black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL GEORGE JAKUBIK

PRODUCER NON-RESIDENT

License Number:
PRN272359
Status:
Active
First Licensure:
08/15/2016
Cancel Date:
None

Mailing:
PHOENIX, AZ 85087
Phone:
+1 (866) 444-2462
Fax:
+1 (877) 541-9199
Email:
mike@weshop10.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 08/15/2016

Agency
Name Issue Date License Number Expiration Date Cancel Date
FRONTLINE INS GROUP LLC
 10/05/2016 AGN276419

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 07/19/2018 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 07/19/2018 PCF223935
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 11/25/2019 PCF864 11/24/2023
ALLSTATE INDEMNITY COMPANY
 11/25/2019 PCF522 11/24/2023
ALLSTATE INSURANCE COMPANY
 11/25/2019 PCF354 11/24/2023
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 11/25/2019 PCF84066 11/24/2023
AMCO INSURANCE COMPANY
 07/19/2018 PCF223938
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 03/10/2017 PCF659 07/18/2018
BRISTOL WEST INSURANCE COMPANY
 09/27/2017 PCF78370
THE CHARTER OAK FIRE INSURANCE COMPANY
 11/04/2016 PCF403 07/18/2018
DEPOSITORS INSURANCE COMPANY
 07/19/2018 PCF223940
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/03/2017 PCF434
FARMINGTON CASUALTY COMPANY
 11/04/2016 PCF995 10/04/2017
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 09/27/2017 PCF445
MAIN STREET AMERICA ASSURANCE COMPANY
 12/21/2023 PCF997
MIDVALE INDEMNITY COMPANY
 12/21/2023 PCF79410
NATIONAL SPECIALTY INSURANCE COMPANY
 05/05/2022 PCF94585
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 07/19/2018 PCF151937
NATIONWIDE ASSURANCE COMPANY
 10/05/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 08/28/2018 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 08/28/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 07/19/2018 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 10/05/2021 PCF151089
NETHERLANDS INSURANCE COMPANY
 02/03/2017 PCF827 04/26/2024
NGM INSURANCE COMPANY
 12/21/2023 PCF86
OHIO CASUALTY INSURANCE COMPANY
 10/15/2019 PCF73059
OHIO SECURITY INSURANCE COMPANY
 03/30/2018 PCF200581
PEERLESS INSURANCE COMPANY
 02/03/2017 PCF548
THE PHOENIX INSURANCE COMPANY
 11/04/2016 PCF557 07/18/2018
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/17/2019 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 05/17/2019 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
 02/03/2017 PCF248658
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 12/14/2016 PCF575 10/04/2017
ST. PAUL GUARDIAN INSURANCE COMPANY
 12/14/2016 PCF701 10/04/2017
ST. PAUL MERCURY INSURANCE COMPANY
 12/14/2016 PCF576 10/04/2017
THE STANDARD FIRE INSURANCE COMPANY
 11/04/2016 PCF584 07/18/2018
STATE NATIONAL INSURANCE COMPANY INC.
 05/05/2022 PCF75933
TRAVELERS CASUALTY AND SURETY COMPANY
 11/04/2016 PCF348 10/04/2017
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 11/04/2016 PCF935 10/04/2017
TRAVELERS COMMERCIAL CASUALTY COMPANY
 11/04/2016 PCF83507 10/04/2017
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 03/10/2017 PCF56556 07/18/2018
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 11/04/2016 PCF585 07/18/2018
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 11/04/2016 PCF435 07/18/2018
THE TRAVELERS INDEMNITY COMPANY
 11/04/2016 PCF602 07/18/2018
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 11/04/2016 PCF711 10/04/2017

Authority
Description Issue Date Termination Date Status
CASUALTY 08/15/2016 Active
PROPERTY 08/15/2016 Active

Responsible For
Name License Number
FRONTLINE INS GROUP LLC AGN276419

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2118696

Other Addresses
Address Type
44047 N 43RD AVE UNIT 75548
PHOENIX, AZ 85087-6078
 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: 05/14/2025 06:28:09 PM