If you are interested in becoming an appointed producer for Surplex Underwriters you will need to complete our Producer Agreement which is linked below. This agreement and the required items below must be provided prior to binding your first piece of business with us.

In addition to the signed Producer Agreement you must provide the following items:

1)  A copy of your E&O Declarations page or certificate of Insurance indicating coverage is in force. You must carry a minimum of $1,000,000 Liability limit.  

2)  A copy of your key personnel’s Resident and Non Resident Licenses for states that you plan on submitting business from. (We only write business located in ME, VT, NH, RI, MA, CT)

3)  Complete the attached contact information sheet 

If you have questions or concerns regarding this procedure don’t hesitate to call our home office 1-800-441-1799 and ask for Sue Dyer.

Please click here to down load our Producer Agreement.

Please note: The documents on this page are presented as PDF files. To view them, please make sure you have Adobe Reader installed on your computer. If not, it is available free from Adobe by clicking the logo on the left.

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