Individual Information

JAMES LOREN HEISLER

HILLSBORO, OR 97006

Active

jimh@ies-xs.com

04/22/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	187325	04/22/2004	Active	04/22/2004	04/30/2025
Non-Res. Surplus Lines Broker	187326	04/22/2004	Active	04/22/2004	04/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/22/2004	Active	04/22/2004
Property	04/22/2004	Active	04/22/2004
Surplus Lines	04/22/2004	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1008
ALLIED WORLD SPECIALTY INSURANCE COMPANY	Casualty	Active	04/09/2007
	Property	Active	04/09/2007
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	10/25/2018
	Property	Active	10/25/2018
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	08/24/2011
	Property	Active	08/24/2011
1105
Company Name	Appointment Type	Status	Active Date
MARKEL INSURANCE COMPANY	Casualty	Active	11/03/2010
	Property	Active	11/03/2010
143477
Company Name	Appointment Type	Status	Active Date
RADNOR SPECIALTY INSURANCE COMPANY	Casualty	Active	12/31/2020
	Property	Active	12/31/2020
693
Company Name	Appointment Type	Status	Active Date
UNITED STATES LIABILITY INSURANCE COMPANY	Casualty	Active	06/12/2006
	Property	Active	06/12/2006

row(s) 1 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
JTJK, INC.	Designated Resp Lic Prdcr	Agency	07/08/2020	-

1 - 1