GOOD DRIVER CLUB PROGRAM REFERRER APPLICATION & AGREEMENT
Last Updated: April 14, 2026
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Authorization and Contract. By executing this Good Driver Referrer Application & Agreement (“Agreement”), you apply for legal authorization to become a Good Driver Independent Referrer, as defined in the Referrer Program Terms & Conditions, (hereafter “Referrer”) as an independent contractor business owner and enter into contract with Good Driver Mutuality Inc., (hereinafter “Company”). You acknowledge that prior to signing this Agreement you have received, read and understood the Good Drive Club Program Disclosure, Referrer Program Terms & Conditions, the Privacy Policy, the Affiliate & Referral Program, Retention Rate Rule and, if applicable, the Business Entity Registration Form, and all terms set forth in this Agreement. All documents shall be incorporated into this Agreement, thus collectively referred to as the “Agreement” hereinafter. Company reserves the right to reject any application for any reason within thirty (30) days of receipt.
Expiration, Renewal, and Termination. The term of the Agreement is one year from the date of enrollment. Referrer may cancel the Agreement at any time and for any reason. In order to continue as a Referrer beyond the initial term or any renewal term of this Agreement (unless the Agreement has been previously terminated as provided in the Referrer Program Terms and Conditions), Referrer must renew the Agreement each year. Each renewal term shall likewise be one year from the anniversary of enrollment date. Referrer will be reminded of the upcoming renewal date, by email to Referrer’s email address on file. At that time, Referrer may elect to renew or cancel the Agreement. If you fail to renew the Agreement, or if it is cancelled or terminated for any reason, you understand that you will permanently lose all rights as a Referrer. You shall not be eligible to sell Good Drive Club Program and receive commissions, bonuses, or other income.. Company reserves the right to terminate all Referrer Agreements upon thirty (30) days’ notice if the Company elects to: (1) cease business operations; (2) dissolve as a business entity; or (3) terminate distribution of its services via direct selling channels. A Referrer may cancel this Agreement at any time, and for any reason, upon written notice to Company. Company may also take actions short of termination of the Agreement if the Referrer breaches any of its obligations under the Agreement as specified in the Referrer Program Terms and Conditions.
Independent Contractor Status. You agree this authorization does not make you an employee, agent, or legal representative of Company or your sponsoring Affiliate (if any). As a self-employed independent contractor, you will be operating your own independent business, selling services available through Company on your own account. You have complete freedom in determining the number of hours that you will devote to your business and you have the sole discretion of scheduling such hours. When required by law, you will receive IRS Form 1099-NEC reflecting the amount of commissions and bonuses paid to you by Company during the calendar year. By agreeing to these terms, you agree to receive the 1099-NEC form electronically. It will be your sole responsibility to account for such income on your individual income tax returns.
Presenting the Services. You may develop and create your own sales and promotional aids/materials to promote the Company’s services as specified in the Referrer Program Terms and Conditions. You agree to comply with all legal and regulatory requirements that are applicable to the Company services and further agree that you will cease use of any such sales and promotional aids/materials that are not in compliance with such legal and regulatory requirements upon notification by the Company. You also agree to present the Good Drive Club Program Disclosure to all prospective Referrers and to instruct them to review it prior to enrollment.
Referral of the Service. All Referrers earn commissions off their sale of Company services. Affiliates agree to promote the Company services in the manner that they are presented within Company materials. Commissions are earned as set forth in the Affiliate & Referral Program document.
Refunds. Due to the nature of the services Company offers, the refund policies are subject to a case-by-case basis.
Non-Solicitation Agreement. You acknowledge that Company has a legitimate business interest in preventing the solicitation of its sales force for other direct selling, social selling, affiliate marketing, multilevel marketing, network marketing, or relationship marketing (collectively, “Direct Selling”) programs. Therefore, although Referrers, as independent contractors, are free to participate in other Direct Selling opportunities or programs, Referrer, agrees as follows: As an independent contractor, Referrer may participate in other Direct Selling opportunities or programs. However, during the Term of this Agreement and for one (1) year thereafter, a Referrer, may not recruit any Referrer, Affiliate or Customer for any other Direct Selling business. Notwithstanding the foregoing, a Referrer may recruit the customers that he or she personally sponsored/enrolled for other Direct Selling businesses.
Images / Recordings / Consents. You agree to permit Company to obtain photographs, videos, and other recorded media of you or your likeness. You acknowledge and agree to allow any such recorded media to be used by Company for any lawful purpose, and without compensation.
Modification of Terms. With the exception of the Dispute Resolution Section in the Referrer Program Terms and Conditions, which can only be modified by way of mutual consent, the terms of the Agreement may be modified as specified in the Referrer Program Terms and Conditions.
Governing Law. The formation, construction, interpretation, and enforceability of your contract with Company as set forth in this Referrer Application and Agreement shall be governed by the laws of the State of Delaware, United States of America, without giving effect to any choice of law rule that would cause the application of laws of any jurisdiction other than the laws of the State of Delaware, except that the Federal Arbitration Act shall govern the Dispute Resolution provision of this Agreement and in the Referrer Application and Agreement, without giving effect to any state law to the contrary. If any provision contained herein is found by a court of competent jurisdiction or an arbitrator or arbitral panel to be invalid, illegal or unenforceable in any respect, such provision shall be ineffective, but shall not in any way invalidate or otherwise affect any other provision.
Louisiana residents: Notwithstanding the foregoing, venue and jurisdiction for any claims or disputes arising under or relating to this Referrer Application and Agreement brought by residents of Louisiana shall be established pursuant to Louisiana law.
Dispute Resolution. PLEASE READ CAREFULLY THE DISPUTE RESOLUTION PROVISION IN THIS SECTION AND AS DESCRIBED MORE FULLY IN SECTION 23 OF THE REFERRER PROGRAM TERMS AND CONDITION (COLLECTIVELY THE “DISPUTE RESOLUTION AGREEMENT”) AS IT AFFECTS HOW CLAIMS YOU MAY HAVE AGAINST THE COMPANY, OR CLAIMS THE COMPANY MAY HAVE AGAINST YOU, WILL BE RESOLVED. BY SIGNING AND SUBMITTING THIS APPLICATION, YOU AGREE TO BE BOUND BY THIS DISPUTE RESOLUTION AGREEMENT.
You understand and agree that the Dispute Resolution Agreement operates as a separate and distinct agreement that is severable from the remainder of the Agreement and is enforceable regardless of the enforceability of any other provision of the Agreement or the Agreement as a whole. You further understand and agree that the unenforceability of the the Agreement in whole or in part shall not support a finding that the Dispute Resolution Agreement in this Section is unenforceable. The Dispute Resolution Agreement is accepted by and binding on the Company without need for its signature. Consideration for the Dispute Resolution Agreement includes, without limitation, the parties’ mutual agreement to arbitrate claims and the Company’s agreement to consider the application of this Agreement. The Dispute Resolution Agreement exists and is binding regardless of whether at some future point this Agreement is cancelled or terminated.
ANY CONTROVERSY, CLAIM OR DISPUTE OF WHATEVER NATURE BETWEEN THE COMPANY, COMPANY’S, OWNERS, MEMBERS, MANAGERS, AND EMPLOYEES (“RELATED PARTIES”), ON THE ONE HAND, AND YOU AND/OR THE BENEFICIAL OWNERS OF A REFERRER BUSINESS THAT IS A BUSINESS ENTITY, ON THE OTHER HAND, INCLUDING BUT NOT LIMITED TO THOSE ARISING UNDER OR RELATING TO THE AGREEMENT OR RELATED TO THE SALE, PURCHASE OR USE OF COMPANY SERVICES (WHETHER ARISING IN CONTRACT, TORT OR OTHERWISE) (“DISPUTE”) THAT CANNOT BE RESOLVED THROUGH NEGOTIATION OR MEDIATION AS SET FORTH IN SECTION 23 OF THE REFERRER PROGRAM TERMS AND CONDITIONS SHALL BE SETTLED EXCLUSIVELY BY CONFIDENTIAL, FINAL, BINDING ARBITRATION BEFORE A SINGLE ARBITRATOR, OR, FOR DISPUTES IN EXCESS OF TWO MILLION DOLLARS ($2 MILLION USD), A PANEL OF THREE ARBITRATORS, IN KENT COUNTY IN THE STATE OF DELAWARE, UNITED STATES OF AMERICA, IN ACCORDANCE WITH THE THEN PREVAILING STREAMLINED ARBITRATION RULES & PROCEDURES OF JUDICIAL ARBITRATION AND MEDIATION SERVICES, INC. (“JAMS”) AND AS FURTHER DESCRIBED IN SECTION 23 OF THE REFERRER PROGRAM TERMS AND CONDITIONS.
YOU ALSO AGREE NOT TO INITIATE OR PARTICIPATE IN ANY CLASS ACTION PROCEEDING AGAINST COMPANY, WHETHER IN A JUDICIAL, MEDIATION, OR ARBITRATION PROCEEDING. YOU WAIVE ALL RIGHTS TO BECOME A MEMBER OF ANY CERTIFIED CLASS IN ANY LAWSUIT OR PROCEEDING AND AGREE TO WAIVE YOUR RIGHT TO A JURY TRIAL IN ANY SUCH ACTION AGAINST COMPANY.
Time Limitation. If Company or a Referrer wishes to bring an action against the other for any act or omission relating to or arising from this Agreement, such action must be brought within one (1) year from the date of the alleged conduct giving rise to the cause of action. Company and Referrer waive all claims that any other statutes of limitations apply.
Indemnification. The Referrer agrees to indemnify, defend, and hold harmless Company (together with its Related Parties, stockholders, members, employees, directors, officers, or attorneys) and other Referrer (collectively “Indemnified Parties”) from and against any and all losses or liabilities (including attorneys’ fees) they may suffer or incur as a result of the Referrer’s breach or alleged breach of the Agreement or violation of the law, and any other act or omission that occurs in the course and scope of Referrer’s conduct of business as a Referrer. The provisions of this section survive the termination of the Agreement.
Entire Agreement. The provisions of this Agreement, including all documents incorporated herein by reference, embody the whole agreement between you and Company and supersede any prior agreements, understandings and obligations between you and Company concerning the subject matter of your contract with Company. To the extent of any conflict or inconsistency between this Referrer Application & Agreement and any other incorporated document (other than the Referrer Program Terms & Conditions), this Referrer Application & Agreement shall supersede and prevail over any term of any other incorporated document as to the matters addressed herein. To the extent of any conflict or inconsistency between this Referrer Application & Agreement and the Referrer Program Terms & Conditions (in their current form or as subsequently modified), the Referrer Program Terms & Conditions shall in all instances supersede and prevail over any term of this Referrer Application & Agreement as to the matters addressed herein.
Submission of Electronic W-9. Under penalty 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 exempt 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 notified me that I am no longer subject to backup withholding, and **(**3) I am a U.S. Citizen or other U.S. person (a 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 26 CFR 301.7701-7)).
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