RE:  Broker of Record Authorization


To Whom it May Concern:

Please be advised that as of  we have appointed Florida Insure , LLC 2588 Connection Point, Oviedo, Florida 32765 as our exclusive insurance broker with respect to the above coverage(s) and who will represent us in all matters pertaining to our insurance program(s).  This appointment shall remain in effect until notification, in writing, to the contrary is provided to you. This appointment supersedes and replaces all other appointments and all other letters of authority on record with you.

We authorize you to provide Florida Insure , LLC 2588 Connection Point, Oviedo,Florida 32765 with any and all information pertaining to our contracts of insurance, rates, losses, reserves, etc., that may be necessary for them to become completely familiar with our insurance program and to effectively represent our current and future insurance and service interests.

Furthermore, we agree that Florida Insure , LLC 25818 Connection Point, Oviedo,Florida 32765 is not responsible for any deficiencies in our present insurance program and will not assume any such responsibility until they have had reasonable opportunity to review and arrange any changes in coverage that we authorize.

If you have any questions regarding this appointment/authorization, please do not hesitate to contact me.  Thank you for your attention in this matter and there will not be a rescinding letter.


Florida Insure LLC
Signature Certificate
Document name: BOR
Unique Document ID: 7fe05261b9c77b2e4f300351614adb186d50874c
Timestamp Audit
2016-03-17 13:26:49 EDTBOR Uploaded by Taylor Richey - IP