DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jamison Special Risk Inc	DOIID	730458	NAIC NPN	1980084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/29/2010	9/6/2017
Inactive	Non Resident	Agent	Health	6/29/2010	9/6/2017
Inactive	Non Resident	Agent	Casualty	6/29/2010	9/6/2017
Inactive	Non Resident	Agent	Property	6/29/2010	9/6/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/29/2010	9/6/2017
* 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	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	3/22/2016	9/6/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	3/22/2016	9/6/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/22/2016	9/6/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/22/2016	9/6/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pattwell, Sean M	593562	Agent - Casualty	6/29/2010	9/6/2017
Inactive	Pattwell, Sean M	593562	Agent - Health	6/29/2010	9/6/2017
Inactive	Pattwell, Sean M	593562	Agent - Life	6/29/2010	9/6/2017
Inactive	Pattwell, Sean M	593562	Agent - Property	6/29/2010	9/6/2017
Inactive	Pattwell, Sean M	593562	Surplus Lines Broker - Not Applicable	6/29/2010	1/31/2022