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E&O Agreement Form – Monthly Fee SignUp
Fill this form out to sign up for our month to month E&O Agreement for licensed agents.
Please submit the online form below. Once payment is received you will be covered and be charged $15 per month unless you cancel you policy or we are instructed to terminate it.
Once payment is received you will be specifically named as an additional insured under Gordon Marketing Insurance Errors and Omissions Insurance Sub-Broker coverage with Brown & Brown Insurance Services dba CITA Insurance Services.
The protection limits you share are:
- $2,500.00 DEDUCTIBLE
- $1,000,000.00 FOR EACH CLAIM
- $1,000,000.00 in the Aggregate
This insurance ONLY COVERS TRANSACTIONS WITH THOSE COMPANIES* WHICH Gordon Marketing represents, and those transactions must be negotiated through our brokerage office.
Brown & Brown Insurance Services dba CITA Insurance Services will defend and settle any claims. You are required to advise us immediately upon first knowledge of a situation which might give rise to a claim or dispute. You are asked to cooperate fully with the insurance company. There is no cost to you for claim investigation or defense, but you will be expected to reimburse Brown & Brown Insurance Services dba CITA Insurance Services for all settlements under $2,500.00 and reimburse Brown & Brown Insurance Services dba CITA Insurance Services $2,500.00 on all larger settlements. You are not to advertise or in any way let your clients know that you are insured for errors and omissions.
I understand the information contained in this letter. After receipt of payment, Gordon Marketing coverage will not be effective until Gordon Marketing receives written confirmation from the insurance carrier.
*Prudential is not a covered carrier under this E&O Policy.