HomeMy WebLinkAboutWellness & Fitness ProgramStandard Agency Agreement
Between
City of Jeffersonville Board of Public Works
(Hereinafter, the Board)
and
Maverick Insurance LLC
(Hereinafter, Agent of Record)
WITNESSETH:
The Board hereby appoints Edward Culpepper Cooper and Maverick Insurance LLC its Agent of
Record to solicit new applications within the State of Indiana for a Wellness and Fitness Program.
ARTICLE I
DUTIES OF AGENT OF RECORD
A. Agent of Record shall have the power to appoint subagents of record within the
limitations of the terms of this Agreement for the purpose of procuring applications for a
Wellness and Fitness program.
B. Agent of Record will comply and will cause and require his subagents of record to comply
with all the applicable State and Federal laws and with the Regulations of the Indiana
Department of Insurance, including the procurement of prescribed licenses.
C. Agent of Record will comply and will cause and require his subagents of record to comply
with the Board's rules and regulations relating to the completion and submission of
applications.
D. Agent of Record warrants that Agent of Record will, and will cause and require his
subagents of record to, diligently and to the best of their ability insure that the facts set
forth by any applicant in any application they solicit are true and correct. Agent of Record
further warrants that each applicant will be fully informed that the Board will rely solely
upon those representations in rejecting, conditionally accepting or contracting with each
Insurance Company and that the subsequent discovery by the Board of material facts
known by the Company and either not disclosed or misrepresented on the application
can result in the cancellation of any contract entered into in the reliance thereon.
E. Agent of Record will, and will cause his subagents of record to, conduct their business so
as to not adversely affect the business, good standing and reputation of the City of
Jeffersonville.
The annual cost for these services will be $30,000. The Mayor, along with the Chief of
Staff, have the right to support this program as needed.
Execution of the Agreement
The parties acknowledge their agreement to be bound by all the terms and
conditions contained in the Agreement as evidenced by their respective
signatures below:
Maverick Insurance LLC
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Title: Vice President o Sales
City of Jeffersonvi e Board Public Works
By: 5
Title: and Member
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Title: nBoard Member
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Title>(Board Member