Agency Information

JUPITER UWG

110 FRONT STREET, SUITE 300

JUPITER, FL 33477

561-491-9744

dfolkes@jupiterug.com

19687144

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3686039	06/24/2021	Active	06/24/2021	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/24/2021	Active	06/24/2021
Property	06/24/2021	Active	06/24/2021

Company Name	Appointment Type	Status	Active Date
11056
INDEMNITY NATIONAL INSURANCE COMPANY	Casualty	Active	08/20/2021
	Property	Active	08/20/2021

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
DAVID ALAN FOLKES	Designated Resp Lic Prdcr	No	06/24/2021	-

1 - 1