Letter of Appointment

Effective , I appoint Shielded Insurance Brokers as our insurance broker to manage our insurance policy(s) listed below for .

The policy number(s) for Shielded Insurance Brokers to manage are as follows:

This appointment replaces any existing appointment in place between any other insurance broker.

Whilst this letter of Appointment is not on any letterhead, I attest to its authenticity and intent in my capacity as of the company.

Yours faithfully,

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