Application for Distributor License

 

SilverStar Homes, LLC is a Georgia limited liability company, offering its residential, commercial, retail, industrial, and agricultural steel frame building systems throughout the United States and internationally. By completing this application and upon acceptance you will be required to sign a distribution and sales agreement inclusive of a surety bond, to comply with all of the sales, distributor, and building procedures instituted by SilverStar Homes, its parent and/or affiliates.

 

 

General Information:

 

Company Name:

Type of Business:

Business Address:

City, State, Postal Code:

Location of Business ( USA , UK or otherwise):

Business Telephone: Business Fax:

Business Email:

 

Contact Name:

Contact Address:

City, State, Postal Code:

Location of Contact ( USA , UK or otherwise):

Contact Telephone: Contact Fax:

Contact Email:

 

Type of Distributorship:

 

Distributorship Fee Amt

 

Original Distributorship fees will be applied toward the purchase of the first SilverStar building. You will receive 15% off the first building purchased from SilverStar.

 

First Project information:

(Please describe in detail what the nature of your first building project is)

 

(Please attach a project or building summary. Include all of the financial projections)

 

No of proposed Units:

Building Type:

Square Footage:

 

Financing Information:

 

Land Costs:

Building Costs:

Deposit by Distributor:

Insurance Information:

 

Amount Needed:

 

Effective Date:

 

Purpose of Bond, Guarantee or Letter of Credit:

 

Please describe the purpose of your bond, financial guarantee, or letter of credit needs.

 

 

Is there a requirement for an insurance rating?

 

If yes please describe:

 

What are the collateral assets being placed in order for your company to obtain the bond or guarantee?

 

 

What is the estimated value of collateral assets?

 

Are there any other material facts that would affect our decision on allowing your company to become a member and utilize our insurance services?

 

If yes please explain:

 

Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

 

The undersigned applicant and indemnitors hereby request the Company to become surety for the above bond or financial guarantee. The undersigned hereby certify the truth of all statements in the application, authorize the Company to verify this information and to obtain additional information from any source, including obtaining a credit report at the time of application, in any review or renewal, at the time of any potential or actual claim, or for any other legitimate purposes as determined by the Company in its reasonable discretion, and jointly and severally agree:

 

INDEMNITY

 

(1) To pay the usual premiums, including renewal premiums, to the Company or its agents, when due, (11) In the event of any payment by the Company, to pay the Company interest on such amounts at the highest legal rate from the date such payments are made.

 

( 2) To completely INDEMNIFY the Company from and against any liability, loss, cost, attorneys' fees and expenses whatsoever which the Company shall at any time sustain as surety or by reason of having been surety on this bond or any other bond issued for applicant, or for the enforcement of this agreement, or in obtaining a release or evidence of termination under such bonds; regardless of whether such liability, loss, costs, damages, attorneys' fees and expenses are caused, or alleged to be caused, by the negligence of the Company,

 

(3) To furnish the Company with satisfactory and conclusive termination evidence that there is no further liability on this bond or any other bond issued for applicant,

 

(4) Upon demand by the Company for any reason whatsoever, to deposit current funds with the Company in an amount sufficient to satisfy any claim against the Company by reason of such suretyship,

 

(5) That the Company shall have the right to handle or settle any claim or suit in good faith. An itemized statement of loss and expense incurred by the Company, sworn to by an officer of the Company, shall be prima facie evidence of the fact and extent of the liability of the undersigned to the Company,

 

(6) That the Company may decline to become surety on any bond and may cancel or amend any bond without cause and without any liability which might arise therefrom,

 

( 7) That the Company shall, without notice, have the right to alter the penalty, terms and conditions of any bond issued for undersigned, and this agreement shall apply to any such altered bond, that if a contract or performance bond is issued hereunder, the undersigned hereby assign to the Company any monies now due or hereafter becoming due under the contract, including all deferred payments and retained percentage, supplies, tools, plants, equipment and materials due or used on the contract,

 

(8) At the Company's discretion, this indemnity agreement shall be governed in all respects by the laws of the State of Georgia and the undersigned applicant and indemnitors consent to the jurisdiction of the courts of the State of Georgia in all actions or proceedings arising from or relating to this indemnity agreement.

 

(9) That this indemnity may be cancelled as to subsequent liability by an indemnitor upon written notice to Magnate Insurance Fund Pty effective ten (10) days after the earliest date thereafter upon which the Company could have cancelled all bonds in force for applicant.

 

Signed By: Dated:

 

Note: If you are accepted for membership and your collateral and assets approved through our Underwriting Department we shall immediately provide you will all of the required forms to immediately implement your program.