Individual Information

JASON GRIMM

Address:

CLEVELAND, OH 44143-1500

Status:

Active

Email:

jgrimm@intlxs.com

Date:

09/06/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3371153	09/06/2018	Active	09/06/2018	09/30/2027
Non-Res. Surplus Lines Broker	3371472	09/07/2018	Active	11/15/2024	11/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/06/2018	Active	09/06/2018
Property	09/06/2018	Active	09/06/2018
Surplus Lines	09/07/2018	Active	11/15/2024

Company Name	Appointment Type	Status	Active Date
692
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	03/10/2020
	Property	Active	03/10/2020

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
INTERNATIONAL EXCESS ALLIANCE LLC	Designated Resp Lic Prdcr	Agency	12/05/2024	-

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