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Dear Valued Agent,

We appreciate your consideration in allowing Renai Global Finance and Insurance Solutions to address your contracting needs and we are excited to have the privilege of offering you our services. In order to complete your licensing request, please complete the following licensing questionnair.

The questionnaire information will be submitted through our online licensing system, SureLC, which is a program that allows us to save your information in our system. In the future, should you desire to be appointed with any additional carriers, Renai Global Finance and Insurance Solutions will already have your information saved on file, allowing us to submit and complete your appointment in a timely manner.

Once the questionnaire has been completed, you will also need to complete and sign the Signature Page, Disclosure Release, and EFT Authorization. Signing and submitting the Signature Page and Disclosure Release authorizes Renai Global Finance and Insurance Solutions to submit your information through our online licensing program. Signing the EFT Authorization allows for carriers to direct deposit your commissions. Please submit the following documents to our contract & Licensing department:

• Producer Questionnaire
• Signed Signature Page
• Signed Disclosure Release Page
• Signed EFT Authorization Page (be sure to affix copy of a voided check to this page).
• A copy of your individual and/or corporation insurance license(s).
• A copy of your E&O coverage
• A copy of AML certificate

These documents can be emailed to contracting@renaiglobal.org Attn: C&L Dept.