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.