AMENDED AARP PROGRAM AGENCY ADDENDUM

Size: px
Start display at page:

Download "AMENDED AARP PROGRAM AGENCY ADDENDUM"

Transcription

1 AMENDED AARP PROGRAM AGENCY ADDENDUM This Amended AARP Program Agency Addendum ( Addendum ) amends and restates the AARP Program Agency Addendum to the Agency Agreement (together with all amendments and addenda thereto, herein the Agency Agreement ), by and between the companies of The Hartford Financial Services Group, Inc. named in the Agency Agreement (referred to as Hartford herein) and the Agent named in the Agency Agreement ( Agent ) with respect to the solicitation and sale of the AARP Automobile and Homeowner Insurance Program insurance products ( AARP Products ) to members of AARP ( Members ). A. Hartford and AARP Services, Inc. ( ASI ) have agreed to establish an agent-channel program whereby AARP Products are made available to Members through agents and whereby AARP licenses its name to Hartford for the marketing and branding of AARP Products through Hartford agents ( Program ). B. Hartford desires to authorize Agent and those individual producers now or hereafter in Agent s employ or otherwise engaged to represent Agent who are licensed to sell personal lines and meet the requirements set forth in this Addendum ( Producers ) to represent the Program and solicit applications from Members for such AARP Products as are available from the Program, and Agent desires to accept such authorization, subject to the terms and conditions set forth in this Addendum. C. The parties acknowledge and agree that AARP shall be a third-party beneficiary of this Addendum and shall receive the benefits contemplated by this Addendum to the extent specified herein. In consideration of the foregoing and the mutual promises and covenants contained herein, Hartford and Agent hereby agree that Agent and the Producers are authorized to represent the Program and solicit applications from Members for such AARP Products as are available from the Program as follows: AGREEMENT 1. Definitions. Unless otherwise defined in this Addendum, all capitalized terms contained in this Addendum have the same meanings assigned to such terms in the Agency Agreement. AARP is defined to include ASI, AARP and their affiliates, as applicable. 2. Acknowledgement. Agent hereby acknowledges the importance of AARP s reputation with Members and the community. Therefore, in connection with its authorization by Hartford to solicit applications for AARP Products, Agent hereby also acknowledges the important interests of AARP in the services provided to Members. Amended AARP Program _1

2 3. Program Code of Ethics. Agent agrees to comply with and adhere to the principles and obligations set forth in the Program Code of Ethics for Independent Agents attached hereto as Schedule A. Agent further agrees to take commercially reasonable measures to ensure that the Producers comply with and adhere to the principles and obligations set forth in Schedule A. 4. Agent Criteria. (a) Training. Agent agrees that when any training is launched for any new or existing AARP Product, Agent and Producers must successfully complete such training within 60 days of (i) such training first being made available, or (ii) the date of hire in the case of any individual producer hired by Agent after such training is first made available. Agent and Producers shall also successfully complete, on an annual basis, any orientation or other training developed by Hartford and/or AARP, including gerontology training developed and offered by Hartford and/or AARP. Agent s failure to successfully complete such training in the required time period may result in the immediate termination of this Addendum. Producers who fail to complete the above mentioned training requirements may also be terminated from the Program on an individual basis. (b) Community Service. Agent agrees that it shall demonstrate an annual commitment to community service in a manner mutually agreeable to Agent and Hartford. (c) Participation Criteria and Background Checks. (1) Licensing. To Agent s best knowledge and belief, Agent represents that Agent and Producers are properly licensed in all states in which Agent and Producers are authorized to write and place AARP Products and that each Producer has a minimum of three (3) years experience selling property & casualty insurance or otherwise has demonstrated competence selling such insurance to the satisfaction of Agent. At Hartford s request, Agent shall provide proof of a valid insurance agent license for all AARP Products sold and/or the demonstrated competence requirement. (2) Disciplinary History. To Agent s best knowledge and belief, Agent represents and warrants that Agent and each of the Producers: (i) has not been the subject of a justified customer complaint, as determined in the sole discretion of Hartford, in the last five (5) years that alleges violations of any applicable federal or state law, rule or regulation, or the principles set forth in the Program Code of Ethics for Independent Agents attached as Schedule A to this Addendum or any of the prohibited marketing and selling behaviors set forth in the Program Sales Practices Guidelines for Independent Agents attached as Schedule B to this Addendum. Agent acknowledges that justified complaints during the term of this Addendum may result in the immediate termination of Agent s authorization to solicit and/or service Members. Amended AARP Program _1

3 (ii) has not had any license(s) revoked in any state within the past five (5) years due to disciplinary violations relating to the promotion, marketing, sale or solicitation of any insurance or other financial products. (iii) has informed Hartford of any insurance regulatory authority investigations or examinations with respect to Agent or any company or organization under the control of Agent during the past five (5) years in any state. (iv) has not been found in violation of any insurance laws and is not the subject of any lawsuits related to insurance sales activities (v) has not been subject to censure, fines, or enforcement actions of, and is not the subject of any inquiry by, the Securities and Exchange Commission, the National Association of Securities Dealers, Inc., the Financial Industry Regulatory Authority, the New York Stock Exchange, or any state securities regulatory authorities with regard to any rules subject to their jurisdiction. Agent agrees to immediately notify Hartford of any such lawsuits or inquiries, as well as any notice of any such lawsuits or inquiries. (vi) has not been convicted of any felonies. (vii) has not been convicted of any misdemeanor involving fraud, breach of trust, coercion, or dishonesty. (3) General Commitments. To Agent s best knowledge and belief, Agent represents and warrants that Agent and each of the Producers: (i) has no undisputed outstanding balances which any insurance company or other creditor has placed in collections or otherwise declared past due. (ii) agrees to undergo periodic credit and criminal history checks conducted by Hartford, as determined by Hartford. (iii) solicits personal lines applications only of insurance products issued by insurers with A.M. Best ratings of B+ or better, except where risks are commonly placed with insurers with lesser ratings due to market conditions. (iv) has access to an office or other mutually agreed to location that is not Agent s residence for purposes of meeting to discuss insurance products at Member s request. Amended AARP Program _1

4 (v) has an individual agency address and individual login credentials for accessing The Hartford s Electronic Business Center ( EBC ). (4) Authorization. Agent acknowledges and agrees that Agent and each Producer shall be screened for and shall meet all of the Participation Criteria and Background Checks set forth in Section 4(c) of the Addendum prior to receiving the authorization to represent the Program set forth herein. If Agent or any Producer fails to meet any of these requirements, Hartford may immediately terminate this Addendum and any authority granted herein. At Hartford s discretion, Hartford may instead immediately deauthorize an individual Producer or Producers authority under this Addendum. (5) Continuing Compliance. Agent is in compliance with all the requirements in this Section 4, and agrees to continue to comply with all such requirements. Further, Agent represents that each Producer is in compliance with all the requirements in this Section 4 and shall continue to comply with all such requirements. Agent has an affirmative obligation to notify Hartford if Agent or any Producer no longer meets these requirements. In addition, Agent shall cooperate with Hartford to verify Agent s and Producers ongoing compliance with these requirements as requested periodically by Hartford. Agent must notify Hartford of any Producers assigned by Agent to represent the Program after execution of this Addendum, within thirty (30) days of such assignment or such other time frame established by Hartford, and on an annual basis thereafter, and shall cooperate with Hartford to verify that any such Producers continue to comply with all the requirements in this Section 4. Agent shall cooperate with Hartford to verify Agent s and each Producer s ongoing compliance with the terms and conditions of this Addendum and further agrees to provide Hartford with a periodic certification regarding the continued compliance of Agent and each Producer, including the representations and warranties of Agent made herein, in the form set forth on Exhibit 1 upon Hartford s request (d) Audit. Hartford shall be permitted to take any actions necessary to monitor compliance with the items specified in Sections 4(a), 4(b) and 4(c) above. Agent agrees to immediately notify Hartford in writing if Agent or any Producer is not compliant with any of such Sections at any time during the term of this Addendum, which may result in termination of this Addendum. 5. Use of AARP Marks, Names and Offices. (a) AARP Marks and Names. Agent agrees not to develop, reproduce or use any sales materials or other materials for the AARP Products without the written consent of Hartford. Except for the marketing materials for the AARP Products that are provided to Agent by Hartford, Agent also agrees not to use or duplicate the name, trademark, or logo of AARP in any way or manner. Agent agrees not to access AARP s public website or member services to obtain any marketing materials to be given directly to customers. The restrictions on sales materials included in this Section 5 include, but are not limited to, the following material: enrollment Amended AARP Program _1

5 materials, business cards, Internet communications or any other electronic transmissions representing AARP Products, telephone or other direct advertisements (print or electronic), producer or agency company listings and signage. (b) AARP Offices. Agent and the Producers shall not use any AARP state offices or local chapters for the sale of Products. If Agent or a Producer wants to participate in local chapter activities for the sale of Products, Agent shall obtain prior written approval from AARP and Hartford. 6. Program Sales Practice Obligations. Agent agrees that in connection with offering AARP Products, Agent will comply at all times with the Program Sales Practice Guidelines for Independent Agents provided in Schedule B of this Addendum, as well as any other rules, procedures and policies communicated to Agent in writing by Hartford, as they relate to AARP Products. Agent further agrees to adopt and take commercially reasonable steps to ensure that the Producers comply with such rules, procedures and policies within a time which shall not exceed ten (10) business days following notification. Agent will not share commissions earned on AARP Products with any person, except as may be permitted under the Agency Agreement, and will not subcontract the marketing of the AARP Products for or through any other distribution channel. 7. Special Insurance Transaction Processing Rules. (a) AARP Products Requiring AARP Membership. With respect to those Products that require AARP membership, Agent agrees to verify the customer s membership with AARP. The verification must occur through the agent web portal (myaarpconnection.com). Agent may call The Hartford s Electronic Business Center ( EBC ) technical support help line for assistance. AARP membership dues must be paid separately by the customer and may not be paid directly or indirectly by Agent. (b) AARP Member Leads Supplied to Agent by Hartford. If Agent accepts any leads supplied regarding Members, Agent agrees to follow all Hartford-directed guidelines associated with those leads. Such guidelines may include, but are not limited to, (i) time to respond to a lead, (ii) number of attempts required, (iii) feedback to Hartford on lead progress, meetings or other product sales, or (iv) time to return the lead to Hartford on unsuccessful contact. 8. Ownership of Expirations. (a) Ownership of Expirations. Subject to Sections 8(b) and 8(c), if upon termination of this Addendum, Agent has (i) not materially breached the terms of this Addendum or the Agency Agreement; and (ii) promptly accounted for and paid to Hartford all premiums and other amounts that may be due Hartford or for which Agent may be liable, or has given Hartford a bond satisfactory to Hartford guaranteeing the payment thereof, Agent s records and the use and control of expirations shall remain Agent s property and be left in Agent s undisturbed possession. Notwithstanding the preceding, any Member policies not placed with another carrier prior to the expiration of the contractual and/or applicable statutory renewal period of such Member policy shall be renewed with Hartford and immediately transferred to an internal Amended AARP Program _1

6 Hartford code upon such renewal. No commissions or other compensation will be due to Agent for any Member policies transferred to an internal Hartford code under this section. (b) Purchase or Transfer to Another Agency/Producer. Prior to any attempted transfer of Member policies to another agency or producer via sale, merger, or any other means or transaction, Agent will obtain the written consent of Hartford to execute such transfer. Member policies will only be transferred to appointed Hartford agents that are authorized to represent the Program and market AARP Products at the time of transfer. In the event of an attempted transfer of Member policies in violation of this section 8(b), this Addendum will immediately terminate, and the Agent s records and the use and control of Member expirations shall vest in Hartford. Within thirty (30) days of termination of this Addendum under this section, Hartford will notify Program policyholders that Agent s Authority to represent the Program and market AARP products has been terminated and that Hartford will service their policies going forward. For each such policy transferred to Hartford, Hartford shall pay Agent the commission owed for such Member s Program policy through the policy term during which this Addendum was terminated. No further commissions or other compensation will be due to Agent for such expiration. It will be the responsibility of the selling Agent to inform the purchasing agent of the terms of this section 8(b). (c) Termination Due to Fraud. Agent agrees that upon termination of this Addendum and/or Agency Agreement due to fraud or commission of a felony, Agent s records and the use and control of Member expirations shall vest in Hartford. Within thirty (30) days of termination of this Addendum under this section, Hartford will notify Program policyholders that Agent s authority to represent the Program and market AARP products has been terminated, and Hartford will service their policies going forward. No commissions or other compensation will be due to Agent for Member expirations if the Addendum and/or Agency Agreement are terminated under this section 8(c). (d) Dispute. For purposes of this Section, Agent will not be considered in breach of its obligation to account for and pay to Hartford premiums or other amounts due Hartford, while the amount thereof is being reasonably disputed in writing and in good faith, provided Agent has promptly accounted for and paid to Hartford all items not in dispute. (e) All terms and provisions of this section shall survive termination of both this Addendum and the Agency Agreement. 9. Access to Books and Records of Agent/Compliance Review and Audit. Agent acknowledges and agrees that Hartford or its representative may conduct reviews and audits of Agent s books, records and sales practices relating to the solicitation of the AARP Products to ensure that Agent is performing in compliance with the terms and conditions of this Addendum. Such reviews and audits shall take place upon reasonable notice during normal business hours and may include follow-up calls with Members, other Member surveys, investigation of Member complaints regarding Agent, and mystery shopping. Amended AARP Program _1

7 10. Errors and Omissions Insurance. (a) Agent shall maintain the following liability insurance against claims for damages based on Agent s actual or alleged errors or omissions under the following terms: (1) Errors and Omissions Insurance in an amount of not less that one million dollars ($1,000,000) per occurrence and one million dollars ($1,000,000) annual aggregate amount; (2) If Agent has a claims-made based policy and such policy is cancelled or not renewed, Agent agrees to exercise any option contained in said policy to extend the reporting period to the maximum period permitted; provided, however, that Agent need not exercise such option if the superseding insurer will accept all prior claims; (3) Each insurance policy of Agent shall: (i) be issued by a company that is an admitted insurer in the jurisdiction in which the services or products are being provided; (ii) be issued by a company that has an A.M. Best rating of not less than A- and is in a size category which is not lower than VIII; and (iii) be primary and noncontributory with any of Hartford s insurance. (b) Upon request of Hartford, Agent shall cause its insurance carriers, brokers or agents to issue certificates of insurance to Hartford evidencing all insurance coverage required by this Section. Notwithstanding any other provision of this Addendum, failure to provide the certificates of insurance may be grounds for immediate termination of this Addendum. (c) Agent agrees to provide Hartford with thirty (30) days prior written notice of cancellation, non-renewal or material change in the form or limits of coverage of any such insurance policy. (d) Nothing in this Section is intended to and shall not in any manner limit or qualify the liabilities and obligations assumed by Agent under the Agency Agreement. 11. Indemnification. (a) Agent shall indemnify, defend and hold AARP and its subsidiaries harmless from and against any loss, damage, or expense, including reasonable attorneys fees, caused by or arising from Agent s or its Producers gross negligence, willful misconduct, or material breach with respect to Agent s and its Producers obligations under this Addendum. (b) Agent and Hartford understand and agree that AARP and its subsidiaries are third party beneficiaries to this Addendum. Amended AARP Program _1

8 (c) All terms and provisions of this section shall survive termination of both this Addendum and the Agency Agreement. 12. Relationship to AARP; No Joint Venture with AARP. Agent acknowledges and agrees that in no way is Agent sponsored or certified by AARP under the Agency Agreement, including this Addendum. Agent further acknowledges and agrees that AARP has no contractual relationship with Agent under the Agency Agreement (except to the extent that AARP is deemed by the parties to be a third party beneficiary under this Addendum), and that Agent is not a contractor to or employee of AARP. 13. Termination of Agent Authority to Offer AARP Program. (a) Hartford reserves the right to suspend and/or terminate Agent s authority to offer the AARP Products immediately upon written notice to Agent. Except as otherwise provided in Section 8 of this Addendum, in the event Agent s authority to offer the AARP Products is terminated, but the Agency Agreement remains in force, the use, control, and ownership of Member expirations shall be vested in Agent. 14. Upon Termination. (a) Agreement. This Addendum terminates immediately upon the termination of the Agency (b) Upon termination of this Addendum, or sooner if requested by Hartford, Agent will immediately cease using, and destroy or return to Hartford (at the option of Hartford) any and all sales material, sales literature, signage, collateral materials, documents, data, information, order forms, memoranda, correspondence, Member and prospective Member lists (obtained from Hartford), Member orders, records, cards or notes acquired, compiled or coming into Agent s knowledge, possession, custody or control in connection with his/her activities as a sales agent/producer or sales representative of Hartford related to Members. Agent agrees that in connection with such termination, if Agent has listed Agent s phone number or address with the AARP mark or brand in the yellow pages or other materials that cannot be immediately withdrawn from the public, that Agent will discontinue use of that contact information. 15. Construction. This Addendum is intended to supplement and be in addition to the terms and conditions contained in the Agency Agreement. However, in the event that one or more provisions of this Addendum is in direct conflict with or is otherwise inconsistent with the provisions of the Agency Agreement, the provisions of this Addendum shall govern. 16. Dispute Resolution. The parties shall attempt in good faith to resolve any disputes arising out of or relating to this Addendum promptly by negotiation between representatives who have authority to settle the controversy. [Intentionally Blank Signature Page Follows] Amended AARP Program _1

9 This Addendum is executed on behalf of the property and casualty insurance company subsidiaries of THE HARTFORD FINANCIAL SERVICES GROUP, INC. for which appointments were or will be filed. By: Celeste Neilsen Director Licensing & Contracting The Agent named in the Agency Agreement hereby accepts and agrees to all of the terms in the AARP Program Agency Addendum, including all schedules and exhibits hereto. Amended AARP Program _1

10 SCHEDULE A Program Code of Ethics for Independent Agents This Program Code of Ethics for Independent Agents ( Program Code of Ethics ) was developed to ensure that agents soliciting applications for AARP Products have a clear understanding of their moral and ethical responsibilities during every interaction with Members. No statement of policy can be so comprehensive that it covers all possible situations. For this reason, Agents must exercise professional judgment with respect to each work situation that arises, and seek advice when uncertainty or difficult questions remain. Agents are expected to comply with both the letter and the spirit of this Program Code of Ethics. Violations of this Program Code of Ethics may be grounds for disciplinary action by Hartford, including termination of Agent s rights to solicit applications for the AARP Products. Principles: An Agent shall Approach every interaction with integrity To have integrity is to be fair, objective, and straightforward in all interactions. You are open, honest, and truthful; there are no hidden motives or secret agendas. Put Members first A Members-first philosophy is a guiding principle that should influence every decision you make. This philosophy may lead you to suggest that a Member takes a few days to review materials before arriving at a decision. Other times, it may be in the Member s best interest to select a product that is not branded by AARP, Hartford or partners of Hartford. Making sure that Members have the opportunity to buy the product that is right for them is paramount. Stay informed You are knowledgeable about every product you sell and how different products meet different needs. You explain the benefits of products in plain language and appropriate detail so that Members completely understand each product. You display a continuous commitment to lifelong learning and professional improvement. Display a commitment to the community By marketing AARP Products you agree that you are committed to the community. Working closely with community partners, you may join local teams of volunteers to perform community service. Amended AARP Program Agency Addendum ( 06/2014) Schedule A _1

11 SCHEDULE B Program Sales Practice Guidelines for Independent Agents Prohibited Marketing and Selling Behaviors 1. Activities which are unfairly discriminatory in nature or intended to discourage application on the basis of race, physical or mental ability, ethnicity, gender, sexual orientation, creed, age, religion or national origin, cultural educational background, economic or health status, English proficiency, or reading skills. 2. Activities that mislead or confuse Members or which misrepresent or disparage AARP or Hartford. Such activities may include, but are not limited to: (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) Claiming that AARP is endorsed by the United States Government. Making erroneous written or verbal statements, including statements, claims or promises that conflict with or materially alter information contained in approved sales materials. Claiming that AARP endorses any other product in the Member s personal portfolio. Claiming that because an AARP Product is endorsed by AARP, the Member does not need to review the AARP Product further. Claiming that AARP endorses Agent as an agent, and that a recommendation from Agent is recommendation from AARP. Offering gifts or payments directly or indirectly to beneficiaries or any individual in a position to influence the purchase of an AARP Product, as an inducement to influence the purchase of an AARP Product Door-to-door solicitations. Cold-calls. Altering or amending, in any fashion, AARP-approved materials. Submitting fraudulent enrollment forms, or forging any enrollment form or supporting documentation. Selling leads. Soliciting insurance from Members who are not competent to make decisions regarding the purchase of AARP Products. Soliciting insurance from Members who are clearly not competent shall only take place when such Members are accompanied by appropriate representation. Amended AARP Program Schedule B _1

12 (m) (n) Bait and switch activities or other fraudulent behaviors, including, but not limited to, overselling, churning, and sliding unnecessary additional policies. Aggressive selling techniques or ignoring Member needs. Required Selling Behaviors 1. Agent will understand a Member s unique needs and only sell a product if it fits that individual s needs. 2. If another product is more appropriate for a Member, Agent will sell that non-aarp product if available. 3. Agent will make a best effort to ensure that Members fully understand their options and the features of the products they purchase. 4. Agent will only offer and sell personal lines insurance products issued by insurers with AM Best ratings of B+ or better, except where risks are commonly placed with insurers with lesser ratings due to market conditions. Amended AARP Program Schedule B _1

13 EXHIBIT 1 Agent Re-Certification to be Completed Periodically [name of agent] ( Agent ) is subject to the Addendum to the Agency Agreement. The undersigned is authorized to execute this certification on behalf of Agent, as required under Section 4(c)(5) of the Addendum. Following a commercially reasonable inquiry, and to my best knowledge and belief, I hereby certify to Hartford on behalf of Agent as follows: 1. Program Code of Ethics Compliance. At all times since executing the Addendum or since my prior re-certification] ( Compliance Period ), Agent and Producers complied with and adhered to the Program Code of Ethics for Independent Agents set forth in Schedule A to the Addendum. 2. Errors and Omissions Insurance. At all times during the Compliance Period, Agent maintained errors and omissions insurance as required by Section 10 of the Addendum. 3. Producers. Agent has notified Hartford of all Producers assigned by Agent to represent the Program and solicit applications from Members for AARP Products within thirty days of such assignment or such other time frame established by Hartford. Agent further represents that all such Producers had a minimum of three (3) years experience or has otherwise demonstrated competence to sell such insurance. 4. Training. During the Compliance Period, Agent and Producers completed the training required by Section 4(a) of the Addendum. 5. Participation Criteria and Background Checks. The representations and warranties contained in Section 4(c) of the Addendum are true and correct as of the date hereof as if made on and as of the date hereof. 6. Access to an Office. Agent and Producers have access to an office or other mutually agreed upon location that is not a residence if Members wish to meet at an office. 7. Community Service. During the Compliance Period, Agent and Producers complied with the community service requirements of Section 4(b) of the Addendum. 8. Use of AARP Marks, Names and Offices. At all times during the Compliance Period, Agent and Producers complied with the restrictions related to sales materials, AARP state offices and local chapters, and use of official materials contained in Section 5 of the Addendum. AARP Program Agency Addendum (01/10 - Final) Exhibit _1

14 9. Program Sales Practice Obligations. At all times during the Compliance Period, Agent and Producers complied with the Program Sales Practice Guidelines for Independent Agents provided in Schedule B to the Addendum. 10. Special Insurance Transactions Processing Rules. At all times during the Compliance Period, Agent and Producers complied with the requirements of, and guidelines specified in, Section 7 of the Addendum. 11. Annual Roster of Producers. Each year since executing the Addendum or since my prior re-certification, Agent has provided Hartford a roster of Producers assigned by Agent to represent the Program. Capitalized terms used, but not defined, herein, have the meanings assigned to such terms in the Agency Agreement. IN WITNESS WHEREOF, I have executed this certification on behalf of Agent as required by the AARP Program Agency Addendum as of the date indicated below. Agency Name Date Authorized Representative and Title Printed Name AARP Program Agency Addendum (01/10 - Final) Exhibit _1

Documentation Checklist

Documentation Checklist Documentation Checklist Agent Name: Submit Date: Agent Support Specialist: Upline Name: PRODUCER INFORMATION SHEET Social Security number, date of birth, license information, contact number, current email

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

National Water Company 2730 W Marina Dr. Moses Lake, WA AGENCY AGREEMENT

National Water Company 2730 W Marina Dr. Moses Lake, WA AGENCY AGREEMENT National Water Company 2730 W Marina Dr. Moses Lake, WA 98837 AGENCY AGREEMENT This Agency Agreement (hereafter "Agreement"), by and between National Water Company, LLC, a Montana registered company, ("NWC"),

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

WHOLESALE BROKER AGREEMENT. THIS WHOLESALE BROKER AGREEMENT (this Agreement ) dated as of the

WHOLESALE BROKER AGREEMENT. THIS WHOLESALE BROKER AGREEMENT (this Agreement ) dated as of the WHOLESALE BROKER AGREEMENT THIS WHOLESALE BROKER AGREEMENT (this Agreement ) dated as of the day of,, by and among the entities indicated on Schedule A attached hereto and incorporated herein by reference

More information

AGREEMENT made as of by and between Empire BlueCross BlueShield (Empire), with offices located at 11 West 42nd Street, New York, NY and

AGREEMENT made as of by and between Empire BlueCross BlueShield (Empire), with offices located at 11 West 42nd Street, New York, NY and EMPIRE USE ONLY Rep Name: Rep Code: INSURANCE PRODUCER AGREEMENT AGREEMENT made as of by and between Empire BlueCross BlueShield (Empire), with offices located at 11 West 42nd Street, New York, NY 10036

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

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

AGREEMENT FOR CONSTRUCTION PROJECT MANAGEMENT SERVICES

AGREEMENT FOR CONSTRUCTION PROJECT MANAGEMENT SERVICES AGREEMENT FOR CONSTRUCTION PROJECT MANAGEMENT SERVICES THIS AGREEMENT is made by and between the School District, a political subdivision of the State of California ("DISTRICT"), and, a California corporation,

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

NATIONAL INSURANCE UNDERWRITERS, LLC. AUTO PRODUCER S AGREEMENT

NATIONAL INSURANCE UNDERWRITERS, LLC. AUTO PRODUCER S AGREEMENT NATIONAL INSURANCE UNDERWRITERS, LLC. AUTO PRODUCER S AGREEMENT This Agreement between National Insurance Underwriters, LLC., with principle offices located at 800 Yamato Road, Suite 100, Boca Raton, FL

More information

FINANCIAL INSTITUTION AGREEMENT

FINANCIAL INSTITUTION AGREEMENT Banner Life Insurance Company 3275 Bennett Creek Avenue Frederick, Maryland 21704 (800) 638-8428 FINANCIAL INSTITUTION AGREEMENT 1. Subject to the terms and conditions of this Agreement, the undersigned

More information

AGENT / BROKER INFORMATION

AGENT / BROKER INFORMATION (FOR INTERNAL USE ONLY) (Please Print) BROKER NUMBER: BROKER REGION CODE: COMMISSION AGREEMENT DATE: AGENT / BROKER INFORMATION (ALL INFORMATION IS REQUIRED TO PROCESS COMMISSION PROPERLY) LICENSED AGENT

More information

MAISON MANAGERS, INC. Florida PRODUCER AGREEMENT

MAISON MANAGERS, INC. Florida PRODUCER AGREEMENT THIS AGREEMENT, effective as of, MAISON MANAGERS, INC. Florida PRODUCER AGREEMENT by and between Maison Managers, Inc., a corporation ("Maison Managers"), and (indicate type of entity such as individual,

More information

CLOUD SERVICES RESELLER ADDENDUM

CLOUD SERVICES RESELLER ADDENDUM CLOUD SERVICES RESELLER ADDENDUM This Cloud Services Reseller Addendum ( Addendum ) is made by and between the company executing this Addendum (hereafter referred to as Cloud Services Reseller or CSR )

More information

SERVICE AGREEMENT CONTRACT NO.

SERVICE AGREEMENT CONTRACT NO. SERVICE AGREEMENT CONTRACT NO. THIS SERVICE AGREEMENT dated 20 between STOCKTON UNIVERSITY (the "UNIVERSITY") and (the SERVICE PROVIDER ), with a business address at. 1.1 Services. ARTICLE 1 SCOPE OF SERVICES

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

BROKERAGE AGREEMENT. This Brokerage Agreement (the Agreement ) is made and entered into by and between

BROKERAGE AGREEMENT. This Brokerage Agreement (the Agreement ) is made and entered into by and between BROKERAGE AGREEMENT This Brokerage Agreement (the Agreement ) is made and entered into by and between Broker Name & Address: (the Broker ) and P. E. Brokerage 105 Montgomery Ave PO Box 249 Montgomeryville,

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

TRINITY UNIVERSITY CONSULTING SERVICES AGREEMENT

TRINITY UNIVERSITY CONSULTING SERVICES AGREEMENT TRINITY UNIVERSITY CONSULTING SERVICES AGREEMENT This CONSULTING SERVICES AGREEMENT (this Agreement ) is entered into effective as of, by and between Trinity University, an agency and institution of higher

More information

Hull & Company, LLC Tampa Bay Branch PRODUCER AGREEMENT

Hull & Company, LLC Tampa Bay Branch PRODUCER AGREEMENT Hull & Company, LLC Tampa Bay Branch PRODUCER AGREEMENT THIS PRODUCER AGREEMENT (this Agreement ), dated as of, 20, is made and entered into by and between Hull & Company, LLC, a Florida corporation (

More information

ADDENDUM TO THE BROKER AGREEMENT BETWEEN COMMON GROUND HEALTHCARE COOPERATIVE AND BROKER

ADDENDUM TO THE BROKER AGREEMENT BETWEEN COMMON GROUND HEALTHCARE COOPERATIVE AND BROKER ADDENDUM TO THE BROKER AGREEMENT BETWEEN COMMON GROUND HEALTHCARE COOPERATIVE AND BROKER This Addendum ( Addendum ) to the Broker Agreement ( Agreement ) by and between [INSERT BROKER LEGAL ENTITY] ( Broker

More information

Whereas, NETA-certified Fitness Professionals ( Professionals ) are required to complete twenty (20) hours of continuing education

Whereas, NETA-certified Fitness Professionals ( Professionals ) are required to complete twenty (20) hours of continuing education Continuing Education Provider Agreement This non-exclusive Continuing Education Provider Agreement ( Agreement ), effective as of this day of 2018 is entered into by and between National Exercise Trainers

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

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

BROKER AGREEMENT. To become contracted with us, please include the following: The declaration page of your E&O insurance

BROKER AGREEMENT. To become contracted with us, please include the following: The declaration page of your E&O insurance BROKER AGREEMENT After you have your first piece of approved Health Net business to submit, you may mail the forms and application to Health Net s broker relations using the enclosed envelope. You ve made

More information

Consultant Agreement Between the University of West Florida Board of Trustees, A public body corporate ( University ) and ( Consultant )

Consultant Agreement Between the University of West Florida Board of Trustees, A public body corporate ( University ) and ( Consultant ) Consultant Agreement Between the University of West Florida Board of Trustees, A public body corporate ( University ) and ( Consultant ) This Agreement is made as of the latest date signed below, between

More information

FORM CONTRACT FOR INDIGENT DEFENSE SERVICES

FORM CONTRACT FOR INDIGENT DEFENSE SERVICES FORM CONTRACT FOR INDIGENT DEFENSE SERVICES WHEREAS, the City of, Washington (hereinafter City ) provides indigent defense services to individuals who have been certified for representation in criminal

More information

CHRONIC CARE MANAGEMENT SERVICES AGREEMENT

CHRONIC CARE MANAGEMENT SERVICES AGREEMENT CHRONIC CARE MANAGEMENT SERVICES AGREEMENT THIS CHRONIC CARE MANAGEMENT SERVICES AGREEMENT ("Agreement ) is entered into effective the day of, 2016 ( Effective Date ), by and between ("Network") and ("Group").

More information

CONTRACT FOR SERVICES RECITALS

CONTRACT FOR SERVICES RECITALS CONTRACT FOR SERVICES THIS AGREEMENT is entered into between the (hereinafter Authority ) and [INSERT NAME] (hereinafter Contractor ) and sets forth the terms of this Agreement. Authority and Contractor

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

CONTRACT SERVICES AGREEMENT FOR CONSULTANT SERVICES TO PERFORM DESIGNATED PROFESSIONAL SERVICES

CONTRACT SERVICES AGREEMENT FOR CONSULTANT SERVICES TO PERFORM DESIGNATED PROFESSIONAL SERVICES CITY OF SUISUN CITY CONTRACT SERVICES AGREEMENT FOR CONSULTANT SERVICES TO PERFORM DESIGNATED PROFESSIONAL SERVICES THIS CONTRACT SERVICES AGREEMENT (herein Agreement ) is made and entered into this day

More information

DFI FUNDING BROKER AGREEMENT Fax to

DFI FUNDING BROKER AGREEMENT Fax to DFI FUNDING BROKER AGREEMENT Fax to 916-848-3550 This Wholesale Broker Agreement (the Agreement ) is entered i n t o a s o f (the Effective Date ) between DFI Funding, Inc., a California corporation (

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 ( University ), and ( Business Associate ).

More information

Tacoma Power Conservation Contractor Agreement

Tacoma Power Conservation Contractor Agreement Tacoma Power THIS AGREEMENT is made and entered into this day of, 2012 ( Effective Date ) by and between the City of Tacoma, Department of Public Utilities, Light Division, Tacoma Power (hereinafter referred

More information

PURCHASE ORDER ACKNOWLEDGEMENT

PURCHASE ORDER ACKNOWLEDGEMENT PURCHASE ORDER These Terms and Conditions shall apply to this Purchase Order attached hereto as Exhibit A and to all subsequent transactions (whether or not a Purchase Order is used) between Marquette

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

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

CITY OF MONTEREY REQUEST FOR PROPOSALS FINANCIAL ADVISORY SERVICES. City of Monterey Finance Department 735 Pacific Street, Suite A Monterey, CA 93940

CITY OF MONTEREY REQUEST FOR PROPOSALS FINANCIAL ADVISORY SERVICES. City of Monterey Finance Department 735 Pacific Street, Suite A Monterey, CA 93940 CITY OF MONTEREY REQUEST FOR PROPOSALS FINANCIAL ADVISORY SERVICES City of Monterey Finance Department 735 Pacific Street, Suite A Monterey, CA 93940 City Contact: Julie Porter, Finance Director Ph. (831)

More information

AGREEMENT FOR TRANSPORTATION SERVICES

AGREEMENT FOR TRANSPORTATION SERVICES AGREEMENT FOR TRANSPORTATION SERVICES This Agreement is made this day of 20, by and between Long Island University ( University ), an educational institution incorporated and doing business under the laws

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

VILLAGE OF DOWNERS GROVE Report for the Village Council Meeting

VILLAGE OF DOWNERS GROVE Report for the Village Council Meeting RES 2017-7240 Page 1 of 28 VILLAGE OF DOWNERS GROVE Report for the Village Council Meeting 1/24/2017 SUBJECT: Renewal of VEBA Agreement with Total Administrative Services Corporation d/b/a Genesis Employee

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

Payment Card Industry (PCI) Data Security Standard Validation Requirements

Payment Card Industry (PCI) Data Security Standard Validation Requirements Payment Card Industry (PCI) Data Security Standard Validation Requirements For Qualified Security Assessors (QSA) Version 1.2 October 2008 Document Changes Date Version Description October 2008 1.2 To

More information

Broker Information Sheet

Broker Information Sheet Broker Information Sheet First Name: M.I.: Last Name: DOB: Referring Writing Health License Number: Home Address: City: State: Zip: Home Phone: ( ) Cell Phone: ( ) Personal E Mail: FMO/ Company Name:.

More information

PORTFOLIO MANAGEMENT AGREEMENT

PORTFOLIO MANAGEMENT AGREEMENT PORTFOLIO MANAGEMENT AGREEMENT THIS PORTFOLIO MANAGEMENT AGREEMENT (this Agreement ) is effective as of November, 2018 (the Effective Date ), by and among CIC MEZZANINE INVESTORS, L.L.C., an Illinois limited

More information

UNITEDHEALTHCARE INSURANCE COMPANY AGENT AGREEMENT

UNITEDHEALTHCARE INSURANCE COMPANY AGENT AGREEMENT UNITEDHEALTHCARE INSURANCE COMPANY AGENT AGREEMENT This AGENT AGREEMENT (this Agreement ) is made and entered into this day of, 20, by and between UnitedHealthcare Insurance Company ( United ), on behalf

More information

AGREEMENT TO PROVIDE ATHLETIC TRAINING SERVICES

AGREEMENT TO PROVIDE ATHLETIC TRAINING SERVICES AGREEMENT TO PROVIDE ATHLETIC TRAINING SERVICES THIS AGREEMENT TO PROVIDE ATHLETIC TRAINING SERVICES ( Agreement ) is made this day of, 20 (the Effective Date ) by and between, a Michigan corporation (herein

More information

INDEPENDENT CONTRACTOR AGREEMENT AND SERVICE PROVIDER TERMS OF SERVICE

INDEPENDENT CONTRACTOR AGREEMENT AND SERVICE PROVIDER TERMS OF SERVICE INDEPENDENT CONTRACTOR AGREEMENT AND SERVICE PROVIDER TERMS OF SERVICE This INDEPENDENT CONTRACTOR AGREEMENT AND SERVICE PROVIDER TERMS OF SERVICE, entered into as of this date (the Agreement ), is by

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

ATTACHMENT C STANDARD TERMS AND CONDITIONS CONTRACT FOR PROFESSIONAL SERVICES BETWEEN THE CITY OF LONG BEACH AND NAME STREET AND P.O.

ATTACHMENT C STANDARD TERMS AND CONDITIONS CONTRACT FOR PROFESSIONAL SERVICES BETWEEN THE CITY OF LONG BEACH AND NAME STREET AND P.O. ATTACHMENT C STANDARD TERMS AND CONDITIONS CONTRACT FOR PROFESSIONAL SERVICES BETWEEN THE CITY OF LONG BEACH AND NAME STREET AND P.O. BOX ADDRESS CITY, STATE, ZIP TELEPHONE NO. FAX NO. THIS CONTRACT is

More information

EUGENE WASHINGTON PCORI ENGAGEMENT AWARD PROGRAM: SERVICES CONTRACT AGREEMENT

EUGENE WASHINGTON PCORI ENGAGEMENT AWARD PROGRAM: SERVICES CONTRACT AGREEMENT EUGENE WASHINGTON PCORI ENGAGEMENT AWARD PROGRAM: SERVICES CONTRACT AGREEMENT THIS AGREEMENT is made this day of, 2014 (the Effective Date ) between the Patient-Centered Outcomes Research Institute, a

More information

HULL & COMPANY, INC. DBA: Hull & Company MacDuff E&S Insurance Brokers PRODUCER AGREEMENT

HULL & COMPANY, INC. DBA: Hull & Company MacDuff E&S Insurance Brokers PRODUCER AGREEMENT HULL & COMPANY, INC. DBA: Hull & Company MacDuff E&S Insurance Brokers PRODUCER AGREEMENT THIS PRODUCER AGREEMENT (this Agreement ), dated as of, 20, is made and entered into by and between Hull & Company,

More information

Sample Preview. NOW THEREFORE, in consideration of the premises and undertakings set forth herein, the parties agree as follows:

Sample Preview. NOW THEREFORE, in consideration of the premises and undertakings set forth herein, the parties agree as follows: WEB SITE DEVELOPMENT AGREEMENT This Web Site Development Agreement (the Agreement ) is made this day of, 20xx (the Effective Date ) by and between ABC, Inc., a [state] corporation with offices at [address]

More information

SELECT SOURCE TERMS AND CONDITIONS

SELECT SOURCE TERMS AND CONDITIONS SELECT SOURCE TERMS AND CONDITIONS In the course of its business, Reseller will purchase Ingram Micro Products and will sell Ingram Micro Products to customers located in the United States ( End Users

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

3. Authorized Exceptions to Appendix A, Standard Terms and Conditions for Product and Related Services Contracts, version 09/24/2015.

3. Authorized Exceptions to Appendix A, Standard Terms and Conditions for Product and Related Services Contracts, version 09/24/2015. Amendment Number 3 to Contract Number DIR-TSO-2542 between State of Texas, acting by and through the Department of Information Resources and Cisco Systems, Inc. This Amendment Number 3 to Contract Number

More information

AGREEMENT BETWEEN SANTA CLARITA COMMUNITY COLLEGE DISTRICT and WILLIAM S. HART UNION HIGH SCHOOL DISTRICT

AGREEMENT BETWEEN SANTA CLARITA COMMUNITY COLLEGE DISTRICT and WILLIAM S. HART UNION HIGH SCHOOL DISTRICT AGREEMENT BETWEEN SANTA CLARITA COMMUNITY COLLEGE DISTRICT and WILLIAM S. HART UNION HIGH SCHOOL DISTRICT SEPTEMBER 1, 2018 DECEMBER 31, 2018 This Agreement ( Agreement ) is made by and between the Santa

More information

Company Name: Address: Legal Status: Sole Proprietor Partnership LLC Corporation. Address: Address:

Company Name: Address: Legal Status: Sole Proprietor Partnership LLC Corporation. Address: Address: Harbortouch ATM ISO Setup Information: Company Name: Address: City: State: Zip: Business Phone: Fax: Email: Mobile Phone: Website Address: Legal Status: Sole Proprietor Partnership LLC Corporation Federal

More information

INFINID APPLICATION TERMS OF USE These Infinid Application Terms of Use Supplemental License Terms, as amended from time to time ( DrFirst

INFINID APPLICATION TERMS OF USE These Infinid Application Terms of Use Supplemental License Terms, as amended from time to time ( DrFirst INFINID APPLICATION TERMS OF USE These Infinid Application Terms of Use Supplemental License Terms, as amended from time to time ( DrFirst Supplemental Terms ), constitute the supplemental license terms

More information

BROKERAGE FINANCIAL SERVICES INSPECTIONS INDEPENDENT CONTRACTOR BUSINESS INSPECTION SERVICES AGREEMENT

BROKERAGE FINANCIAL SERVICES INSPECTIONS INDEPENDENT CONTRACTOR BUSINESS INSPECTION SERVICES AGREEMENT BROKERAGE FINANCIAL SERVICES INSPECTIONS INDEPENDENT CONTRACTOR BUSINESS INSPECTION SERVICES AGREEMENT THIS INDEPENDENT CONTRACTOR AGREEMENT ( Agreement ) is entered into between Brokerage Financial Services

More information

HABCO TOOL & DEVELOPMENT COMPANY, INC. PURCHASE ORDER TERMS AND CONDITIONS

HABCO TOOL & DEVELOPMENT COMPANY, INC. PURCHASE ORDER TERMS AND CONDITIONS This Order (as defined herein) is expressly limited to and made conditional upon the terms and conditions contained herein, and any of the Seller's terms in addition to or different from those contained

More information

CITY OF PORT ORCHARD PROFESSIONAL SERVICES AGREEMENT

CITY OF PORT ORCHARD PROFESSIONAL SERVICES AGREEMENT CITY OF PORT ORCHARD PROFESSIONAL SERVICES AGREEMENT THIS Agreement is made effective as of the day of 201_, by and between the City of Port Orchard, a municipal corporation, organized under the laws of

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

AGENT AGREEMENT. WHEREAS, Eoil has granted Agent the right to solicit automobile dealers for use of the Coupons offered by Eoil; and

AGENT AGREEMENT. WHEREAS, Eoil has granted Agent the right to solicit automobile dealers for use of the Coupons offered by Eoil; and AGENT AGREEMENT This Agreement is entered into on (date), by and between OIL4Charity, LLC dba Eoilchange.com hereinafter referred to as Eoil, and (Agent Name) located at (Agent Address), hereinafter referred

More information

I N S U R A N C E UNDERWRITERS PRODUCER APPOINTMENT PACKAGE

I N S U R A N C E UNDERWRITERS PRODUCER APPOINTMENT PACKAGE I N S U R A N C E UNDERWRITERS PRODUCER APPOINTMENT PACKAGE UNDERWRITERS INSURANCE Appointment Packet CHECKLIST PACKET CONTENTS INCLUDE Windhaven Underwriters Producer Agreement Form Windhaven Underwriters

More information

1240 Pennsylvania, NE Suite C Albuquerque, NM EAP AFFILIATE AGREEMENT

1240 Pennsylvania, NE Suite C Albuquerque, NM EAP AFFILIATE AGREEMENT 1240 Pennsylvania, NE Suite C Albuquerque, NM 87111 EAP AFFILIATE AGREEMENT This EAP Affiliate Agreement (the Agreement ) is entered into as of (the Effective Date ) by and between Presbyterian Network,

More information

SECTION III: SAMPLE CONTRACT AGREEMENT FOR SERVICES

SECTION III: SAMPLE CONTRACT AGREEMENT FOR SERVICES SECTION III: SAMPLE CONTRACT AGREEMENT FOR SERVICES THIS AGREEMENT made and entered by and between the City of Placerville, a political subdivision of the State of California (hereinafter referred to as

More information

FANBANK MERCHANT TERMS OF SERVICE Last Updated June 12, 2018

FANBANK MERCHANT TERMS OF SERVICE Last Updated June 12, 2018 Welcome to Fanbank! Fanbank operates a technology enabled platform that uses a variety of strategies to provide marketing, loyalty and commerce Programs to locally-owned, participating businesses ( Services

More information

FastTrack Partner Program for Overland Storage Tandberg Data

FastTrack Partner Program for Overland Storage Tandberg Data FastTrack Partner Program for Overland Storage Tandberg Data FastTrack Partner Program Terms and Conditions This FastTrack Partner Program Terms and Conditions (this Agreement ) sets forth the terms and

More information

CITY OF SALINAS REQUEST FOR QUALIFICATIONS HISTORIC ARCHITECT SERVICES

CITY OF SALINAS REQUEST FOR QUALIFICATIONS HISTORIC ARCHITECT SERVICES CITY OF SALINAS REQUEST FOR QUALIFICATIONS HISTORIC ARCHITECT SERVICES May 10, 2011 GENERAL INFORMATION Introduction The City of Salinas (City) seeks qualification submittals from firms or individuals

More information

Service Terms & Conditions -- Recruiting

Service Terms & Conditions -- Recruiting Service Terms & Conditions -- Recruiting Revised September 20, 2016 These Service Terms & Conditions Recruiting ( Recruiting Terms ) apply to Service Orders issued by DaVita Inc. ( DaVita ) or an entity

More information

2017 TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION

2017 TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION 2017 TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION As a continuing education sponsor offering education programs to certificants of Certified Financial Planner Board of Standards, Inc. ( CFP Board ),

More information

Participating Provider Agreement

Participating Provider Agreement Participating Provider Agreement THIS AGREEMENT is entered into by and between Government Employees Health Association, Inc. (hereinafter referred to as GEHA ) and (hereinafter referred to as Participating

More information

APPENDIX A STANDARD CLAUSES FOR SCHUYLER COUNTY CONTRACTS PLEASE RETAIN THIS DOCUMENT FOR FUTURE REFERENCE.

APPENDIX A STANDARD CLAUSES FOR SCHUYLER COUNTY CONTRACTS PLEASE RETAIN THIS DOCUMENT FOR FUTURE REFERENCE. PLEASE RETAIN THIS DOCUMENT FOR FUTURE REFERENCE. TABLE OF CONTENTS Section. Page. 1. Relationship of parties. 2 2. Executory clause 2 3. Extensions, renewals, modifications. 2 4. Non-assignment clause.

More information

NOTICE TO BIDDERS CUSTODIAL SUPPLIES

NOTICE TO BIDDERS CUSTODIAL SUPPLIES Purchasing Department Jennifer Pajerski, Purchasing Agent Old Jail 183 Main Street Cooperstown, New York 13326-1129 Phone: (607) 547-4389 Fax: (607) 547-6496 email:pajerskij@otsegocounty.com NOTICE TO

More information

EXHIBIT C AGREEMENT FOR E-WASTE TRANSPORTATION AND RECYCLING SERVICES

EXHIBIT C AGREEMENT FOR E-WASTE TRANSPORTATION AND RECYCLING SERVICES EXHIBIT C AGREEMENT FOR E-WASTE TRANSPORTATION AND RECYCLING SERVICES This agreement ("Agreement"), dated as of, 2018 ( Effective Date ) is by and between the Sonoma County Waste Management Agency, (hereinafter

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

Case KJC Doc Filed 06/05/13 Page 2 of 12 SCHOOL SPECIALTY, INC. OMBUDSMAN PLAN SUPPLEMENT ARTICLE I DEFINITIONS

Case KJC Doc Filed 06/05/13 Page 2 of 12 SCHOOL SPECIALTY, INC. OMBUDSMAN PLAN SUPPLEMENT ARTICLE I DEFINITIONS Case 13-10125-KJC Doc 1239-1 Filed 06/05/13 Page 2 of 12 SCHOOL SPECIALTY, INC. OMBUDSMAN PLAN SUPPLEMENT This School Specialty, Inc. Ombudsman Plan Supplement (the Supplement ) supplements that certain

More information

LIMITED LIABILITY COMPANY AGREEMENT, LLC A MAINE LIMITED LIABILITY COMPANY

LIMITED LIABILITY COMPANY AGREEMENT, LLC A MAINE LIMITED LIABILITY COMPANY LIMITED LIABILITY COMPANY AGREEMENT, LLC A MAINE LIMITED LIABILITY COMPANY This Limited Liability Company Agreement ("Agreement") is made as of the day of, 20 by and among, LLC, a Maine Limited Liability

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

To activate this service, read agreement and sign the Signature Page, and return it to CBIA.

To activate this service, read agreement and sign the Signature Page, and return it to CBIA. INSTRUCTIONS: To activate this service, read agreement and sign the Signature Page, and return it to CBIA. CBIA COBRA / State Continuation Services 350 Church Street Hartford, CT 06103-1126 In addition,

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

جولد فند للمجوهرات ذ.م.م

جولد فند للمجوهرات ذ.م.م Introducer - Individual Application Form PERSONAL DETAILS Name : Sex : Male Female Residence Address: MOB: TEL: Office Address : Tel : Fax : Mailing Address : Email Address : Permanent Address : Marital

More information

PROFESSIONAL SERVICES AGREEMENT. For On-Call Services WITNESSETH:

PROFESSIONAL SERVICES AGREEMENT. For On-Call Services WITNESSETH: PROFESSIONAL SERVICES AGREEMENT For On-Call Services THIS AGREEMENT is made and entered into this ENTER DAY of ENTER MONTH, ENTER YEAR, in the City of Pleasanton, County of Alameda, State of California,

More information

Between. and. Any Business Introducer (hereinafter referred to as the Business Introducer ) accepted by Dukascopy Europe IBS AS

Between. and. Any Business Introducer (hereinafter referred to as the Business Introducer ) accepted by Dukascopy Europe IBS AS BUSINESS INTRODUCING TERMS & CONDITIONS Between Lāčplēša iela 20A-1 Riga, LV-1011 Latvia Registration number: 40003344762 (hereinafter referred to as Dukascopy Europe ) and Any Business Introducer (hereinafter

More information

Master Services Agreement

Master Services Agreement Contract # Master Services Agreement This Master Services Agreement ( Agreement ) is made between Novell Canada, Ltd. with offices at 340 King Street East, Suite 200, Toronto, ON M5A 1K8 ( Novell ), and

More information

Agent Appointment. Application / Contract

Agent Appointment. Application / Contract Agent Appointment Application / Contract Last Updated: 2.7.2017 AGENT APPOINTMENT APPLICATION/CONTRACT Please follow each of the steps below in order to assure efficient processing of your FirstCare Health

More information

Vendor Contract TERMS AND CONDITIONS OF PURCHASE. 2. Payment Terms. Payment to Seller is subject to compliance with the following requirements:

Vendor Contract TERMS AND CONDITIONS OF PURCHASE. 2. Payment Terms. Payment to Seller is subject to compliance with the following requirements: Vendor Contract TERMS AND CONDITIONS OF PURCHASE 1. Acceptance. This Contract is conditional upon, and can be accepted only upon, the terms and conditions specified in this Contract. If Seller has previously

More information

TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION

TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION TERMS AND CONDITIONS OF CE SPONSOR REGISTRATION As a continuing education sponsor offering education programs to certificants of Institute for Divorce Financial Analysts (IDFA ), the above-named organization

More information

IT IS HEREBY AGREED Between IAAC and the Broker as follows:

IT IS HEREBY AGREED Between IAAC and the Broker as follows: IAAC, Inc. Broker s Agreement Agreement made this day of between IAAC, Inc., a New York Corporation with offices at 5784 Widewaters Parkway, 1 st Floor, Dewitt, New York 13214, representatives, successors

More information

TERMS OF USE. Unless otherwise noted, all tickets, goods, and services sold on the TicketBiscuit platform adhere to a NO REFUNDS, NO EXCHANGES policy.

TERMS OF USE. Unless otherwise noted, all tickets, goods, and services sold on the TicketBiscuit platform adhere to a NO REFUNDS, NO EXCHANGES policy. TERMS OF USE Hello & welcome, ticket purchasers! The following Terms of Use govern the use of this site, www.ticketbiscuit.com, www.tututix.com, www.whistletix.com, www.statechamps.com, and www.battlepass.com,

More information

CONTRACT AGREEMENT between Tow Company ) Contract No.: 06-FSP-01 Street Address ) City, State ZIP Code ) ) (hereinafter "Contractor") ) ) ) ) ) and )

CONTRACT AGREEMENT between Tow Company ) Contract No.: 06-FSP-01 Street Address ) City, State ZIP Code ) ) (hereinafter Contractor) ) ) ) ) ) and ) CONTRACT AGREEMENT between Tow Company Contract No.: 06-FSP-01 Street Address City, State ZIP Code (hereinafter "Contractor" and Sacramento Transportation Authority Term: Dec. 1, 2006 Nov. 30, 2009 901

More information

Staff Report. Suzanne McDonald, Financial Operations Manager (925)

Staff Report. Suzanne McDonald, Financial Operations Manager (925) .d Staff Report Date: February, 01 To: From: Reviewed by: Prepared by: Subject: City Council Valerie J. Barone, City Manager Karan Reid, Director of Finance Suzanne McDonald, Financial Operations Manager

More information

Instructions / Face Sheet for INDEPENDENT CONSULTANT AGREEMENT FOR PROFESSIONAL SERVICES (CONSTRUCTION-RELATED)

Instructions / Face Sheet for INDEPENDENT CONSULTANT AGREEMENT FOR PROFESSIONAL SERVICES (CONSTRUCTION-RELATED) Contract Number: Funding Source: Budget Number: Site/Department: Program Responsibility: Instructions / Face Sheet for INDEPENDENT CONSULTANT AGREEMENT FOR PROFESSIONAL SERVICES (CONSTRUCTION-RELATED)

More information

CITY COUNCIL CONSENT CALENDAR

CITY COUNCIL CONSENT CALENDAR CITY COUNCIL CONSENT CALENDAR NOVEMBER 7, 2016 SUBJECT: PREPARED BY: WITH KEYSER MARSTON ASSOCIATES INC. FOR TECHNICAL ASSISTANCE AND ANALYSIS SERVICES RELATED TO HOUSING HUMAN SERVICES & RENT STABILIZATION

More information

Brokerage Agreement Between Standard Lines Brokerage, Inc. (Hereinafter called SLB) and. (Hereinafter called Agency)

Brokerage Agreement Between Standard Lines Brokerage, Inc. (Hereinafter called SLB) and. (Hereinafter called Agency) Brokerage Agreement Between Standard Lines Brokerage, Inc. (Hereinafter called SLB) and (Hereinafter called Agency) Agency s Federal Identification Number THIS BROKERAGE AGREEMENT ( Agreement ) is made

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

Bank of the Pacific Mobile Deposit End User Terms and Conditions

Bank of the Pacific Mobile Deposit End User Terms and Conditions Bank of the Pacific Mobile Deposit End User Terms and Conditions ("Service"). This service utilizes the Mobile Banking App to transmit check images for deposit to your Bank of the Pacific Deposit Account.

More information

Kaplan University School of Nursing RECITALS

Kaplan University School of Nursing RECITALS 1 Kaplan University School of Nursing CLINICAL/PRACTICUM AFFILIATION AGREEMENT This Clinical/Practicum Affiliation Agreement (hereinafter referred to as Agreement ) is effective as of this day of, 20,

More information