USLI - NY Non-Admitted Instructions

IF BINDING THIS USLI NY NON ADMITTED QUOTE - YOU MUST ATTACH COMPLETED NY EXCESS LINES PART C AFFIDAVIT TO YOUR BIND REQUEST OTHERWISE WE CANNOT PROCESS YOUR REQUEST. A BLANK COPY OF THE AFFIDAVIT IS AVAILABLE ON OUR WEBSITE, (www.JJFL.com), UNDER THE "FORMS-ACORD FORMS" LINK.

Please ADD to the attached USLI quote:
POLICY FEE: $100 (fee not applicable on Umbrella quote if offered)

Notes about this USLI quote:
- Policy is Agency Bill with no pay plans. This means our office will bill your agency for policy payment. Our invoice will be NET, meaning you keep your commission when paying in full.
- Should coverage be desired; Please fax or e-mail attach the signed quote to my office indicating effective date on or before the requested effective date, (our carriers do not backdate coverage). Your agency's signature on quote is acceptable to bind pending insured's signature on applications. A minimum 30% deposit would be required to bind, (your agency check payable to JJ Farber-Lottman). Deposit check must be received in our office within 7 Business Days or our bind request to carrier may be withdrawn.
- The balance will be due within approximately 45-60 days from effective date of binding.
- You may finance the premium through a financing company of your or insured's choosing.
- Be sure to add the Surplus Lines Tax to the quoted premium along with the POLICY FEE
- Be sure all "Prior To Bind" items indicated on quote, if any, are fully addressed.