Individual Information

JEFF V COTTINO

NORTH LAS VEGAS, NV 89084

Active

jcottino@mfam.com

02/18/1999

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	58808	10/01/2001	Active	10/01/2001	02/28/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	07/31/2002	Active	07/31/2002
Life	07/31/2002	Active	07/31/2002
Personal Lines	04/08/2016	Active	04/08/2016
Property	10/01/2001	Active	10/01/2001
Casualty	02/18/1999	Inactive	10/01/2001
Property	02/18/1999	Inactive	10/01/2001
Surety	02/18/1999	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	09/09/2015
	Property	Active	09/09/2015
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	09/09/2015
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	09/09/2015
	Property	Active	09/09/2015
58
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN HOME INSURANCE COMPANY	Casualty	Active	03/03/2025
	Property	Active	03/03/2025
1795
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	06/06/2018
	Property	Active	06/06/2018
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	09/09/2015
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	11/12/2008
	Property	Active	11/12/2008
1409
Company Name	Appointment Type	Status	Active Date
MIDVALE INDEMNITY COMPANY	Casualty	Active	04/26/2017
	Property	Active	04/26/2017
14146
Company Name	Appointment Type	Status	Active Date
NGM INSURANCE COMPANY	Casualty	Active	07/31/2020
	Property	Active	07/31/2020
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	10/03/2017

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
JEFF COTTINO AGENCY	Designated Resp Lic Prdcr	Agency	09/15/2020	-

1 - 1