For more information visit us online at or call us at (800)766-0310
Dealer Agreement 1110
TLC Representative Name: Agent Acct. Number:
Name of Dealer: Dealer Acct. Number:
Address: Dealer Tax ID:
City: State: Zip Code:
Phone: Fax: Retail Rate:
F&I Contact: GM Contact:
Email: Email:
Dealership Info: Lending Sources: ___________________________________________
New Used Both Franchised Lines: ___________________________________________
Number of Locations: Single Multiple (Provide a Dealer Application for each address.)
Type: Auto RV Commercial
It is understood that the presentation of the TLC GAP program by the undersigned associates of TLC was
not a solicitation of insurance and that the representative of the seller signing this document so acknowledges.
Also, it is understood that the sale of a GAP waiver to my customers is not an insurance transaction.
I have read and understand the guidelines and eligibility requirements for the Total Loss Coverage GAP
Program and agree to market the product in accordance with the materials provided. I agree to submit all TLC
waivers sold and proceeds collected to TLC GAP Administrators or their representative within 15 days of the
close of the month in which they were sold. Failure to do so may result in waivers being returned.
This agreement is entered into by and between The Wildfire Group, LLC an Alabama corporation, dba Total
Loss Coverage (TLC) GAP located at 518 E. Barbour St., Eufaula, Alabama 36027, referred to as the COMPANY
referred to as the DEALER.
1. Dealer may offer the TLC GAP waiver to its loan (or lease on applicable products) customers, referred to as
Waivers under the Program. DEALER shall enter into such Waivers when the collateral is originally sold,
leased, or financed and only on Waivers supplied by COMPANY, and only on eligible collateral.
2. Neither COMPANY nor the insurer shall be responsible for processing any claim for loans not reported or
under any Waiver not reported to COMPANY, and/or for which COMPANY has not received payment as
provided herein.
3. DEALER shall not at any time be authorized to alter, supplement, modify, or waive any terms or conditions
of Waivers issued by DEALER.
4. No relationship of principal and agent, employer and employee, partnership, joint venture, or the like shall
be created between COMPANY and DEALER. DEALER shall be solely responsible for all expense incurred in
performing the terms of the Agreement.
Dealer Application &
Administrative Agreement
For more information visit us online at or call us at (800)766-0310
Dealer Agreement 1110
5. In the event that any amount of money becomes due or repayable as the result of cancellation for any
reason, DEALER agrees to return the full or pro-rata portion of any amount(s) received or retained by such
DEALER, whether prior to or subsequent to the termination of this Agreement.
6. COMPANY agrees to secure insurance through a qualified company to protect both the COMPANY and the
DEALER from any liabilities arising from Programs sold. Evidence of such coverage will be made available to
the DEALER upon request.
7. This Agreement may be terminated at any time by either party by thirty (30) days written notice to the
other. However, COMPANY may terminate the Agreement immediately if DEALER violates any applicable
laws or fails to fulfill any of its obligations hereunder. Termination shall not affect rights or duties of either
party with respect to Waivers properly issued and paid for prior to the effective date of such termination.
8. This Agreement shall be governed by and construed in accordance with the laws of the State of Alabama
without regard to any otherwise applicable principles or conflict of laws.
9. If any term, covenant, or condition of this Agreement shall be found by a court of competent jurisdiction to
be, to any extent, invalid or unenforceable under any law, rule, or regulation, the remainder of the
Agreement shall not be affected thereby, and each term, covenant, or condition shall be valid and
enforced to the fullest extent permitted by law. Upon determination that any such term is invalid, illegal,
or unenforceable, the parties hereto shall seek in good faith to amend this Agreement so as to effect the
original intent of the parties as closely as possible in an acceptable manner.
10. This Agreement constitutes the full and entire understanding and agreement between the parties. Except
as expressly provided in this Agreement, no amendment, supplement, or modification of this Agreement
nor any waiver of any provision thereof shall be made except in writing executed by both parties to this
IN WITNESS WHEREOF, the parties have duly executed and made this Agreement effective as of this
day of 20________.
The Wildfire Group, LLC dba
Total Loss Coverage GAP Dealership
By: _______________________________________ By: ______________________________________
Print name: _________________________________ Print name:________________________________
Title: ______________________________________ Title: _____________________________________
Date: ______________________________________ Date: _____________________________________