Sub-Producer Agreement (**SIGN ON THE RIGHT AS SUB-PRODUCER ONLY**)Sub-Producer Agreement • April 13th, 2007
❐ Male ❐ Female Name: Last First Middle ❐ 1-12 Mos ❐ 3-5 Yrs❐ 1-3 Yrs ❐ Over 5 Yrs Residence Address City State Zip Social Security Number Date of Birth Telephone Numbers:Business ( ) Fax ( E-Mail ) Home ( ) List your resident addresses for the past five years if not covered above: Address City State Zip How Long ❐ 1-12 Mos ❐ 3-5 Yrs ❐ 1-3 Yrs ❐ Over 5 Yrs ❐ 1-12 Mos ❐ 3-5 Yrs❐ 1-3 Yrs ❐ Over 5 Yrs
SUB-PRODUCER AGREEMENTSub-Producer Agreement • June 29th, 2017 • Texas
THIS AGREEMENT is made and entered into on the day of , 2017 by and between SELECT INSURANCE MARKETS, LP., a Texas Company (“SIM”) and the following named individual or agency who/which is licensed by the State of Louisiana to solicit, procure and sell insurance, as an insurance sales agent, herein referred to as “PRODUCER”:
Insurance Market Solutions Group, LLC Sub-Producer AgreementSub-Producer Agreement • June 30th, 2009 • Texas
This Producer Agreement is made and entered into effective the day of , 20 , by and between Insurance Market Solutions Group, LLC a Texas Company having its principal offices in Houston, Texas, (hereinafter referred to as “we”, “us”, “our”, or “IMSG”) and,
Sub-Producer - AgreementSub-Producer - Agreement • March 24th, 2020
Agreement is made the day of , 20 , Between Professional Insurance Executives, Inc., Garland TX, hereafter referred to the “The Company” and
Martin Burlingame Insurance Agency, IncSub-Producer Agreement • November 22nd, 2022 • Colorado
This Producer Agreement is made and entered into effective the day of , 20 , by and between Martin Burlingame Insurance Agency, Inc, a Colorado Company having its principal offices in Colorado Springs, CO, (hereinafter referred to as “we”, “us”, “our”, or “MBIA”) and,
Sub-Producer AgreementSub-Producer Agreement • October 30th, 2022 • Tennessee
This agreement is made by and between Eastern Underwriting Managers, LLC (hereinafter referred to as EUM), a Tennessee Limited Liability Company, whose address is 300 N. Forest Park Blvd., Suite 103, Knoxville, TN 37919 and
SUB-PRODUCER AGREEMENTSub-Producer Agreement • December 15th, 2016 • New Jersey
WHEREAS, Martin provides insurance and insurance related services, and represents insurance companies and similar entities in the placement and writing of insurance; and
ContractSub-Producer Agreement • January 21st, 2010
The purpose of this agreement is to establish a producer relationship between the Producer, listed below, and the company; ♙lter Surety Group, Inc.
