DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mendrey, Jason Stephen	DOIID	821121	NAIC NPN	4062442

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/19/2013		4/30/2025
Active	Non Resident	Agent	Property	9/19/2013		4/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/30/2022		4/30/2025
* 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
Active	Colony Specialty Insurance Company	724901	Agent - Casualty	3/13/2017
Active	Colony Specialty Insurance Company	724901	Agent - Property	3/13/2017
Inactive	Great American Assurance Company	300327	Agent - Casualty	12/20/2016	7/11/2019
Inactive	Great American Assurance Company	300327	Agent - Property	12/20/2016	7/11/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	8/7/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	8/7/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/7/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/7/2015
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	7/18/2014	12/19/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	7/18/2014	12/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Property	7/18/2014
Active	RSG Specialty, LLC	726176	Agent - Casualty	7/18/2014