Agency Information

Jetty Insurance Agency LLC

Address:

99 WALL ST # 1504

NEW YORK, NY 10005-4301

Phone

917-991-9080

URL:

Email:

compliance@sayrhino.com

National Producer Number:

17964866

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	4044621	09/12/2024	Active	09/12/2024	09/30/2027
Non-Res. Producer Firm	3242400	05/16/2017	Active	05/16/2017	05/31/2026
Non-Res. Surplus Lines Broker	4045770	09/17/2024	Active	09/17/2024	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	09/12/2024	Active	09/12/2024
Casualty	05/16/2017	Active	05/16/2017
Personal Lines	05/16/2017	Active	05/16/2017
Property	05/16/2017	Active	05/16/2017
Surplus Lines	09/17/2024	Active	09/17/2024

Company Name	Appointment Type	Status	Active Date
1518
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	05/24/2017
	Property	Active	05/24/2017

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
JASON W QUAN	Designated Resp Lic Prdcr	Yes	03/12/2025	-
Katie Brodeck	Designated Resp Lic Adjuster	No	07/02/2025	-
William Sheridan	Designated Resp Lic Adjuster	No	09/12/2024	-

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