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Get Appointed
Contractors Managing General Insurance
Agency, Inc. is the Managing General Underwriter (MGU)
for National Contractors Insurance Company, Inc., A Risk
Retention Group (NCIC). The following documents along with
Brokers Agreement will be required to become appointed
to represent the programs offered though CMGIA:
1. W-9
2. Current copy of your License
3. Current E & O Verification
4. Current copy of your firms brokers bond
Please be advised, Part II: Certification
on the W-9 form requires that you certify the taxpayer
identification number you show on this form to be accurate.
In the event you provide inaccurate information you may
be subject to a monetary penalty charge. This monetary
penalty charge will be the same amount as the Fine that
is imposed on Contractor Managing General Insurance Agency,
Inc. by the IRS when inaccurate information is supplied.
If your agency has separate offices that
would like to be appointed with Contractor Managing General
Insurance Agency, Inc. and/or is already appointed with
our firm, please indicate on the enclosed Agreement or
separate sheet of paper.
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