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<br />If Brown utilizes an intermediary /)rolwr for the placement of coverage for the <br />Florida policyholder, Brown, through its Retail Agent, must include the following <br />disclosure ;n addition to the disclosure a/)ove,' <br /> <br />Wholesale Broker/Manaqinq General Aqent: <br /> <br />[IDENTIFY] <br /> <br />This intermediary __n" is/ _ is not owned in whole or part by Brown & <br />Brown, Inc" the parent company of (retail office name), Brown & Brown entities <br />operate independently and are not required to utilize otller companies owned by <br />Brown & Brown, Inc, but routinely do so, In addition to providing access to the <br />insurance company, the Wholesale Insurance Broker/Managing General Agent <br />may provide additional services including, but not limited to: underwriting; loss <br />control; risk placement; coverage review; claims coordination with insurance <br />company; and policy issuance, Compensation paid for those services may be up <br />to 15 % of the premium you pay for coverage, and any compensation paid for <br />those services is deri':.,ed from your pre~~,~~llpaymenL ,___ _..,_,_,__" <br /> <br />If Brown a/1(llor its Retail Agents or other Brown agents are compensated /)y fee <br />in lieu of commission under a written fee agreement with a Florida policyholcler, <br />Brown, through its Retail Agenl, must include the following disclosure instead of <br />those a/Jove, <br /> <br />---- --. <br />If we are being compensated based upon a fixed dollar amount or fixed <br />percentage fee, meaning that the contract specifies our compensation and states <br />anywhere in the document tllat additional compensation will not be paid to us or <br />any other party, any additional compensation to us or any other party, including <br />wllolesale brokers or third party intermediaries, is strictly prollibited Likewise, if <br />our contract sets compensation based upon a fixed dollar amount or fixed <br />percentage fee, and the contract specifies that additional compensation shatl be <br />credited to the insured, any additional compensation to any party, including <br />brokers, wholesale brokers or third party intermediaries, must be promptly <br />returned to you. If our contract is not based upon SUCll fixed fee terms, no owned <br />or affiliated party, including brokers, wholesale brokers or third party <br />intermediaries, may accept any type of compensation without full disclosure by <br />the undersigned broker to you of the dollar amount or percentage of <br />come.~~sation priJ)L.~c:>.binding YOl~r coverage, <br /> <br />If Brown, through its Retail Agent or other Brown agent, is placing a Florida <br />public entity policyholder in the Preferred Govemmentallnsurance Trust (PGIT), <br />Brown, through its Retail Agent. must include the following disclosure Instead of <br />those a/Jove: <br /> <br />2 <br />