Online Statement for Electronic SIGNATURES AND RECORDS DELIVERY Consent and Disclosure
This Online Statement for Electronic Signature and Records Delivery Consent and Disclosure is intended to comply with the Uniform Electronic Transactions Act as adopted by various U.S. jurisdictions as well as the federal Electronic Signatures in Global and National Commerce Act.
The words “we”, “us”, and “our” means Brown & Brown, Inc., its affiliates, subsidiaries or parent companies, and all retail and wholesale insurance producers and insurance carriers for which Brown & Brown, Inc. distributes “Insurance Documents” on behalf thereof or otherwise has delegated rights thereto to distribute Insurance Documents on behalf of Brown & Brown, Inc. The words “you” and “your” means you the individual(s) who desires to transact business or process a claim electronically.
“Insurance Documents” means those insurance policies, endorsements, forms, certificates of insurance, automobile identification cards, disclosures, notices, including but not limited to notices of renewal, cancellation, non-renewal or conditional renewal or other documents that may be provided to you (whether directly or through other insurance producers or insurance carriers) and signed by you as part of any insurance transaction between you and us, whether now or in the future.
In order to transact electronic business with us, including to receive delivery of your Insurance Documents electronically, and to sign and deliver an application for insurance and other insurance-related documentation electronically, you must read and agree to the following terms and conditions (this “Consent”).
By typing your name and the date where required in the electronic forms presented to you and this Consent, you agree to receive and sign the forms relating to your insurance policy electronically and to the delivery of any required forms, documentation or other information electronically. This Consent applies to all Insurance Documents, and, to you for yourself, your organization and/or all those covered under an applicable insurance policy, unless otherwise required by law. By agreeing to the terms and conditions of this Consent, you are agreeing that you have the authority to receive and sign these documents electronically on behalf of all insureds under your policy (and, if applicable, your organization and all such persons who will receive documentation from your organization for us). You agree that in each applicable case, your signature as provided in electronic format shall be your legally binding signature, and that all Insurance Documents delivered to you shall be considered delivered to you in writing.
Your Consent to select electronic delivery is optional and voluntary. You may withdraw your consent to electronically sign, deliver to us, and receive from us, Insurance Documents at any time by returning the completed Rejection of Electronic Delivery Https://seeds.bbrown.com/electronicdeliveryoptout/ form to [email protected], or by contacting us at [email protected] or (877) 316-4297.
You may contact us at [email protected] or (877) 316-4297 to obtain a paper copy from us of your Policy and other Insurance Documents at no charge to you, or to update your email address and/or other contact information.
You further agree that: