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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NICOLE KAY COTA

PRODUCER NON-RESIDENT

License Number:
PRN431266
Status:
First Licensure:
09/22/2022
Cancel Date:
None

Mailing:
TUCSON, AZ 85712
Phone:
+1 (520) 348-3196
Fax:
+1 (520) 348-3196
Email:
nicole.sunderman@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/22/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
10/25/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
09/23/2022 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
09/23/2022 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
09/23/2022 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
10/25/2022 PCF189490
SEQUOIA INSURANCE COMPANY
10/25/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
10/25/2022 PCF136874
WESCO INSURANCE COMPANY
10/25/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 09/22/2022 Active
PROPERTY 09/22/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19898572

Other Addresses

Address Type
5255 E WILLIAMS CIR
TUCSON, AZ 85711-7401
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/23/2025 12:25:07 PM