DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Charles Richard	DOIID	345536	NAIC NPN	249651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	6/26/1995	1/21/1999
Pending Replacement	Non Resident	Agent	Casualty	5/26/2006		1/31/2026
Pending Replacement	Non Resident	Agent	Property	5/26/2006		1/31/2026
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	5/26/2006		1/31/2026
* 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	11/15/2025	01/31/2026
Surplus Lines Broker	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/10/2006	3/11/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/10/2006	3/11/2010
Pending Replacement	American Zurich Insurance Company	300592	Agent - Casualty	8/10/2006
Pending Replacement	American Zurich Insurance Company	300592	Agent - Property	8/10/2006
Inactive	Assurance Company of America	300432	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Assurance Company of America	300432	Agent - Property	8/10/2006	3/11/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	8/10/2006	3/11/2010
Inactive	Federal Insurance Company	301144	Agent - General Lines	6/26/1995	1/21/1999
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/10/2006	3/11/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	8/10/2006	3/11/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/10/2006	3/11/2010
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/10/2006	3/11/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/10/2006	3/11/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/10/2006	3/11/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	10/16/2006
Pending Replacement	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/16/2006