DEPARTMENT OF INSURANCE

Affiliations

Name	Jasa, Robert Dwaine	DOIID	330455	NAIC NPN	689755

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	7/1/1997	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/26/2006
Inactive	Non Resident	Agent	Property	8/15/2000	1/26/2006
* 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	California Compensation Insurance Company	301775	Agent - General Lines	2/28/2000	8/15/2000
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Chubb Indemnity Insurance Company	300438	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	8/15/2000	6/7/2002
Inactive	Commercial Compensation Insurance Company	301235	Agent - General Lines	7/17/2000	8/15/2000
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	8/15/2000	6/7/2002
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Federal Insurance Company	301144	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	6/7/2002
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/15/2000	6/7/2002
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/15/2000	6/7/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	1/26/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	1/26/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	1/26/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	7/1/1997	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	1/26/2006
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2000	6/7/2002
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	7/18/2000	8/15/2000
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2000	6/7/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co. - Kansas City	502111	Agent - General Lines	12/31/1999	8/15/2000
Inactive	Arthur J Gallagher & Co. - Kansas City	502111	Agent - Property	8/15/2000	3/2/2001
Inactive	Arthur J Gallagher & Co. - Kansas City	502111	Agent - Casualty	8/15/2000	3/2/2001
Inactive	Hays Group, (The)	560995	Agent - Property	1/18/2005	1/26/2006
Inactive	Hays Group, (The)	560995	Agent - Casualty	1/18/2005	1/26/2006