black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

OBSIDIAN INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF387598
Status:
First Licensure:
07/06/2021
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
35602

Street Location:
1330 AVENUE OF THE AMERICAS STE 23A
NEW YORK, NY 10019-5483
Mailing:
1330 AVENUE OF THE AMERICAS STE 23A
NEW YORK, NY 10019-5483
Phone:
+1 (800) 864-5428
Email:
regulatory@obsidianspecialty.com

History

License Type Start Date End Date
INSURANCE COMPANY 07/06/2021 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
TRE CHRISTIAN ADKISSON
09/29/2022 PRN354466
JACKSON EDUARDO AGUILERA
05/31/2024 PRN403778
SUMAIR SULTAN ALI
09/13/2024 PRN419357
MARY CAPRICE ALLEN
01/11/2023 PRN302948
SAMI EMAD ALSHEHABI
02/28/2024 PRN273591
AMWINS INSURANCE BROKERAGE LLC
01/06/2023 AGN123397
JONATHAN BAIRD
11/01/2024 PRN276568
ALEXANDRIA BANKS-MITCHELL
07/02/2024 PRR471934
CHRISTOPHER M. BERRY
04/11/2025 PRN493888
JONATHAN BLIVEN
01/24/2025 PRN320959
ZACHARY WILLIAM BROOKS
09/13/2024 PRN201722
KEITH MAURICE LEON BROWN
09/01/2023 PRN357978
KORY CHRISTOPHER BUTLER
09/20/2024 PRN140494
JESSICA CAMERON
08/02/2024 PRN248934
CHRISTOPHER ALLEN CAPONE
01/24/2025 PRN162305
SHANE CRELLY
10/25/2024 PRN190182
SARAH LYN CURLEY
08/02/2024 PRR234563
RUBEN DELUNA
04/24/2023 PRN285953
MICHAEL DILORENZO
11/15/2024 PRN287464
CRAIG EDWARD DUNN
01/06/2023 PRN261437
GEORGE T. ENG
05/31/2024 PRR193544
DAMEON GANT
11/22/2024 PRN458815
JOSEPH GEISZLER
10/04/2024 PRN272945
ROBIN ANN GIVENS
11/01/2024 PRR20708
TAYLOR ALYSSA GOEKE
02/21/2025 PRN389359
ALEJANDRO GOMEZ
02/26/2024 PRN408307
COLE GOUCHER
09/20/2024 PRN250066
BAILEY DANIELLE GUSTAFSON
08/23/2024 PRN416463
KYLER JOHN HAFFNER
11/22/2024 PRN464086
KEMO HARNANAN
10/11/2022 PRN234597
JONATHON HUNTER HARTLEY
03/05/2025 PRN266932
SELENA LEIGH HULL
03/05/2025 PRN206239
ANGEL IRIZARRY
02/26/2024 PRN419893
ASHLEY JIMENEZ
01/10/2025 PRN419535
EBONY JOHNSON
06/27/2024 PRN406365
BENTON LAURENCE JONES
08/09/2024 PRN448268
TYLER J. KERLEE
07/26/2023 PRN456711
JOSHUA ANDREW KLOSTER
02/28/2024 PRN342955
WILLIAM DONALD LAND
11/22/2024 PRN247721
JEFFREY DAVID LEE
07/17/2024 PRR217642
JOEL TIMOTHY LOCKWOOD
07/02/2024 PRR159821
TRISTAN ALEC LONG
04/02/2024 PRN289652
GARY L. LONSINGER
07/26/2023 PRN7104
ANTONIO LOPEZ
10/16/2023 PRN406886
JENNIFER MARIE LUSHBAUGH
02/13/2023 PRN244799
JOHN K. LYNCH
05/09/2023 PRN140348
RONALD C. MAIRANO
03/10/2025 PRN131053
THOMAS MICHAEL MCLAUGHLIN
12/20/2024 PRN279006
JULIA MEHLMAN
01/31/2024 PRR386196
GABRIEL HAMILTON MERRILL
09/26/2024 PRR452369
MISSION UNDERWRITING MANAGERS, LLC
10/03/2023 AGN387555
DAVIS DONALD MOORE
03/07/2022 PRN76867
JONATHAN MORSE
08/02/2024 PRR340070
VUONG NGUYEN
01/24/2025 PRR210997
MYLES JOHNATHON NORED
02/26/2024 PRR385818
MATTHEW OLIVER
03/29/2024 PRR217110
LYNDSEY ORTIZ
02/28/2024 PRN327672
PARAGON INS HOLDINGS LLC
03/10/2025 AGN231025
VALERIE PARZIALE
04/25/2025 PRR502529
AMANDA MACEDONIA PEREZ
07/18/2024 PRN299636
DAMIAN PEREZ
01/02/2023 PRN237283
JERRY GARDNER PICKETT
11/06/2023 PRN127422
COURTNEY PIZZARUSSO-LESTER
02/26/2024 PRN393847
ANDREA REED
03/05/2025 PRN497806
SETH RODRIGUEZ
09/20/2024 PRN351958
WENDY LORI SARA
10/03/2023 PRN424620
JENNY LEE SCHNEDLER
09/05/2024 PRR51973
BRANDON CALEB SIZEMORE
03/05/2025 PRN385148
CASIE SMITH
02/26/2024 PRN243833
GABRIEL SOLIS
02/26/2024 PRN279397
SHAWN M. SPADEA
04/29/2024 PRR117532
JAMES STANFIELD
05/09/2023 PRN211094
PATRICK ONEAL STANLEY JR
10/25/2024 PRN382572
STEADILY INSURANCE AGENCY INC
06/16/2022 AGN361742
STEVEN ROSS SUTHERLAND
03/05/2025 PRN254096
CESAR TAMAURA
01/10/2025 PRN378308
VANG THAO
07/22/2024 PRN451385
JUDD D. THOMPSON-O NEAL
01/06/2023 PRN343070
SHAUN PATRICK TIMBERLAKE
03/31/2025 PRN396193
TOMAS E. TIO
01/06/2023 PRN109754
ERIKA NICOLE TORTORICI
11/01/2024 PRN421918
BRYAN TOUCHSTONE
01/06/2023 PRN297352
JASON MICHAEL TREMBLAY
07/02/2024 PRR103377
MATTHEW ALEXANDER TURNER
09/20/2024 PRN394397
ANTHONY D. VALEROS
07/02/2024 PRN399901
NICOLE WATCHUS
07/22/2024 PRN454799
JORDAN WEINSTEIN
02/28/2024 PRN462454
TYLER WILKINS
01/02/2023 PRN439364
WORLDWIDE FACILITIES LLC
03/07/2022 AGN77373
JARED ZUKOWSKI
01/10/2025 PRN504380

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 07/06/2021 Active
ALLIED LINES 07/06/2021 Active
FARMOWNERS MULTIPLE PERIL 07/06/2021 Active
HOMEOWNERS MULTIPLE PERIL 07/06/2021 Active
COMMERCIAL MULTIPLE PERIL 07/06/2021 Active
OCEAN MARINE 07/06/2021 Active
INLAND MARINE 07/06/2021 Active
MEDICAL MALPRACTICE 07/06/2021 Active
EARTHQUAKE 07/06/2021 Active
OTHER LIABILITY 07/06/2021 Active
PRODUCTS LIABILITY 07/06/2021 Active
AUTO LIABILITY 07/06/2021 Active
AUTO PHYS DAMAGE 07/06/2021 Active
AIRCRAFT (ALL PERILS) 07/06/2021 Active
FIDELITY 07/06/2021 Active
SURETY 07/06/2021 Active
GLASS 07/06/2021 Active
BURGLARY AND THEFT 07/06/2021 Active
BOILER AND MACHINERY 07/06/2021 Active
CREDIT 07/06/2021 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT KAITLYN WHITNEY
KAITLYN WHITNEY
1330 AVENUE OF THE AMERICAS STE 23A
NEW YORK, NY 10019-5483
Phone: +1 (800) 684-5428
Email: kwhitney@obsidianspecialty.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/17/2025 12:45:18 AM