Thank you for considering a business relationship with Quantum Alliance General Agency LLC. Please complete and submit the following items to Quantum by email or fax:

Email: Marketing@QuantumMGA.com 

Fax: 972.476.1253

 

2531 Ridge Rd #106,

Rockwall, Texas 75032

Phone (855) 935-1233

Email: Marketing@QuantumMGA.com

 

This information will be used to evaluate your agency with regards to your production and loss experience. Please complete this questionnaire and email it to our office at Marketing@QuantumMGA.com.

Estimate this agency's TOTAL ANNUAL AUTO PREMIUM VOLUME

Estimate the percentage of business this agency writes by policy term

Estimate the percentage of business this agency writes by policy coverage

Estimate the percentage of business this agency writes by liability limits

With how many companies does this agency write NON-STANDARD AUTO business? (please list top companies below)

Include a copy of your Insurance License, copy of your E&O Policy Dec page with limits, W9, Banking Forms as well as a signed copy of the contract with this questionnaire. Email to marketing@quantummga.com

Quantum Alliance Mangaging General Agency welcomes your comments and questions. Please email all pages to Quantum upon completion. If you have questions about this form contact our marketing department at 855-935-1233.

PRODUCER’S AGREEMENT

This Agreement is made by and between the insurance producer identified in Article XII (hereinafter, "you" and "your"), and the insurance companies identified in Article XII (collectively, "we," "us," and "our") The parties hereby agree as follows:

Article I. Definitions

A. "Effective Date" means the date that this Agreement becomes effective, as set forth in Article XII.
B. "Expiration Information" means business records and information originating with you regarding any applicantor insured under a Policy or Renewal, including, without limitation, the date of expiration and policy limits ofany Policy or Renewal.
C. "Policy" means any insurance contract issued in the Territory by us pursuant to this Agreement.
D. "Renewal" means any insurance contract issued in the Territory by us or any of our corporate affiliates that:
1. is effective within sixty (60) days after the expiration date of any Policy or Renewal thereof;
2. provides substantially similar coverage as any such Policy or Renewal;
3. is issued to the same named insured as such Policy or Renewal; and
4. is issued using your Expiration Information.A Renewal shall include any insurance contract issued in the Territory by us pursuant to any previousagreement between you and us with respect to the subject matter hereof, provided that such insurancecontract is renewed after the Effective Date of this Agreement.
E. "Territory" means the jurisdiction(s) where you are licensed, and we make insurance products available toyou, as listed in Article XII. Subject to your licensing status, we may add jurisdictions with written notice toyou.
F. "Trademark(s)" means any and all of our company names, trade names, domain names, slogans, tag lines,logos, trademarks or service marks.
G. "Underwriting Requirements" means instructions that we provide or make available to you in written orelectronic format, including, without limitation, insurance applications, product or underwriting guides, ratesand rating software, processes and procedures, commission schedules, or premium payment plans

Article II. Authority

A. Subject to and in accordance with this Agreement and the Underwriting Requirements, you have the authority in the Territory to solicit, provide quotes, receive applications, and collect money and provide receipts for premiums for authorized insurance products specified in Article XII.
B. You have no authority to, and agree that you will not:
1.submit to us any application for insurance:
a. that you know or have reason to know is false, inaccurate or misleading;
b. with a requested effective date and time prior to the date and time that you receive a request forsuch coverage and an acceptable down payment, a complete quote from you is registeredelectronically in our quoting systems, and you meet any and all additional conditions specified in theUnderwriting Requirements; or
c. for any class of risk not specified in the Underwriting Requirements;
2.adjust or settle any claim under a Policy or Renewal; or
3.collect from any person who is or has applied to be insured with us any fees or charges in connectionwith the performance of this Agreement that are in addition to those specified in the application for aPolicy or declarations page for a Renewal, except in compliance with all applicable laws. You are solelyresponsible for any legally required disclosure of such fees and charges to applicants and insureds. Youare not authorized to, and nothing in this Agreement shall be construed as, authorizing the imposition orcollection of any such fees or charges on our behalf.
C. Without our prior written consent, you have no authority to, and agree that you will not:
1.bind coverage, grant binding authority to, or accept business subject to this Agreement from, anyoneother than your duly licensed and appointed employees or duly licensed and appointed producers whoare subject to a written agreement allowing them to solicit business for you;
2.make or issue with respect to Policies or Renewals financial responsibility filings, certificates of insurance(except on forms provided by us), filings with any government agency, policies, endorsements, or renewal or cancellation notices;
3. disclose to our competitors or their agent’s information contained in our Underwriting Requirements; 
4. display or use, or instruct or permit others to display or use, any of our advertising, in whole or in part, orany of our Trademarks, or any words, phrases, pictures or graphics that are derived from or confusinglysimilar to the same, in any way, including, without limitation, in signs, advertisements (e.g., print,electronic, radio, television, etc.), promotional material, business cards, directory listings, domain names,Web sites or search engines. If you violate this provision and such violation is not remedied to oursatisfaction within fifteen (10) days after our written notice thereof, then in addition to any other remediesavailable to us at law or in equity, you agree that we shall have the right to do any or all of the following:(a) terminate this Agreement immediately upon written notice to your last known address; (b) obtainimmediate injunctive relief against any such display or use; or (c) collect for each month in which suchviolation occurs liquidated damages equal to the greater of $1,000 or 2% of your previous year's totalwritten premium with us.
D. We have the authority to:
1. expand, restrict, suspend or modify any part or all of your authority hereunder upon written notice to you;
2. change our Underwriting Requirements by providing written notice or making the same available to you;and
3. access and use Expiration Information only as described in Article V

Article III. Duties

A. You agree to:
1. submit to us promptly all applications and premiums in any manner that we may specify, which mayinclude, without limitation, electronic transmission;
2. use all reasonable efforts to ensure that applications contain complete and accurate information;
3. maintain an errors and omissions policy of insurance, covering you and each of your employees, withminimum limits of liability of at least $300,000 from an insurance company acceptable to us;
4. comply with our Underwriting Requirements, as these may be changed by us pursuant to thisAgreement;
5. notify us promptly of any and all felony convictions involving your producers;
6. present to each applicant or insured:a. all notices that we may determine are legally necessary or legally prudent; andb. all informational materials that we supply and ask you to provide;
7. notify us in writing of any and all Policies and Renewals subject to premium financing arrangements, andthe name and address of the premium financing company, promptly after you arrange for or learn of thesame. Nothing in this Agreement shall be construed as authorizing any premium financing arrangements,premium financing is prohibited;
8. pay for all of your operating expenses, including, without limitation, personal license fees and taxes, andoccupational or municipal license fees and taxes;
9. comply with all applicable laws relating to the performance of this Agreement, including, without limitation,privacy, producer licensing and anti-steering laws;
10. instruct each insured to immediately report directly to us all claims or losses, and immediately refer to usany inquiry or report concerning any claim or loss that you may receive;
11. retain in an orderly fashion and for the period specified in the Underwriting Requirements, each of thefollowing, to the extent applicable, with respect to Policies and Renewals: all original signed applications,driver exclusions, selections and rejections of optional coverage, documents required by us in support ofpremium discounts, vehicle inspection reports, and powers of attorney. You may retain electronicallyscanned documents in lieu of hard copy, provided that they are retrievable, durable, legible, unalterableand compatible with our systems. Upon expiration or termination of this Agreement, or at any time uponour request, you agree to send to us all such documents or copies;
12. allow us access to your facilities during business hours to review documents and records pertaining toPolicies and Renewals, and assist in performing any such review;
13. provide to us any information in your possession or control that we may request in connection with thisAgreement, including, without limitation, a copy of all or any part of any file concerning any personinsured under, or who has applied for, a Policy or Renewal with respect to that Policy or Renewal orapplication for the same;
14. cooperate with us fully in our investigation of any claim or loss involving a Policy or Renewal;
15. pay to us any and all amounts due hereunder within the time specified in the Underwriting Requirementsor, if not specified, within thirty (10) days after receipt of our invoice; and
16. refund unearned commissions to us at the same rate that such commissions were paid to you
B. We agree to:
1. issue all policy contracts and related forms;
2. adjust or arrange for the adjustment of all claims;
3. notify you of any material change to any Policy or Renewal;
4. fulfill our obligations under our Underwriting Requirements, Policies and Renewals;
5. pay you commissions as provided in this Agreement;
6. comply with all applicable laws relating to the performance of this Agreement, including, without limitation,privacy, producer licensing and anti-steering laws;
7. pay for all of our operating expenses, including, without limitation, personal license fees and taxes, andoccupational or municipal license fees and taxes; and8. develop and provide or make available to you the Underwriting Requirements.

Article IV. Commissions

A. Subject to Article IV.B, we will pay you commissions on Policies and Renewals based on our applicablecommission schedules in effect as of the inception date of each such Policy or Renewal, provided that:
1. if required by law, you are licensed as an insurance producer;
2. you have paid all amounts that are due and owing to us;
3. you are the producer of record at the inception of the Policy or Renewal; and
4. we have not terminated this Agreement pursuant to Article VI.C.
B. We may change our commission schedules for Policies upon thirty (5) days prior written notice to you, andfor Renewals upon ten (10) days prior written notice to you. Notwithstanding the foregoing, we maychange our commission schedules immediately upon written notice to you if we determine that it is legallynecessary or legally prudent. Upon termination of this, Agreement, Producer shall be paid 0%commissionon any renewal business

Article V. Expiration Information

A. You own all rights in Expiration Information, subject to the provisions of this Article. Without your priorwritten consent, we have no authority to, and agree that we will not:
1. use any Expiration Information for the purpose of soliciting any Policy, Renewal, or other insuranceproduct, except in accordance with Article V.C or Article V.E; or
2. disclose Expiration Information to any third party, except for the purposes set forth in Article V.B.
B. Notwithstanding the foregoing, we may:
1. contact, or use any third party to contact, any person insured by us, formerly insured by us, or who hasapplied to be insured by us, to:
a. provide customer service to any such person;
b. process an agent of record change requested by any such person with respect to his or her Policyor Renewal or application for the same;
c. request, receive or verify any information related to any such person with respect to his or herPolicy or Renewal or application for the same;
d. notify any such person of, and collect premiums due on, any Policy or Renewal;
e. change the terms of any Policy or Renewal;
f. provide information regarding insurance-related issues; or
g. refer to another independent insurance producer any such person who is insured by us and whomoves to a jurisdiction where you are not licensed or authorized to solicit our insurance products;and
2. access, use and disclose information regarding Policies and Renewals, including Expiration Information,only for the purposes set forth in Article V.B.1, Section 502(e) of the Gramm-Leach-Bliley Act, marketresearch, product development, regulatory compliance, or determining compliance with this Agreement.
C. Unless otherwise notified by you in writing, we may, in our discretion, offer to renew Policies and Renewalswritten hereunder. When required by applicable law, we will offer to renew such Policies and Renewals. Ifwe make such offers to renew, then subject to Article IV and Article V.E, we will continue to designate you asthe producer and pay you commissions on each resulting Renewal in accordance with our then-currentcommission schedules.
D. Until you fully discharge your financial obligations to us under this Agreement, we hereby retain and youhereby grant to us a security interest in your Expiration Information to the extent of any such financialobligation, and you agree to execute such documents as we may require to evidence, preserve or perfect thissecurity interest
E. We will own all rights in Expiration Information and all expiration and renewal rights related to Policies andRenewals, and we will have no further obligation to pay you commissions hereunder only if:
1. we terminate this Agreement pursuant to Article VI.C.1 due to your failure to timely pay all amounts dueand owing to us;
2. we terminate this Agreement pursuant to Article VI.C.2 because you have abandoned, or been deemed to haveabandoned, your business; or automatically, on the effective date of the sale, transfer, or meger of Producer.
3. after termination of this Agreement, you fail to remit or make available funds due and owing to us whenand as required by this Agreement, and such funds are not remitted or made available to us within ten(10) days after the date of our written notice to remit such funds.

Article VI. Term and Termination

A. This Agreement will become effective upon the Effective Date, and will continue in effect until terminated asprovided in this Section.
B. Unless otherwise required by law, we may terminate this Agreement at any time immediately upon theexpiration of at least ninety (10) days' advance written notice to your last known address. Any such noticeshall take effect on the later of ninety (10) days after the date of such notice, or the date for terminationspecified in the notice.
C. Unless otherwise required by law, the advance notice required by this Section does not apply to us, and wemay terminate this Agreement immediately upon written notice to your last known address, if:
1. you fail to remit or make available funds due and owing to us when and as required by this Agreement,and such funds are not remitted or made available to us within ten (10) days after the date of our writtennotice to remit such funds;
2. you abandon your business. You will be deemed to have abandoned your business if you cease tomaintain a published telephone number or office location open to the public, or you change your telephonenumber or office location without providing prior written notice of the change to us and to your customerswho are insured by us;
3. your producer license is suspended or revoked;
4. you engage in any fraudulent act against us or any applicant for or insured under a Policy or Renewal; or
5. you otherwise fail, in any material respect, to comply with this Agreement, and do not cure such failure, orsuch failure is incapable of being cured, within ten (10) days after the date of our written notice thereof.
D. You may terminate this Agreement at any time immediately upon written notice to us

Article VII. Rights After Termination

A. Upon and after the expiration or termination of this Agreement:
1. all authority given to you by this Agreement ends;
2. we may notify any person insured under a Policy or Renewal of the expiration or termination of thisAgreement;
3. you will promptly cease use of our advertising and Trademarks and return, at your expense, all of ourmanuals, forms, identification cards, signs, records, materials, applications, rate guides, UnderwritingRequirements, software, and any and all other property that we have made available to you;
4. all in-force Policies and Renewals will continue to normal expiration, subject to their terms; and
5. in our discretion, we may pay you commissions on New Business and Renewals as a percentage ofearned premium, rather than written premium.
B. Notwithstanding the foregoing:
1. unless this Agreement is terminated by us pursuant to Article VI.C, and subject to Article II.D.1, you willcontinue to have authority to service Policies and Renewals outstanding after termination of thisAgreement, you may retain those materials of ours that are necessary to exercise this authority, and wewill provide you with access to information necessary to the exercise of this authority; and
2. at your request, we will provide to you copies of any Policy and Renewal contracts and relateddeclarations pages in our possession or control. We shall provide the same either electronically or inhard copy, at our option.
C. The following provisions will survive the termination of this Agreement: Article II.C.4; Article II.D; Article III.A.7through Article III.A.16; Article III.B.1 through Article III.B.7; Article V; Article VII; Article VIII; Article IX; andArticle X.

Article VIII. Fiduciary Responsibilities

A. You agree to hold in a fiduciary capacity for our benefit all funds received by you on our behalf, including,without limitation, premiums for insurance written under this Agreement. If mutually agreed between you andus, you will deposit such funds into a bank account for electronic transfer to us. If you fail to remit or makethese funds available to us in a timely fashion, as required by this Agreement and the UnderwritingRequirements, we will have a first lien on such funds. After the expiration or termination of this Agreement, youagree to continue to hold these funds in a fiduciary capacity for our benefit until you remit or make these fundsavailable to us.
B. Notwithstanding anything in this Agreement to the contrary, we may set off any amounts due and owing to youunder this Agreement or any other agreement between you and us, against any amounts due from you to usunder this Agreement or any other agreement between you and us

Article IX. Privacy Compliance

A. We will provide a privacy notice to our insureds as required by law. We will notify you in writing if you arerequired to provide a privacy notice to applicants on our behalf.
B. We may provide to you information regarding applicants, insureds or claimants that is not collected by you. Theuse and disclosure of such information is subject to the terms of our privacy notice and applicable privacylaws. Accordingly, you agree not to further disclose or use any such information, except as necessary to carryout the purpose for which we provide it, or as expressly authorized by the person to whom it pertains.
C. You must take steps to ensure the security and confidentiality of information concerning applicants, insuredsand claimants under Policies and Renewals. Subject to the provisions of Article III.A.11, this includes takingreasonable steps to destroy, or arrange for the destruction of, records containing such information that are nolonger to be retained by you by shredding, erasing or otherwise modifying the personal information in thoserecords to make it unreadable or undecipherable through any means

Article X. Indemnification
A. We will indemnify, defend, and hold you harmless for and from all liabilities, losses, damages, judgments,actions, and expenses, including reasonable attorneys' fees (collectively, "Losses"), that you sustain due toour negligence, any wrongful acts, errors or omissions on our part, or our failure to comply with the provisionsof this Agreement or our Underwriting Requirements. This indemnification shall include, without limitation, anyLosses that you sustain due to our use of consumer credit information if you have complied with ourprocedures for use or ordering of the same. You agree to immediately notify us when you learn of or receiveany claim that you feel is covered under this Article. We shall have the right to participate, at our expense, inthe investigation and defense of any such claim, and may, at our option, assume full defense of any actionfiled. If we assume the defense, we will not be liable to you for any cost of litigation, including, withoutlimitation, court costs and attorneys' fees, that you incur subsequent to our decision to assume defense ofany such action.
B. You will indemnify, defend and hold us harmless for and from all Losses that we sustain due to yournegligence, any wrongful acts, errors or omissions on your part, or your failure to comply with the provisionsof this Agreement or our Underwriting Requirements. We agree to immediately notify you when we learn ofor receive any claim that we feel is covered under this Article. You shall have the right to participate, at yourexpense, in the investigation and defense of any such claim

Article XI. Miscellaneous

A. Written notices under Article V.C and Article VI shall be provided in hard copy and shall be sent to the intendedrecipient's last known address. All other written notices required under this Agreement may be provided inwriting, by email or other electronic means, such as fax, and the parties hereby consent to receive suchnotices via fax. Notices shall be effective: (1) upon receipt if hand delivered; (2) upon receipt orrefusal to accept delivery if sent by certified mail; (3) three days after mailing if sent by U.S. first-class mail,postage prepaid; (4) the next business day after being sent by overnight delivery service; and (5) the nextbusiness day after machine-confirmation of successful transmission if sent by fax or email.
B. This Agreement will be governed by and interpreted under the laws of the jurisdiction of your address fornotices set forth in Article XII. Any provision of this Agreement that is contrary to the controlling law is herebydeemed to be amended to bring it in compliance with that law. The determination by a court of competentjurisdiction that any provision of this Agreement is unenforceable will in no way impair or affect the validity orenforceability of any other provision of this Agreement.
C. This Agreement contains the entire understanding between the parties and supersedes all previousagreements between the parties, oral or written, with respect to any insurance product that you are authorizedto solicit under this Agreement. Such agreements are hereby terminated by the mutual agreement of theparties as of the Effective Date of this Agreement.
D. This Agreement may not be modified or amended except in writing that expressly refers to this Agreementand that is signed by both parties.
E. This Agreement will be binding on and will inure to the benefit of the parties and their respective successorsand permitted assigns. Except as provided in this Section, neither this Agreement nor any rights, duties orauthority hereunder may be assigned or delegated by either party without the prior consent in writing of theother party. Upon written notice to you, we may assign this Agreement, or assign our rights or delegate ourduties under this Agreement, to any of our existing or future corporate affiliates. Upon written notice to us,you may assign your rights to receive commissions on Renewals to any duly licensed insurance producer,and upon receipt of such notice we will pay such commissions to the assignee, subject to our right to set offunder Article VIII.B and the assignee's agreement to refund unearned commissions under Article III.A.16, andprovided that the conditions of Article IV.A, other than Article IV.A.3, are met with respect to the assignee andsuch Renewals.
F. The captions contained in this Agreement are for organizational purposes only and do not constitute a part ofthis Agreement.
G. A party's failure to insist upon strict compliance with any of the provisions of this Agreement or theUnderwriting Requirements will not constitute a continuing waiver of the right to insist upon such compliance.
H. The rights and remedies of the parties under this Agreement are cumulative and in addition to any rights andremedies available to the parties at law or in equity.
I. The relationship between the parties is that of independent contractors. You are responsible for thedevelopment and execution of your marketing plans, and all other aspects of the operation of your businessand facilities, including, without limitation, hours of operation, advertising, utilities, taxes, hiring, employmentand training. Neither party is responsible for the debts and liabilities of the other, and nothing shall bedeemed to create or recognize any relationship other than that which is expressly described herein. This isnot an exclusive Agreement

Article XII. Effective Date, Territory, Identifying Information, etc.

Territory: Texas

Authorized Insurance Product(s):
Redpoint County Mutual: Personal Auto,
Mercury Insurance: Commercial Auto
Qualitas Insurance Company: Personal Auto
FMBC: Home Owner, Mobile Home, Farm & Ranch
Selective Flood
Chubb Insurance Company

Insurance Producer Information

Insurance Company Information
Address for Notices:
Corporate Compliance Officer

Quantum Alliance
2931 Ridge Road #106
Rockwall TX 75032
Fax: 1-972-476-1253
email: Marketing@QuantumMGA.com

Commissions payable for coverages provided in various insurance companies at rates set out below:

Insurance Company	New Business Commission	Renewal Business Commission
Quantum Personal Auto	8%	8%
Mercury Commercial Auto	10%	10%
Quantum Azul Personal Auto	8%	8%
FMBC	10%	10%
Selective Flood	17%	17%
Chubb Insurance Company	15%	15%

Article XIII. Effective Date, Territory, Identifying Information, etc. (Continued) 
Insurance Producer Information (Continued) 

Insurance Producer

InsuranceCompany’s or MGA

By:______________________
Name: Charles McMillan
Title: CEO

2931 Ridge Road #106, Rockwall TX 75032

Phone (855) 935-1233 * Fax (972) 476-1253 Email: Marketing@QuantumMGA.com

Quantum Alliance General Agency LLC/Quantum Alliance Corporation, (Quantum) is hereby authorized to present credit/debit entries of any amount on the agency’s account at the depository financial institution named below for the payment of settlement due to Quantum by the agency. This authorization, when completed constitutes compliance with NACHA ACH rules.

The authority is to remain in effect until Quantum has received written notification of its termination in such time and manner as to afford Quantum and the financial institution a reasonable opportunity to act on it.

Any changes to the account mentioned below will require completion of new forms and voided check copy.

2931 Ridge Road #106 Rockwall Texas 75032

(855) 935-1233 FAX (972) 476-1253, Email Marketing@QuantumMGA.com

Quantum Alliance General Agency LLC/Quantum Alliance Corporation, (Quantum) is hereby authorized to initate electronic debit withdrawals on the agency’s account indicated below and the depository financial institution named below for payment of settlements due to Quantum by the agency and to debit or credit the same to such account. This arrangement does not affect the agency’s primary obligation for payment. If this item is returned unpaid, I authorize an additional returned check fee of the maximum amount as allowed by the state to be charged to this account. This authorization is to remain in effect until Apollo is notified in writing to the contrary. Payments receipted on the Apollo website as producer electronic checks will be withdrawn from the agency’s account.

Authorized Signature (as shown on Account)

FOR OFFICE USE ONLY:
Quantum Alliance Producer Number ___________________ EFFECTIVE DATE to begin Electronic Withdrawal process _______________________

Request for Taxpayer
Identification Number and Certification

Give from to the requester. Do not send to IRS

Part I  Taxpayer identification Number(TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid

backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter.

Or

EFFECTIVE DATE to begin Electronic Withdrawal process
Part II Certification

Under penalties of perjury, I certify that:

1.The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exemot from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notifled me that I am no longer subject to backup withholding, and
3.I am a U.S. citizen or other U.S. person (defined below).

Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.

For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. See the instructions on page 4.

Sign Here 

General InstructionsSection
references are to the Internal Revenue Code unless otherwise noted.

Purpose of Form

A person who is required to file an information return with the

IRS must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA.

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to:

Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),
Certify that you are not subject to backup withholding, or
Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income.
Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form If it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

An individual who is a U.S. citizen or U.S. resident alien,
A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States,
An estate (other than a foreign estate), or
A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax.

Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income.

The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States is in the following cases:

• The U.S. owner of a disregarded entity and not the entity,