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HomeMy WebLinkAboutWellness and Fitness Program .- Standard Agency Agreement Between City of Jeffersonville Board of Public Works (Hereinafter, the Board) And Edward Culpepper Cooper Neace Lukens/Maverick Insurance LLC (Hereinafter, Agent of Record) WITNESSETH: The Board hereby appoints Edward Culpepper Cooper and Neace Lukens/Maverick Insurance its Agent of Record to solicit new applications within the State of Indiana for a Wellness and Fitness Program. ARTICLE 1 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 F. The annual cost for these services will be $30,000. The Mayor, along with the Chief of Staff, has the right to support this program as needed. NEACE LUKENS Execution of the Agreement The parties acknowledge their agreement to be bound by all the terns and conditions contained in the Agreement as evidenced by their respective signatures below: Maverick Insurance LLC By: / Date: ! 7- 2- __ 3 - // Title: Vice President of Sales City of 1 ersonville Board of Public Works By: - t.L.A -14A d / Date: /1 a 3 - / / Title: Board Member By: Cc er 4zies . Date: //- 3 3 ( .1 Title: B and Member By: '/ - � 4 / � Date: /1 ?` �/ Title: :o: . Member ' / ® \a NEACE TITKRN.S