DEPARTMENT OF INSURANCE

Affiliations

Name	Clements, Jon B	DOIID	620336	NAIC NPN	3044522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/18/2005	10/31/2025
Active	Non Resident	Agent	Health	11/18/2005	10/31/2025
Active	Non Resident	Agent	Life	11/18/2005	10/31/2025
Active	Non Resident	Agent	Travel	5/3/2022	10/31/2025
Active	Non Resident	Agent	Property	11/18/2005	10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/18/2005	10/31/2025
* 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	08/15/2025	10/31/2025
Surplus Lines Broker	08/15/2025	10/31/2025

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	10/13/2007
Active	ACE American Insurance Company	300625	Agent - Property	10/13/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	9/16/2014
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	9/16/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	9/16/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	9/16/2014
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	2/2/2024
Active	AGCS Marine Insurance Company	300403	Agent - Property	2/2/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/1/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	8/1/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	8/1/2018
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	3/15/2016
Active	Bankers Standard Insurance Company	301620	Agent - Property	3/15/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/1/2018	6/15/2022
Active	Federal Insurance Company	301144	Agent - Casualty	12/28/2005
Active	Federal Insurance Company	301144	Agent - Property	12/28/2005
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/18/2013	11/7/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/18/2013	11/7/2017
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/22/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/22/2018
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/15/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Property	3/15/2016
Active	LM General Insurance Company	300133	Agent - Casualty	8/22/2018
Active	LM General Insurance Company	300133	Agent - Property	8/22/2018
Active	LM Insurance Corporation	301061	Agent - Casualty	8/22/2018
Active	LM Insurance Corporation	301061	Agent - Property	8/22/2018
Active	Liberty Insurance Corporation	300444	Agent - Casualty	8/22/2018
Active	Liberty Insurance Corporation	300444	Agent - Property	8/22/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/22/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/22/2018
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/22/2018
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/22/2018
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	8/22/2018
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	8/22/2018
Active	Markel Insurance Company	301475	Agent - Health	2/9/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	9/16/2014
Active	Pacific Employers Insurance Company	301753	Agent - Property	9/16/2014
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	8/24/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Health	8/24/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Property	8/24/2021
Inactive	Time Insurance Company	300683	Agent - Health	1/12/2009	8/26/2010
Inactive	Time Insurance Company	300683	Agent - Life	1/12/2009	8/26/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/13/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/13/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	1/26/2024
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	1/26/2024
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health	1/26/2024
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life	1/26/2024
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	1/26/2024
Inactive	Clements & Co	622454	Agent - Casualty	10/5/2006	2/12/2025
Inactive	Clements & Co	622454	Agent - Property	10/5/2006	2/12/2025
Inactive	Clements & Co	622454	Agent - Health	2/10/2009	2/12/2025
Inactive	Clements & Co	622454	Agent - Life	2/10/2009	2/12/2025
Active	Clements & Co	622454	Surplus Lines Broker - Not Applicable	5/30/2023