DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Trenton JDOIID750733NAIC NPN16178460
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty3/25/2011 9/30/2026
ActiveNon ResidentAgentProperty3/25/2011 9/30/2026
ActiveNon ResidentIndependent AdjusterProperty & Casualty8/1/2011 9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202609/30/2026   
Independent Adjuster07/15/202609/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Global Risks US Insurance Company301250Agent - Casualty7/30/2023 
ActiveAllianz Global Risks US Insurance Company301250Agent - Property7/30/2023 
ActiveContinental Casualty Company301019Agent - Casualty7/6/2017 
ActiveContinental Casualty Company301019Agent - Property7/6/2017 
InactiveLiberty Insurance Underwriters Inc.301391Agent - Casualty7/25/20121/20/2026
InactiveLiberty Insurance Underwriters Inc.301391Agent - Property7/25/20121/20/2026
InactiveLiberty Mutual Insurance Company301159Agent - Casualty11/14/20111/20/2026
InactiveLiberty Mutual Insurance Company301159Agent - Property11/14/20111/20/2026
InactiveOld Republic Insurance Company301225Agent - Property12/12/20187/1/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAsurion Insurance Services Inc509331Agent - Property3/29/2012 
ActiveAsurion Insurance Services Inc509331Agent - Casualty3/29/2012 
ActiveAsurion Insurance Services Inc509331Independent Adjuster - Property & Casualty4/26/2013 
ActiveAsurion Protection Services, LLC.545067Agent - Property5/9/2013 
ActiveAsurion Protection Services, LLC.545067Agent - Casualty5/9/2013 
ActiveAsurion Protection Services, LLC.545067Independent Adjuster - Property & Casualty5/9/2013 

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