DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin Jr, Jerry Buford	DOIID	545797	NAIC NPN	1677878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/28/2002		11/30/2024
Active	Non Resident	Agent	Casualty	2/28/2002		11/30/2024
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/10/2004	11/20/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	3/21/2006	10/3/2007
Inactive	ACE American Insurance Company	300625	Agent - Property	3/21/2006	10/3/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/21/2006	10/3/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/21/2006	10/3/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/28/2002	2/7/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/28/2002	2/7/2014
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	3/21/2006	10/3/2007
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	3/21/2006	10/3/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kemmons Wilson, Inc.	546436	Agent - Casualty	5/10/2002	2/26/2007
Inactive	Kemmons Wilson, Inc.	546436	Agent - Property	5/10/2002	2/26/2007
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Casualty
Denied	Mcgriff Insurance Services, LLC	400877	Agent - Property