DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, David J	DOIID	587421	NAIC NPN	2776158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/5/2004		12/31/2024
Active	Non Resident	Agent	Casualty	4/5/2004		12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Contractors Indemnity Company	536843	Agent - Casualty	4/23/2010
Active	Arch Insurance Company	300688	Agent - Casualty	2/8/2008
Active	Arch Insurance Company	300688	Agent - Property	2/8/2008
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	5/10/2005	11/12/2014
Inactive	Cincinnati Insurance Company	301298	Agent - Property	5/10/2005	11/12/2014
Active	Continental Casualty Company	301019	Agent - Casualty	10/3/2022
Active	Continental Casualty Company	301019	Agent - Property	10/3/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/31/2015
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	4/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Britton-Gallagher & Assoc Inc	552704	Agent - Property	8/25/2006	6/15/2015
Inactive	Britton-Gallagher & Assoc Inc	552704	Agent - Casualty	8/25/2006	6/15/2015