2.0 Site Address

The postal address of the site being developed

Please provide address details including site name (if applicable) and a partial postcode if full postcode not available.

3.0 Nature of Development

The type(s) and number of properties being developed at the above address

Does the development contain any barn conversions? * Yes No

Is the building listed? * Yes No

Grade of listing

Is your development located in England or Wales? * Yes No

3.1 New Homes

How many New Homes units are included on this site? *

Of which how many are conversion units? *

3.2 Social Housing

How many Social Housing units are included on this site? *

Of which how many are conversion units? *

3.3 Commercial

How many commercial units are included on this site? *

Of which how many are conversion units? *

3.5 Private Rental

How many private rental units are included on this site? *

Of which how many are conversion units? *

3.6 PRS Select

How many PRS Select units are included on this site? *

Of which how many are conversion units? *

Maximum number of storeys above ground *

Maximum number of storeys below ground *

Estimated start date of construction *

Estimated end date of construction *

Has construction started? * Yes No

Please provide details of the stage of construction *

Please provide additional information for construction stage if required

4.0 Registration

Developer Registration

Definition: A Developer is a company which owns the land on which the development is being built and may or may not be responsible for both the construction and sale of property

Developer Company Name

Are you acting as a Sole Developer or Developer/Builder?

Are you currently registered with LABC Warranty? * Yes No

Please insert your LABC Warranty registration number *

Is the person listed as the main contact also the main contact for the Developer? * Yes No

Please provide the contact details of the developer

Contact Name *

Email Address *

Postcode *

Telephone *

Address *

4.1 Trading Status

Trading Status Options *

For Limited Companies please provide your company registration number *

If Other, please provide details *

Year the developer was established *

4.2 Company Background

Providing details of the company / past development experience will help to ensure you receive the best possible rating for your quotation. If no information is provided it will be assumed that the Developer has no experience and it is highly likely that terms will not be provided.

Is property development your full-time occupation? * Yes No

If No, please provide details of occupation *

Number of units constructed in the last financial year *

Number of units to be built in the next 12 months *

Estimated value of land bank held *

4.3 Details of previous development projects

Please detail the type of construction i.e. new build conversion / refurbishment.If you have construction experience with other companies or you have other developments that you have been involved with which you believe are relevant please detail on a supplementary sheet.

Warranty Provider

Reconstruction Cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction Cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction Cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction Cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction Cost *

Number of units *

Construction type *

Project Address *

4.4 Membership with other warranty providers

Is the company currently registered with a new home warranty provider? If yes, please provide details * Yes No

Name of Warranty Provider	Current Rating	Length of time registered (years)

Has the business ever been refused membership, been removed from a new home warranty provider’s register or is currently in dispute with a new home warranty provider? * Yes No

If Yes, please give details of when this occurred, with which provider and why etc. *

4.5 Associations

Where possible organisations can / will be grouped together for financial security purposes. We may require some form of financial security and providing details of a company that can provide a form of guarantee will increase the options available to you.

Is there a parent / holding company (or other company able to provide a form of guarantee) associated with this organisation? * Yes No

Registered Company Name *

Company Registration Number *

Contact Name *

Email *

Telephone *

Postcode *

LABC Warranty registration number (if applicable)

Address *

Additional Information

Builder Registration

Definition: A Builder is a company which constructs properties on behalf of a Developer or Client.

Are you employing a Builder for your development? * Yes No

Builder company name *

Is the Builder currently registered with LABC Warranty? * Yes No

Builders LABC Warranty registration number (if applicable)

Builders Contact Name *

Builder Email Address *

Builders Telephone *

Builders Postcode *

Builders Address *

4.6 Trading Status

Trading Status Options *

For limited companies, please provide your company registration number *

Trading Status Other Details *

Year the builder was established *

4.7 Company Background

Is property development your full-time occupation? * Yes No

Please provide details of occupation *

Number of units constructed in the last financial year *

Number of units to be built in the next 12 months *

4.8 Details of previous development projects

Please provide details of the Builder's previous development projects.

Warranty Provider

Reconstruction cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction cost *

Number of units *

Construction type *

Project Address *

Do you want to add another previous development project? * Yes No

Warranty Provider

Reconstruction cost *

Number of units *

Construction type *

Project Address *

4.9 Membership with other warranty providers

Is the company currently registered with a new home warranty provider? If yes, please provide details * Yes No

Name of Warranty Provider	Current Rating	Length of time registered (years)

Has the business ever been refused membership, been removed from a new home warranty provider’s register or is currently in dispute with a new home warranty provider? * Yes No

If Yes, please give details of when this occurred, with which provider and why etc. *

4.10 Associations

Is there a parent / holding company (or other company able to provide a form of guarantee) associated with this organisation? * Yes No

Registered Company Name *

Company Registration Number *

Contact Name *

Email *

Telephone *

Postcode *

LABC Warranty registration number (if applicable)

Address *

Additional Information

7.0 Conversion / Refurbishment

As none of the properties you are building contains any conversion or refurbishment elements, please move onto the next section.

Section to be completed if any properties you are building contain any conversion or refurbishment elements

How was the existing structure used? *

Other (Please provide details) *

Approximate year in which the property was built? *

Please provide copies of the existing and proposed plans

Has the Developer / Builder had experience in conversion or refurbishment projects? * Yes No

Has a condition survey been carried out? * Yes No

Have any other surveys or tests been carried out on the existing structure? * Yes No

Is the site in a conservation area? * Yes No

Please provide a brief description of the works being carried out *

Please provide copies of relevant surveys, reports etc. with this application.

Please provide copies of relevant surveys, reports etc. with this application. Where possible, please provide electronic copies of documentation. We will not be able to return any paper copies supplied.

Survey Upload 1

Survey Upload 2

Report Upload 1

Report Upload 2

Other Upload 1

Other Upload 2

8.0 Site in Administration

Has the site been / is it currently in administration? * Yes No

Administrator Name *

Postcode *

Contact Name *

Email *

Telephone *

Address *

Name of Previous Developer *

Name of previous building control provider *

Was the development registered with a new home warranty provider? * Yes No

Name of new home warranty provider	Rating	Length of time registered (years)

Have any of the units on site already completed? * Yes No

Are any of the completed units part of a block? * Yes No

If Yes, please give details including evidence of registration any supporting certification

Please provide supporting documentation 1

Please provide supporting documentation 2

Please provide supporting documentation 3

Please confirm the date works originally ceased on site following previous Developer administration *

Can you provide the following supplementary information to support your application

A site plan clearly showing the units that cover is required for * Available Not Available

Site plan 1

Site plan 2

Site plan 3

Confirmation of all consultants involved in the project * Available Not Available

Consultant documents 1

Consultant documents 2

Previous warranty inspection records * Available Not Available

Warranty Inspection Records 1

Warranty Inspection Records 2

Full design plans * Available Not Available

Design Plans

Any reports undertaken including: ground investigation/contamination/damp/timber/tanking/coal/radon/any other and additional desktop information * Available Not Available

Additional reports 1

Additional reports 2

Additional reports 3

Copies of Building Control sign off * Available Not Available

Building control docs 1

Building control docs 2

Building control docs 3

Any photographs of the build stages * Available Not Available

Photographs 1

Photographs 2

Photographs 3

10.0 Declaration

By checking this box I/we declare that to the best of my/our knowledge and belief, the information I/we have given is correct and complete in every detail on behalf of the proposed insured. *

By checking this box I/we understand that completing this form does not bind us to effecting products under LABC Warranty but agree that should the quotation be accepted, that this proposal and the statements made therein shall form the basis of the contract between me/us and the Underwriter, MD Insurance Services Ltd. and any of its subsidiaries *

Name *

Job title *

Date *

For and on behalf of *

11.0 Supplementary Information

How did you hear about LABC Warranty? *

If other, please provide details *

LABC Warranty may share personal info

By completing this form, you are agreeing to LABC Warranty saving and processing the information provided. LABC Warranty may share personal information with credit reference agencies and companies for use in credit decisions and fraud prevention, to pursue debtors and to assist us in the administration of warranty and insurance cover. We may also make periodic searches at credit reference agencies and fraud prevention agencies to manage your account.

Additional Information

If you are an individual consumer, sole trader or partnership, please note that by submitting this application form, you indicate your consent to receiving email marketing messages from us. If you want to receive such messages, tick here

Select your account manager (if applicable) *

Search

LABC Warranty Application Form

Application Form

1.0 Development Type

Have you checked our self build warranty rates?

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Contact details

1.1 Main point of contact for general correspondence

1.2 For Access to the Site

1.3 For Invoice Purposes

1.4 For Building Control

2.0 Site Address

3.0 Nature of Development

3.1 New Homes

3.2 Social Housing

3.3 Commercial

3.5 Private Rental

3.6 PRS Select

4.0 Registration

Developer Registration

4.1 Trading Status

4.2 Company Background

4.3 Details of previous development projects

4.4 Membership with other warranty providers

4.5 Associations

Builder Registration

4.6 Trading Status

4.7 Company Background

4.8 Details of previous development projects

4.9 Membership with other warranty providers

4.10 Associations

5.0 Technical Information

5.1 Attached and Existing Structures

5.2 Non-Traditional & Non-Standard Construction

6.0 Detailed Site Information

Please complete the following unit matrix identifying sums insured / unit types.

6.1 New Homes

Insolvency of Developer During Build cover

6.2 Social Housing

6.2.1 Social Housing - Additional cover options available

6.3 Commercial projects

6.3.1 Commercial - Additional Cover Options Available for Waiver of Subrogation Rights

6.6 Private Rental / PRS Select - For owners of private residential

Rent Portfolio

For Private Rental Select only: Excess required (please select one option)

6.6.1 Additional cover options available

7.0 Conversion / Refurbishment

Please provide copies of relevant surveys, reports etc. with this application.

8.0 Site in Administration

9.0 Claims Experience and General Insurance Question

10.0 Declaration

11.0 Supplementary Information

12.0 Submitting your form

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