black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ELIZABETH GUTIERREZ

PRODUCER NON-RESIDENT

License Number:
PRN380469
Status:
First Licensure:
04/15/2021
Cancel Date:
None

Mailing:
OXNARD, CA 93035
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 04/15/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
BLEND INSURANCE AGENCY, INC.
04/15/2021 AGN305331 02/21/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
07/22/2022 PCF155357
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/28/2021 PCF445

Authority

Description Issue Date Termination Date Status
CASUALTY 04/15/2021 Active
PROPERTY 04/15/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18056535

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: 05/24/2025 12:31:26 AM