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Agent/Broker Sign Up

Insurance Agent/Broker Registration Form

Thank you for your interest in becoming a registered insurance Agent/Broker in ISNetworld. Upon completing the registration process, the ISN Customer Service Team will create an Agent/Broker account for your company that will allow you to view and submit your customer’s insurance requirements and Experience Modifier documents on their behalf. Please remember that an ISN subscribed contractor must first grant your company access to view this information. If you have any questions, please Contact Us or reference the Agent/Broker FAQ

ISNetworld online insurance Agent/Broker registration agreement
Please read before completing required information below
Company Information 1
Address 2
Reference 3
Submit 4

Company Information

Insurance Agent/Broker*
Company Website
First Name*
Last Name*
Direct Phone*
Mobile Phone*
Email*

Mailing Address

Address 1*
Address 2
City*
Zip/Postal Code*

Physical Address

Same as mailing address
Address 1*
Address 2
City*
Zip/Postal Code*

Reference

Company Name*
Address*
Contact Person*
Contact Phone*
Email*

Agreement/Submit

ISNETWORLD INSURANCE AGENT/BROKER ONLINE REGISTRATION AGREEMENT

Welcome to the ISNetworld Insurance Agent/Broker Online Registration Agreement ('Registration Agreement'). This Registration Agreement describes the terms and conditions applicable to your use of our services available under the domain and subdomains of www.ISNetworld.com or www.isn.com. If you do not agree to be bound by the terms and conditions of this Registration Agreement, do not use or access ISNetworld. This Registration Agreement is made between ISN Software Corporation ('ISN') and Agent/Broker and is effective on May 20, 2013 for new registering Agent/Brokers, and is otherwise effective on June 20, 2013 for all Agent/Brokers registered prior to May 20, 2013. You must read, agree with and accept all of the terms and conditions contained in this Registration Agreement, which include those terms and conditions expressly set out below and those incorporated by reference, before you access ISNetworld. We strongly recommend that, as you read this Registration Agreement, you also access and read the information contained in the ISNetworld Privacy Policy and the ISNetworld Names, Logos, Screenshots and Domain Names Policy, as they may contain further terms and conditions that apply to you. Please note: underlined words and phrases are links to these pages and websites. We may amend this Registration Agreement at any time. ISN may agree with ISN's Owner Clients (including certain Contractor Operators (as defined within ISNetworld) who manage contractors / suppliers through ISNetworld) to review the Data (defined below) obtained by or on behalf of Agent/Broker's clients and to verify that the Data complies with ISN's Owner Clients' requirements.

TERMS OF USE

1. By clicking your approval and by accessing ISNetworld via an ISN-provided user name and password, you are hereby (a) requesting access to ISNetworld in order for Agent/Broker to submit certain information, including, without limitation, certificates of insurance, required endorsements, workers' compensation experience modification rating ('EMR') information and related data (collectively, the 'Data') regarding details of certain third parties who are subscribers to ISNetworld, and (b) permitting the review of the Data by ISNetworld and/or ISNetworld users for compliance with those users' requirements. Agent/Broker attests that the Data provides an accurate representation of provisions in actual insurance policies, EMR information or other underlying data (the actual underlying data, whether insurance policies, EMR information, or other supporting data, the 'Underlying Data' for purposes hereof), and the Data does not supersede the terms and provisions of the Underlying Data. Data provided by Agent/Brokers for review must be provided on forms and templates that meet applicable industry, regulatory, and legal guidelines and requirements. By its participation herein, Agent/Broker also agrees to be included in a directory of registered Agents/Brokers searchable by ISNetworld users. Information available through the searchable directory may include the Agent/Broker's name and logo (as may be provided by Agent/Broker), office locations, industry(ies) served and specialty(ies) and ISNetworld registration and account activity information for the Agent/Broker.

2. Agent/Broker agrees to: (i) access ISNetworld through its secure username and password login; (ii) provide the Data on behalf of Agent/Broker's clients or other third parties; and (iii) receive relevant communications from ISN, such as Data review results and expiration notifications.

3. In consideration for access to ISNetworld, and by clicking your approval below, Agent/Broker hereby consents to be bound by: (i) the ISNetworld Privacy Policy (available at http://www.isnetworld.com/Homepage/privacyPolicy.aspx), as may be amended or modified from time to time; and (ii) the ISNetworld Names, Logos, Screenshots and Domain Names Policy (available at http://www.isnetworld.com/Homepage/Trademark_LogoPolicy.aspx), as may be amended or modified from time to time.

4. By clicking your approval below, Agent/Broker hereby covenants, represents, or warrants that Agent/Broker is a properly licensed insurance Agent/Broker and is presently compliant with all relevant company, local, state, provincial and federal licensing regulations to which it may be subject.

5. Agent/Broker agrees not to utilize ISNetworld for the solicitation of any of ISN's users, data providers, or other third parties.

6. ISN hereby reserves the right to terminate this Registration Agreement at any time, upon written notice to Agent/Broker. Agent/Broker may terminate this Registration Agreement at any time by ceasing its use of www.ISNetworld.com or www.isn.com and its sub-domains.

7. Agent/Broker agrees to indemnify and hold harmless ISN and its affiliates, employees, agents, licensors, successors and assigns (together, the 'ISN Parties') against any damages and liability, including reasonable attorneys' fees, awarded based on a claim that the Data, or the ISN Parties use thereof, is a proprietary right of any third party, whether such proprietary right is by copyright, trademark, trade secret, or otherwise. Agent/Broker agrees to indemnify and hold harmless the ISN Parties from all damages and liability, including reasonable attorneys' fees, incurred in connection with any loss arising from (a) Agent/Broker's breach of its obligations under this Registration Agreement; (b) the negligence or willful misconduct of Agent/Broker; or (c) the inaccuracy, incompleteness, invalidity or incorrectness of any Data. ISN agrees to indemnify and hold harmless Agent/Broker and its affiliates, employees, agents, licensors, successors and assigns from all damages and liability, including reasonable attorneys' fees, incurred in connection with any loss arising from (a) ISN's breach of its obligations under this Registration Agreement; or (b) the negligence or willful misconduct of ISN. These obligations to indemnify will survive the expiration or termination of this Registration Agreement for any reason.

8. Agent/Broker covenants that any employees, independent contractors, agents of Agent/Broker or other persons given passwords to ISNetworld by Agent/Broker shall, by their use of their password and by accessing ISNetworld or other websites owned or operated by ISN, consent to the terms hereof.

ISNETWORLD ONLINE INSURANCE AGENT/BROKER REGISTRATION AGREEMENT

(Current Agreement for all Agent/Brokers registered prior to May 20, 2013 - Effective thru June 19, 2013)

Welcome to the ISNetworld Online Insurance Agent/Broker Registration Agreement ('Insurance Agent/Broker Registration Agreement'). This Insurance Agent/Broker Registration Agreement describes the terms and conditions applicable to your use of our services available under the domain and subdomains of www.ISNetworld.com or www.isn.com. If you do not agree to be bound by the terms and conditions of this Insurance Agent/Broker Registration Agreement, do not use or access ISNetworld. This Insurance Agent/Broker Registration Agreement is made between ISN Software Corporation ('ISN') and Agent/Broker. You must read, agree with and accept all of the terms and conditions contained in this Insurance Agent/Broker Registration Agreement, which include those terms and conditions expressly set out below and those incorporated by reference, before you use or continue to use ISNetworld. We strongly recommend that, as you read this Insurance Agent/Broker Registration Agreement, you also access and read the information contained in the ISNetworld Privacy Policy and the ISNetworld Names, Logos, Screenshots and Domain Names Policy, as they may contain further terms and conditions that apply to you. Please note: underlined words and phrases are links to these pages and websites. We may amend this Insurance Agent/Broker Registration Agreement by conspicuously posting notice of the amended terms on our site. Except as stated below, all amended terms shall automatically be effective 30 days after they are initially posted. ISN may agree with ISN's Owner Clients (including certain General Contractors (as defined within ISNetworld) who manage vendors through ISNetworld) to review the Data (defined below) obtained by or on behalf of Agent/Broker's clients and to verify that the Data complies with ISN's Owner Clients' requirements.

TERMS OF USE

1. By clicking your approval below, and by subsequently accessing ISNetworld via an ISN-provided user name and password, you are hereby (a) requesting access to ISNetworld in order for Agent/Broker to submit certificates of insurance ('COI'), required endorsements and related data (collectively, the 'Data') regarding details of certain insurance policies of certain clients of Agent/Broker who are subscribers to ISNetworld, and (b) permitting the review of the Data by ISNetworld and/or ISN's Owner Clients for compliance with the Owner Clients' insurance requirements. It is agreed that the Data provides an accurate representation of provisions in actual insurance policies and the Data does not supersede the terms and provisions of the actual insurance policies. Data provided by Agent/Brokers for review must be provided on forms and templates that meet applicable industry, regulatory, and legal guidelines and requirements.

2. Agent/Broker agrees to: (i) access ISNetworld through its secure username and password login; (ii) provide Data on behalf of Agent/Broker's clients; and (iii) receive relevant communications from ISN, such as insurance documentation review results and expiration notifications.

3. In consideration for access to ISNetworld, and by clicking your approval below, Agent/Broker hereby consents to be bound by: (i) the ISNetworld Privacy Policy (available at http://www.isnetworld.com/Homepage/privacyPolicy.aspx), as may be amended or modified from time to time; and (ii) the ISNetworld Names, Logos, Screenshots and Domain Names Policy (available at http://www.isnetworld.com/Homepage/Trademark_LogoPolicy.aspx), as may be amended or modified from time to time.

4. By clicking your approval below, Agent/Broker hereby covenants, represents, or warrants that Agent/Broker is a properly licensed insurance Agent/Broker and is presently compliant with all relevant company, local, state, provincial and federal licensing regulations to which it may be subject.

5. Agent/Broker agrees not to utilize ISNetworld for the solicitation of any of ISN's Owner Clients, contractors, suppliers or data providers who are subscribers to ISNetworld. ISN agrees that the Data will not be sold, transferred or made available to any third party other than those entities identified in Paragraph 1, above.

6. ISN hereby reserves the right to terminate this Insurance Agent/Broker Registration Agreement at any time, upon written notice to Agent/Broker. Agent/Broker may terminate this Insurance Agent/Broker Registration Agreement at any time by ceasing its use of www.ISNetworld.com or www.isn.com and its sub-domains.

7. Agent/Broker agrees to indemnify and hold harmless ISN against any damages and liability, including reasonable attorneys' fees, awarded based on a claim that the Data, or ISN's use thereof, is a proprietary right of any third party, whether such proprietary right is by copyright, trademark, trade secret, or otherwise. Agent/Broker agrees to indemnify and hold harmless ISN and its affiliates, employees, agents, licensors, successors and assigns from all damages and liability, including reasonable attorneys' fees, incurred in connection with any loss arising from (a) Agent/Broker's breach of its obligations under this Insurance Agent/Broker Registration Agreement; (b) the negligence or willful misconduct of Agent/Broker; or (c) the inaccuracy, incompleteness, invalidity or incorrectness of any Data. ISN agrees to indemnify and hold harmless Agent/Broker and its affiliates, employees, agents, licensors, successors and assigns from all damages and liability, including reasonable attorneys' fees, incurred in connection with any loss arising from (a) ISN's breach of its obligations under this Insurance Agent/Broker Registration Agreement; or (b) the negligence or willful misconduct of ISN. These obligations to indemnify will survive the expiration or termination of this Insurance Agent/Broker Registration Agreement for any reason.

8. Agent/Broker covenants that any employees, independent contractors, agents of Agent/Broker or other persons given passwords to ISNetworld by Agent/Broker shall, by their use of their password and by accessing ISNetworld or other websites owned or operated by ISN, consent to the terms hereof.

 I have read and Agreed to the Terms and Conditions

Required *

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