black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB PETTY

PRODUCER NON-RESIDENT

License Number:
PRN456981
Status:
First Licensure:
07/16/2023
Cancel Date:
None

Mailing:
REDONDO BEACH, CA 90277
Phone:
+1 (323) 449-3480
Email:
jacob.petty@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/16/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC
07/27/2023 AGN37579 01/03/2025
WILLIS TOWERS WATSON NORTHEAST INC
01/03/2025 AGN74349

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 07/16/2023 Active
PROPERTY 07/16/2023 Active
SURPLUS LINES 08/02/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18719941

Other Addresses

Address Type
300 S GRAND AVE
LOS ANGELES, CA 90071-3109
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: 04/15/2026 12:29:36 PM