DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Casualty	4/5/2004		12/31/2026
Active	Non Resident	Agent	Property	4/5/2004		12/31/2026
* 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
Active	American Contractors Indemnity Company	536843	Agent - Casualty	4/23/2010
Inactive	Arch Indemnity Insurance Company	301459	Agent - Casualty	11/20/2024	12/6/2024
Inactive	Arch Indemnity Insurance Company	301459	Agent - Property	11/20/2024	12/6/2024
Inactive	Arch Insurance Company	300688	Agent - Casualty	2/8/2008	12/6/2024
Inactive	Arch Insurance Company	300688	Agent - Property	2/8/2008	12/6/2024
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