Contractors Gold Commission Report by HC12071412476

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									Contractors Platinum Commission Report Instructions
Application ID:
Applicant Name:
TOTAL COST OF POLICY
Pure Premium = 700.00 Financing set up by Empire
State Tax =31.64
Policy Fee = 200.00
AI Endorsements = 650.00
Inspection Fee = 100.00
Your Broker Fee = 200.00
Underwriting GA Fee = 100.00
Total = 1,981.64*

*This is the amount you must collect from the insured for a Paid in Full Account.

This Program has 2 Payment Options:

    1) Paid in Full Accounts
    2) Premium Financed Accounts

On (1) Paid in Full accounts, you retain your Broker Fee if any, retain your commission and send a check for the net amount. This is done by
subtracting your commission of 10% off of the Pure Premium, Policy Fee, Endorsements if any and the Inspection Fee and adding back the
Underwriting Fee and Taxes remitting that as Net.

On (2) Premium Financed Accounts, to calculate the Gross Down Payment, you need to collect minimums of 15% of the Pure Premium, Policy
Fee, Endorsements if any and Inspection Fee and the Full Underwriting Fee. (plus any Broker Fee you charge if applicable) You do NOT
COLLECT ANY TAXES UP FRONT.

TOTAL TO BE COLLECTED FROM THE INSURED IF PAID IN FULL

100% Premium =
100% State Tax =
100% Policy Fee =
100% AI Endorsements =
100% Inspection Fee =
Broker Fee =
Underwriting GA Fee =
Total to be collected from the Insured=

MINIMUM TO BE COLLECTED FROM THE INSURED IF PREMIUM FINANCED

15% Premium =
0% State Tax =
15% Policy Fee =
15% AI Endorsements =
15% Inspection Fee =
100%Broker Fee =
100%Underwriting GA Fee =
Total to be collected from the Insured=


TOTAL TO BE RETAINED BY THE BROKER
10% Commission on Premium ( ) =
Fully Earned Broker Fee =       (if applicable)
Total =


TOTAL TO BE REMITTED                Make check payable for =
**FOR BROKER REVIEW ONLY** 941039

								
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