Current Version of Insurance Broker Agreement

        
            [Your Name]
[Your Address]
[City, State, Zip Code]
[Email Address]
[Phone Number]
[Date]

[First Party's Name]
[First Party's Address]
[City, State, Zip Code]

[Second Party's Name]
[Second Party's Address]
[City, State, Zip Code]

Re: Insurance Broker Agreement

Dear [First Party's Name] and [Second Party's Name],

This Insurance Broker Agreement (the "Agreement") is entered into as of [Date] (the "Effective Date") by and between [First Party's Name], with a registered address at [First Party's Address], referred to as the "Company" (hereinafter referred to as the "First Party"), and [Second Party's Name], with a registered address at [Second Party's Address], referred to as the "Insurance Broker" (hereinafter referred to as the "Second Party"). The First Party and the Second Party shall collectively be referred to as the "Parties."

WHEREAS, the First Party is engaged in [describe the nature of the business or individual requiring insurance];

WHEREAS, the Second Party is duly licens