	05/18/2023

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	05/20/2024
	Property	Active	05/20/2024
1684
Company Name	Appointment Type	Status	Active Date
HARTFORD INSURANCE COMPANY OF THE MIDWEST	Casualty	Active	10/09/2024
	Property	Active	10/09/2024
469
Company Name	Appointment Type	Status	Active Date
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	06/26/2023
	Property	Active	06/26/2023
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	05/20/2024
	Property	Active	05/20/2024
1776
Company Name	Appointment Type	Status	Active Date
OHIO SECURITY INSURANCE COMPANY	Casualty	Active	06/21/2024
	Property	Active	06/21/2024
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	05/20/2024
	Property	Active	05/20/2024
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	05/20/2024
	Property	Active	05/20/2024
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	05/20/2024
	Property	Active	05/20/2024
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	05/20/2024
	Property	Active	05/20/2024

row(s) 1 - 18 of 18

Organization	Association Type	Type	Beg dte	End dte
AMELIA RISK INSURANCE BROKERS LLC	Designated Resp Lic Prdcr	Agency	06/05/2023	-

1 - 1