DEPARTMENT OF INSURANCE

Affiliations

Name	Blackshear, Joseph David	DOIID	771869	NAIC NPN	4099560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/4/2012	8/31/2025
Active	Non Resident	Agent	Casualty	1/4/2012	8/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/23/2013	8/31/2025
* 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	06/15/2025	08/31/2025
Surplus Lines Broker	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	9/7/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	9/7/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/7/2017
Active	American Zurich Insurance Company	300592	Agent - Property	9/7/2017
Active	Berkley Casualty Company	300731	Agent - Casualty	11/19/2019
Active	Berkley Casualty Company	300731	Agent - Property	11/19/2019
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	3/19/2014	12/1/2017
Inactive	Colony Specialty Insurance Company	724901	Agent - Casualty	4/11/2013	7/11/2017
Inactive	Colony Specialty Insurance Company	724901	Agent - Property	4/11/2013	7/11/2017
Active	CorePointe Insurance Company	300406	Agent - Casualty	10/14/2021
Active	CorePointe Insurance Company	300406	Agent - Property	10/14/2021
Active	Everspan Insurance Company	300487	Agent - Casualty	11/12/2024
Active	Everspan Insurance Company	300487	Agent - Property	11/12/2024
Active	Greenwich Insurance Company	301754	Agent - Casualty	5/1/2018
Active	Greenwich Insurance Company	301754	Agent - Property	5/1/2018
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	10/14/2021
Active	Milford Casualty Insurance Company	301460	Agent - Property	10/14/2021
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	3/20/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	3/20/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	3/20/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	3/20/2024
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/2/2019
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/2/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/24/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/24/2022
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	2/1/2012	11/10/2015
Inactive	SPARTA Insurance Company	301523	Agent - Property	2/1/2012	11/10/2015
Active	Security National Insurance Company	301151	Agent - Casualty	10/14/2021
Active	Security National Insurance Company	301151	Agent - Property	10/14/2021
Active	Southern Insurance Company	301630	Agent - Casualty	10/14/2021
Active	Southern Insurance Company	301630	Agent - Property	10/14/2021
Active	Technology Insurance Company	613278	Agent - Casualty	10/14/2021
Active	Technology Insurance Company	613278	Agent - Property	10/14/2021
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	10/13/2015	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	10/13/2015	12/14/2023
Active	Wesco Insurance Company	300534	Agent - Casualty	10/14/2021
Active	Wesco Insurance Company	300534	Agent - Property	10/14/2021
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	8/9/2013
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/9/2013
Active	Zurich American Insurance Company	301121	Agent - Casualty	9/7/2017
Active	Zurich American Insurance Company	301121	Agent - Property	9/7/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	9/7/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	9/7/2017

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 - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022