CONSENT TO ELECTRONIC DELIVERY OF INSURANCE DOCUMENTS BY R&R INSURANCE SERVICES, INC.

I, as the authorized representative of the insured and on behalf of the insured, agree and consent as follows:

  1. The insured consents to the electronic delivery of any policies of insurance by R&R Insurance Services, Inc. (“R&R”) whether as a courtesy or on behalf of my insurer. Please email policies to me at the email address used for this Consent.
  2. The insured understands the insured can withdraw this consent to the electronic delivery of any policies of insurance at any time by contacting R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com.
  3. The insured may update information needed to contact the insured electronically by contacting R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com.
  4. Before the insured gave its consent as provided herein, the insured acknowledged knowing that the insured needed an Internet connection and a computer capable of receiving, accessing and displaying, and either printing or storing the policies of insurance. The insured acknowledges having a web browser that supports the level of encryption employed by R&R’s electronic delivery system as indicated on R&R’s website. Further, the insured understands that its policies of insurance will be delivered in a Portable Document Format (PDF). The insured acknowledges that the insured also must have Adobe Reader to access PDF files. The insured understands it can download Adobe Reader from Adobe’s website, www.adobe.com.
  5. BEFORE THE INSURED CONSENTED TO THE ELECTRONIC DELIVERY OF ITS POLICIES OF INSURANCE, R&R INFORMED THE INSURED OF ALL OF THE FOLLOWING:
    1. The insured has a right or option to have the policies of insurance provided or made available in paper or another non-electronic form at no cost to the insured by contacting R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com.
    2. The insured has a right to withdraw the insured’s consent to policies of insurance being delivered by electronic means by contacting R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com, and there are no fees, conditions, or consequences imposed if the insured withdraws its consent.
    3. The insured’s consent applies to policies of insurance that may be delivered by electronic means during the course of the relationship between the insured and R&R acting as agent for any insurer of the insured.
    4. After the insured has consented to the delivery of the policies of insurance by electronic means, the insured may obtain a paper copy of its policies of insurance without a fee by contacting R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com
    5. If R&R attempts to deliver a policy of insurance by electronic means to the most recent electronic mail address for the insured in R&R’s files and R&R receives a notice that the delivery by electronic means has failed, R&R shall deliver the policy of insurance by 1st class mail.
  6. The withdrawal of the insured’s consent to R&R to deliver policies of insurance electronically to the insured becomes effective 30 days after R&R receives notice of such withdrawal from the insured by a phone call to R&R at (800) 566-7007 or an email to R&R at rrmailbox@rrins.com.
  7. The insured will maintain a valid email address so that electronic delivery will be successful. The email address used with this consent shall be the current valid email address. The insured may update the email address by notifying R&R at (800) 566-7007 or by emailing R&R at rrmailbox@rrins.com.

I REPRESENT AND WARRANT TO R&R THAT I AM AUTHORIZED ON BEHALF OF THE INSURED TO AGREE TO THE TERMS OF THIS DOCUMENT AND CONSENT TO THE ELECTRONIC DELIVERY OF ANY POLICIES OF INSURANCE TO THE INSURED.

THE INSURED AGREES AND CONSENTS TO THE ELECTRONIC DELIVERY OF POLICIES OF INSURANCE BY R&R INSURANCE SERVICES, INC. AS PROVIDED IN THIS CONSENT DOCUMENT.