DEPARTMENT OF INSURANCE

Affiliations

Name	Bartnick, Blake Alan	DOIID	676260	NAIC NPN	1681131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/14/2008	11/30/2025
Active	Non Resident	Agent	Property	3/14/2008	11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/9/2012	11/30/2025
* 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	09/15/2025	11/30/2025
Surplus Lines Broker	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/12/2015
Active	ACE American Insurance Company	300625	Agent - Property	8/12/2015
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/9/2020
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/9/2020
Active	American Zurich Insurance Company	300592	Agent - Casualty	7/9/2020
Active	American Zurich Insurance Company	300592	Agent - Property	7/9/2020
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/4/2013	12/21/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/4/2013	12/21/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	4/4/2013	12/3/2014
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	8/23/2019	11/15/2023
Inactive	Hallmark Insurance Company	301637	Agent - Property	8/23/2019	11/15/2023
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	12/19/2016
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	12/19/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/19/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/19/2016
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	12/28/2009
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	12/28/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/9/2010
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/9/2010
Active	RLI Insurance Company	301217	Agent - Casualty	6/30/2017
Active	RLI Insurance Company	301217	Agent - Property	6/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/4/2013	12/21/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/4/2013	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	4/4/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	4/4/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	4/4/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	4/4/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/4/2013	12/3/2014
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	5/2/2012
Active	Starr Indemnity and Liability Company	301685	Agent - Property	5/2/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/4/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/4/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	4/4/2013	12/3/2014
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/4/2013
Active	Travelers Casualty and Surety Company	301067	Agent - Property	4/4/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/4/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/4/2013	12/3/2014
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/4/2013
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/4/2013
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	8/12/2015
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/12/2015
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/9/2020
Active	Zurich American Insurance Company	301121	Agent - Property	7/9/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	7/9/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022