black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEROD BLAKESTAD

PRODUCER NON-RESIDENT

License Number:
PRN249210
Status:
First Licensure:
04/21/2015
Cancel Date:
None

Mailing:
PARK CITY, UT 84060
Phone:
+1 (612) 767-0885
Fax:
+1 (763) 574-7504
Email:
jerod.blakestad@monoline.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/21/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
CAPITAL RISK INS ADVISORS INC
04/25/2015 AGN249446 07/01/2017
MONOLINE, INC
12/06/2022 AGN438665
OTRI INSURANCE SERVICES LLC
12/13/2016 AGN279948

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
09/09/2015 PCF640 12/13/2021
AIG PROPERTY CASUALTY COMPANY
12/28/2016 PCF393
ALLIED INSURANCE COMPANY OF AMERICA
11/16/2015 PCF216138 12/07/2021
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
11/16/2015 PCF223935 12/07/2021
AMCO INSURANCE COMPANY
11/16/2015 PCF223938 12/07/2021
AMERICAN FAMILY HOME INSURANCE
06/11/2020 PCF201383
ASPEN AMERICAN INSURANCE COMPANY
06/13/2018 PCF43292 08/29/2018
BANKERS STANDARD INSURANCE COMPANY
09/09/2015 PCF152165 12/13/2021
COMMERCE AND INDUSTRY INSURANCE COMPANY
12/28/2016 PCF413
DEPOSITORS INSURANCE COMPANY
11/16/2015 PCF223940 12/07/2021
FEDERAL INSURANCE COMPANY
09/08/2015 PCF439 12/13/2021
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/14/2020 PCF445
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
09/09/2015 PCF50104 12/13/2021
NATIONWIDE ASSURANCE COMPANY
10/05/2021 PCF38952 12/07/2021
NATIONWIDE GENERAL INSURANCE COMPANY
08/28/2018 PCF30 12/07/2021
NATIONWIDE INSURANCE COMPANY OF AMERICA
10/05/2021 PCF422 12/07/2021
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
08/28/2018 PCF31 12/07/2021
NATIONWIDE MUTUAL INSURANCE COMPANY
11/07/2016 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
10/05/2021 PCF151089 12/07/2021
PACIFIC EMPLOYERS INSURANCE COMPANY
09/09/2015 PCF546 12/13/2021
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
09/08/2015 PCF212805 04/18/2024
VIGILANT INSURANCE COMPANY
07/27/2017 PCF613 12/13/2021

Authority

Description Issue Date Termination Date Status
CASUALTY 04/21/2015 Active
PROPERTY 04/21/2015 Active
SURPLUS LINES 11/15/2016 Active

Responsible For

Name License Number
MONOLINE, INC AGN438665
OTRI INSURANCE SERVICES LLC AGN279948

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16018477

Other Addresses

Address Type
PARK CITY, UT 84060
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: 05/22/2025 12:10:21 PM