black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JARED JAY MITILIER

PRODUCER NON-RESIDENT

License Number:
PRN128633
Status:
First Licensure:
06/22/2006
Cancel Date:
None

Mailing:
HENDERSON, NV 89012
Phone:
+1 (949) 375-5705
Fax:
+1 (949) 375-5705
Email:
jmitilier@brokkrr.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/08/2018
*** NOT ACTIVE *** 09/03/2010 06/07/2018
PRODUCER NON-RESIDENT 06/22/2006 09/02/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
08/11/2008 AGN91433 09/03/2010
BROKKRR INSURANCE SERVICES, LLC
03/01/2023 AGN420880 09/27/2024
INDUSTRIA RISK & INSURANCE SERVICES, LLC
06/08/2018 AGN305666 07/01/2021
MGASURANCE INSURANCE SERVICES, LLC
11/14/2024 AGN501241

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
09/18/2018 PCF81110
NEW YORK MARINE AND GENERAL INSURANCE COMPANY
09/28/2023 PCF36395 09/10/2024
UNITED STATES FIRE INSURANCE COMPANY
01/23/2023 PCF101256
UNITED STATES SURETY COMPANY
09/18/2018 PCF115462
US SPECIALTY INSURANCE COMPANY
09/18/2018 PCF31516

Authority

Description Issue Date Termination Date Status
CASUALTY 06/08/2018 Active
PROPERTY 06/08/2018 Active
SURPLUS LINES 09/15/2021 Active
PROPERTY AND CASUALTY 06/22/2006 09/03/2010 Terminated
SURPLUS LINES 02/28/2007 09/03/2010 Terminated

Responsible For

Name License Number
MGASURANCE INSURANCE SERVICES, LLC AGN501241

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3275050

Other Addresses

Address Type
111 CORPORATE DR STE 200
LADERA RANCH, CA 92694-1157
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: 05/18/2025 04:53:56 AM