Main Contact. This is the person who should be contacted with questions regarding the agency (only 1 name is necessary). Name: Phone: Email: Fax: Appointed Agent: 220 licensed agent who will be appointed by Avatar (only 1 is necessary). Name: Phone: Email: License Number: (Include a copy of the 220 License) Additional Usernames Requested: any other CSR or Agent who will be quoting and would like their own login information (there is no limit to how many users you can have, but only 1 is necessary). Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: PRODUCER AGREEMENT This Producer Agreement, hereinafter referred to as “Agreement” is made this day of , 20 by and between: Producer Name License Number Producer Address Telephone No. Facsimile No. E-Mail Herein after referred to as “Producer” and Avatar Property & Casualty Insurance Company, which has their Administrative offices at 0000 X. Xxxxxxxxxx Xxx. Tampa, FL 33602 and are hereinafter referred to as “Company”. In consideration of the foregoing and the mutual covenants and promises contained herein, the parties agree as follows:
Appears in 3 contracts
Samples: Producer Agreement, Producer Agreement, Producer Agreement
Main Contact. This is the person who should be contacted with questions regarding the agency (only 1 name is necessary). Name: Phone: Email: Fax: Appointed Agent: 220 licensed agent who will be appointed by Avatar (only 1 is necessary). Name: Phone: Email: License Number: (Include a copy of the 220 License) Additional Usernames Requested: any other CSR or Agent who will be quoting and would like their own login information (there is no limit to how many users you can have, but only 1 is necessary). Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: Name: Phone: Email: PRODUCER AGREEMENT This Producer Agreement, hereinafter referred to as “Agreement” is made this day of , 20 by and between: Producer Name License Number Producer Address Telephone No. Facsimile No. E-Mail Herein after referred to as “Producer” and Avatar Property & Casualty Insurance Company, which has their Administrative offices at 0000 X. Xxxxxxxxxx Xxx. Tampa, FL 33602 and are hereinafter referred to as “Company”. In consideration of the foregoing and the mutual covenants and promises contained herein, the parties agree as follows:
Appears in 1 contract
Samples: Producer Agreement