By submitting this information to ReMed Casualty Consultants, you and your company represent and warrant that (i) the information you are submitting is true and accurate at the time of the submission; and (ii) you are an authorized representative of your company who has the proper access and authority to provide this information, make these representations and bind your company.
In addition to any other rights, you acknowledge that any violation of the above representations will constitute an intentional or negligent misrepresentation. You also acknowledge that ReMed Casualty Consultants will rely on the information provided by you, and that you and your company shall be responsible and liable for any damage or injury sustained by ReMed Casualty Consultants in reliance upon such information.