📄 STATEMENT OF UNDERSTANDING
(PLEASE READ CAREFULLY)

I hereby authorize SLATE, ARVF, Inc. dba EIG|EJINSURANCEGROUP, and their affiliates (collectively referred to as "The Authorized Parties") to affix or append my signature, as set forth below, to any and all required signature fields on forms, contracts, and agreements of any insurance carrier ("Carrier") that I designate through electronic or paper contract submission, software, or any other means — including, without limitation, submission via email or verbal authorization.

The Authorized Parties are permitted to complete and submit such forms and agreements on my behalf for the sole purpose of becoming authorized to sell Carrier insurance products.

I hereby release, indemnify, and hold harmless The Authorized Parties from any and all claims, demands, losses, damages, and causes of action, including expenses, costs, and reasonable attorneys' fees, which they may sustain or incur as a result of carrying out the authority granted by this authorization.

By signing below:

I certify that all information submitted to the Authorized Parties is true and correct to the best of my knowledge.

I acknowledge that I have reviewed and approved the forms and agreements on which my signature may be affixed.

I agree to indemnify and hold harmless any third party who relies in good faith on any form or agreement bearing my signature pursuant to this authorization.

Furthermore, I consent to be contacted by EIG, SLATE, their staff, and applicable third-party vendors via phone, email, and text message regarding my business activities and Carrier-related communications.

By signing this form, I acknowledge that I have read, understood, and agreed to the terms outlined above.