DEPARTMENT OF INSURANCE

Affiliations

Name	Jacka, William M	DOIID	354607	NAIC NPN	328817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	8/31/2007
Inactive	Non Resident	Agent	General Lines	4/14/1993	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	8/31/2007
* 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	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	4/14/1993	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	5/31/2003
Inactive	Centre Insurance Company	301599	Agent - General Lines	9/2/1998	3/31/2000
Inactive	Commercial Compensation Insurance Company	301235	Agent - General Lines	12/11/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	8/13/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	9/20/1995	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	8/13/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	8/13/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	9/20/1995	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	8/13/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	8/13/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	9/20/1995	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	8/13/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	8/13/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/20/1995	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	8/13/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/24/2003	8/13/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/24/2003	8/13/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	8/13/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	9/20/1995	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	8/13/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Molton Allen & Williams Llc	597624	Agent - Property	2/20/2007	2/28/2007
Inactive	Molton Allen & Williams Llc	597624	Agent - Casualty	2/20/2007	2/28/2007