Headquarters:
625 The City Drive
Suite 400
Orange, CA 92868

714-621-2300
714-621-2252 (fax)

San Diego Office:
10089 Willow Creek Rd
Suite 115
San Diego, CA 92131

858-586-0828
858-586-1926 (fax)

 

Independent Producer Agreement Instructions

Please submit the following paperwork. We will respond as soon as possible.

  •   Current copy of E&O insurance declarations page.
  •   Current copy of agency as well as agent's license.
  •   Producer Packet (includes Producer Data Sheet, Producer Agreement, Payment Terms and W-9) >> available here

 

All completed paperwork must be faxed to 714-876-2252. Providing all of the above information does not guarantee a producer agreement approval. Should you have any questions, please contact Cindy Hernandez at 714-621-2370 or via email.

Again, thank you for your interest in G.J. Sullivan Co.