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Electronic Document Delivery Enrollment

Southern Fidelity Insurance Paperless Enrollment

Southern Fidelity Insurance would like to thank you for enrolling in our new paperless document system. This easy-to-use system saves you time and money by eliminating paper bills. In order to receive your documents electronically, simply complete the short form below and click on the submit button. We will validate your information and insure that you are authorized to request this change. We will send you an email confirmation of your enrollment to the email address indicated on the form.

Customer Enrollment Form

First Name
Last Name
Email Address

Re-Enter Email Address
Policy Number

Property Zip Code

Terms and Conditions

Southern Fidelity Insurance Company, Inc.
Electronic Document Delivery System

Please take a moment to review the terms of this agreement so that you understand both the benefits and
limitations of Southern Fidelity Insurance Company, Inc. (SFIC) Electronic Document Delivery System.

Electronic Document Delivery Agreement

To activate SFIC Electronic Document Delivery, you must agree to the following terms and conditions:

SCOPE AND ACCEPTANCE OF TERMS. When you sign below, you are consenting to the electronic delivery of
all policy documents and notices. You will continue to receive state required notices via mail.  Your preference to receive your documents electronically will remain in effect until amended by you or until this Agreement is canceled. In the event of equipment failure and you are unable to retrieve your emails, you may obtain a copy of any document on paper by telephoning SFIC Customer Service Department at 866-874-7342 or by sending a written request to: 
Southern Fidelity Insurance Company, PO Box 16029, Tallahassee, Florida, 32317-6029. No fee will be imposed to receive a paper copy of any document delivered electronically.

NOTICE AND PLACE OF DELIVERY.  SFIC will deliver documents to your current email address. You will receive your documents as an embedded link in the email. When you click on the link your documents will appear in the browser. However, you must immediately notify us if your email address changes. To submit a change of email address, send a letter to SFIC, Attn:  Customer Service, PO Box 16029, Tallahassee, Florida, 32317-6029. You may also submit email address changes by calling 866-874-73742 or visiting our web site at http://www.southernfidelityins.com

YOUR RESPONSIBILITIES. Equipment/Access requirements: In order to use the Electronic Document Delivery
System, you must obtain access to the world wide web. Additionally, you must have a computer with a web
browser, modem, telephone link (or other access device), equipment with the ability to download electronic
documents and a printer meeting the following minimum software/hardware/system requirements (or the
equivalent of enhanced/upgraded versions thereof):
•	an active email account
•	a PC or Mac with access to the Internet
•	Microsoft Internet Explorer 6.0 or higher or Netscape Communicator or Navigator 4.06 or higher with128-bit encryption (free software you can download)
•	Adobe Acrobat Reader 5.0 or higher (free software you can download).
•	Immediately notify us of any change in your email address. You are solely responsible for the cost andmaintenance of such equipment. You represent and warrant that you have the equipment and access capabilitiesto receive documents electronically.

You are responsible for the use, protection and confidentiality of your email, as well as other policy numbers, account information, and email address information.  Please notify SFIC immediately if you become aware of a theft, loss or unauthorized use of your personal information.  Open and read your documents. You are responsible for accessing, opening and reading your Documents.  Documents can contain important and legally binding notices, information and conditions. Documents delivered pursuant to this Agreement will constitute your only notice of matters contained in the Documents, except when mandated by state law for normal delivery of documents via mail. You are responsible for promptly notifying SFIC if any Documents you receive are not accessible or are incomplete or unreadable.

CANCELLATION RIGHTS. You may cancel this Agreement at any time by:  (A) providing thirty (30) days written
notice by postal delivery addressed to: Southern Fidelity Insurance Company, Attn:  Customer Service, PO Box 16029, Tallahassee, Florida, 32317-6029; or (B) by calling 866-874-7342 to request cancellation of electronic delivery. You may cancel this Agreement if there is any change in the hardware or software required to access, download or retain documents or to otherwise use Electronic Delivery. SFIC will not impose any fees for cancellation. Cancellation is effective 30 days after we receive your written notice of cancellation by postal delivery or 5 days if done by phone. Cancellation shall not affect the legal effectiveness, validity or enforceability of documents provided to you prior to the effective date of cancellation.

OTHER CANCELLATION RIGHTS.  SFIC may also cancel this Agreement and your access to
Electronic Document Delivery for any reason. If SFIC cancels this Agreement, notice of cancellation will be
provided to you by postal delivery or as otherwise allowed or required by law.

AMENDMENT OF AGREEMENT.  SFIC reserves the right, at any time, to amend the terms of this Agreement or any portion of the Electronic Document Delivery Agreement. SFIC will notify you of any amendments to this Agreement (including any changes in the hardware or software required to access and retain documents) by providing notice to you at your email address or by postal delivery or as otherwise allowed or required by law. You will be deemed to have accepted any amendment to this agreement made by SFIC unless you cancel this Agreement within 30 calendar days from the date of delivery of the amendment to you.

NO WARRANTIES/LIMITATIONS OF LIABILITY.   SFIC cannot foresee or anticipate technical or other difficulties. Therefore, SFIC makes no warranty that Electronic Document Delivery will be uninterrupted or error free. SFIC is not liable for any loss or damage arising from:  (A) your failure to comply with the provisions of this agreement; (B) interruption in electronic document Delivery due to problems with your equipment or errors/delays in communication and transmission lines; or (C) any occurrence beyond SFIC's reasonable control.

DISPUTE RESOLUTION. If any controversy or claim related to this Agreement or the delivery of electronic
disclosures should arise, the parties will submit the dispute to non-binding mediation. If complete agreement
cannot be reached, any remaining issues will be resolved by binding arbitration under the Federal Arbitration
Act. The parties will conduct the mediation and, if necessary the arbitration under the then current rules of the
American Arbitration Association. The parties will pay their own costs (including attorney's fees) associated
with the mediation and arbitration.

MISCELLANEOUS. This Agreement constitutes the entire agreement of the parties with respect to the subject
matter hereof. This Agreement will be governed by and construed in accordance with the Electronic Signatures in
Global and National Commerce Act. If any provision of the Agreement is found by a court of competent jurisdiction to be invalid or unenforceable the parties agree that the court should endeavor to give effect to the parties’ intentions as reflected in this Agreement, and the other provisions of this Agreement shall remain in full force and effect. Any delay or omission by SFIC to exercise any rights under this Agreement shall not be construed to be a waiver thereof. You may not assign this Agreement or any of the rights hereunder without SFIC’s prior consent.

AGREEMENT. By signing below, you acknowledge that you have read, understood and agree to the terms and
conditions set forth in the Agreement.

By clicking the submit button, you have just helped our environment. If you have any questions or experience any problems, please contact customer service at 1-866-874-7342 or click the chat button to talk with one of our customer service representatives.

Email Address

This is where you put your personal email address where you will receive an email each month with an electronic copy of your bill that looks exactly like the paper bill you receive now.

Policy Number

This is the first 10 digits of the policy number at the top right of your bill.

Property Zip Code

This is the 5 digit zip code of the property that is insured by your policy.