DEPARTMENT OF INSURANCE

Affiliations

Name	Gornicki, Jason	DOIID	688567	NAIC NPN	7333329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2008	9/30/2026
Active	Non Resident	Agent	Casualty	9/8/2008	9/30/2026
Active	Non Resident	Agent	Property	9/8/2008	9/30/2026
* 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	07/15/2024	09/30/2024	09/19/2024	09/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Active	American Strategic Insurance Corp	883540	Agent - Casualty	1/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	1/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/18/2017
Active	Bristol West Insurance Company	301655	Agent - Property	9/18/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/29/2008	10/16/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/29/2008	10/16/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/24/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/24/2018
Active	Homesite Insurance Company	301139	Agent - Casualty	1/30/2019
Active	Homesite Insurance Company	301139	Agent - Property	1/30/2019
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	1/30/2019
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	1/30/2019
Active	Integon Indemnity Corporation	300674	Agent - Casualty	3/6/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	3/6/2024
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/11/2022
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/11/2022
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/29/2008	11/11/2022
Inactive	LM Insurance Corporation	301061	Agent - Property	10/29/2008	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/29/2008	11/11/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/29/2008	11/11/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/18/2022	6/20/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/18/2022	6/20/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/12/2018	9/26/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/12/2018	9/26/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	2/19/2019
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	2/19/2019
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/29/2008	10/10/2019
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/6/2023
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/6/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/15/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	12/15/2016
Active	Protective Life Insurance Company	300638	Agent - Life	1/18/2019
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/9/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/9/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/9/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/9/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/16/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	6/16/2021
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	10/1/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	10/1/2019
Active	United States Fire Insurance Company	582240	Agent - Casualty	3/5/2019
Active	United States Fire Insurance Company	582240	Agent - Property	3/5/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Comparion Insurance Agency LLC	1180252	Agent - Life	7/23/2022
Active	Comparion Insurance Agency LLC	1180252	Agent - Property	7/23/2022
Active	Comparion Insurance Agency LLC	1180252	Agent - Casualty	7/23/2022