black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACKSON GAMBLA

PRODUCER NON-RESIDENT

License Number:
PRN497432
Status:
First Licensure:
10/03/2024
Cancel Date:
None

Mailing:
GREENWOOD VILLAGE, CO 80111
Phone:
+1 (843) 263-5926
Fax:
+1 (843) 263-5926
Email:
jbgmusic11@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/03/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
10/09/2024 AGN56888 08/15/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
10/22/2024 PCF260762 10/01/2025
EMPLOYERS ASSURANCE COMPANY
10/10/2024 PCF285638 09/09/2025
EMPLOYERS COMPENSATION INSURANCE COMPANY
10/10/2024 PCF285639 09/09/2025
EMPLOYERS PREFERRED INSURANCE COMPANY
10/10/2024 PCF285637 09/09/2025
SECURITY NATIONAL INSURANCE COMPANY
10/22/2024 PCF189490 10/01/2025
SEQUOIA INSURANCE COMPANY
10/22/2024 PCF128467 10/01/2025
TECHNOLOGY INSURANCE COMPANY INC
10/22/2024 PCF136874 10/01/2025
WESCO INSURANCE COMPANY
10/22/2024 PCF49735 10/01/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 10/03/2024 Active
PROPERTY 10/03/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21338348

Other Addresses

Address Type
225 KENNETH DR
ROCHESTER, NY 14623-4277
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 01/04/2026 01:04:42 PM