DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Randall, Jamie	DOIID	939725	NAIC NPN	18207566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/1/2022		1/31/2025
Active	Non Resident	Agent	Casualty	9/1/2022		1/31/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	12/14/2016	1/31/2023
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Farmers Insurance Exchange	300336	Agent - Casualty	4/30/2024
Active	Farmers Insurance Exchange	300336	Agent - Property	4/30/2024
Active	Midvale Indemnity Company	300292	Agent - Casualty	10/31/2023
Active	Midvale Indemnity Company	300292	Agent - Property	10/31/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/30/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	5/1/2024
Active	Fx Insurance Agency, LLC	646184	Agent - Property	5/1/2024
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	9/30/2022
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	9/30/2022