DEPARTMENT OF INSURANCE

Affiliations

Name	Ott, Jason	DOIID	670871	NAIC NPN	7469321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/26/2007	10/31/2024
Active	Non Resident	Agent	Life	4/18/2016	10/31/2024
Active	Non Resident	Agent	Property	12/26/2007	10/31/2024
Active	Non Resident	Agent	Health	4/18/2016	10/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/24/2008	10/31/2024
* 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	08/15/2024	10/31/2024
Surplus Lines Broker	08/15/2024	10/31/2024

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	9/17/2008
Active	ACE American Insurance Company	300625	Agent - Property	9/17/2008
Active	AIG Property Casualty Company	300621	Agent - Casualty	3/5/2018
Active	AIG Property Casualty Company	300621	Agent - Property	3/5/2018
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	5/1/2024
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	5/1/2024
Active	American Economy Insurance Company	300315	Agent - Casualty	3/11/2009
Active	American Economy Insurance Company	300315	Agent - Property	3/11/2009
Active	American Family Home Insurance Company	301817	Agent - Casualty	6/15/2021
Active	American Family Home Insurance Company	301817	Agent - Property	6/15/2021
Active	American Fire and Casualty Company	300567	Agent - Casualty	3/11/2009
Active	American Fire and Casualty Company	300567	Agent - Property	3/11/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	3/11/2009	7/18/2024
Inactive	American States Insurance Company	301230	Agent - Property	3/11/2009	7/18/2024
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	9/17/2008
Active	Bankers Standard Insurance Company	301620	Agent - Property	9/17/2008
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/11/2009	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/11/2009	10/13/2022
Active	Federal Insurance Company	301144	Agent - Health	8/31/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/11/2009	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	3/11/2009	10/13/2022
Active	General Insurance Company of America	300261	Agent - Casualty	3/11/2009
Active	General Insurance Company of America	300261	Agent - Property	3/11/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/17/2008
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/17/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/11/2009	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	3/11/2009	2/3/2023
Active	Markel American Insurance Company	300377	Agent - Casualty	9/30/2016
Active	Markel American Insurance Company	300377	Agent - Health	9/30/2016
Active	Markel American Insurance Company	300377	Agent - Property	9/30/2016
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	1/8/2020
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	1/8/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/11/2009	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/11/2009	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/11/2009
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/11/2009
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/11/2009
Active	Ohio Security Insurance Company	300622	Agent - Property	3/11/2009
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	9/17/2008
Active	Pacific Employers Insurance Company	301753	Agent - Property	9/17/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/11/2009
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	3/11/2009
Active	Peerless Insurance Company	301910	Agent - Casualty	3/11/2009
Active	Peerless Insurance Company	301910	Agent - Property	3/11/2009
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	6/27/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	6/27/2018
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/11/2009
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/11/2009
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/11/2009
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/11/2009
Active	West American Insurance Company	301112	Agent - Casualty	3/11/2009
Active	West American Insurance Company	301112	Agent - Property	3/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Casualty	1/28/2010
Active	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Property	1/28/2010
Active	Aon Private Risk Management Insurance Agency, Inc.	514711	Surplus Lines Broker - Not Applicable	10/11/2010