0000943440-12-000112 Sample Contracts

Amendment to Employment Agreement for Mary Jo Thiboult
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
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Letter of Agreement To Serve as Agency of Record
Gerflo Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service

This agreement made as of September 15, 2011 between Statewide Life and Health Insurance Agency, LLC, hereinafter, called the Client and Gerflo Asset Holdings, a Florida corporation, with its principal office in Boca Raton, FL, hereinafter called the agency.

FILE COPY* Time Insurance Company General Agent Sales Agreement
Agent Sales Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service • Wisconsin

This General Agent Sales Agreement is between Time Insurance Company, by its current name or any new name or legal identity it may hold in the future, its subsidiaries and associated organizations (hereinafter referred to as the Company or We or Us or Our”) and

Homeland
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service

Please complete all documents, sign where indicated, and return this checklist filled out, with all the required documents attached. Please return all documents to the address listed below.

Exhibit A to Employment Agreement for Warren K. Trowbridge
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
GENERAL AGENCY AGREEMENT
General Agency Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service • New York

THIS AGREEMENT is made and entered into on the date indicated on the signature page of this agreement (“Effective Date”) by and between PATRIOT HEALTH, INC., a Delaware corporation with administrative offices at 160 Eileen Way, Syosset, NY 11791, (hereafter “Company”), end the General Agent, Daniel Mignone (hereafter “GA”) indicated on the signature page of this agreement. Located at 1489 W. Palmetto Park Rd., Boca Raton, Phone Number 561-756-8680, Fax number: 561-756-8667, Email Address statewideinsurance123@gmail.com.

Exhibit A to Employment Agreement for Mary Jo Thiboult
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
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