black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSICA TAMAYO

PRODUCER NON-RESIDENT

License Number:
PRN397197
Status:
First Licensure:
09/24/2021
Cancel Date:
None

Mailing:
MOORPARK, CA 93021
Phone:
+1 (888) 989-1620
Fax:
+1 (844) 465-0950
Email:
licensing.docs@blend.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/24/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
BLEND INSURANCE AGENCY, INC.
09/13/2022 AGN305331 02/21/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
09/30/2021 PCF155357
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/29/2021 PCF445

Authority

Description Issue Date Termination Date Status
CASUALTY 09/24/2021 Active
PROPERTY 09/24/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19079616

Other Addresses

Address Type
1 BAXTER WAY STE 260
WESTLAKE VILLAGE, CA 91362-3872
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: 05/19/2025 01:00:48 PM