Statement of Brokerage Services & Compensation

Thank you for choosing Assurance Goguen Champlain Insurance

Our role as your independent Insurance Broker is to purchase insurance products and services  for you, which are available and affordable, while providing you with the best insurance value combining coverage, service and price.

Our services include professional insurance advice, policy service and claims support and as such, when any issues arise regarding your insurance protection, we are here for you to represent your interests.

Your insurance premium includes brokerage compensation. We have listed the Insurers that we represent and have included the range of compensation each provides as a percentage of the overall premium included on your invoice.

Assurance Goguen Champlain Insurance, a division of Bell & Grant Insurance Limited may enter into non-standard arrangements from time to time which could have compensation terms that are outside of the listed ranges. We also provide additional services such as data entry and this additional work is compensated by payment of an agreed fee or commission.

Assurance Goguen Champlain Insurance will also place risks with Specialty markets when it is in your best interest. In most cases, these markets provide compensation at a lower rate than the Insurers we represent. It may be necessary for us to charge a fee in lieu of or in addition to the commission payable under the insurance policy. In these cases, we will disclose both the fee and any commission payable under the insurance policy.

In order for us to maintain strong relationships with quality insurers, we work closely with each in order to provide the type of business they desire. The insurers with an asterisk (*) recognize our efforts through a Contingent Commission contract. Payment of this Contingent Commission is dependent on a combination of profitability (loss ratio), volume, retention and increased services that we provide on behalf of the insurer. It is based on our entire portfolio of business with that insurer and not on individual policies. Contingent Commissions are not guaranteed. Please go to the individual company’s website for detailed information on Contingent Commissions.

From time to time, insurance companies will offer incentives to individual brokers, including contest entries, trips and other forms of hospitality. Such sales incentives are typically based on performance criteria established by the insurer. We are committed to providing objective advice to our customers and, notwithstanding the existence of any such incentives, our primary concern is servicing our clients’ best interests.

Goguen Champlain is owned by Bell & Grant Insurance Limited which shares common ownership with Arthur J. Gallagher & Co., a public company listed on the New York Stock Exchange.

If you have any questions or require additional information regarding compensation received by Assurance Goguen Champlain Insurance or Bell & Grant Insurance Limited for any of its insurance brokerage services, please do not hesitate to contact your account executives or visit our website at www.goguenchamplain.com.

Goguen Champlain

Auto

Property

Liability

Aviva Insurance Company of Canada*

7.5% – 12.5%

0% – 20%

0% – 20%

American International Group Inc. (AIG)

N/A

10% -20%

10% – 20%

Chubb Insurance Group

N/A

0% – 20%

0% – 20%

Economical Mutual Insurance Company

7.5% – 12.5%

0% – 20%

0% – 20%

Facility Association (R&SA)

6% – 11%

N/A

N/A

Guarantee Company of North America

N/A

N/A

N/A

Intact Insurance Company*

7.5% – 12.5%

0% – 20%

0% – 20%

Liberty International Underwriters Canada

12.5%

0% – 15%

0% – 15%

Northbridge Financial Corporation*

7.5% – 12.5%

0% – 20%

0% – 20%

Angus Miller

7.5% – 12.5%

0% – 20%

N/A

Royal & Sun Alliance
Insurance Company of Canada*

7.5% – 12.5%

0% – 20%

0% – 20%

Sovereign General Insurance Company*

7.5% – 12.5%

0% – 20%

0% – 20%

Travelers Guarantee Company of Canada*

0% – 10%

0% – 10%

Trisura Guarantee Insurance Company*

N/A

N/A

15% – 17.5%

L’Unique General Insurance Company &
York Fire Insurance Company

N/A

N/A

N/A

Zurich Insurance Company Ltd.*

7.5% – 12.5%

0% – 20%

0% – 20%