DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Sandy Q	DOIID	383313	NAIC NPN	7206012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	4/7/2010		1/31/2026
Active	Resident	Agent	Property	4/7/2010		1/31/2026
Inactive	Resident	Agent	General Lines	4/1/1996	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	4/3/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/16/1996	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	4/3/2003
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	3/23/2001	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	3/23/2001	12/31/2004
Active	Arch Insurance Company	300688	Agent - Casualty	10/13/2023
Active	Arch Insurance Company	300688	Agent - Property	10/13/2023
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	3/23/2001	7/25/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	3/23/2001	7/25/2007
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/12/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	5/5/1997	8/15/2000
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/12/2018
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	4/9/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/12/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/5/1997	8/15/2000
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/12/2018
Inactive	Chubb National Insurance Company	301392	Agent - General Lines	5/30/2000	8/15/2000
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	5/5/2003	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	5/5/2003	12/31/2004
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	4/3/2003
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/16/1996	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	4/3/2003
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	6/7/2000	8/15/2000
Active	Farmington Casualty Company	301137	Agent - Casualty	2/12/2018
Active	Farmington Casualty Company	301137	Agent - Property	2/12/2018
Inactive	Federal Insurance Company	301144	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	5/5/2003	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	5/5/2003	12/31/2004
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Globe Indemnity Company	300507	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Globe Indemnity Company	300507	Agent - Property	3/23/2001	12/31/2004
Active	Gray Insurance Company (The)	301532	Agent - Casualty	11/21/2023
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	5/30/2000	8/15/2000
Active	Guarantee Company of North America USA (The)	300857	Agent - Casualty	9/11/2014
Active	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019
Active	International Fidelity Insurance Company	301131	Agent - Casualty	4/22/2010
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/22/2010	4/15/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	4/3/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/16/1996	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	4/3/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	1/6/2003	8/12/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	1/6/2003	8/12/2009
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/9/2021
Active	Old Republic Insurance Company	301225	Agent - Casualty	4/13/2010
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	5/30/2000	8/15/2000
Active	Platte River Insurance Company	301089	Agent - Casualty	4/9/2024
Active	RLI Insurance Company	301217	Agent - Casualty	4/9/2010
Inactive	RLI Insurance Company	301217	Agent - General Lines	9/16/1996	3/31/1998
Active	RLI Insurance Company	301217	Agent - Property	4/9/2010
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Reliance Surety Company	301224	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Property	3/23/2001	12/31/2004
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	5/5/2003	7/25/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	5/5/2003	7/25/2007
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/12/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/25/1997	8/15/2000
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	2/12/2018
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	11/21/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	2/12/2018
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/28/1997	8/15/2000
Active	The Phoenix Insurance Company	301502	Agent - Property	2/12/2018
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/16/1996	3/31/1998
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	1/31/2010
Inactive	TravCo Insurance Company	301828	Agent - General Lines	4/24/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	1/31/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	1/31/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	1/31/2010
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/12/2018
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/12/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/12/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Property	2/12/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	2/12/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	6/16/2000	8/15/2000
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	2/12/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/12/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/12/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/12/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Property	2/12/2018
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/12/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	4/1/1996	8/15/2000
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/12/2018
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	2/12/2018
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/25/1997	8/15/2000
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	2/12/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/12/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Property	2/12/2018
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	1/31/2010
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	1/31/2010
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	8/6/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	4/2/2004
Inactive	Western Surety Company	300283	Agent - General Lines	5/2/1996	8/15/2000
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/9/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	4/18/2012
Active	Westfield Insurance Company	301950	Agent - Property	4/18/2012
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	1/6/2003	8/12/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	1/6/2003	8/12/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/9/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J Smith Lanier & Co	549691	Agent - Property	4/13/2010	3/31/2018
Inactive	J Smith Lanier & Co	549691	Agent - Casualty	4/13/2010	3/31/2018
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	1/18/2018
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	1/18/2018
Inactive	Palmer & Cay of Kentucky Inc.	400878	Agent - Property	9/19/2001	2/1/2005
Inactive	Palmer & Cay of Kentucky Inc.	400878	Agent - Casualty	9/19/2001	2/1/2005
Inactive	Palmer & Cay of Kentucky, LLC	554283	Agent - Property	10/1/2002	1/1/2006
Inactive	Palmer & Cay of Kentucky, LLC	554283	Agent - Casualty	10/1/2002	1/1/2006
Inactive	Powell Walton Milward	400948	Agent - General Lines	4/30/1996	8/15/2000
Inactive	Powell Walton Milward	400948	Agent - Property	8/15/2000	5/31/2003
Inactive	Powell Walton Milward	400948	Agent - Casualty	8/15/2000	5/31/2003
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/4/2006	6/25/2007
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/4/2006	6/25/2007