Agency Information

BLACKWELL & ASSOCIATES, INC.

23002 LAKE CENTER DRIVE

LAKE FOREST, CA 92630

949-421-0222

http://www.blackwellins.com

leigh@blackwellins.com

16597744

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3322773	03/19/2018	Active	03/19/2018	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/19/2018	Active	03/19/2018
Health	03/19/2018	Active	03/19/2018
Life	03/19/2018	Active	03/19/2018
Property	03/19/2018	Active	03/19/2018

Company Name	Appointment Type	Status	Active Date
34
AMERICAN ECONOMY INSURANCE COMPANY	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
97
Company Name	Appointment Type	Status	Active Date
AUTOMOBILE INSURANCE COMPANY OF HARTFORD CONNECTICUT (THE)	Casualty	Active	09/27/2022
	Property	Active	09/27/2022
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	04/19/2021
	Property	Active	04/19/2021
1739
Company Name	Appointment Type	Status	Active Date
MERCURY CASUALTY COMPANY	Casualty	Active	03/21/2024
	Property	Active	03/21/2024
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	04/11/2022
	Property	Active	04/11/2022
579
Company Name	Appointment Type	Status	Active Date
SAFECO INSURANCE COMPANY OF AMERICA	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
1420
Company Name	Appointment Type	Status	Active Date
SAFECO INSURANCE COMPANY OF ILLINOIS	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	12/07/2020
	Property	Active	12/07/2020
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	09/20/2019
	Property	Active	09/20/2019
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	04/11/2022
	Property	Active	04/11/2022
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	05/24/2018

row(s) 1 - 21 of 21

Name	Association Type	Agent	Begin Date	End Date
JENNIFER LEIGH ZELLMER	Designated Resp Lic Prdcr	Yes	09/15/2020	-
KENNETH R HARAUGHTY	Designated Resp Lic Prdcr	Yes	01/02/2023	-

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