DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Jason	DOIID	880727	NAIC NPN	5445301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/17/2015	8/31/2025
Active	Non Resident	Agent	Property	6/17/2015	8/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/2/2020	8/31/2025
* 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	06/15/2025	08/31/2025
Surplus Lines Broker	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/6/2015	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/6/2015	10/15/2021
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	9/22/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	9/22/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/6/2015	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/6/2015	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/6/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/6/2015	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/6/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/6/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/6/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/6/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/6/2015	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/6/2015	10/15/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/6/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	7/6/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/6/2015	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	7/6/2015	5/8/2025
Active	West American Insurance Company	301112	Agent - Casualty	7/6/2015
Active	West American Insurance Company	301112	Agent - Property	7/6/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Property	6/6/2019	4/22/2025
Inactive	Acrisure LLC	696181	Agent - Casualty	6/6/2019	4/22/2025
Active	Acrisure LLC	696181	Surplus Lines Broker - Not Applicable	12/8/2020
Active	Acrisure Northwest Partners Insurance Services LLC	1246859	Agent - Property	4/22/2025
Active	Acrisure Northwest Partners Insurance Services LLC	1246859	Agent - Casualty	4/22/2025
Active	Acrisure Northwest Partners Insurance Services LLC	1246859	Surplus Lines Broker - Not Applicable	4/22/2025
Inactive	Infiniteam Ins Inc	880839	Agent - Property	6/23/2015	3/31/2021
Inactive	Infiniteam Ins Inc	880839	Agent - Casualty	6/23/2015	3/31/2021