FLORIDA SURPLUS LINES ASSOCIATION
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1 FLORIDA SURPLUS LINES ASSOCIATION ANNUAL Attendee Registration Brochure Online registration available at
2 ANNUAL Table of Contents Convention Schedule 2 Speakers 4 Hotel Information & Events Registration 6 7 Wednesday August 1 11:00 A.M. - 7:30 P.M. Registration 11:00 A.M. - 2:00 P.M. Grab N Go Lunch - new this year 3:00 P.M. - 3:15 P.M. Welcome 3:15 P.M. - 4:15 P.M. Business Session Gary D. Pullen, Executive Director FSLSO Legislative Update Ashley Kalifeh and Gerald Wester Capital City Consulting 4:30 P.M - 5:30 P.M. Keynote Presentation William Large, President Florida Justice Reform Institute 5:30 P.M. - 6:00 P.M. First Timers Reception 6:00 P.M. - 7:30 P.M. Opening Reception 7:30 P.M. - 9:30 P.M. Dinner on Your Own 9:30 P.M. - 12:00 A.M. Hospitality Reception 4:15 P.M. - 4:30 P.M. Break
3 ANNUAL Thursday August 2 7:30 A.M. - 8:30 A.M. Continental Breakfast 8:30 A.M. - 9:00 A.M. Welcome, Introductions & President s Speech 9:00 A.M. - 10:15 A.M. Legislative Panel Moderated by Ashley Kalifeh Capital City Consulting 10:15 A.M. - 10:45 A.M. Break 10:45 A.M. - 11:45 A.M. Keynote Presentation Tom Clark, President Nationwide Excess & Surplus/Specialty 11:45 A.M. - 12:00 P.M. Announcements 12:15 P.M. - 5:00 P.M. Chihuly Tour, Glass Blowing Workshop and Luncheon 12:30 P.M. - 5:30 P.M.* FSLA Tom Enright Golf Classic 12:30 P.M. - 5:30 P.M.* Let s Go Fishing Tournament 7:00 P.M. - 8:00 P.M. Reception 8:00 P.M. - 10:00 P.M. Banquet Dinner and Raffle 10:00 P.M. - 12:00 A.M. Hospitality Reception - Dueling Pianos Experience! *Golf and fishing times are subject to change. Friday August 3 No FSLA sponsored activities planned. Enjoy St. Petersburg Beach and the Don CeSar hotel. 3PAGE
4 Keynote Speaker ANNUAL Tom Clark Tom Clark brings more than 33 years of technical and leadership experience in the insurance industry to Nationwide. Tom first joined the E&S/Specialty team in September of 2014 as a Senior Vice President, and assumed the role of President in December Leading a $3.6 billion-dollar organization and more than 1,800 associates, Tom is focused on delivering profitable growth through strengthening distribution partnerships, creating a great environment for associates, and effectively managing resources. Prior to joining E&S/Specialty, Tom served as Senior Vice President of Field Operations for Allied Insurance. He was also Senior Vice President of Field Operations for Harleysville, and Vice President of Harleysville s New Jersey branch office. His other roles include Regional Vice President for Allied s South Eastern Regional Office. Additional highlights of Tom s career include being the Commercial Lines Executive for the Mid-Atlantic region of Fireman s Fund, Special Risk Manager for the Treiber Group (now part of RPS), Western Area Marketing Manager for Clarendon National Insurance Company, and Business Development Manager and Underwriting Services Manager for Cigna Corp. Tom holds a bachelor s degree in information systems management from the University of San Francisco, as well as a bachelor s degree in business administration from Wheeling Jesuit University. Deeply committed to corporate citizenship, Tom is on the board of St. Mary s Foodbank Alliance in Phoenix, and is also the leader for Nationwide s National Pride ARG out of Columbus. He resides with his family in Scottsdale, Arizona. About Nationwide Nationwide, a Fortune 100 company based in Columbus, Ohio, is one of the largest and strongest diversified insurance and financial services organizations in the U.S. and is rated A+ by both A.M. Best and Standard & Poor s. The company provides a full range of insurance and financial services, including auto, commercial, homeowners, farm and life insurance; public and private sector retirement plans, annuities and mutual funds; banking and mortgages; excess & surplus, specialty and surety; pet, motorcycle and boat insurance. For more information, visit
5 Keynote Speaker ANNUAL William W. Large William W. Large is the founding president of the Florida Justice Reform Institute. Prior to serving as president, Mr. Large served as Governor Bush's deputy chief of staff responsible for a portfolio of health and human service agencies. Before that, Mr. Large served as general counsel for the Florida Department of Health and during that time served as director of the Governor's Task Force on Professional Liability Insurance. Prior to working for the state, Mr. Large was a partner practicing in professional malpractice litigation defense. Mr. Large is admitted to practice before all Florida courts and U.S. District Courts in Florida, and the U.S. Supreme Court. Mr. Large is "AV" rated by Martindale-Hubbell and a member of the Federalist Society, the Florida Defense Lawyers Association and the Defense Research Institute. On April 15, 2011, Mr. Large was appointed by U.S. Senators Marco Rubio and Bill Nelson to serve on the Federal Judicial Nominating Commission for the Northern District of Florida, and has been reappointed since. Convention Speakers Mr. Large holds B.S. and J.D. degrees from the University of Florida, and an M.B.A, an M.S in Political Science, and an M.S. in Risk Management and Insurance from Florida State University. Ashley Kalifeh, Esq. Capital City Consulting, LLC Gerald Wester Capital City Consulting, LLC Gary D. Pullen Florida Surplus Lines Service Office 5PAGE
6 ANNUAL Hotel Information & Events Let s Go Fishing Tournament Thursday 12:30 P.M. 5:30 P.M. The Don CeSar 3400 Gulf Boulevard St. Petersburg Beach, FL The FSLA has secured a special reduced rate of $229 per night. There is a $12/night resort fee for FSLA attendees. Reservations must be made by Monday, July 9, 2018 to receive this special reduced rate. Be sure to mention you are with the Florida Surplus Lines Association (FSLA). The association can only reserve a certain number of rooms at the discounted rate. Once the room block is sold out, even if that day is prior to the cutoff date, a higher prevailing room rate will apply. Online Reservations: Phone: Join us for the annual Let s Go Fishing Tournament embarking from the Don CeSar. Enjoy the finest fishing that the St. Petersburg area offers with almost 600 miles of coastline, the St. Petersburg/Clearwater area is a fishing nirvana! Hotel Cancellation Policy: Reservations must be canceled three days prior to arrival to avoid a one night s room & tax penalty. Hotel room rates are subject to applicable State and local taxes in effect at time of check out. FSLA Tom Enright Golf Classic Thursday 12:30 P.M. 5:30 P.M. The tournament will be held at the Isla del Sol Yacht & Country Club, which is nestled between the southern tip of St. Petersburg and St. Petersburg Beach, just north of Tierra Verde and offers a first-class 18-hole golf. The 18-hole Isla Del Sol course features 6,392 yards of golf from the longest tees for a par of 71. Designed by Mark Mahannah, ASGCA, the Isla Del Sol golf course is a local favorite. Chihuly Collection Tour, Morean Arts Center Glass Blowing Workshop and Luncheon Thursday 12:15 P.M. 5:00 P.M. We will visit the Chihuly Collection, a stunning, permanent collection of world-renowned artist Dale Chihuly s unique artwork. After the Tour, we will enjoy a hands-on Glass Blowing Workshop. You will watch, learn and participate with your very own sculpted glass flower making experience in the Morean Glass Studio & Hot Shop! Participants will enjoy a luncheon at the Don CeSar prior to the tour. Transportation to and from the tour will be provided. FSLA Convention - Luncheon Only A lunch only option at the Don CeSar is available for attendees who would like to participate in the luncheon and enjoy the afternoon on property or explore St. Petersburg Beach.
7 ANNUAL 2018 FSLA Annual Convention Registration Form Please print or type. Please photocopy form for additional registrants. Company Name: Member Name: Designation(s): Name to Appear on Badge: Company Address: City: State: Zip: Phone: State of Florida License Number: FSLA MEMBER FULL REGISTRATION Includes: Wednesday Night Opening Reception and Thursday Night Banquet/Raffle. Before 7/1/18 After 7/1/18 Onsite First Member $700 $750 $800 Each Additional Registration $600 $700 n/a *Attendees must be from the same company. FSLA Member Spouse/Guest $350 $400 $400 NON-MEMBER FULL REGISTRATION Includes: Wednesday Night Opening Reception and Thursday Night Banquet/Raffle. Non-Member $1,000 $1,100 $1,150 Non-Member Spouse/Guest $500 $550 $550 ADDITIONAL EVENT OPTIONS (Member, Non-Member, Spouse/Guest) The Tom Enright Golf Classic $160 Fishing Tournament $180 Chihuly Collection Tour, Glass Blowing $150 Workshop & Luncheon Luncheon Only (Thursday) $60 AMOUNT DUE $ REQUESTS FOR GOLF FOURSOMES OR FISHING GROUPS (4 per boat) HOW TO REGISTER: ONLINE: MAIL OR FAX PAYMENTS TO: Florida Surplus Lines Association 325 John Knox Rd #L103 Tallahassee, FL FAX: (850) Check: (made payable to FSLA) Check # Amount $ Credit Card: Master Card Visa Amex Charge Amount $ SINGLE EVENT OPTIONS One attendee from your office MUST be registered as a Full Registration. One attendee MUST be a Member of the FSLA and/or a Sponsor. Wednesday Night Opening Reception $25 Thursday Night Banquet/Raffle $150 Card # Exp. Date: Security Code: Signature of Card Holder Name: TOTAL AMOUNT DUE $ PAYMENT INFORMATION: Registration form must be postmarked by July 1, 2018 to receive early registration pricing. For more information, contact the Florida Surplus Lines Association office by phone at Print Name Billing Address (if different from above): Refund Policy: Written notification is required for all refunds. Refund requests received by June 30, 2018 will receive a full refund less a $25 administrative fee. Refund requests made on or after July 1, 2018 will receive a 50% refund. ADA: If you have special needs that require accommodations, please notify FSLA in writing no later than July 1, The dress code for the 2018 FSLA Annual Convention is as follows: Receptions and Hospitality: Business Casual, No Shorts. Banquet Dinner: Business Casual, No Shorts. 7PAGE
8 FLORIDA SURPLUS LINES ASSOCIATION 325 JOHN KNOX RD. #L103 TALLAHASSEE, FL REGISTER ONLINE AT MAIL PAYMENTS TO THE INFORMATION LISTED ABOVE OR FAX TO
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