DEPARTMENT OF INSURANCE

Name	Jetty Ins Agency LLC	DOIID	957465	NAIC NPN	17964866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	6/15/2017	5/6/2024
Inactive	Non Resident	Agent	Casualty	6/15/2017	5/6/2024

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	14 Wall St Fl 20 New York, NY 100052123

Phone Information

Type	Phone
Business / Home Office	(917) 991-9080