Agency Information

PIA PACIFIC NORTHWEST SERVICES CORP

4400 NE 77TH AVE STE 330

VANCOUVER, WA 98662-6877

360-517-7100

kimlegato@piawest.com

1055652

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	16903	07/15/2003	Active	07/15/2003	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/15/2003	Active	07/15/2003
Property	07/15/2003	Active	07/15/2003

Company Name	Appointment Type	Status	Active Date
704
UTICA MUTUAL INSURANCE COMPANY	Casualty	Active	05/10/2018
	Property	Active	05/10/2018

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
KIMBERLY LYNN COTTRELL	Designated Resp Lic Prdcr	No	06/13/2024	-

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