Thank you for your interest in Shelly, Middlebrooks & O’Leary, Inc.
We look forward to working with and developing new relationships with agents who share our commitment to service. We are always eager to develop new relationships that are mutually beneficial to our agencies. To that end we ask that you complete, sign and return the following information so that we may learn a little more about your agency.
Prior to Brokering business through Shelly, Middlebrooks & O’Leary we require the following items:




Please return all documents to Sandra Mingle via email at smingle@shellyins.com x 904-519-3659.
Our errors and omissions carrier requires that producer agencies provide a certificate of insurance to our office. The minimum limit of liability required is $1,000,000. The certificate of insurance must be updated annually. Providing a copy of the declarations page of the current policy will allow us to expedite your request to broker business with our office. The certificate of insurance will be required within 20 days.
Thank you for your inquiry regarding our facilities and we look forward to working with you and your agency.