black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAFFE-SCHLOSSBERG INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN295483
Status:
First Licensure:
10/10/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
74 PASEO MIRASOL
TIBURON, CA 94920-2078
Mailing:
74 PASEO MIRASOL
TIBURON, CA 94920-2078
Phone:
+1 (415) 221-5367
Fax:
+1 (415) 386-6853
Email:
accounting@jsisf.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/10/2017 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
11/10/2017 PCF640
ALLIED INSURANCE COMPANY OF AMERICA
08/28/2020 PCF216138 02/25/2025
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
08/28/2020 PCF223935 02/25/2025
AMCO INSURANCE COMPANY
08/28/2020 PCF223938 02/25/2025
BANKERS STANDARD INSURANCE COMPANY
11/10/2017 PCF152165
CHUBB INDEMNITY INSURANCE COMPANY
11/10/2017 PCF591
CHUBB NATIONAL INSURANCE COMPANY
11/10/2017 PCF80404
DEPOSITORS INSURANCE COMPANY
08/28/2020 PCF223940 02/25/2025
FEDERAL INSURANCE COMPANY
11/10/2017 PCF439
GREAT NORTHERN INSURANCE COMPANY
11/10/2017 PCF455
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
08/28/2020 PCF151937 02/25/2025
NATIONWIDE ASSURANCE COMPANY
08/28/2020 PCF38952 02/25/2025
NATIONWIDE GENERAL INSURANCE COMPANY
08/28/2020 PCF30 02/25/2025
NATIONWIDE INSURANCE COMPANY OF AMERICA
08/28/2020 PCF422 02/25/2025
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
08/28/2020 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
08/28/2020 PCF32 02/25/2025
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
08/28/2020 PCF151089 02/25/2025
PACIFIC INDEMNITY COMPANY
11/10/2017 PCF547
VIGILANT INSURANCE COMPANY
11/10/2017 PCF613

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ADAM TOBIAS JAFFE
10/10/2017 PRN295289

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ADAM TOBIAS JAFFE PRN295289

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
773510

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: 05/17/2025 08:49:03 AM