DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Jason Robert	DOIID	711247	NAIC NPN	254235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/13/2009	11/30/2014
Inactive	Non Resident	Agent	Casualty	8/13/2009	11/30/2014
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	3/1/2012	11/15/2013
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/1/2012	11/15/2013
Inactive	Electric Insurance Company	301758	Agent - Casualty	9/2/2009	12/7/2011
Inactive	Electric Insurance Company	301758	Agent - Property	9/2/2009	12/7/2011
Inactive	Esurance Insurance Company	301072	Agent - Casualty	8/25/2009	11/30/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	8/25/2009	11/30/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/9/2009	1/10/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/9/2009	1/10/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/25/2009	11/30/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	8/25/2009	11/30/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/31/2009	6/6/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/31/2009	6/6/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/25/2009	11/30/2014
Inactive	General Insurance Company of America	300261	Agent - Property	8/25/2009	11/30/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/25/2009	11/30/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/25/2009	11/30/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/25/2009	11/30/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/25/2009	11/30/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/22/2009	12/18/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/22/2009	12/18/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	8/26/2009	11/30/2014
Inactive	Insurance Answer Center LLC	694353	Agent - Property	8/26/2009	11/30/2014