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	Property	6/17/2015	8/31/2027
Active	Non Resident	Agent	Casualty	6/17/2015	8/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/2/2020	8/31/2027
* 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
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