Agency Information

BARKER PHILLIPS JACKSON INC

1637 S ENTERPRISE AVE

SPRINGFIELD, MO 65804-1850

417-887-3550

twilliams@bpj.com

2109482

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	967946	07/31/2014	Active	07/31/2014	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/31/2014	Active	07/31/2014
Property	07/31/2014	Active	07/31/2014

Company Name	Appointment Type	Status	Active Date
965
ACUITY A MUTUAL INSURANCE COMPANY	Casualty	Active	05/18/2020
	Property	Active	05/18/2020
1708
Company Name	Appointment Type	Status	Active Date
AMERICAN INTERSTATE INSURANCE COMPANY	Casualty	Active	07/13/2022
113385
Company Name	Appointment Type	Status	Active Date
EMPLOYERS ASSURANCE COMPANY	Casualty	Active	07/10/2019
100892
Company Name	Appointment Type	Status	Active Date
EMPLOYERS COMPENSATION INSURANCE COMPANY	Casualty	Active	07/10/2019
215
Company Name	Appointment Type	Status	Active Date
EMPLOYERS MUTUAL CASUALTY COMPANY	Casualty	Active	10/22/2019
	Property	Active	10/22/2019
111020
Company Name	Appointment Type	Status	Active Date
EMPLOYERS PREFERRED INSURANCE COMPANY	Casualty	Active	07/10/2019
151552
Company Name	Appointment Type	Status	Active Date
MIDWEST FAMILY ADVANTAGE INSURANCE COMPANY	Casualty	Active	07/01/2020
	Property	Active	07/01/2020
114502
Company Name	Appointment Type	Status	Active Date
MIDWEST FAMILY MUTUAL INSURANCE COMPANY	Casualty	Active	01/13/2020
	Property	Active	01/13/2020
1054
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA	Casualty	Active	08/10/2015
	Property	Active	08/10/2015
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	10/03/2017

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
THOMAS ANTHONY MONTILEONE	Designated Resp Lic Prdcr	Yes	05/12/2020	-

1 - 1