DEPARTMENT OF INSURANCE

Affiliations

Name	Black/White & Associates of Nevada Inc	DOIID	612893	NAIC NPN	4582377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	11/3/2005	8/24/2010
Inactive	Non Resident	Agent	Casualty	11/3/2005	8/24/2010
* 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	Allied World Specialty Insurance Company	301088	Agent - Casualty	12/13/2006	8/24/2010
Inactive	Allied World Specialty Insurance Company	301088	Agent - Property	12/13/2006	8/24/2010
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	6/23/2006	3/19/2010
Inactive	American Automobile Insurance Company	300953	Agent - Property	6/23/2006	3/19/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	3/5/2008	1/28/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	3/5/2008	1/28/2010
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Casualty	2/3/2009	8/24/2010
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Property	2/3/2009	8/24/2010
Inactive	Continental Casualty Company	301019	Agent - Casualty	3/5/2008	1/28/2010
Inactive	Continental Casualty Company	301019	Agent - Property	3/5/2008	1/28/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	3/5/2008	1/28/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Property	3/5/2008	1/28/2010
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/23/2006	3/19/2010
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/23/2006	3/19/2010
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	3/5/2008	1/28/2010
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	3/5/2008	1/28/2010
Inactive	National Surety Corporation	300087	Agent - Casualty	6/23/2006	3/19/2010
Inactive	National Surety Corporation	300087	Agent - Property	6/23/2006	3/19/2010
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	6/23/2006	3/19/2010
Inactive	Pie Insurance Company (The)	300514	Agent - Property	6/23/2006	3/19/2010
Inactive	Transportation Insurance Company	301575	Agent - Casualty	3/5/2008	1/28/2010
Inactive	Transportation Insurance Company	301575	Agent - Property	3/5/2008	1/28/2010
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	3/5/2008	1/28/2010
Inactive	Valley Forge Insurance Company	301052	Agent - Property	3/5/2008	1/28/2010
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	6/23/2006	3/19/2010
Inactive	WCF Select Insurance Company	301898	Agent - Property	6/23/2006	3/19/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Judy A	610925	Agent - Casualty	11/3/2005	5/2/2007
Inactive	Allen, Judy A	610925	Agent - Property	11/3/2005	5/2/2007
Inactive	Nelson, Gloria Jean	559573	Agent - Casualty	2/4/2009	8/24/2010
Inactive	Nelson, Gloria Jean	559573	Agent - Property	2/4/2009	8/24/2010
Inactive	Pankow, Craig A	642984	Agent - Casualty	2/4/2009	8/24/2010
Inactive	Pankow, Craig A	642984	Agent - Property	2/4/2009	8/24/2010
Inactive	Warren, Christa Rae	646188	Agent - Casualty	2/13/2007	8/24/2010
Inactive	Warren, Christa Rae	646188	Agent - Property	2/13/2007	8/24/2010