AGENT REGISTRATION


Company Information


*
*

Contact Information


*
*
*
*

Location Information


*
*
*
*

Bank Account (For Commission Payments Only)


Required Documentation



Questions


YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO
YES     NO

AGENT AGREEMENT


THIS AGREEMENT, effective as of Monday, May 16, 2022 by and between Cennairus, LLC, a Florida Limited Liability Company (“Company”) located at 7422 N. Tamiami Trail, Sarasota, Florida 34243 and (“Agent”).

WHEREAS, Agent seeks to submit applicants for placement by Company with various insurance companies (Insurers) for which Company is an appointed broker; and WHEREAS, Company is willing to consider placing risks properly requested by Agent with such insurance companies. NOW, THEREFORE, in consideration of the mutual promises and agreements herein contained, the parties hereby agree as follows:

ARTICLE I. AUTHORITY OF AGENT
  • Company hereby recognizes Agent as an insurance professional from whom Company may accept requests for placement of applicants with various Insurers.
  • Agent has no authority to bind any risk on behalf of Company or Insurer represented by Company.
  • Company and Agent are each independent contractors and nothing here in shall be construed to create the relation of employer and employee between Company and Agent.
  • Agent agrees that it will not use a Broker of Record to take business originated through this agreement including any special program business for a period of two (2) years policy inception date.
ARTICLE II. COMPENSATION OF AGENT
  • As full compensation for the insurance written under this Agreement and the Agent’s duties under this Agreement, the Company agrees to pay the Agent a commission on earned premium (less taxes, fees or other non-commissionable items) on direct policies written under this program.
  • Commissions may be offset by any return commissions due from, cancelations, final premium audit and/or any other return premium which may be due Insurer. Agent will be responsible for returning commissions back to Company in the event overpayment or commissions are due back to Insurer. Commission returns will be documented and invoiced by Company and will be due upon receipt.
  • Compensation to Agent may be offset or reduced for “Pay As You Go” accounts written inconjunction with a third party, payroll processor or other approved party.
  • Premiums which generate less than $250.00 in annual commission may be subject to servicing fees which will be assessed against agent’s commission account for abandoned accounts or excessive servicing by Company.
ARTICLE IV. OBLIGATIONS OF AGENT
  • Agent warrants that it is, and shall remain during the term of this Agreement, properly licensed to conduct business in those jurisdictions in which the risks to be submitted for consideration are located and shall provide copies of such licenses to Company upon request.
  • Agent warrants that it will during the term of this Agreement and until such time as its dutiesand obligations under this Agreement are fully and completely performed. (i) maintain Errorsand Omissions Liability Insurance coverage provided by an insurer rated “A” or better by A.M.Best Company with limits of liability of not less than $1,000,000.00 (“Agent’s E&O Coverage”).
ARTICLE V. TERMINATION
  • This Agreement shall terminate automatically without notice if the Agent’s authority to engage in an insurance business is terminated or suspended by any public authority.
  • In the event of termination, the rights, duties and obligations as set forth in the Agreement shall continue with respect to those policies that remain in force.
ARTICLE VI. INDEMNIFICATION
  • Company shall indemnify and hold Agent, its officers, employees and agents harmless against any and all liability, loss, expense, including reasonable attorney fees, or claims for injuries or direct damages (not including consequential or punitive damages) arising out of Company’s performance of this Agreement,but only in proportion to and to the extent such liability, loss or expense, attorney fees, or claims for injury or direct damages are caused directly by or result from the negligent or intentional acts or omissions of the Company, its officers, employees or agents.
  • Agent shall indemnify and hold Company, its officers, employees and agents harmless against any andall liability, loss, expense, including reasonable attorney fees, or claims for injuries or direct damages (not including consequential or punitive damages) arising out of Agent’s performance of this Agreement, but only in proportion to and to the extent such liability, loss or expense, attorney fees, or claims for injury or direct damages are caused directly by or result from the negligent or intentional acts or omissions of Agent, its officers, employees or agents.
ARTICLE IX: GENERAL PROVISIONS
  • If any provision of this Agreement is determined to be invalid under or in conflict with the laws or regulations of any jurisdiction, the remainder of this Agreement shall not be affected by said invalidity or conflict.
  • Neither this Agreement nor any of the commissions or benefits hereunder may be pledged, assigned or transferred, either in whole or in part, without the prior written consent of the Company.
  • This Agreement may be amended by the Company by giving the Agent (30) days prior written notice. The Agent does not need to sign an amendment or acknowledge receipt of said amendment in order for it to be effective.
  • This Agreement shall be governed by and construed in accordance with the laws of the State of Florida, without regard to conflicts of laws principles.

IN WITNESS HEREOF, the parties hereto have executed this Agreement as of the day and year first written above and agree that the undersigned have authorization to execute this agreement.


ACH AUTHORIZATION


By accepting this Agreement, you authorize Cennairus to initiate recurring ACH credit payments. You agree to be bound by NACHA Operating Rules. It is your responsibility to notify us of any changes to your account which may cause the electronic credit to fail. This authorization will remain in full force and effect until you cancel this authorization in writing. You agree not to dispute any credits with your bank provided the transaction(s) correspond to the terms indicated in the Agreements. You certify that you are an authorized representative of the company and that you have the authority to agree to be bound by the terms. You acknowledge the origination of ACH transactions to its account must comply with the provisions of U.S. laws.

ELECTRONIC SIGNATURE


BY PROCEEDING WITH THE REGISTRATION IN THE PROGRAM, YOU ACKNOWLEDGE THAT YOU HAVE REVIEWED THE AGREEMENTS AND AGREE TO BE BOUND BY THE TERMS OF SERVICE. YOU FURTHER AUTHORIZE PROGRAM ADMINISTRATOR OR ITS DESIGNEE TO CREDIT MY BANK ACCOUNT FOR PAYMENTS IN CONNECTION WITH THIS AGREEMENT.