The Q Policy Site Registration & Quotation Form · Strip/Trench Fill Grouting Raft ☐ Dynamic...
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Form 003/1111 – Site Quotation Page 1 of 8 The Q Policy Site Registration & Quotation Form Using this Form This form should be completed to provide details of a site where a premium quotation is required for Q Structural Defects Insurance. Please submit this form as soon as site details are known. Notification of your intentions at an early stage will help us to meet your requirements. No fees or payments are required with this form. At the very latest the form must be submitted a minimum of 20 days before work starts, or a minimum of 40 days before work starts if the site had a previous use (and will require Statutory Notice Indemnity Cover), or incorporates non-conventional construction methods or materials. Please complete this form as far as possible and submit electronically together with any supporting information to [email protected]. Applicant Details Date Company Name Person making this Application Title First Name Surname E-mail Address Telephone Contact Number Mobile Other Your Contact Address (including Postcode) Development Type Please select The Q Policy cover you require Q Residential (Open Market Properties for private sale) ☐ Q Affordable Housing (RSL / Shared Ownership etc) ☐ If you’re not sure what policy you need or if the policy you need is not listed above, please contact Q Customer Services on 0333 577 2800 Site Details Site Name (if applicable) Site Address (including Postcode) Local Authority Expected Start Date of Works Expected Duration If works have already commenced, you will need to speak to Q directly before submitting this form, however please complete the rest of the form below first. Has a Principal Designer been appointed? (Under the CDM Regulations 2015, a Principal Designer must be appointed for all construction projects which involve more than one contractor) Yes ☐ No ☐ Principal Designer Contact Name E-mail Address
Transcript of The Q Policy Site Registration & Quotation Form · Strip/Trench Fill Grouting Raft ☐ Dynamic...
Form 003/1111 – Site Quotation Page 1 of 8
The Q Policy Site Registration & Quotation Form
Using this Form
This form should be completed to provide details of a site where a premium quotation is required for Q Structural Defects Insurance. Please submit this form as soon as site details are known. Notification of your intentions at an early stage will help us to meet your requirements. No fees or payments are required with this form. At the very latest the form must be submitted a minimum of 20 days before work starts, or a minimum of 40 days before work starts if the site had a previous use (and will require Statutory Notice Indemnity Cover), or incorporates non-conventional construction methods or materials. Please complete this form as far as possible and submit electronically together with any supporting information to [email protected].
Applicant Details
Date
Company Name
Person making this Application Title First Name Surname
E-mail Address
Telephone Contact Number Mobile Other
Your Contact Address (including Postcode)
Development Type
Please select The Q Policy cover you require
Q Residential (Open Market Properties for private sale) ☐
Q Affordable Housing (RSL / Shared Ownership etc) ☐
If you’re not sure what policy you need or if the policy you need is not listed above, please contact Q Customer Services on 0333 577 2800
Site Details
Site Name (if applicable)
Site Address
(including Postcode)
Local Authority
Expected Start Date of Works Expected Duration
If works have already commenced, you will need to speak to Q directly before submitting this form, however please complete the rest of the form below first.
Has a Principal Designer been appointed? (Under the CDM Regulations 2015, a Principal Designer must be appointed for all construction projects which involve more than one contractor)
Yes ☐ No ☐
Principal Designer Contact Name
E-mail Address
initiator:[email protected];wfState:distributed;wfType:email;workflowId:0745540493042248b979936209be4125
Form 003/1111 – Site Quotation Page 2 of 8
The Q Policy Site Registration & Quotation Form
Permissions
Has Planning Permission been obtained? Yes ☐ No ☐
Has Building Regulation approval been obtained? Yes ☐ No ☐
Have you already appointed a Building Control Body? Yes ☐ No ☐
If yes, please provide contact details:
Name of Building Control Body
Contact Name
E-mail Address
Telephone Contact Number Mobile Other
Please confirm that a Site Investigation has been carried out: Yes ☐ No ☐ Report Enclosed ☐
Technical Advisor / Support (for all technical matters relating to the site & design)
Contact Name
E-mail Address
Telephone Contact Number Mobile Other
Administration Contact (for matters relating to documentation / fees / registration)
Contact Name
E-mail Address
Telephone Contact Number Mobile Other
Client / Developer Details
Definition: The Developer is the company or person who owns the land where the site will be built and is selling the units.
Please provide the Developer’s Name:
Is the Developer already registered with Q as a Developer? Yes ☐ No ☐
If YES, please provide the registration number:
Contact E-mail Address
Telephone Contact Number Mobile Other
Contact Address (including Postcode)
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The Q Policy Site Registration & Quotation Form
Builder Details
A registered Q Builder must be employed to construct the properties covered by The Q Policy.
Is the Builder the same as the Developer (shown above)? Yes ☐ No ☐
If NO, please provide the Builder’s Company Name:
Contact Name
Contact E-mail Address
Telephone Contact Number Mobile
Contact Address (including Postcode)
Is the Builder already registered with Q as a Builder? Yes ☐ No ☐
If YES, please provide the registration number
If NO, is the Builder currently registered with another warranty provider? Yes ☐ No ☐
If YES, please state the current provider
Registration Number Current Rating
How long has the Builder been registered with the provider?
Please provide a copy of the relevant Registration Certificates ☐ Enclosed
Property Details
Please state the total number of units on site, including all phases and residential & non-residential plots
What is the total estimated sales value for the site?
£ What is the total estimated reconstruction cost for the site?
£
Do any single units, blocks or buildings have a reconstruction cost higher than £5,000,000? Yes ☐ No ☐
Are any units over 3 storeys? If YES, please provide details below Yes ☐ No ☐
Are there any existing units on site? If YES, please provide details below Yes ☐ No ☐
Are any units attached or structurally connected to any other structures (existing or planned) that are not included in this application? If YES, please provide details below
Yes ☐ No ☐
Is the site phased? Yes ☐ No ☐
If YES, what is the anticipated number of phases? How many units are in the first phase?
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The Q Policy Site Registration & Quotation Form
Customer Deposit Protection
Do you take Customer Deposits or pre-payments? Yes ☐ No ☐
Under the Consumer Code for New Homes, Developers are required to confirm how Customer Deposits will be protected.
Please provide the details of your Conveyancing Solicitor who will handle the sale of New Homes for you on this site:
Company Name
Contact Name
Contact E-mail Address
Please confirm how Customer Deposits are to be protected for this site:
☐ Developer to purchase Deposit Protection Insurance on behalf of Homeowner
OR ☐ Deposits to remain in Solicitor Client Account until Completion of Sale
OR ☐ Homeowner to be allowed to purchase Deposit Protection Insurance direct from Q
Please note, if the Homeowner does not purchase the Deposit Protection Insurance, the Developer will be required to then confirm one of the other options above.
Please indicate what will happen if the Customer does not purchase Deposit Protection Insurance from Q:
Developer to purchase ☐ Solicitor Client Account ☐
Construction Type
Please indicate the construction methods to be used on this site by selecting the relevant options (please tick all that apply):
Cavity Masonry Construction ☐ Timber Framed Construction ☐
Light Steel Framed Construction ☐ Modern Method of Construction ☐
Other ☐
If ‘Modern Method of Construction’ or ‘Other’, please describe below
Foundation Type
Please indicate the type of Foundations to be used by selecting the relevant options (please tick all that apply):
Strip/Trench Fill Grouting Raft ☐ Dynamic Compaction ☐
Piled ☐ Basement(s) ☐
Engineered Fill ☐ Retaining Wall ☐
Vibro ☐ Other ☐
If ‘Other’, please describe below
Is any Ground Treatment required / has any Ground Treatment been carried out?) Yes ☐ No ☐
If YES, please provide details
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The Q Policy Site Registration & Quotation Form
Site Issues
Please indicate if the site is subject to any of the following hazards/issues:
High Water Table or Flooding Risk ☐ Mining (e.g. coal, lead, tin, chalk, salt) ☐
Made Ground or Fill ☐ Radon or Ground Gases (e.g. CO2, Methane) ☐
Proposed, Existing or Felled Trees on Clay Soils ☐ Natural Cavities (e.g. Limestone) ☐
Steep Slopes >1 in 10 ☐ Contaminated Soils or Ground water ☐
Soft Ground or Peat/ Sulphates ☐ Other ☐
If ‘Other’, please describe below
Has a specialist Contamination Investigation been carried out? Yes ☐ No ☐
If YES, please provide a copy (electronically only) ☐ Enclosed
Existing Information (Drawings, Reports etc.)
Please provide copies of the following as a minimum:
Location Plan (1:1250 min) ☐ Proposed Site Layout ☐
If available at this stage, please provide:
Elevations (min 1:100) ☐ Floor Plans – all floors (min 1:50) ☐
Sections (min 1:50) ☐ Roof Plan/Layout (min 1:50) ☐
Drainage System, Layout & Connections (min 1:500) ☐ Construction Specification ☐
Details of any Specialist System to be used ☐ Other ☐
If using any Specialist System or if you have selected ‘Other’, please specify what additional information you are appending
Additional Q Technical Services
If you are interested in receiving further information relating to any of the following Q Technical Services, please select the relevant options:
Architectural Design (Site Optimisation, Planning, Working Drawings) ☐
Party Wall Surveying ☐
Life Time Homes Assessment ☐
Energy Rating / EPC ☐
Testing Services (Air Leakage & Acoustic Testing) ☐
Sustainability Services (Code for Sustainable Homes / Eco-Homes Assessment) ☐
Principal Designer / CDM Advisor Services (under CDM Regulations 2015) ☐
Health & Safety Services (Construction Phase H&S Plans, Method Statements, Site Safety Inspections, Waste Management Plans) ☐
Form 003/1111 – Site Quotation Page 6 of 8
The Q Policy Site Registration & Quotation Form
APPENDIX 1 – PLOT SPECIFIC DETAILS
Please complete the following table in respect of the new structure/structures Should you require any further space to record additional plots, please don’t hesitate to contact Q Customer Services on 0333 577 2800
Plot No.
Type (Flat, Terrace, Semi-Detached, Detached)
Sales Value (£)
Construction Cost (£)
Detached Building to be Covered? (garage etc.)
New / Conversion? Residential /
Non-Residential Floor Area
(m²) Basement?
Number of Storeys
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The Q Policy Site Registration & Quotation Form
Plot No.
Type (Flat, Terrace, Semi-Detached, Detached)
Sales Value (£)
Construction Cost (£)
Detached Building to be Covered? (garage etc.)
New / Conversion? Residential /
Non-Residential Floor Area
(m²) Basement?
Number of Storeys
Total Number of Residential Plots Total Number of Non-Residential Plots Total Number of New Build
Non-Residential Plots Total Number of Converted
Non-Residential Plots
Are there any Mixed-Use Blocks? Yes ☐ No ☐ If YES, what is the total floor area of the residential plots (m2)?
What is the total floor area of non-residential plots (m2)?
Please provide a brief description of all uses, other than residential
Form 003/1111 – Site Quotation Page 8 of 8
The Q Policy Site Registration & Quotation Form
Conditions
Quotations for Structural Defects Insurance, products or services relating to the site will be issued on the understanding that the information provided on this form is correct. Should any information subsequently change or prove to be inaccurate, Q reserves the right to amend quotations or cancel registrations. Q may cancel the Site Notification and any Q Cover in respect of any Home or non-residential plot included therein if construction has not commenced within one year or completed within three years of the date of the Site Notification. Q reserves the right not to refund fees.
Completing and Returning the Form
If you need any assistance completing this form, please call 0333 577 800 and ask for Q Customer Services. Please email your completed form and accompanying information (plans, drawings, reports) to [email protected]
FOR OFFICE USE ONLY
ADDITIONAL Q COMMENTS / INFORMATION
Q Representative Date
