1. Read the agreement below.
2. If agreed, fill out the short form provided below and click on the PROCESS FORM button.
3. Using your browser 's Print command, print the resulting document to your printer.
4. Along with the required copies of your license and your proof of E&O coverage, mail or fax the signed Broker's Agreement to SAIS at the following address or fax number:

BROKER'S AGREEMENT

The undersigned, a duly licensed Agent/Broker in the state you reside, hereinafter referred to as the 'Producer', desiring to submit to Superior Access Insurance Services (SAIS) applications for insurance, agrees to the following:

1. That the Producer is acting as Agent or Broker for the applicant and in the applicant's behalf, not as agent of SAIS and that no binding authority is granted or delegated by this agreement.
2. That, without exception, if coverage is bound by SAIS, a charge is made in acordance with the policy terms and that there are no flat cancellations, and all fees for the policy term are fully earned on the effective date of coverage.
3. That the Producer accepts full and entire responsibility to SAIS for the collection and payment of all premium (including minimum earned premiums, but not including premium audits), fees and taxes.
4. The Producer agrees to our "Online Terms and Conditions" whenever using or viewing our websites.

SAIS agrees to pay the Producer commissions acording to the current commission structure provided that all premiums, fees, taxes, or unearned commissions are fully paid as herein agreed, the Producer shall retain full ownership and control of all expirations.