ARGENIA, LLCBrokerage Agreement • October 30th, 2006
Contract Type FiledOctober 30th, 2006Attached is a Brokerage Agreement which needs to be completed and returned to our office in order to place business with our company. Please complete the top portion of the Agreement by filling in the date, name of your agency, your mailing address and State in which you are licensed (for policies written through our company). On the second page of the Agreement, complete the “Broker” section (date, firm name, Owner/President signature and have it signed by a witness). Also, we need the information below completed and returned along with the Brokerage Agreement. Please include a copy of your E & O policy along with a copy of your license.