black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM TOBIAS JAFFE

PRODUCER NON-RESIDENT

License Number:
PRN295289
Status:
First Licensure:
10/06/2017
Cancel Date:
None

Mailing:
SAN FRANCISCO, CA 94118
Phone:
+1 (650) 678-2428
Email:
accounting@jsisf.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/06/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
JAFFE-SCHLOSSBERG INC
10/10/2017 AGN295483

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

Authority

Description Issue Date Termination Date Status
CASUALTY 10/06/2017 Active
PROPERTY 10/06/2017 Active

Responsible For

Name License Number
JAFFE-SCHLOSSBERG INC AGN295483

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5693604

Other Addresses

Address Type
SAN FRANCISCO, CA 94118
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: 05/13/2025 09:13:46 PM