Get Producing Agent (retail Producer Or Surplus Lines Broker) Diligent Effort Affidavit

This guide provides a step-by-step approach to completing the PRODUCING AGENT DILIGENT EFFORT AFFIDAVIT online. Whether you are a retail producer or a surplus lines broker, this comprehensive guide will help ensure that you correctly fill out this important document.

Follow the steps to successfully fill out the affidavit.

1. Select the ‘Get Form’ button to access the affidavit and open it in your chosen editor.
2. In the first section, provide your name as the Producing Agent (Retail Producer or Surplus Lines Broker). Ensure that all details are filled accurately.
3. Enter your current Colorado Producer License number in the designated field. This information is crucial for the legitimacy of the affidavit.
4. Next, specify the name of your agency in the provided space.
5. Indicate the type of coverage and provide a description of the risk being insured. This will help clarify the nature of your request.
6. Identify the named insured by writing their name in the given section.
7. Select whether this is a new or renewal policy by checking the appropriate box.
8. List the names of three admitted insurers that you have approached for this line of business in the state. Enter them in the spaces provided, ensuring they are currently transacting business in Colorado.
9. Sign the affidavit to affirm that the insurance is eligible for export, and provide your printed or typed name and the date of signature.
10. Finally, ensure that this completed affidavit is saved correctly. You may choose to download, print, or share it as needed.

Complete your documents online to ensure compliance and ease of access.