DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, David C	DOIID	572949	NAIC NPN	1825870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/22/2003	1/31/2026
Active	Non Resident	Agent	Property	7/22/2003	1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/12/2005	1/31/2026
* 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	11/15/2025	01/31/2026
Surplus Lines Broker	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/2/2006
Active	ACE American Insurance Company	300625	Agent - Property	12/2/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/2/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/2/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/2/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/2/2006
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	7/11/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	7/11/2019
Active	AIG Property Casualty Company	300621	Agent - Casualty	11/7/2017
Active	AIG Property Casualty Company	300621	Agent - Property	11/7/2017
Active	All America Insurance Company	300078	Agent - Casualty	10/22/2018
Active	All America Insurance Company	300078	Agent - Property	10/22/2018
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	6/4/2025
Active	American Alternative Insurance Corporation	301697	Agent - Property	6/4/2025
Active	American Economy Insurance Company	300315	Agent - Casualty	5/6/2010
Active	American Economy Insurance Company	300315	Agent - Property	5/6/2010
Active	American Fire and Casualty Company	300567	Agent - Casualty	5/6/2010
Active	American Fire and Casualty Company	300567	Agent - Property	5/6/2010
Active	American Home Assurance Company	300246	Agent - Casualty	8/8/2005
Active	American Home Assurance Company	300246	Agent - Property	8/8/2005
Active	American States Insurance Company	301230	Agent - Casualty	5/6/2010
Active	American States Insurance Company	301230	Agent - Property	5/6/2010
Active	Arch Insurance Company	300688	Agent - Casualty	7/9/2008
Active	Arch Insurance Company	300688	Agent - Property	7/9/2008
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	12/2/2006
Active	Bankers Standard Insurance Company	301620	Agent - Property	12/2/2006
Inactive	Berkley Insurance Company	301355	Agent - Casualty	6/16/2011	12/18/2013
Inactive	Berkley Insurance Company	301355	Agent - Property	6/16/2011	12/18/2013
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Central Insurance Company	300965	Agent - Casualty	10/22/2018
Active	Central Insurance Company	300965	Agent - Property	10/22/2018
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	4/3/2018	2/28/2025
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	4/3/2018	2/28/2025
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	4/3/2018	2/28/2025
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	4/3/2018	2/28/2025
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	12/22/2015	2/28/2025
Inactive	Cincinnati Insurance Company	301298	Agent - Property	12/22/2015	2/28/2025
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/8/2005
Active	Commerce and Industry Insurance Company	300881	Agent - Property	8/8/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/6/2010	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/6/2010	4/26/2024
Active	Country Mutual Insurance Company	301024	Agent - Casualty	5/15/2018
Active	Country Mutual Insurance Company	301024	Agent - Property	5/15/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/22/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/22/2011
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	4/16/2004	4/11/2012
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/16/2004	4/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/16/2004	4/11/2012
Active	Federal Insurance Company	301144	Agent - Casualty	7/31/2003
Active	Federal Insurance Company	301144	Agent - Property	7/31/2003
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/22/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/22/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/6/2010	4/26/2024
Inactive	First National Insurance Company of America	301690	Agent - Property	5/6/2010	4/26/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/8/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/8/2013	8/29/2018
Active	General Insurance Company of America	300261	Agent - Casualty	5/6/2010
Active	General Insurance Company of America	300261	Agent - Property	5/6/2010
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/29/2021
Active	Grange Indemnity Insurance Company	300793	Agent - Property	3/29/2021
Active	Grange Insurance Company	300234	Agent - Casualty	3/29/2021
Active	Grange Insurance Company	300234	Agent - Property	3/29/2021
Active	Great Midwest Insurance Company	301418	Agent - Casualty	3/9/2021
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	11/25/2013	11/30/2015
Inactive	Greenwich Insurance Company	301754	Agent - Property	11/25/2013	11/30/2015
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/19/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	3/19/2017
Active	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/28/2008
Active	Hartford Casualty Insurance Company	301332	Agent - Property	11/28/2008
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	3/8/2004
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/8/2004
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/8/2004	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/8/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/8/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/8/2004	11/5/2008
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/2/2006
Active	Indemnity Insurance Company of North America	301760	Agent - Property	12/2/2006
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/6/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	5/6/2010	2/3/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/20/2014
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/20/2014
Active	Ironshore Indemnity Inc.	300088	Agent - Casualty	4/10/2019
Active	LM Insurance Corporation	301061	Agent - Casualty	12/22/2011
Active	LM Insurance Corporation	301061	Agent - Property	12/22/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	12/22/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	12/22/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/22/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/22/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/31/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/22/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/16/2004	4/11/2012
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/16/2004	4/11/2012
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	7/27/2018
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	7/27/2018
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	7/27/2018
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	7/27/2018
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	7/7/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	7/7/2020
Active	NGM Insurance Company	583837	Agent - Casualty	5/8/2017
Active	NGM Insurance Company	583837	Agent - Property	5/8/2017
Active	National Surety Corporation	300087	Agent - Casualty	8/2/2017
Active	National Surety Corporation	300087	Agent - Property	8/2/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/20/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/20/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/6/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/6/2010	4/26/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	8/8/2005
Active	New Hampshire Insurance Company	301670	Agent - Property	8/8/2005
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/6/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/6/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/6/2010
Active	Ohio Security Insurance Company	300622	Agent - Property	5/6/2010
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	12/2/2006
Active	Pacific Employers Insurance Company	301753	Agent - Property	12/2/2006
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/6/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	5/6/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/6/2010	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	5/6/2010	5/8/2025
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	8/3/2017
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	8/3/2017
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	2/26/2023
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	2/26/2023
Active	RLI Insurance Company	301217	Agent - Casualty	4/20/2020
Active	RLI Insurance Company	301217	Agent - Property	4/20/2020
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/6/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/6/2010
Active	Selective Insurance Company of America	500018	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of America	500018	Agent - Property	3/17/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	3/17/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/17/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	3/17/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/17/2016	12/4/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/17/2016	12/4/2018
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/20/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/20/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/23/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/23/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Trumbull Insurance Company	300242	Agent - Casualty	5/30/2022
Active	Trumbull Insurance Company	300242	Agent - Property	5/30/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	3/29/2021
Active	Trustgard Insurance Company	300104	Agent - Property	3/29/2021
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	3/19/2017
Active	Twin City Fire Insurance Company	300721	Agent - Property	3/19/2017
Active	United States Fire Insurance Company	582240	Agent - Property	4/24/2019
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/22/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/22/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/22/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/22/2011	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	5/6/2010
Active	West American Insurance Company	301112	Agent - Property	5/6/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	12/2/2006	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	12/2/2006	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	Westfield Insurance Company	301950	Agent - Casualty	5/3/2004
Active	Westfield Insurance Company	301950	Agent - Property	5/3/2004
Inactive	XL Reinsurance America Inc.	300723	Agent - Casualty	11/25/2019	6/5/2024
Inactive	XL Reinsurance America Inc.	300723	Agent - Property	11/25/2019	6/5/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	11/25/2019	6/5/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Property	11/25/2019	6/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Taylor Oswald LLC	773535	Agent - Casualty	2/7/2012
Active	Taylor Oswald LLC	773535	Agent - Property	2/7/2012
Active	The James B Oswald Company	502888	Agent - Casualty	11/19/2003
Active	The James B Oswald Company	502888	Agent - Property	11/19/2003
Active	The James B Oswald Company	502888	Surplus Lines Broker - Not Applicable	4/5/2019