DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Davalyn Lynne	DOIID	644359	NAIC NPN	8831603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/15/2006	10/12/2009
Inactive	Non Resident	Agent	Casualty	11/15/2006	10/12/2009
* 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	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/8/2007	4/16/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/8/2007	4/16/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/8/2007	4/16/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/8/2007	4/16/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/20/2006	4/16/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/20/2006	4/16/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Command Financial Services Inc	547735	Agent - Casualty	12/20/2006	4/16/2007
Inactive	First Command Financial Services Inc	547735	Agent - Property	12/20/2006	4/16/2007