Southland National Insurance Corporation Sample Contracts

BROKERAGE AGREEMENT FOR SUPPLEMENTAL INSURANCE PRODUCTS
Southland National Insurance Corporation • February 17th, 2005 • Alabama

This Agreement (this “Agreement”) is made by and between Southland National Insurance Corporation (“Southland”) and the Agent whose name appears at the end of this Agreement (“Agent”). Subject to the terms and conditions set forth, Southland will pay to Agent, commissions in accordance with the applicable Commission Schedule attached to this Agreement, which may be changed, amended, or replaced as Southland may determine.

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