black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARITSA ROXANNE COTA

PRODUCER NON-RESIDENT

License Number:
PRN490659
Status:
First Licensure:
08/01/2024
Cancel Date:
None

Mailing:
PEORIA, AZ 85345
Phone:
+1 (602) 205-3481
Fax:
+1 (602) 205-3481
Email:
maritsa.cota.2@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/01/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
03/22/2026 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
02/12/2026 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
07/02/2025 PCF234561
BRISTOL WEST INSURANCE COMPANY
06/03/2026 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/03/2026 PCF445
HOMESITE INSURANCE COMPANY
08/02/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
08/02/2024 PCF116371
MIDVALE INDEMNITY COMPANY
03/22/2026 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 08/01/2024 Active
PROPERTY 08/01/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18946194

Other Addresses

Address Type
8280 W UNION HILLS DR STE 105A
GLENDALE, AZ 85308-8187
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: 06/19/2026 05:30:28 AM