RENEWAL AND REPLACEMENT RESERVE ESCROW AGREEMENTRenewal And • December 22nd, 2020 • Florida
Contract Type FiledDecember 22nd, 2020 JurisdictionThis agreement, made and entered into this date {___enter date_____}, by and between {__________enter provider’s name__________} (hereinafter referred to as the “Provider”), a Florida {____type of entity and organization structure____} (e.g. for profit / not for profit and corporation, proprietorship, partnership, limited partnership, trust, membership association) and provider of continuing care through its facility, {_________enter facility name__________}, {_______enter financial institution’s name__________}, a Florida corporation, (herein after referred to as “Escrow Agent”), and the Office of Insurance Regulation (herein after referred to as “the Office”).