Agency Information

DANIEL A JACOBELLIS INSURANCE AGENCY

3110 S DURANGO STE 104

LAS VEGAS, NV 89117

702-353-6132

djacobellis@farmersagent.com

8374589

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	18887	01/25/2005	Active	01/25/2005	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/25/2005	Active	01/25/2005
Health	01/25/2005	Active	01/25/2005
Life	01/25/2005	Active	01/25/2005
Property	01/25/2005	Active	01/25/2005
Var. Annuities/Var. Life	01/25/2005	Active	01/25/2005

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	05/14/2013
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	06/01/2005
	Life	Active	06/01/2005
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	05/14/2013
	Property	Active	05/14/2013
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017

row(s) 1 - 13 of 13

Name	Association Type	Agent	Begin Date	End Date
DANIEL ANTHONY JACOBELLIS	Designated Resp Lic Prdcr	Yes	09/22/2020	-

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