Check out our Facebook Page

3501 N. Lakewood Blvd., Ste. B

Long Beach, CA. 90808 
Office (562) 497-9000
Fax    (562) 497-9005
info@cfmaviation.com

www.cfmaviation.com

CFM Aviation Insurance Brokers, Inc. 

© All Rights Reserved.

3501 N. Lakewood Blvd., Ste. B

Long Beach, CA. 90808

DOWNLOAD ADOBE PDF OR MICROSOFT WORD DOC BELOW AND SAVE TO YOUR COMPUTER

COPY AND PASTE, OR TYPE CONTENT BELOW ON YOUR PERSONAL or COMPANY LETTERHEAD
MAIL, FAX, OR SCAN & EMAIL to:

CFM Aviation Insurance Brokers, Inc.,
3501 N. Lakewood Blvd.
Long Beach, CA. 90808
Office (562) 497-9000   Fax (562) 497-9005
www.cfmaviation.com   info@cfmaviation.com

​

Broker of Record Letter of Authorization

Click or tap to enter a date.

To:                          All Aviation Insurance Carriers

Re:                         Broker of Record Letter Authorization

Name:                     Click or tap here to enter text.
Co. Name:              Click or tap here to enter text.
Policy #:                  Click or tap here to enter text.
N # (if appl):            Click or tap here to enter text.

This confirms that as of Click or tap to enter a date., we have appointed CFM Aviation Insurance as our exclusive insurance broker with respect to the above referenced policy (ies). The appointment of CFM Aviation Insurance rescinds all previous appointments, and the authority contained herein shall remain in full force and effect until I formally rescind the authorization in writing.

CFM Aviation Insurance is hereby authorized to negotiate directly with any interested insurance company as respect to changes in existing insurance policies and in closing, changing, increasing, or canceling insurance under temporary binders or cover notes.

This letter also constitutes your authority to furnish CFM Aviation Insurance representatives with all information they may request as it pertains to existing insurance contracts, rates, rate schedules, surveys, retentions, reserves, and all other financial data they may wish to obtain for their study of our present and future requirements in connection with the insurance contract to which this letter applies.

By signing this letter, I am eliminating the ability of any other broker to obtain a quotation, or to bind aviation insurance with your company. Please waive the normal five day waiting period.

Sincerely,

____________________________________________
Signature / Title