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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACQUELINE MARIE KOTHE

PRODUCER NON-RESIDENT

License Number:
PRN279328
Status:
First Licensure:
12/01/2016
Cancel Date:
None

Mailing:
PHOENIX, AZ 85023
Phone:
+1 (801) 449-6555
Email:
jacqueline.kothe@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/01/2016

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/04/2018 PCF445 12/28/2024
HOMESITE INSURANCE COMPANY OF THE MIDWEST
12/21/2016 PCF116371
MIDVALE INDEMNITY COMPANY
04/25/2019 PCF79410

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 12/01/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15288428

Other Addresses

Address Type
HOME SITE INSURANCE
10835 N 25TH AVE
PHOENIX, AZ 85029-4751
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: 05/15/2025 06:58:47 AM