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(FOR
BUSINESS PLACE THE LETTER ON YOUR LETTER HEAD --OR-- FOR
INDIVIDUALS PLEASE ENTER NAME, ADDRESS, CITY, STATE. ZIP)
(DATE)
RE: Appointment of HIG Insurance as our Agent/Broker
of Record
To Whom it May Concern:
This will confirm that we have appointed HIG
Insurance as our exclusive insurance agent/broker of record
for the following policies
1.
(COMPANY) - Policy #:
2. (COMPANY) - Policy #:
3. (COMPANY) - Policy #:
The
appointment of HIG Insurance rescinds all previous
appointments and the authority contained herein shall remain
in force until canceled by us in writing.
This letter also constitutes your authority to furnish HIG Insurance’s representative with all information they
may request as it pertains to our insurance contracts,
rates, reserves, retention, and all other financial data
they may wish to obtain for their study of our present and
future requirements in connection with our insurance
policies.
Sincerely,
(NAME)
(COMPANY / INDIVIDUAL NAME)
(TITLE, IF APPLICABLE) |
