DEPARTMENT OF INSURANCE

Affiliations

Name	Randolph, Jack	DOIID	1200013	NAIC NPN	20305089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	4/27/2022	1/31/2027
Active	Resident	Agent	Casualty	4/27/2022	1/31/2027
Active	Resident	Agent	Life	2/22/2024	1/31/2027
Active	Resident	Agent	Health	2/29/2024	1/31/2027
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/5/2023
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	6/5/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	1/29/2025
Active	AIG Property Casualty Company	300621	Agent - Property	1/29/2025
Active	Amerisure Insurance Company	300298	Agent - Casualty	8/3/2023
Active	Amerisure Insurance Company	300298	Agent - Property	8/3/2023
Active	Amerisure Mutual Insurance Company	301576	Agent - Casualty	8/3/2023
Active	Amerisure Mutual Insurance Company	301576	Agent - Property	8/3/2023
Active	Amerisure Partners Insurance Company	760791	Agent - Casualty	8/3/2023
Active	Amerisure Partners Insurance Company	760791	Agent - Property	8/3/2023
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	11/29/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	11/29/2023
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/8/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/8/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/14/2025
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/14/2025
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/14/2025
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/14/2025
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/14/2025
Active	Cincinnati Insurance Company	301298	Agent - Property	1/14/2025
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/6/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/29/2025
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/29/2025
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/29/2025
Active	Owners Insurance Company	300796	Agent - Casualty	11/29/2023
Active	Owners Insurance Company	300796	Agent - Property	11/29/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/27/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/27/2022
Inactive	Protective Insurance Company	301117	Agent - Casualty	3/14/2023	3/31/2024
Inactive	Protective Insurance Company	301117	Agent - Property	3/14/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	3/14/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Property	3/14/2023	3/31/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/8/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/8/2024
Active	The Phoenix Insurance Company	301502	Agent - Casualty	5/8/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	5/8/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/8/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	5/8/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/8/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/8/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/8/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/8/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/8/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	5/8/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	9/27/2022
Active	United Financial Casualty Company	301886	Agent - Property	9/27/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	12/3/2024
Active	Assuredpartners NL, LLC	762387	Agent - Property	12/3/2024
Denied	Assuredpartners NL, LLC	762387	Agent - Life
Active	Assuredpartners NL, LLC	762387	Agent - Health	1/29/2025