Special Insurance Services Sample Contracts

Hereinafter called the Company) SINGLE CASE AGREEMENT
Special Insurance Services • December 12th, 2002

*This should be the percentage of premium that the agent/general agent will receive as commission. Do not enter “100%” in this space.

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SINGLE CASE AGREEMENT
Special Insurance Services • May 30th, 2003

The Writing Agent must complete this Agreement and submit it, along with the new business information, to the General Agent. The General Agent will complete the Agreement and forward it to Special Insurance Services. No Agent will be paid commission until he/she is appointed by the underwriting carrier.

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