DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, David C	DOIID	572949	NAIC NPN	1825870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/22/2003	1/31/2026
Active	Non Resident	Agent	Property	7/22/2003	1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/12/2005	1/31/2026
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	12/2/2006
Active	ACE American Insurance Company	300625	Agent - Property	12/2/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/2/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/2/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/2/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/2/2006
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	7/11/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	7/11/2019
Active	AIG Property Casualty Company	300621	Agent - Casualty	11/7/2017
Active	AIG Property Casualty Company	300621	Agent - Property	11/7/2017
Active	All America Insurance Company	300078	Agent - Casualty	10/22/2018
Active	All America Insurance Company	300078	Agent - Property	10/22/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	5/6/2010
Active	American Economy Insurance Company	300315	Agent - Property	5/6/2010
Active	American Fire and Casualty Company	300567	Agent - Casualty	5/6/2010
Active	American Fire and Casualty Company	300567	Agent - Property	5/6/2010
Active	American Home Assurance Company	300246	Agent - Casualty	8/8/2005
Active	American Home Assurance Company	300246	Agent - Property	8/8/2005
Active	American States Insurance Company	301230	Agent - Casualty	5/6/2010
Active	American States Insurance Company	301230	Agent - Property	5/6/2010
Active	Arch Insurance Company	300688	Agent - Casualty	7/9/2008
Active	Arch Insurance Company	300688	Agent - Property	7/9/2008
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	12/2/2006
Active	Bankers Standard Insurance Company	301620	Agent - Property	12/2/2006
Inactive	Berkley Insurance Company	301355	Agent - Casualty	6/16/2011	12/18/2013
Inactive	Berkley Insurance Company	301355	Agent - Property	6/16/2011	12/18/2013
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Central Mutual Insurance Company	300965	Agent - Casualty	10/22/2018
Active	Central Mutual Insurance Company	300965	Agent - Property	10/22/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	4/3/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	4/3/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	4/3/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	4/3/2018
Active	Cincinnati Insurance Company	301298	Agent - Casualty	12/22/2015
Active	Cincinnati Insurance Company	301298	Agent - Property	12/22/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/8/2005
Active	Commerce and Industry Insurance Company	300881	Agent - Property	8/8/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/6/2010	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/6/2010	4/26/2024
Active	Country Mutual Insurance Company	301024	Agent - Casualty	5/15/2018
Active	Country Mutual Insurance Company	301024	Agent - Property	5/15/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/22/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/22/2011
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	4/16/2004	4/11/2012
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/16/2004	4/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/16/2004	4/11/2012
Active	Federal Insurance Company	301144	Agent - Casualty	7/31/2003
Active	Federal Insurance Company	301144	Agent - Property	7/31/2003
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/22/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/22/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/6/2010	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - Property	5/6/2010	4/26/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/8/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/8/2013	8/29/2018
Active	General Insurance Company of America	300261	Agent - Casualty	5/6/2010
Active	General Insurance Company of America	300261	Agent - Property	5/6/2010
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/29/2021
Active	Grange Indemnity Insurance Company	300793	Agent - Property	3/29/2021
Active	Grange Insurance Company	300234	Agent - Casualty	3/29/2021
Active	Grange Insurance Company	300234	Agent - Property	3/29/2021
Active	Great Midwest Insurance Company	301418	Agent - Casualty	3/9/2021
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	11/25/2013	11/30/2015
Inactive	Greenwich Insurance Company	301754	Agent - Property	11/25/2013	11/30/2015
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/19/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	3/19/2017
Active	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/28/2008
Active	Hartford Casualty Insurance Company	301332	Agent - Property	11/28/2008
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	3/8/2004
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/8/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/8/2004	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/8/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/8/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/8/2004	11/5/2008
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/2/2006
Active	Indemnity Insurance Company of North America	301760	Agent - Property	12/2/2006
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/6/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	5/6/2010	2/3/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/20/2014
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/20/2014
Active	Ironshore Indemnity Inc.	300088	Agent - Casualty	4/10/2019
Active	LM Insurance Corporation	301061	Agent - Casualty	12/22/2011
Active	LM Insurance Corporation	301061	Agent - Property	12/22/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	12/22/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	12/22/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/22/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/22/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/31/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/22/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/16/2004	4/11/2012
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	7/27/2018
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	7/27/2018
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	7/27/2018
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	7/27/2018
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	7/7/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	7/7/2020
Active	NGM Insurance Company	583837	Agent - Casualty	5/8/2017
Active	NGM Insurance Company	583837	Agent - Property	5/8/2017
Active	National Surety Corporation	300087	Agent - Casualty	8/2/2017
Active	National Surety Corporation	300087	Agent - Property	8/2/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/20/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/20/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/6/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/6/2010	4/26/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	8/8/2005
Active	New Hampshire Insurance Company	301670	Agent - Property	8/8/2005
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/6/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/6/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/6/2010
Active	Ohio Security Insurance Company	300622	Agent - Property	5/6/2010
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	12/2/2006
Active	Pacific Employers Insurance Company	301753	Agent - Property	12/2/2006
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/6/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	5/6/2010
Active	Peerless Insurance Company	301910	Agent - Casualty	5/6/2010
Active	Peerless Insurance Company	301910	Agent - Property	5/6/2010
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	8/3/2017
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	8/3/2017
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	2/26/2023
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	2/26/2023
Active	RLI Insurance Company	301217	Agent - Casualty	4/20/2020
Active	RLI Insurance Company	301217	Agent - Property	4/20/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/6/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/6/2010
Active	Selective Insurance Company of America	500018	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of America	500018	Agent - Property	3/17/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	3/17/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	3/17/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/17/2016	12/4/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/17/2016	12/4/2018
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/20/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/20/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/23/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/23/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Trumbull Insurance Company	300242	Agent - Casualty	5/30/2022
Active	Trumbull Insurance Company	300242	Agent - Property	5/30/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	3/29/2021
Active	Trustgard Insurance Company	300104	Agent - Property	3/29/2021
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	3/19/2017
Active	Twin City Fire Insurance Company	300721	Agent - Property	3/19/2017
Active	United States Fire Insurance Company	582240	Agent - Property	4/24/2019
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/22/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/22/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/22/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/22/2011	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	5/6/2010
Active	West American Insurance Company	301112	Agent - Property	5/6/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	12/2/2006	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	12/2/2006	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	Westfield Insurance Company	301950	Agent - Casualty	5/3/2004
Active	Westfield Insurance Company	301950	Agent - Property	5/3/2004
Inactive	XL Reinsurance America Inc.	300723	Agent - Casualty	11/25/2019	6/5/2024
Inactive	XL Reinsurance America Inc.	300723	Agent - Property	11/25/2019	6/5/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	11/25/2019	6/5/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Property	11/25/2019	6/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Taylor Oswald LLC	773535	Agent - Casualty	2/7/2012
Active	Taylor Oswald LLC	773535	Agent - Property	2/7/2012
Active	The James B Oswald Company	502888	Agent - Casualty	11/19/2003
Active	The James B Oswald Company	502888	Agent - Property	11/19/2003
Active	The James B Oswald Company	502888	Surplus Lines Broker - Not Applicable	4/5/2019