black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JUDITH CATHRYN SHIVELY

PRODUCER NON-RESIDENT

License Number:
PRN221265
Status:
First Licensure:
09/07/2013
Cancel Date:
None

Mailing:
TUCSON, AZ 85710
Phone:
+1 (520) 571-1900
Fax:
+1 (520) 571-9667
Email:
lloyd-koty@leavitt.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/07/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
KOTY LEAVITT INS AGENCY INC
09/12/2013 AGN221444 07/01/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAPITOL INDEMNITY CORPORATION
03/12/2020 PCF162568
HUDSON INSURANCE COMPANY
02/23/2021 PCF165252
MERCHANTS BONDING COMPANY (MUTUAL)
02/17/2015 PCF108067 02/04/2019
MERCHANTS NATIONAL BONDING INC
02/17/2015 PCF205259 02/04/2019
PLATTE RIVER INSURANCE COMPANY
03/12/2020 PCF61518
WESTERN SURETY COMPANY
09/19/2013 PCF96 03/20/2020

Authority

Description Issue Date Termination Date Status
CASUALTY 09/07/2013 Active
PROPERTY 09/07/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
659464

Other Addresses

Address Type
6992 E BROADWAY BLVD
TUCSON, AZ 85710-2803
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: 05/13/2025 01:15:17 PM