Individual Information

JEFFREY SCOTT BARNETT

Address:

EL DORADO HILLS, CA 95762

Status:

Active

Email:

lbarnett@mackieins.com

Date:

05/06/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	187981	05/06/2004	Active	05/06/2004	05/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/06/2004	Active	05/06/2004
Health	04/20/2016	Active	04/20/2016
Life	04/20/2016	Active	04/20/2016
Property	05/06/2004	Active	05/06/2004

Company Name	Appointment Type	Status	Active Date
499
OLD REPUBLIC INSURANCE COMPANY	Casualty	Active	04/17/2020
1452
Company Name	Appointment Type	Status	Active Date
OLD REPUBLIC SURETY COMPANY	Casualty	Active	04/17/2020

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
MACKIE & ASSOCIATES INSURANCE SERVICE LLC	Designated Resp Lic Prdcr	Agency	09/09/2020	-

1 - 1