DEPARTMENT OF INSURANCE

Affiliations

Name	Namestnik, Jason Daniel	DOIID	558688	NAIC NPN	7458892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/28/2012	12/31/2013
Inactive	Non Resident	Agent	Casualty	4/28/2012	12/31/2013
* 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 Modern Home Insurance Company	300791	Agent - Casualty	6/14/2012	10/2/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/14/2012	10/2/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/14/2012	10/2/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/14/2012	10/2/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/14/2012	10/2/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/14/2012	10/2/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/17/2012	10/14/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/17/2012	10/14/2013
Inactive	National General Insurance Company	300152	Agent - Casualty	5/4/2012	8/20/2013
Inactive	National General Insurance Company	300152	Agent - Property	5/4/2012	8/20/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/30/2002	3/17/2004
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/30/2002	3/17/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/30/2002	3/17/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/30/2002	3/17/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/30/2002	3/17/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/30/2002	3/17/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/30/2002	3/17/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/30/2002	3/17/2004
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	10/30/2002	4/23/2004
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	10/30/2002	4/23/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/14/2012	8/26/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/14/2012	8/26/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/14/2012	8/26/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/14/2012	8/26/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	10/24/2012	8/27/2013
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	10/24/2012	8/27/2013
Inactive	CWI, LLC	662170	Agent - Casualty	12/26/2012	8/23/2013
Inactive	CWI, LLC	662170	Agent - Property	12/26/2012	8/23/2013
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	5/13/2013	10/14/2013
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	5/13/2013	10/14/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	6/11/2012	8/20/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Property	6/11/2012	8/20/2013