VSC / GAP ADMINISTRATOR & PROVIDER AGREEMENT

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "VSC / GAP ADMINISTRATOR & PROVIDER AGREEMENT"

Transcription

1 For office use only: VSC company number: GAP company number: VSC / GAP ADMINISTRATOR & PROVIDER AGREEMENT Company Federal Tax ID # Effective Date Address City State ZIP Telephone Number Fax Number Contact Name Contact s Account Type (select one) Franchise Dealer Non-Franchise Dealer Bank or Credit Union Marketer Other Products: Vehicle Service Contract (VSC) Guaranteed Auto Protection (GAP) THIS AGREEMENT is, by and between Mechanical Breakdown Protection, Inc., a Missouri corporation, Vehicle Protection, Inc. ("VPI"), a Missouri corporation, and MBP Network, Inc. ("MBP Net"), a Florida corporation with their principal offices located at 250 NE Mulberry, Lee's Summit, Missouri (individually and collectively with their affiliated entities, MBPI ), and the entity identified above ( Company ). WHEREAS, MBPI provides VPI/MBP Net as the exclusive Obligors for the Mechanical Breakdown Protection, Inc. vehicle service contract (VSC) and enables the Company to offer its borrowers a GAP Waiver agreement and provides Mechanical Breakdown Protection, Inc. as the exclusive program administrator on behalf of VPI/MBP Net for MBPI customer care Programs. The Programs consist of those products identified above (the "Products"). WHEREAS, Company desires to offer one or more of the Products to its motor vehicle customers ( Customers ) and MBPI desires to appoint the Company as a sales representative for such Products, all in accordance with the terms and conditions of this Agreement. 1. Company s Authority. MBPI hereby authorizes Company to offer and sell MBPI Products to Company s customers. All Products shall be sold only on forms prescribed by MBPI ( Product Forms ) and in accordance with and subject to the applicable Program rules, coverages, guidelines, and costs then in effect (collectively, the Program Terms ). Company shall not have any authority to alter, modify, waive, or discharge any Program Terms without MBPI s prior written consent. MBPI may revise the Program Terms at any time upon thirty (30) days prior written notice to Company, and Company shall conform to such revisions. MBPI, its partners and affiliates, shall not have any liability for, and Company shall indemnify, defend, and hold harmless MBPI, its partners and affiliates, with respect to, any Products sold in violation of the Program Terms or this Agreement. 2. Reports and Remittances. Within five (5) days after the end of each calendar month, Company shall furnish a report to MBPI of all Products sold during such month. The form and content of the report shall be prescribed by MBPI. The report shall be accompanied by Company s payment of the net Company cost due MBPI for all Products sold during the month, as set forth in the Information Page (the Company Cost ), and such other information and sales documentation required by MBPI. 3. Compensation and Refunds. As its sole compensation from the sale of the Products (except for any Product that constitutes an insurance policy and is sold pursuant to a written agency agreement with an authorized insurance company), Company shall be permitted to retain the difference between the retail price collected by Company from the sale of the Products and the Company Cost for such Products ( Company Compensation ). Company shall be obligated to refund a pro rata share of the Company Compensation with respect to any Product that is canceled or surrendered prior to its scheduled expiration date, which refund shall be calculated at the same rate specified in the Product Form for calculating the Customer s refund. Company shall not be MBPIDlrArg0312 Page 1 of 6

2 entitled to any portion of any cancellation fee set forth in the Product Form. Company s obligation to make refunds shall survive termination of this Agreement. 4. Product Benefits. MBPI shall be solely responsible for administering and paying all benefits under the Products. Company shall have no authority to adjudicate, settle, compromise, or pay any benefits under the Products. In the event a Customer attempts to make a claim under a Product directly with Company, Company shall instruct the Customer to follow the claims reporting instructions set forth in the Product Form and shall provide all reasonable and necessary cooperation and assistance to the Customer. Furthermore, Company acknowledges that certain VSC claim payments for outside parts and sublet repairs may be based on cost plus a predetermined percent markup with a cap. The Company should contact MBPI to receive the predetermined percent markup information and cap before incurring any outside parts or sublet repair obligations. 5. Company Covenants. The Company hereby makes the following general representations and covenants to MBPI: LICENSES a. Company and all persons employed by Company to perform any activities authorized by this Agreement with respect to the Program shall procure and maintain in good standing all licenses, permits, and certifications required under all applicable state and federal laws with respect to such activities. LAWS AND REGULATIONS b. Company shall familiarize itself and comply with all state and federal laws and regulations applicable to its activities pertaining to the Program. PRIVACY c. Company shall not use for any purpose other than as required by this Agreement or disclose to any other person or entity the names, personal information, and other information concerning the subject matter of the Products without first affording MBPI with a reasonable opportunity to confirm that such use or disclosure complies with any applicable federal or state privacy laws. RULES OF MBPI d. Company shall adhere to all rules, manuals, procedures, and instructions prescribed by MBPI concerning the Program and furnished to Company in writing. UNFAIR TRADE PRACTICES PROPERTY AND SUPPLIES e. Company shall not engage in unlawful discrimination, misrepresentation, or any unfair trade practice pertaining to the Program that is prohibited by law. f. Company shall maintain in a secure and safe place, and upon request shall account to MBPI for, all supplies and materials furnished by MBPI to Company with respect to the Program and shall return them to MBPI if this Agreement is terminated. EXPENSES g. Except as otherwise expressly provided in this Agreement, Company shall bear all of its business expenses and marketing costs in the performance of its duties and obligations under this Program and shall not incur any expense on behalf of MBPI without MBPI's prior written approval NEGOTIABLE INSTRUMENTS h. Company shall not negotiate or endorse any check or other negotiable instrument made payable to MBPI. LEGAL NOTICES i. Company shall promptly notify MBPI of its receipt of legal notices or legal complaints affecting MBPI or the Program and shall immediately forward same to MBPI. ADVERTISING j. Company shall not publish, circulate, or display any advertisements, circulars, brochures, or other materials that name or refer to MBPI, its partners or affiliates,, their respective products, or their respective businesses unless the content thereof has received the prior written approval of MBPI, its partners or affiliates, as appropriate. INDUCEMENT TO k. While this Agreement is in force or at any time thereafter, Company shall not induce the lapse, MBPIDlrArg0312 Page 2 of 6

3 LAPSE EMPLOYEE AND SUB-AGENT COMPENSATION AUDIT MODIFICATION OR WAIVER OF TERMS FIDUCIARY FUNDS cancellation, or termination of any Product sold in the Program. l. Company shall be responsible for the payment of compensation and commissions to all permitted sub-agents and employees utilized or employed by Company in the performance of its duties and obligations under this Agreement or the Program and shall hold harmless MBPI, its partners or affiliates, for same. m. Subject to reasonable prior notice, Company shall grant MBPI and its authorized representatives, accountants, attorneys, and investigators right of free access during normal business hours at Company's place of business for the purpose of inspecting and auditing the books and records maintained by Company with respect to the Program. MBPI, at its expense, may make copies and retain any of such books and records which pertain to the Program. n. Company shall not have any authority to modify, waive, alter, or change, orally or in writing, any of the terms and conditions of a Product, whether prior to or after the sale of the Product. o. Company shall be considered a fiduciary of all monies received by Company on behalf of MBPI or otherwise due MBPI and shall not convert same to its own use until remittance to MBPI or otherwise applied by Company in accordance with this Agreement. COOPERATION GAP OBLIGATIONS (only if GAP product is selected on page 1) GAP PROCEDURES IN THE EVENT OF A LOSS (only if GAP product is selected on page 1) p. q. r. Company shall cooperate with MBPI in all matters relating to the Program. Company certifies that it is licensed by state regulatory authorities to make auto installment sales and is authorized to offer loan agreement GAP Waivers to its borrowers and to alter the prepayment provisions, as provided in certain GAP Waivers of liability to its borrowers, subject to any and all applicable laws. Company shall offer said GAP Waivers only to customers who originate their loans through the Company, only at the time the loan is transacted and only on the MBPI approved forms. Company is responsible for obtaining the necessary funding approvals from any regulatory authorities for lending institutions to which Company intends to assign the loan agreement for which a GAP Waiver has been issued. i. Company shall report to MBPI all requests for reimbursement and all necessary information within 30 days after the Company first has notice of the loss. ii. MBPI shall, upon receipt of all required documents, process the claim under the Company s insurance coverage. MBPI and/or the insurer shall not be responsible for any claim for loss not covered under the GAP Waiver not reported to MBPI as provided herein, for any GAP Waiver for which MBPI has not received payment as provided herein, or for GAP Waivers that do not comply with any procedure, rule, or regulation relating to the Program. iii. In the event that the Company assigns any loan for which there is a GAP Waiver issued, the Company shall cause the assignee to assume the Company s responsibilities under the GAP Waiver and any such insurance proceeds under the Program for such GAP Waiver shall be paid directly to the assignee. iv. If the Company offers the Additional Benefit Option, the Company agrees to provide a signed bill of sale indicating the Additional Benefit credit given to the borrower, and MBPI will reimburse the Company for the credit given to the borrower as provided for in the borrower s GAP Waiver. DIRECT AND INTERNET SALES s. Unless Marketer is selected on page 1 as Account Type, Company shall not market or sell Products except in connection with, and at the time of, the sale or lease of a motor vehicle by Company or Company shall not, without the prior written authorization by MBPI, market or promote the sale of Products through direct mail, telemarketing, internet, or other marketing channel. 6. Indemnification. Company shall indemnify, defend, and hold harmless MBPI, its partners, agents and employees, and their respective successors and assigns from and against all claims, losses, damages, liabilities, judgments, penalties, fines and MBPIDlrArg0312 Page 3 of 6

4 expenses, including but not limited to reasonable attorneys fees and costs, resulting from or arising out of (a) any wrongful or negligent act, error, or omission committed by Company or its employees in connection with the sale of the Products or the activities authorized by this Agreement, (b) any Product sold in violation of this Agreement or the Program Terms, including but without limitation any claim for benefits arising under such Product, or (c) the material breach by Company of any of the terms of this Agreement. 7. Effective Date and Termination. This Agreement shall become effective as of the date specified in the Information Page. This Agreement may be terminated by either party by giving thirty (30) days advance written notice to the other party, provided that this Agreement may be terminated immediately for any of the following reasons: (a) the failure of the other party to cure any material breach of this Agreement committed by such party within thirty (30) days after written notice of the breach has been provided by the terminating party; (b) the filing of a voluntary or involuntary bankruptcy petition involving the other party, or the appointment of a receiver, conservator, supervisors, or similar official concerning the other party; or (c) the assignment by the other party of all or substantially all of its assets for the benefit of its creditors. The termination of this Agreement shall not affect or diminish the obligations of the parties under this Agreement with respect to Products sold prior to the termination date. 8. Miscellaneous. The following provisions shall apply to the parties obligations under this Agreement: GOVERNING LAW AND ARBITRATION ENTIRE AGREEMENT INDEPENDENT CONTRACTOR a. This Agreement shall be interpreted and enforced in accordance with the laws of Missouri, without reference to the conflicts of laws principles thereof. Any controversy or claim arising out of or relating to this Agreement or the breach thereof shall be settled by binding arbitration administered by the American Arbitration Association under its Commercial Arbitration Rules. Such arbitration shall be conducted before a three-person arbitration panel, and each arbitrator shall have experience in matters of property and casualty insurance or reinsurance. One arbitrator shall be chosen by Company, one by MBPI, and a third arbitrator, an umpire, shall be chosen by the appointed arbitrators. In the event that the arbitrators are not able to agree on the choice of the umpire, the appointment shall be left to the President of the American Arbitration Association, or its successor. Venue for such arbitration shall be decided by the parties. If the parties cannot agree to where the arbitration will be conducted, then the arbitration panel will decide. The arbitration panel s award shall be in writing and shall set forth the findings and conclusions upon which it based the award. The prevailing party in any such arbitration shall be entitled to recover its reasonable attorney s fees, costs and expenses incurred in connection with the arbitration, as such is determined by the arbitration panel. b. This written Agreement and the exhibits hereto constitute the entire agreement and understandings of the parties relating to the subject matter of this Agreement and supersede all prior written or oral agreements or understandings of the parties. c. Company shall at all times be considered an independent contractor, and nothing in this Agreement is intended or shall be construed to create an employment, joint venture, or partnership relationship between MBPI and Company or between MBPI and any of Company s employees, agents, and sub-contractors. WAIVER d. The failure by either party to exercise or enforce any of its rights or remedies under this Agreement shall not be construed as a waiver or relinquishment to any extent of such party's right to assert or rely upon any such provision, right, or remedy. SUCCESSORS AND ASSIGNS e. Except as otherwise provided herein, the terms and conditions of this Agreement shall inure to the benefit of and be binding upon the respective lawful successors and assigns of the parties. Nothing in this Agreement, express or implied, is intended to confer upon any party other than the parties hereto or their respective lawful successors and assigns any rights, remedies, obligations, or liabilities under or by reason of this Agreement. ASSIGNMENT f. Neither this Agreement, nor any of the authority, rights, duties, obligations, liabilities afforded or created by this Agreement may be assigned or delegated by Company to any other person without the prior written consent of MBPI. MODIFICATIONS g. This Agreement and the Information Page may not be amended or modified except by written agreement signed by both of the parties hereto. This provision does not apply to the Program Terms which may be amended by MBPI, as provided in paragraph 1. MBPIDlrArg0312 Page 4 of 6

5 SEVERABILITY h. If one or more provisions of this Agreement are held to be unenforceable under applicable laws, such provision shall be excluded from this Agreement and the balance of this Agreement shall be interpreted as if such provision were so excluded and shall be enforceable in accordance with its terms. NOTICES i. All notices, demands, or communications required under this Agreement shall be in writing, delivered personally, by mail, by facsimile, or by electronic mail at the respective addresses of the parties. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives. COMPANY MECHANICAL BREAKDOWN PROTECTION, INC. / VEHICLE PROTECTION, INC. / MBP NETWORK, INC. SIGNATURE PRINT NAME AND TITLE DATE SIGNATURE Kevin S. Orr, President PRINT NAME AND TITLE DATE MBPIDlrArg0312 Page 5 of 6

6 INFORMATION PAGE Company Owner General Manager Business Manager Comptroller Office Manager Service Manager Labor rate: Approved / Posted Retail Dealership Internal Rate Dealership Car Rental Rate Labor manual used: Sales Tax Rate: Parts only Rater retail amount $ $ $ % Parts & Labor $ Vehicle Service Contracts (VSC) Program Options (signed addendums must be attached) Preferred Program No Chargeback Disappearing Deductible Extra Program No Chargeback Disappearing Deductible Limit of Liability Wear and Tear Office use only: Rater Login Rater Password Agent use only: Rate Code for Rate Cards Guaranteed Asset Protection (GAP) Program Options 120% Program (available for all account types) 150% Program (available for franchise dealers, banks and credit unions) 150% Plus Program (available for franchise dealers, banks and credit unions in certain states only) Fully Earned 150% Program (available for franchise dealers, banks and credit unions) Fully Earned 120% Program (available for all account types) Commercial Program (available for franchise dealers, banks and credit unions) Ford Motor Credit Program (available for franchise dealers, banks and credit unions where Ford Motor Credit is the lien holder) Ford Flex Buy Program (available for franchise dealers, banks and credit unions only on Flex Buy contracts issued by Ford Motor Credit) GAP Program Cost 6-60 Months Months Months $ $ $ List lenders currently being utilized: Special Instructions This form must be signed by a Corporate Officer Company Name Officer Signature Officer Name and Title Date Mechanical Breakdown Protection, Inc. (MBPI) Kevin S. Orr -President Signature Individual Agent Signature Individual Agent Name Agency Name MBPIDlrArg0312 Page 6 of 6

LIMITED PRODUCER AGREEMENT

LIMITED PRODUCER AGREEMENT LIMITED PRODUCER AGREEMENT THIS PRODUCER AGREEMENT (the Agreement ) is made as of by and between, SAFEBUILT INSURANCE SERVICES, INC., Structural Insurance Services, SIS Insurance Services, SIS Wholesale

More information

(This Agreement supersedes all prior Agreements) AGREEMENT

(This Agreement supersedes all prior Agreements) AGREEMENT (This Agreement supersedes all prior Agreements) AGREEMENT AGREEMENT, dated day of, 20, between International Transportation & Marine Agency, Inc., a corporation organized and existing under and by virtue

More information

Wright National Flood Insurance Services, LLC th Avenue North, Suite 110 St. Petersburg, FL (hereinafter referred to as "WNFIS )

Wright National Flood Insurance Services, LLC th Avenue North, Suite 110 St. Petersburg, FL (hereinafter referred to as WNFIS ) PARTIES TO THIS AGREEMENT V1116S Wright National Flood Insurance Services, LLC 801 94 th Avenue North, Suite 110 St. Petersburg, FL 33702 (hereinafter referred to as "WNFIS ) Producer Name: Address: City,

More information

BROKER PROFILE. Name of Agency/Broker: Headquarters Location Street Address: Mailing Address. Main Contact for Agency:

BROKER PROFILE. Name of Agency/Broker: Headquarters Location Street Address: Mailing Address. Main Contact for Agency: BROKER PROFILE This form is used only if we bind coverage. It is due within 15 days after you receive notification of our intent to provide coverage. You may submit business for review and quotation without

More information

21 st CENTURY GENERAL AGENCY, INC. Commercial Business Producers Agreement

21 st CENTURY GENERAL AGENCY, INC. Commercial Business Producers Agreement 21 st CENTURY GENERAL AGENCY, INC. Commercial Business Producers Agreement The parties hereto, in consideration of the mutual promises set forth herein, agree as follows Section 1 AUTHORIZATION AND AUTHORITY

More information

THIS LOCKBOX AND ACCOUNT CONTROL AGREEMENT (this Agreement ) is made as of, 200_, by and among ( Depositor ), ( Bank ) and ( Lender ).

THIS LOCKBOX AND ACCOUNT CONTROL AGREEMENT (this Agreement ) is made as of, 200_, by and among ( Depositor ), ( Bank ) and ( Lender ). FORM 18A.2 LOCKBOX AND ACCOUNT CONTROL AGREEMENT THIS LOCKBOX AND ACCOUNT CONTROL AGREEMENT (this Agreement ) is made as of, 200_, by and among _ ( Depositor ), ( Bank ) and ( Lender ). R E C I T A L S

More information

Dealer Profile (Must Accompany Dealer Agreement)

Dealer Profile (Must Accompany Dealer Agreement) Dealer Profile (Must Accompany Dealer Agreement) Dealer Name Account Number Dealer DBA Name Effective Date Address Dealer Group City, State Zip Mailing Address (if different from above) Mailing City, State

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT (the Agreement ) is entered into this day of, 20, by and between the University of Maine System acting through the University of ( University

More information

CORRESPONDENT LOAN PURCHASE AND SALE AGREEMENT

CORRESPONDENT LOAN PURCHASE AND SALE AGREEMENT CORRESPONDENT LOAN PURCHASE AND SALE AGREEMENT This Correspondent Loan Purchase and Sale Agreement is entered into this day of, 2018 ( Effective Date ) by and between Cornerstone Home Lending, Inc., a

More information

PREPARED MANAGERS, LLC LIMITED AGENCY AGREEMENT. THIS INDEPENDENT AGENCY AGREEMENT, (this Agreement ) is made and entered into between

PREPARED MANAGERS, LLC LIMITED AGENCY AGREEMENT. THIS INDEPENDENT AGENCY AGREEMENT, (this Agreement ) is made and entered into between PREPARED MANAGERS, LLC LIMITED AGENCY AGREEMENT THIS INDEPENDENT AGENCY AGREEMENT, (this Agreement ) is made and entered into between PREPARED MANAGERS, LLC (the Company ) and (the Agent ). Prepared Managers,

More information

[THIS AGREEMENT WILL REMAIN IN DRAFT FORM UNTIL APPROVED BY INSURANCE DEPARTMENT] REINSURANCE POOLING AGREEMENT

[THIS AGREEMENT WILL REMAIN IN DRAFT FORM UNTIL APPROVED BY INSURANCE DEPARTMENT] REINSURANCE POOLING AGREEMENT [THIS AGREEMENT WILL REMAIN IN DRAFT FORM UNTIL APPROVED BY INSURANCE DEPARTMENT] REINSURANCE POOLING AGREEMENT This Reinsurance Pooling Agreement (the Agreement ) is entered into with effect as of, by

More information

ENERGY EFFICIENCY CONTRACTOR AGREEMENT

ENERGY EFFICIENCY CONTRACTOR AGREEMENT ENERGY EFFICIENCY CONTRACTOR AGREEMENT 2208 Rev. 2/1/13 THIS IS AN AGREEMENT by and between PUBLIC UTILITY DISTRICT NO. 1 OF SNOHOMISH COUNTY (the District ) and a contractor registered with the State

More information

SERVICE AGREEMENT. THIS AGREEMENT ( Agreement ) is made and entered into as of, 20 by and between ( Owner ) and ( Vendor ).

SERVICE AGREEMENT. THIS AGREEMENT ( Agreement ) is made and entered into as of, 20 by and between ( Owner ) and ( Vendor ). SERVICE AGREEMENT THIS AGREEMENT ( Agreement ) is made and entered into as of, 20 by and between ( Owner ) and ( Vendor ). WITNESSETH: WHEREAS, Owner desires to engage Vendor, as an independent contractor,

More information

Producer Agreement DDWA Product means an Individual or Group dental benefits product offered by Delta Dental of Washington.

Producer Agreement DDWA Product means an Individual or Group dental benefits product offered by Delta Dental of Washington. Producer Agreement This agreement, effective the day of is between DELTA DENTAL OF WASHINGTON, referred to as DDWA in this agreement, and, referred to as Producer in this agreement. In consideration of

More information

NASDAQ Futures, Inc. Off-Exchange Reporting Broker Agreement

NASDAQ Futures, Inc. Off-Exchange Reporting Broker Agreement 2. Access to the Services. a. The Exchange may issue to the Authorized Customer s security contact person, or persons (each such person is referred to herein as an Authorized Security Administrator ),

More information

JSA PRODUCER AGREEMENT

JSA PRODUCER AGREEMENT JSA PRODUCER AGREEMENT This Producer Agreement (hereinafter, Agreement ) is entered into by and between Jackson Sumner and Associates, Inc. a North Carolina Corporation having its principal place of business

More information

MEDICARE SUPPLEMENTAL AND SELECT FACILITY AGREEMENT W I T N E S S E T H:

MEDICARE SUPPLEMENTAL AND SELECT FACILITY AGREEMENT W I T N E S S E T H: MEDICARE SUPPLEMENTAL AND SELECT FACILITY AGREEMENT THIS Agreement is made by and between, (hereinafter referred to as Facility ), a provider of health care services or items, licensed to practice or administer

More information

NEW DEALER ENROLLMENT

NEW DEALER ENROLLMENT DEALERSHIP NAME: ADDRESS: NEW DEALER ENROLLMENT ENROLLMENT DOCUMENTS 1. DEALER AGREEMENT 2. DEALER INFORMATION SHEET 3. ACH ENROLLMENT FORM 4. COPY OF VOIDED CHECK OR DEPOSIT SLIP 5. FRANCHISE LICENSE

More information

SELLING AGENT AGREEMENT SIGNATURE PAGE

SELLING AGENT AGREEMENT SIGNATURE PAGE SELLING AGENT AGREEMENT SIGNATURE PAGE The following AGREEMENT made between the Selling Agent identified below ("Selling Agent") and EmblemHealth Services Company LLC., on behalf of its licensed health

More information

BROKER AND BROKER S AGENT COMMISSION AGREEMENT

BROKER AND BROKER S AGENT COMMISSION AGREEMENT BROKER AND BROKER S AGENT COMMISSION AGREEMENT Universal Care BROKER AND BROKER S AGENT COMMISSION AGREEMENT This BROKER AND BROKER S AGENT COMMISSION AGREEMENT (this "Agreement") is made and entered

More information

YUCAIPA BUSINESS INCUBATOR CENTER LEASE AGREEMENT

YUCAIPA BUSINESS INCUBATOR CENTER LEASE AGREEMENT YUCAIPA BUSINESS INCUBATOR CENTER LEASE AGREEMENT THIS YUCAIPA BUSINESS INCUBATOR CENTER LEASE AGREEMENT (this Agreement ) is dated as of the, 20 and is entered into by and between the CITY of YUCAIPA

More information

STREAMGUYS, Inc. Authorized Streaming Agent Agreement Please complete and fax back entire agreement to us at

STREAMGUYS, Inc. Authorized Streaming Agent Agreement Please complete and fax back entire agreement to us at StreamGuys.com P.O. Box 828 Arcata California 95521 (707) 667-9479 Fax (707) 516-0009 info@streamguys.com STREAMGUYS, Inc. Authorized Streaming Agent Agreement Please complete and fax back entire agreement

More information

BEGA Agreement (08/99) Brokerage Executive General Agent AGREEMENT

BEGA Agreement (08/99) Brokerage Executive General Agent AGREEMENT Brokerage Executive General Agent AGREEMENT BANNER LIFE INSURANCE COMPANY ROCKVILLE, MARYLAND Agreement of Brokerage Executive General Agent 1. APPOINTMENT Subject to the terms and conditions of this Agreement,

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the Agreement ) is entered into this day of, 20, by and between ( Covered Entity ) and the University of Maine System, acting through the

More information

FIXTURING/INSTALLATION AGREEMENT

FIXTURING/INSTALLATION AGREEMENT Dept Index Contract No. Requisition No. FIXTURING/INSTALLATION AGREEMENT This FIXTURING/INSTALLATION AGREEMENT by and between THE UNIVERSITY OF NORTH FLORIDA BOARD OF TRUSTEES, a public body corporate

More information

LEASE AGREEMENT THE GREAT PLAINS BUSINESS DEVELOPMENT CENTER

LEASE AGREEMENT THE GREAT PLAINS BUSINESS DEVELOPMENT CENTER LEASE AGREEMENT THE GREAT PLAINS BUSINESS DEVELOPMENT CENTER The Great Plains Technology Center (GPTC) welcomes you to The Great Plains Business Development Center (GPBDC). GPTC accepts into the Business

More information

PRODUCER AGREEMENT R E C I T A L S

PRODUCER AGREEMENT R E C I T A L S PRODUCER AGREEMENT This Producer Agreement (this "Agreement") is entered into by and between CAREINGTON International Corporation, a Texas corporation ("CAREINGTON"), and the undersigned ("Producer") and

More information

Texas FAIR Plan Producer Requirements and Performance Standards

Texas FAIR Plan Producer Requirements and Performance Standards Texas FAIR Plan Producer Requirements and Performance Standards John W. Polak, CPCU 2002 The following Texas FAIR Plan Association ("Association") requirements and producer performance standards ("Requirements

More information

NGL Contracting Checklist

NGL Contracting Checklist NGL Contracting Checklist Please submit the following information and documents to SMS when licensing with NGL: Completed and Signed Contracting Agreement Completed and Signed NGL Advance Selection form

More information

STETSON UNIVERSITY CONSULTANT / INDEPENDENT CONTRACTOR AGREEMENT

STETSON UNIVERSITY CONSULTANT / INDEPENDENT CONTRACTOR AGREEMENT STETSON UNIVERSITY CONSULTANT / INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT made and entered into this day of, by and between STETSON UNIVERSITY, INC., a Florida non-profit corporation, hereinafter

More information

PROPERTY MANAGEMENT AGREEMENT

PROPERTY MANAGEMENT AGREEMENT PROPERTY MANAGEMENT AGREEMENT Owner: Manager: Bridge Management LLC, 3077 Merriam Lane Kansas City, KS Property(ies): THIS PROPERTY MANAGEMENT AGREEMENT ( Agreement ) is made this day of _, 20 by and between

More information

INFORMATION TECHNOLOGY SERVICES AGREEMENT

INFORMATION TECHNOLOGY SERVICES AGREEMENT INFORMATION TECHNOLOGY SERVICES AGREEMENT This Information Technology Services Agreement ("Agreement") is made this day of 20 between Sycure Corp, d/b/a Columbia Basin Information Technology, a Washington

More information

A final agenda must be determined no later than six weeks prior to said event date.

A final agenda must be determined no later than six weeks prior to said event date. Two hour rental Six hour rental Wedding A. Agreement entered between Orange County Center for Contemporary Art (OCCCA) and: CLIENT CONTACT INFO Client (USER): Date Signed Contact Name: Phone: Address:

More information

Participating Contractor Agreement

Participating Contractor Agreement Participating Contractor Agreement This Participating Contractor Agreement (this Agreement ) is entered into between CounterPointe Energy Solutions Residential, LLC (the Company ) located at 555 S. Federal

More information

Agreement for Advisors Providing Services to Interactive Brokers Customers

Agreement for Advisors Providing Services to Interactive Brokers Customers 6101 03/10/2015 Agreement for Advisors Providing Services to Interactive Brokers Customers This Agreement is entered into between Interactive Brokers ("IB") and the undersigned Advisor. WHEREAS, IB provides

More information

TOWING SERVICE FRANCHISE AGREEMENT

TOWING SERVICE FRANCHISE AGREEMENT TOWING SERVICE FRANCHISE AGREEMENT 1. IDENTIFICATION This Towing Service Franchise Agreement ( Agreement herein), effective as of the date specified in Section 3 below, is entered into by, ( TOWING CARRIER

More information

Independent Contractor Agreement with Health Care Worker. Agreement made on the day of, 20, between (Contractor) of

Independent Contractor Agreement with Health Care Worker. Agreement made on the day of, 20, between (Contractor) of Independent Contractor Agreement with Health Care Worker Agreement made on the day of, 20, between (Contractor) of (street address, city, county, state, zip code), referred to herein as Contractor, and

More information

FORM AGREEMENT B MASTER CHASSIS CONTRIBUTION AGREEMENT

FORM AGREEMENT B MASTER CHASSIS CONTRIBUTION AGREEMENT FORM AGREEMENT B MASTER CHASSIS CONTRIBUTION AGREEMENT THIS CHASSIS CONTRIBUTION AGREEMENT (this Agreement ) is made as of this day of, 20, by and between CCM POOL LLC, a Delaware limited liability company

More information

Pella Certified Contractor Agreement. This Agreement is made this day of, 20, by and between. _ ( Pella Sales Entity ) and. ( Remodeler ).

Pella Certified Contractor Agreement. This Agreement is made this day of, 20, by and between. _ ( Pella Sales Entity ) and. ( Remodeler ). Pella Certified Contractor Agreement This Agreement is made this day of, 20, by and between ( Pella Sales Entity ) and ( Remodeler ). In consideration of the mutual promises herein contained the receipt

More information

NORDSON MEDICAL Standard Terms and Conditions of Purchase Revised March 11, 2015

NORDSON MEDICAL Standard Terms and Conditions of Purchase Revised March 11, 2015 NORDSON MEDICAL Standard Terms and Conditions of Purchase Revised March 11, 2015 1. ORDER APPLICABILITY AND ACCEPTANCE. (A) This purchase order is an offer by Micromedics (dba Nordson MEDICAL ) for the

More information

Producer Agreement. This Producer Agreement made and entered into as of the Effective Date by and between:

Producer Agreement. This Producer Agreement made and entered into as of the Effective Date by and between: Producer Agreement This Producer Agreement made and entered into as of the Effective Date by and between: And, 1. Preferred Concepts, LLC, Preferred Concepts, Inc., IRF Administrators, LLC, PCI Enterprises,

More information

G&D NORTH AMERICA, INC. 1. TERMS & CONDITIONS OF SALE

G&D NORTH AMERICA, INC. 1. TERMS & CONDITIONS OF SALE G&D NORTH AMERICA, INC. 1. TERMS & CONDITIONS OF SALE 2. General. These terms and conditions (the Terms ), together with those contained in any proposal or quotation (a Proposal ) of G&D North America,

More information

LOCATION AGREEMENT RECITALS

LOCATION AGREEMENT RECITALS LOCATION AGREEMENT THIS AGREEMENT is made and entered into this day of, 20 by and between The Florida International University Board of Trustees, on behalf of Florida International University ("FIU"),

More information

FORM AGREEMENT C MASTER CHASSIS USE AGREEMENT

FORM AGREEMENT C MASTER CHASSIS USE AGREEMENT FORM AGREEMENT C MASTER CHASSIS USE AGREEMENT THIS CHASSIS USE AGREEMENT (this Agreement ) is made as of is made as of this day of, 20, by and between (CCM POOL LLC ), a Delaware limited liability company

More information

SUBCONTRACT AGREEMENT PROFESSIONAL SERVICES

SUBCONTRACT AGREEMENT PROFESSIONAL SERVICES SUBCONTRACT AGREEMENT PROFESSIONAL SERVICES This Subcontract Agreement (this Agreement ) is made this day of, 20, by and between LARON INCORPORATED, an Arizona corporation ( Contractor ), and ( Subcontractor

More information

SECTION I. Appointment, Activities, Authority and Status of REPRESENTATIVE

SECTION I. Appointment, Activities, Authority and Status of REPRESENTATIVE CAPITAL FINANCIAL SERVICES, INC. REPRESENTATIVE'S AGREEMENT This Agreement is executed in duplicate between Capital Financial Services, Inc., a Wisconsin corporation (hereinafter "COMPANY"), and the Sales

More information

GROUP HEALTH INCORPORATED SELLING AGENT AGREEMENT

GROUP HEALTH INCORPORATED SELLING AGENT AGREEMENT GROUP HEALTH INCORPORATED SELLING AGENT AGREEMENT This Agreement, made between Group Health Inc., having its principal office at 55 Water Street, New York, NY 10041 ("GHI"), and, having its principal office

More information

SETTLEMENT AND RELEASE AGREEMENT

SETTLEMENT AND RELEASE AGREEMENT SETTLEMENT AND RELEASE AGREEMENT THIS SETTLEMENT AND RELEASE AGREEMENT ( Agreement ) is made as of the day of, 2012, by and between the CENTENNIAL SCHOOL DISTRICT, with offices located at 433 Centennial

More information

TERMS AND CONDITIONS FOR HOME CONSULTANT INITIATED CREDIT CARD TRANSACTIONS RECITALS

TERMS AND CONDITIONS FOR HOME CONSULTANT INITIATED CREDIT CARD TRANSACTIONS RECITALS TERMS AND CONDITIONS FOR HOME CONSULTANT INITIATED CREDIT CARD TRANSACTIONS RECITALS WHEREAS, Home Consultant, as an independent contractor of Longaberger, markets and solicits orders for Longaberger products;

More information

STAFF LEASING AGREEMENT

STAFF LEASING AGREEMENT STAFF LEASING AGREEMENT Upon the parties voluntarily entering into this Staff Leasing Agreement (hereinafter Agreement ) for the joint employment of labor entered into and effective upon the date specified

More information

AGENTSECURE PRODUCER AGREEMENT

AGENTSECURE PRODUCER AGREEMENT AGENTSECURE PRODUCER AGREEMENT Parties to this Agreement are the Agency Owner and Agency Principal [Enter Owner(s) Legal Entity and Principal(s)] (Producer) and Insurezone.com of Texas, Inc. d/b/a AgentSecure

More information

Application to Sponsor VOICE 2018

Application to Sponsor VOICE 2018 Application to Sponsor VOICE 2018 COMPANY NAME ( Sponsor ): CONTACT NAME: EMAIL: Please indicate your desired sponsorship level, location and/or package from the selections below. Refer to the VOICE Sponsorship

More information

GROUNDS MAINTENANCE AGREEMENT

GROUNDS MAINTENANCE AGREEMENT GROUNDS MAINTENANCE AGREEMENT THIS AGREEMENT is entered into this day of, 2012, by and between the City of Plant City ( City ) and Company ), whose address is. WHEREAS, City desires to retain Company to

More information

LOBBYGUARD SOLUTIONS, LLC RESELLER AGREEMENT

LOBBYGUARD SOLUTIONS, LLC RESELLER AGREEMENT LOBBYGUARD SOLUTIONS, LLC RESELLER AGREEMENT This Reseller Agreement (this "Agreement") is effective the day of 2016 (the "Effective Date") by and between LobbyGuard Solutions, LLC, a North Carolina limited

More information

KULZER PURCHASE ORDER TERMS AND CONDITIONS

KULZER PURCHASE ORDER TERMS AND CONDITIONS 1. General KULZER PURCHASE ORDER TERMS AND CONDITIONS 1.1 This Purchase Agreement consists, in order of precedence, of the following: the Kulzer Purchase Order (also Order ) (typed portions control over

More information

Mango Bay Properties & Investments dba Mango Bay Mortgage

Mango Bay Properties & Investments dba Mango Bay Mortgage WHOLESALE BROKER AGREEMENT This Wholesale Broker Agreement (the Agreement ) is entered into on this day of between Mango Bay Property and Investments Inc. dba Mango Bay Mortgage (MBM) and ( Broker ). RECITALS

More information

General Purchase Order Terms and Conditions (Pro-buyer)

General Purchase Order Terms and Conditions (Pro-buyer) 1. Applicability. General Purchase Order Terms and Conditions (Pro-buyer) (a) This purchase order is an offer by GT Exhaust, Inc. (the "Buyer") for the purchase of the goods specified on the face of this

More information

HAZARDOUS MATERIALS INDEMNITY AGREEMENT (Unsecured)

HAZARDOUS MATERIALS INDEMNITY AGREEMENT (Unsecured) HAZARDOUS MATERIALS INDEMNITY AGREEMENT (Unsecured) THIS INDEMNITY ( Indemnity ) is given on and effective ( date ), by (each an Indemnitor and collectively the Indemnitors ) to WELLS FARGO BANK, NATIONAL

More information

Cboe Global Markets Subscriber Agreement

Cboe Global Markets Subscriber Agreement Cboe Global Markets Subscriber Agreement Vendor may not modify or waive any term of this Agreement. Any attempt to modify this Agreement, except by Cboe Data Services, LLC ( CDS ) or its affiliates, is

More information

Master Service Agreement (Updated 9/15/2015)

Master Service Agreement (Updated 9/15/2015) Master Service Agreement (Updated 9/15/2015) This Master Service Agreement is entered into this day of 20 by and between Multifamily Management, Inc. (MMI) ( Management Agent ), as Agent for Owner, and

More information

PROJECT IMPLEMENTATION AGREEMENT September 1, 2009

PROJECT IMPLEMENTATION AGREEMENT September 1, 2009 PROJECT IMPLEMENTATION AGREEMENT September 1, 2009 This Project Implementation Agreement (this "Agreement") is entered into as of, 20, by and between the Climate Action Reserve, a California nonprofit

More information

ACH Origination Agreement

ACH Origination Agreement ACH Origination Agreement Company Information Company Name Address City, State, Zip hereafter referred to as Company. This Agreement is made on this day of, 2 0, by and between Company and Lakeland Bank

More information

LIMITED PARTNERSHIP AGREEMENT CRT ENTERPRISES, LP

LIMITED PARTNERSHIP AGREEMENT CRT ENTERPRISES, LP LIMITED PARTNERSHIP AGREEMENT CRT ENTERPRISES, LP This Limited Partnership Agreement of CRT Enterprises, LP ( The Limited Partnership or The Company ), is entered into and shall be effective as of the

More information

REGISTERED CONTRACTOR AGREEMENT

REGISTERED CONTRACTOR AGREEMENT REGISTERED CONTRACTOR AGREEMENT THE RESTORATION COMPANY Technical Service Department. 2628 Pearl Road. Medina, OH 44256 RESTORATION SOLUTIONS FOR EVERY ROOF & WALL Phone: 800-551-7081. Fax: 800-382-1218

More information

Welcome to Adcock Northeast Auto Transport's Online Carrier Agreement

Welcome to Adcock Northeast Auto Transport's Online Carrier Agreement Welcome to Adcock Northeast Auto Transport's Online Agreement You re just a few steps away from hauling cars for Adcock Northeast! STEP 1: Read and Sign the Agreement (please initial each page as indicated)

More information

TERREBONNE PARISH CONSOLIDATED GOVERNMENT MINIMUM INSURANCE REQUIREMENTS PROFESSIONAL SERVICES (ARCHITECTS, ENGINEERS, CONSULTANTS, ETC.

TERREBONNE PARISH CONSOLIDATED GOVERNMENT MINIMUM INSURANCE REQUIREMENTS PROFESSIONAL SERVICES (ARCHITECTS, ENGINEERS, CONSULTANTS, ETC. TERREBONNE PARISH CONSOLIDATED GOVERNMENT MINIMUM INSURANCE REQUIREMENTS PROFESSIONAL SERVICES (ARCHITECTS, ENGINEERS, CONSULTANTS, ETC.) STANDARD FORM OF AGREEMENT BETWEEN OWNER AND CONSULTANT FOR PROFESSIONAL

More information

TAMPA ELECTRIC COMPANY BRIGHT CHOICES Outdoor Lighting Agreement

TAMPA ELECTRIC COMPANY BRIGHT CHOICES Outdoor Lighting Agreement TAMPA ELECTRIC COMPANY BRIGHT CHOICES Outdoor Lighting Agreement Pursuant to the terms and conditions set forth in this outdoor lighting agreement (the Agreement ), Tampa Electric Company (the Company

More information

Producer Appointment and Commission Agreement

Producer Appointment and Commission Agreement A BETTER WAY TO TAKE CARE OF BUSINESS WASHINGTON REGION Producer Appointment and Commission Agreement This Agreement among Kaiser Foundation Health Plan of Washington ( KFHPWA ), Kaiser Foundation Health

More information

USCG STRATEGIC PARTNERSHIP AGREEMENT

USCG STRATEGIC PARTNERSHIP AGREEMENT USCG STRATEGIC PARTNERSHIP AGREEMENT THIS STRATEGIC PARTNERSHIP AGREEMENT (the Agreement ) is made and entered into this day of, 20 (the Effective Date ) by and between US CONSULTING GROUP, Inc. a Corporation,

More information

W I T N E S S E T H:

W I T N E S S E T H: GENERAL CONTRACTORS SUBCONTRACT AGREEMENT THIS CONTRACT, made and entered into the day of, 20, by and between, a Tennessee, having its principal place of business at, hereinafter referred to as "Contractor"

More information

Johnson County Community College ID Card and Banking Services Agreement & Required Disclosures

Johnson County Community College ID Card and Banking Services Agreement & Required Disclosures Johnson County Community College ID Card and Banking Services Agreement & Required Disclosures No later than September 1, 2017, any institution with a T1 arrangement and any institution with a T2 arrangement

More information

SUBCONTRACTOR AGREEMENT

SUBCONTRACTOR AGREEMENT SUBCONTRACTOR AGREEMENT This Subcontractor Agreement (herein referred to as "Agreement"), made this day of _, 20 between Bianchi Construction LLC, ("Contractor"), and ("Subcontractor"). Terms: The basic

More information

Matrix Trust Company AUTOMATIC ROLLOVER INDIVIDUAL RETIREMENT ACCOUNT SERVICE AGREEMENT PLAN-RELATED PARTIES

Matrix Trust Company AUTOMATIC ROLLOVER INDIVIDUAL RETIREMENT ACCOUNT SERVICE AGREEMENT PLAN-RELATED PARTIES Matrix Trust Company AUTOMATIC ROLLOVER INDIVIDUAL RETIREMENT ACCOUNT SERVICE AGREEMENT PLAN-RELATED PARTIES Plan Sponsor: Address: City: State: ZIP: Phone Number: ( ) Tax ID#: Plan and Trust Name(s):

More information

Agreement for Non-Professional Advisors Providing Services to Interactive Brokers Canada Customers

Agreement for Non-Professional Advisors Providing Services to Interactive Brokers Canada Customers Agreement for Non-Professional Advisors Providing Services to Interactive Brokers Canada Customers This Agreement is entered into between Interactive Brokers Canada Inc. (IB) and the undersigned Family

More information

Subcontract Agreement

Subcontract Agreement S THIS AGREEMENT made as of the day of, 2012 BETWEEN the Contractor: TCL Partners 5212 123 rd Place SE Everett, WA 98208 and the For the Following Project: The Architect for the Project: The Contractor

More information

PROPERTY MANAGEMENT AGREEMENT

PROPERTY MANAGEMENT AGREEMENT -Cover start- PROPERTY MANAGEMENT AGREEMENT This property management agreement is intended for real estate owners to execute with those managing their property for rental purposes. Download this property

More information

Taunton Municipal Lighting Plant. This INTERCONNECTION & NET METERING AGREEMENT 1. CUSTOMER ELECTRIC GENERATING SYSTEM

Taunton Municipal Lighting Plant. This INTERCONNECTION & NET METERING AGREEMENT 1. CUSTOMER ELECTRIC GENERATING SYSTEM Taunton Municipal Lighting Plant INTERCONNECTION & NET METERING AGREEMENT For Customer-Owned, Grid-Connected Electric Generating Systems of 60kW or Less This INTERCONNECTION & NET METERING AGREEMENT (

More information

AccessHosting.com TERMS OF SERVICE

AccessHosting.com TERMS OF SERVICE AccessHosting.com TERMS OF SERVICE 1. Legally binding agreement. By ordering and/or using any service offered or provided by Access Hosting LLC, dba AccessHosting.com ( AccessHosting.com), the individual

More information

CLAIMS ADMINISTRATION SERVICES AGREEMENT

CLAIMS ADMINISTRATION SERVICES AGREEMENT CLAIMS ADMINISTRATION SERVICES AGREEMENT This Claims Administration Services Agreement (the "Agreement") is made and entered into by and between XYZ School District ("Client") and Keenan & Associates ("Keenan").

More information

SHORT FORM SUBCONTRACT AGREEMENT

SHORT FORM SUBCONTRACT AGREEMENT SHORT FORM SUBCONTRACT AGREEMENT Page 1 of 7 Subcontract No. THIS AGREEMENT, made and entered into at El Dorado Hills, El Dorado County, California this day of 20, by and between ROEBBELEN CONTRACTING,

More information

MANAGING GENERAL REPRESENTATIVE AGREEMENT

MANAGING GENERAL REPRESENTATIVE AGREEMENT MANAGING GENERAL REPRESENTATIVE AGREEMENT IN CONSIDERATION OF THE MUTUAL PROMISES CONTAINED HEREIN, AMERIPLAN CORPORATION, PLANO, TEXAS (hereinafter referred to as (the Company ) AND THE PERSON SIGNING

More information

RELEASE AND SETTLEMENT AGREEMENT

RELEASE AND SETTLEMENT AGREEMENT RELEASE AND SETTLEMENT AGREEMENT This Release and Settlement Agreement ( Agreement ) is entered into this 2 nd day of April, 2014 by and among American Contractors Indemnity Company ( ACIC ); C3 Construction,

More information

Assumption Reinsurance Depopulation Program. Offer and Assumption Agreement

Assumption Reinsurance Depopulation Program. Offer and Assumption Agreement Assumption Reinsurance Depopulation Program Offer and Assumption Agreement Offer and Assumption Agreement This Offer and Assumption Agreement (hereinafter Agreement) is effective as of the First day of

More information

BGA Appointment Application

BGA Appointment Application Sole Proprietor BGA Appointment Application Please return the completed form by fax at 1-866-817-9751 or email LIFAIC@symetra.com If you need assistance, please contact us by phone at 1-800-210-1106, Option

More information

EXHIBIT C PROFESSIONAL SERVICES CONTRACT TEMPLATE

EXHIBIT C PROFESSIONAL SERVICES CONTRACT TEMPLATE EXHIBIT C PROFESSIONAL SERVICES CONTRACT TEMPLATE AGREEMENT BETWEEN THE City OF BEVERLY HILLS AND [Consultant S NAME] FOR [BRIEFLY DESCRIBE PURPOSE OF THIS CONTRACT] NAME OF Consultant: insert name of

More information

SPONSORSHIP AGREEMENT BETWEEN [Event Producer] AND THE CITY OF RENO

SPONSORSHIP AGREEMENT BETWEEN [Event Producer] AND THE CITY OF RENO SPONSORSHIP AGREEMENT BETWEEN [Event Producer] AND THE CITY OF RENO THIS SPONSORSHIP AGREEMENT (the Agreement ) is entered into this day of, 2013 ( Effective Date ), by and between [enter name and capacity

More information

PAYROLL SERVICE AGREEMENT

PAYROLL SERVICE AGREEMENT PAYROLL SERVICE AGREEMENT YOUR NAME: DATE: This Payroll Services Agreement (this Agreement ) is made as of the day of, 20 for the effective service commencement date of, between Client identified above

More information

BGE SUPPLIER COORDINATION AGREEMENT

BGE SUPPLIER COORDINATION AGREEMENT BGE SUPPLIER COORDINATION AGREEMENT 1.0 This Supplier Coordination Agreement ("Agreement"), dated as of, is entered into, by and between Baltimore Gas and Electric Company (the "Company" or "BGE") and

More information

Interpreters Associates Inc. Division of Intérpretes Brasil

Interpreters Associates Inc. Division of Intérpretes Brasil Interpreters Associates Inc. Division of Intérpretes Brasil Adherence to HIPAA Agreement Exhibit B INDEPENDENT CONTRACTOR PRIVACY AND SECURITY PROTECTIONS RECITALS The purpose of this Agreement is to enable

More information

Expanded Market Programs

Expanded Market Programs Expanded Market Programs Empowering you to say Yes more often! Ivantage and NEA are affiliates of Allstate, who offer Exclusive Agents access to additional products for risks outside of Allstate s market

More information

State of [INSERT STATE] County of [INSERT COUNTY] Facilities Use Agreement Between [INSERT COMPANY NAME] and [INSERT UNIVERSITY] for access to

State of [INSERT STATE] County of [INSERT COUNTY] Facilities Use Agreement Between [INSERT COMPANY NAME] and [INSERT UNIVERSITY] for access to State of [INSERT STATE] County of [INSERT COUNTY] Facilities Use Agreement Between [INSERT COMPANY NAME] and [INSERT UNIVERSITY] for access to [INSERT BUILDING AND ROOM NUMBER] THIS FACTILITIES USE AGREEMENT

More information

Pulaski County Purchasing Department 201 South Broadway, Suite 440 Little Rock, AR Phone 501/ ; Fax 501/

Pulaski County Purchasing Department 201 South Broadway, Suite 440 Little Rock, AR Phone 501/ ; Fax 501/ Pulaski County Purchasing Department 201 South Broadway, Suite 440 Little Rock, AR 72201 Phone 501/ 340-8390; Fax 501/ 340-8352 RFP #: RFP-17-005 REQUEST FOR PROPOSAL for FORENSIC AUDIT YORKWOOD IMPROVEMENT

More information

Athene Annuity Contracting Package

Athene Annuity Contracting Package Send package to producer. Fax completed forms to Athene Annuity Producer Services at 864-609-3118. Reminder: Don't forget to submit the hierarchy form. Athene Annuity Contracting Package For Appointment

More information

COBRA/CONTINUATION OF COVERAGE ADMINISTRATIVE SERVICES AGREEMENT

COBRA/CONTINUATION OF COVERAGE ADMINISTRATIVE SERVICES AGREEMENT COBRA/CONTINUATION OF COVERAGE ADMINISTRATIVE SERVICES AGREEMENT This COBRA/Continuation of Coverage Administrative Service Agreement ( Agreement ) is made and entered into this day of, 20, between Avera

More information

Dealer Profile Information

Dealer Profile Information Dealer Checklist/Profile Sheet: 2017 Dealership Name: The following checklist is to ensure that you fill out and send back the correct paperwork to Global Lending Services. If you have any questions, please

More information

TITLE LOAN AGREEMENT

TITLE LOAN AGREEMENT Borrower(s): Name: Address: Motor Vehicle: Year Color Make TITLE LOAN AGREEMENT Lender: Drivers License Number VIN Title Certificate Number Model Date of Loan ANNUAL PERCENTAGE RATE The cost of your credit

More information

CITY OF PANAMA CITY BEACH SPECIAL EVENT AGREEEMENT

CITY OF PANAMA CITY BEACH SPECIAL EVENT AGREEEMENT CITY OF PANAMA CITY BEACH SPECIAL EVENT AGREEEMENT THIS AGREEMENT is made and entered into this day of 2017, by and between the City of Panama City Beach, Florida, a municipal corporation (the City ),

More information

SUBCONTRACT (SHORT FORM)

SUBCONTRACT (SHORT FORM) SUBCONTRACTOR: PHONE SUBCONTRACT (SHORT FORM) PROJECT: LOCATION: This agreement is made and effective, by and between SUN CONSTRUCTION & FACILITY SERVICES, INC. (Contractor) and (Subcontractor) which are

More information

MASTER PURCHASE AGREEMENT (For Sale of Non-Potable Fresh or Salt Water)

MASTER PURCHASE AGREEMENT (For Sale of Non-Potable Fresh or Salt Water) MASTER PURCHASE AGREEMENT (For Sale of Non-Potable Fresh or Salt Water) THIS MASTER PURCHASE AGREEMENT (this Agreement ) is made and entered into this day of, 201 (the Effective Date ), by and between

More information

AGREEMENT FOR PROFESSIONAL CONSULTANT SERVICES CITY OF SAN MATEO PUBLIC WORKS DEPARTMENT

AGREEMENT FOR PROFESSIONAL CONSULTANT SERVICES CITY OF SAN MATEO PUBLIC WORKS DEPARTMENT AGREEMENT FOR PROFESSIONAL CONSULTANT SERVICES CITY OF SAN MATEO PUBLIC WORKS DEPARTMENT Sanitary Sewer Rehabilitation Design Services [name of consultant] This agreement, made and entered into this day

More information