Agency Information

PURA VIDA INSURANCE & ESSENTIAL SERVICES LLC

6440 SKY POINTE DRIVE

LAS VEGAS, NV 89131

877-290-1155

nitabroker@gmail.com

19864214

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	3655985	04/08/2021	Active	04/08/2021	04/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/08/2021	Active	04/08/2021
Health	04/08/2021	Active	04/08/2021
Life	04/08/2021	Active	04/08/2021
Personal Lines	04/08/2021	Active	04/08/2021
Property	04/08/2021	Active	04/08/2021

Company Name	Appointment Type	Status	Active Date
1421
FARMERS GROUP PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	07/09/2021
	Personal Lines	Active	07/09/2021
	Property	Active	07/09/2021
402
Company Name	Appointment Type	Status	Active Date
FARMERS PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	07/09/2021
	Personal Lines	Active	07/09/2021
	Property	Active	07/09/2021
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	04/18/2024
	Property	Active	04/18/2024
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
12823
Company Name	Appointment Type	Status	Active Date
STILLWATER INSURANCE COMPANY	Casualty	Active	04/05/2024
	Property	Active	04/05/2024
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	08/19/2021

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
ANITA RENEE GOSS	Designated Resp Lic Prdcr	Yes	04/08/2021	-

1 - 1