black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EDWARD POWELL JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN129159
Status:
Active
First Licensure:
07/11/2006
Cancel Date:
None

Mailing:
PLANTATION, FL 33313
Phone:
+1 (305) 824-3464
Fax:
+1 (954) 473-4488
Email:
blinsurance@cscglobal.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 07/11/2006

Agency
Name Issue Date License Number Expiration Date Cancel Date
BASS UNDERWRITERS INC
 07/17/2006 AGN129382
GRIDIRON INS UNDERWRITERS INC
 02/16/2023 AGN282237

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 07/15/2010 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 07/15/2010 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 07/15/2010 PCF44
AMGUARD INSURANCE COMPANY
 12/26/2019 PCF51460
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
 12/05/2019 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
 12/05/2019 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
 12/05/2019 PCF285637
EVEREST NATIONAL INSURANCE COMPANY
 04/24/2008 PCF99574 06/21/2013
GEICO MARINE INSURANCE COMPANY
 11/11/2020 PCF103315 05/27/2021
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
 03/31/2020 PCF46804 09/16/2022
GREAT AMERICAN ASSURANCE COMPANY
 03/31/2020 PCF702
GREAT AMERICAN INSURANCE COMPANY
 03/31/2020 PCF764
NATIONAL SPECIALTY INSURANCE COMPANY
 12/08/2020 PCF94585
NORGUARD INSURANCE COMPANY
 12/26/2019 PCF51459
PACIFIC EMPLOYERS INSURANCE COMPANY
 03/16/2015 PCF546
RLI INSURANCE COMPANY
 04/19/2022 PCF695
SECURITY NATIONAL INSURANCE COMPANY
 02/09/2021 PCF189490
SEQUOIA INSURANCE COMPANY
 02/09/2021 PCF128467
STATE NATIONAL INSURANCE COMPANY INC.
 11/08/2023 PCF75933
TECHNOLOGY INSURANCE COMPANY INC
 02/09/2021 PCF136874
WESCO INSURANCE COMPANY
 02/09/2021 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
 07/15/2010 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
 11/18/2010 PCF177973

Authority
Description Issue Date Termination Date Status
CASUALTY 07/11/2006 Active
PROPERTY 07/11/2006 Active
SURPLUS LINES 07/11/2006 Active

Responsible For
Name License Number
BASS UNDERWRITERS INC AGN129382

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
600042

Other Addresses
Address Type
PLANTATION, FL 33313
 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: 05/17/2025 03:51:37 AM