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.
Fields in bold are required: |
