DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weatherly, Jacob K	DOIID	1101891	NAIC NPN	17299414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/1/2020	11/30/2022
Inactive	Non Resident	Agent	Property	10/1/2020	11/30/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	12/10/2020	5/1/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	12/10/2020	5/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	12/10/2020	5/1/2021
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	12/10/2020	5/1/2021