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Russo
Picciurro Maloy,LLC
Privacy Policy Notice
(as of June 15,2001)
PURPOSE
OF THIS NOTICE
Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits
any financial institution, directly or through its affiliates,
from sharing nonpublic personal information about you with a non-affiliated
third party unless the institution provides you with a notice
of its privacy policies and practices, such as the type of information
that it collects about you and the categories of persons or entities
to whom it may be disclosed. In compliance with the GLBA, we are
providing you with this document, which notifies you of the privacy
policies and practices of Russo Picciurro Maloy, RPM Insurance
Agency and Russo-Picciurro Agency, LLC.
The
GLBA further requires that we inform you that you have a right
to prevent us from sharing nonpublic personal information about
you with a non-affiliated third party for any purpose that is
not specifically authorized by law. Your right to prevent us from
sharing nonpublic personal information about you with a non-affiliated
third party for a purpose that is not specifically authorized
by law is called your right to "opt out" of such information
sharing.
OUR
PRIVACY POLICIES AND PRACTICES
1.
Information we collect:
We collect nonpublic personal information about you from the following
sources:
Information
we receive from you on applications or other forms.
Information
about your transactions with us, our affiliates or others.
Information
we receive from a consumer reporting agency.
Unless it
is specifically stated otherwise in an amended Privacy Policy
Notice, no additional information will be collected about you.
2.
Information we may disclose to third parties:
We may disclose the following kinds of nonpublic personal information
about you:
Information
we receive from you on applications or other forms, such as your
name, address,
social security number, assets, income, and beneficiaries;
Information
about your transactions with us, our affiliates or others, such
as your policy coverage,
premiums, and payment history; and
Information
we receive from a consumer reporting agency, such as your creditworthiness
and credit
history.
We may disclose all of the information we collect, as described
above, about our customers or former customers, to companies that
perform marketing services on our behalf or to other financial
institutions with whom we have joint marketing agreements. We
also may disclose information about our customers or former customers
as permitted by law.
3.
Non-affiliated third parties to whom disclosures may be made:
We may disclose nonpublic personal information about you, such
as we have described above, to the following types of third parties
that perform marketing services on our behalf or with whom we
have joint marketing agreements:
Fulfillment
service providers, such as envelope stuffing services;
Financial
institutions with whom we have joint marketing agreements, such
as:national banks
and their subsidiaries; Federal branches and Federal agencies
of foreign banks, and any
subsidiaries of such entities;member banks of the Federal Reserve
System;branches and
agencies of foreign banks and commercial lending companies
owned by foreign banks;organizations operating under the Federal
Reserve Act; bank holding companies and their non-bank
subsidiaries; banks insured by the FDIC; insured state branches
of foreign banks and any subsidiaries of such entities; savings
associations, the deposits of which are insured
by the FDIC, and any subsidiaries of such savings associations;
federally insured credit
unions and any subsidiaries thereof; securities brokers or dealers;
investment companies;
and insurance providers
We may also disclose nonpublic personal information about you
to non-affiliated third parties as permitted by law.
As
we have indicated in this Privacy Policy Notice, we collect certain
nonpublic personal information about you, and we may disclose
that information to certain non-affiliated third parties for purposes
other than those expressly permitted by the Gramm-Leach-Bliley
Act and the federal and state regulations implementing that Act.
If you prefer that we not disclose nonpublic personal information
about you to non-affiliated third parties, you may opt out of
those disclosures, that is, you may direct us not to make those
disclosures (other than those disclosures that are expressly permitted
by the Gramm-Leach-Bliley Act and its implementing regulations).
If
you wish to opt out of such disclosures to non-affiliated third
parties, you may:
Check the appropriate box below or on the attached form
4. Affiliates with whom we share certain information protected
by the Fair Credit Reporting Act, unless you tell us not to:
Unless you tell us not to, we may share with our affiliated
companies information about you, including:
Information
we obtain from your insurance application, such as your income
or your marital status; Information we obtain from a consumer
report, such your credit score or credit history; Information
we obtain to verify representations made by you, such as your
open lines of credit; and Information we obtain from a person
regarding its employment, credit, or other relationship with you,
such as your employment history.
Our
affiliated companies who may receive this information are:
Financial
service providers, such as: mortgage lenders and brokers
Non-financial
companies, such as: retailers, direct marketers, airlines,and
publishers
Our other
affiliates, such as: nonprofit organizations
If
you prefer that we not share this information with our affiliated
companies, you may direct us not to share this information by
doing the following: Check the appropriate box on the attached
form.
5.
Our practices regarding information confidentiality and security:
We restrict access to nonpublic personal information about
you to those employees who need to know that information in order
to provide products or services to you. We maintain physical,
electronic, and procedural safeguards that comply with federal
regulations to guard your nonpublic personal information.
6.
Our policy regarding dispute resolution:
Any controversy or claim arising out of or relating to our
privacy policy, or the breach thereof, shall be settled by arbitration
in accordance with the rules of the American Arbitration Association,
and judgment upon the award rendered by the arbitrator(s) may
be entered in any court having jurisdiction thereof.
7.
Reservation of the right to disclose information in unforeseen
circumstances:
In connection with the potential sale or transfer of its interests,
Russo Picciurro Maloy and its affiliates, if any, reserves the
right to sell or transfer your information (including but not
limited to your address, name, age, sex, zip code, state and country
of residency and other information that you provide through other
communications) to a third party entity that (1) concentrates
its business in a similar practice or service; (2) agrees to be
Russo Picciurro Maloy's successor in interest with regard to the
maintenance and protection of the information collected; and (3)
agrees to the obligations of this privacy statement.
8.
Customer acknowledgment and signature:
By signing my name below, I am indicating that I have read
the privacy policy of Russo Picciurro Maloy and that I
understand its terms. No promises or representations have been
made to me to induce me to sign this form.
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Opt Out Form
(as of June 15,2001)
Please
read the text below and decide whether you wish to exercise your
right to opt out of the information sharing described. If you
choose to exercise your right to opt out, you must mail this form
back to us at 1000 South Avenue Staten Island, New York 10314..
Your response must be postmarked no later than 30 days from the
date you received this notice from us in person in order for it
to be valid. If you do not mail this form back or do not mail
it back within 30 days, you have not exercised your opt out right,
and we can share the information described.
______ I wish to exercise my right under the Gramm- Leach-Bliley
Act to opt out of Russo Picciurro Maloy's sharing nonpublic personal
information about me to non-affiliated third parties for purposes
other than those that are permitted by law.
______
I wish to exercise my right under the Fair Credit Reporting Act
to opt out of Russo Picciurro Maloy's sharing nontransactional
information about me to affiliates.
_____________________________________ ________________________
Customer Signature Date Policy
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