Broker Certification. If the Contract exceeds $1,000,000.00 in total, not including renewal years, Broker certifies that it is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List created pursuant to sections 215.473, Florida Statutes, and 215.4725 Florida Statutes, respectively. Pursuant to section 287.135(5), Florida Statutes, and 287.135(3), Florida Statutes, Broker agrees the Department may immediately terminate the Contract for cause if the Broker is found to have submitted a false certification or if Broker is placed on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel during the term of the Contract.
Broker Certification i. Broker hereby certifies, and shall hereafter annually certify in writing, the following: “Broker has established and maintains a system of supervision for recommendations of sales transactions involving both new and in-force annuity and life insurance products issued by Principal Underwriter that are or were delivered or issued for delivery in the state of New York (“NY Products”), and such system of supervision includes, but is not limited to, standards and procedures for: (i) the collection of a consumer’s suitability information with respect to sales transactions involving NY Products; (ii) the documentation and disclosure Sales Agreement – 7-19 NY of the basis for any recommendation with respect to sales transactions involving NY Products; and (iii) the auditing and/or contemporaneous review of recommendations of sales transactions involving NY Products to monitor Representatives’ compliance with the obligation to act in the best interest of consumers.” It is understood and agreed by the parties that Principal Underwriter, at its election, may rely upon the written certification Broker provides pursuant to this section to satisfy Principal Underwriter’s supervision and audit obligations with respect to sales transactions that result from the exercise of contractual rights under NY Products.
Broker Certification. By executing this Agreement, Broker agrees that no part of brokerage paid would in any manner whatsoever be passed on or granted directly or indirectly to any customer, buyer, agent, or intermediary acting in behalf or under the control of any customer to whom merchandise was sold. Broker and Buyer Harmless : (your company name) agrees to hold the Broker and Buyer harmless from and against any claim made upon Seller as a result of, or injury from the use of any (your company name) products sold to Buyer pursuant to the terms hereto, provided (your company name) is promptly notified of such claim or injury and is permitted to deal therewith, at its own discretion. Insurance: (your company name) liability insurance coverage covers only employees and product quality. Broker is to adequately insure and cover his interest relating to his own employees.
Broker Certification. If the Contract exceeds $1,000,000.00 in total, not including renewal years, Broker certifies that it is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List created pursuant to sections 215.473, Florida Statutes . and 215.4725 Florida Statutes , respectively, Pursuant to section 287.135(5), Florida Statutes ., and 287.135(3), Florida Statutes ., Broker agrees the Department may immediately terminate the Contract for cause if the Broker is found to have submitted a false certification or if Broker is placed on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel during the term of the Contract.
Broker Certification. The Broker certifies that the arrangement provided for in this Agreement complies with Sections 73.3555(a)(1) and (e)(1) of the Commission's rules.
Broker Certification. Broker/Company Name: ("Broker) This letter serves as confirmation that you are a licensed California Real Estate Broker and will be acting as a loan broker on loans originated with FK Capital Fund, Inc. or its investors. ("Lender(s)") As the originating broker, you will be responsible for discussing the loan options/pricing as well as gathering all necessary information from the Borrower to the Lender(s). In accordance with California law, you will provide your Borrower with a Mortgage Loan Disclosure Statement as required for 1-4 unit residential non-owner occupied loans (if subject property is a 1-4 unit residential property). All broker fees are negotiated directly between Broker and Borrower and will be paid through escrow. Our Lenders Instructions will outline the fee and request that escrow send the check to: Address: City/State: Zip: Broker/Company Name: Signature: Print Name/Title: Phone: Email Address: Individual CalBRE #: Company CalBRE #: Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Print or type See Specific Instructions on page 2. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) a Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner. Other (see instructions) a Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) Requester’s name and address (optional)
