Agency Information

CAERUS INSURANCE LLC

Address:

2545 SW SPRING GARDEN STREET

PORTLAND, OR 97219

Phone

503-719-7620

URL:

www.caerusinsurance.com

Email:

tracey@caerusinsurance.com

National Producer Number:

13262979

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3458207	07/25/2019	Active	07/25/2019	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/25/2019	Active	07/25/2019
Health	07/25/2019	Active	07/25/2019
Life	07/25/2019	Active	07/25/2019
Property	07/25/2019	Active	07/25/2019

Company Name	Appointment Type	Status	Active Date
1409
MIDVALE INDEMNITY COMPANY	Casualty	Active	10/11/2020
	Property	Active	10/11/2020
14146
Company Name	Appointment Type	Status	Active Date
NGM INSURANCE COMPANY	Casualty	Active	07/29/2019
	Property	Active	07/29/2019

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
TRACEY ANN BORRA	Designated Resp Lic Prdcr	Yes	02/20/2021	-

1 - 1