DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Jason A	DOIID	714709	NAIC NPN	7461822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/1/2009	4/11/2016
Inactive	Non Resident	Agent	Property	10/1/2009	4/11/2016
* 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	American Zurich Insurance Company	300592	Agent - Casualty	5/13/2011	2/24/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/13/2011	2/24/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	7/25/2012	8/29/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	7/25/2012	8/29/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/25/2012	3/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/25/2012	3/1/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/25/2012	3/1/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/25/2012	3/1/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/25/2012	3/1/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/25/2012	3/1/2016
Inactive	Mid-Century Insurance Company	300815	Agent - Casualty	7/25/2012	8/28/2012
Inactive	Mid-Century Insurance Company	300815	Agent - Property	7/25/2012	8/28/2012
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	7/25/2012	8/29/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	7/25/2012	8/29/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Casualty	12/12/2011	2/20/2012
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Property	12/12/2011	2/20/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Casualty	5/16/2011	2/23/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Property	5/16/2011	2/23/2012