Home Warranty Form

New Home Warranty

WHAT TYPE OF POLICY DO YOU REQUIRE?

1. APPLICANT INFORMATION

1.1 CLIENT DETAILS

Company/Individual's Name *

Contact Name *

Company Reg. No. (If Applicable)

Company Address

City

State/Province

Zip/Postal

Incorporation Date (if applicable)

No. of years trading (If applicable)

No. of years building Exp. (if applicable)

Office Phone *

Mobile Phone

SPV Company

Yes

1.2 PARENT / HOLDING COMPANY INFORMATION

Company Name *

Contact Name *

Contact Position *

Company Reg. No. *

Trading Address

City

State/Province

Zip/Postal

Office Phone

Mobile Phone

1.3 CLAIMS HISTORY

Any claims in the last 3 years?

Yes

Details

2. CONTRACTOR / BUILDER DETAILS

2.1 COMPANY DETAILS

Name *

Contact Name *

Company Reg. No. (If Applicable)

No. of years trading (If applicable)

Incorporation Date (if applicable)

No. of years building Exp. (if applicable)

Office Phone

Mobile Phone

2.2 CLAIMS HISTORY

Any claims in the last 3 years?

Yes

DETAILS

3.2. ABOUT YOUR DEVELOPMENT LAND

Are you aware of any Contamination, currently or historically, on the land or site examples would be landfill, Heavy metals, oils, tars, chemical, gases, asbestos, radioactive or other types of land contamination not listed.

Yes

If Yes provide details (An additional contamination report will be required)

4. CONTACT DETAILS

Site Contact

Name

Phone

Architect

Name

Phone

Engineer

Name

Phone

Project Manager

Name

Phone

5. DURATION OF WORKS

5.1. CURRENT STAGE OF WORKS

Has construction started?

Yes

Construction start date

Details of any work completed to date (Please use a continuance sheet if required)

Detail current stage of construction e.g. site clearance / demolition etc.

Completion date

Enter an estimated completion date if construction is not complete

5.2. DEVELOPMENT PHASES (IF APPLICABLE)

If the development is phased, please provide details below.

Phase 1

Start Date

Expected Completion Date

Units included within the phase

Phase 2

Start Date

Expected Completion Date

Units included within the phase

Phase 3

Start Date

Expected Completion Date

Units included within the phase

6. INSURANCE REQUIRED

Build cost per unit

Total build cost - Contract sum

Existing structure value

8. BUILDING CONTROL FUNCTION

8.1. WARRANTY INSPECTOR

Appointed warranty inspector

8.2. LOCAL AUTHORITY AND BUILDING CONTROL

Name of local authority

Nominated building control

Contact name

Contact e-email

Contact Phone

Planning Application No.

9. GENERAL DATA PROTECTION REGULATION

We will process any personal information we obtain in the course of providing our services to you in accordance with the
general data protection regulation (GDPR). In administering your insurances it will be necessary for us to pass such information
to insurers and other product or service providers which may also provide us with business and compliance support.
Some of the details you may be asked to give us, such as information about offences, are defined by the act as sensitive personal
data. By giving us such information, you signify your consent to it being processed by us in arranging and administering your insurances.
We may also disclose details to relevant parties, as necessary, to comply with regulatory or legal requirements. We may contact you
or pass your details to other companies associated with us in order to promote products or services which may be of interest to you.
We will not otherwise use or disclose the personal information we hold without your consent.
Subject to certain exceptions, you will be entitled to have access to your personal and sensitive personal. If at any time you
Wish us, or any company associated with us, to cease processing any of the personal data or sensitive personal data we hold,
Or to cease contacting you about products and services, please write to us at our Warrington office, as above.

Please tick to confirm that you fully understand and agree to the above statement and are happy for us to process information you provide to us.

I Agree

10. DECLARATION

During the last three years Have you sustained any losses or had any claims that Would be covered by this type of insurance?

Yes

Has any directory, partner or principle: Ever been convicted or is there any prosecution pending for any offence involving dishonesty of any kind?

Yes

Ever been prosecuted or received notification of intended prosecution under the health and safety At work act 1974 or consumer protection act 1987?

Yes

I/we undersigned certify that all details in this proposal form are complete and true and to my/our knowledge no material information relating to the risk
has been voluntarily withheld or omitted.
I/we understand that the signing of this proposal form does not bind us to effect any policy of insurance but agree that if any quotation is accepted
this proposal form and the statements made within shall form the basis of the contract between me/us and the insurers.

Full Name

Position

Date

Please refer to our Privacy Policy for details of compliance with data protection regulations

Security*

If you are human, leave this field blank.

“I want to say thank you to everybody at EBCS for running such a friendly approachable service. Planning and building control is a very confusing subject for me and EBCS have always made it a lot less stressful. I want to say a special thank you to Lindsay for really going out of her way to help us. It helps keep my faith in humanity”

ANONYMOUS

“Emma is great, we only heard good things from our neighbours who have worked with her in the past, and can confirm all that they said was true!!”

KYLE

“I would just like to thank everyone I have dealt with at Building Control over the last week or so. Every single person I spoke with or met with was polite, very helpful efficient and a pleasure to deal with. It is so rare that I can make a statement like this and worthy of praise and a big thank you. On a scale of 1 to 10 your business would get an easy 12.”

COLIN

“Just a quick email to thank-you both for your assistance in completing the regularisation work to our property at *** High Street, Walton. Mark, Lindsay has been fantastic and ensured we received the certificate on the specified date and called to make sure we were kept informed. I can genuinely say that I have received the best customer service possible and I am enormously grateful for your help in making a very difficult situation for us as simple and straightforward as you did.Thanks again.”

JOHN

“I wanted to take a moment to say a big and sincere thank you for your help and patience in securing our final project signoff. At a very stressful time, you were polite, calm and extremely helpful – what a revelation! I really appreciate your help and our move date is now secure. Many Thanks”

RACHEL D.

“Please pass on to the Chief Executive my full praise for Mr Darren O Keefe who always consistently provided clear, concise and practical advice on building control matters. Every time we have a query he is prompt, clear and very well informed. I have not found this to be the case in other local authorities. Thank you we very much, appreciate it.”

SARAH S.

WHAT TYPE OF POLICY DO YOU REQUIRE?

1. APPLICANT INFORMATION

1.2 PARENT / HOLDING COMPANY INFORMATION

1.3 CLAIMS HISTORY

2. CONTRACTOR / BUILDER DETAILS

2.2 CLAIMS HISTORY

3. DEVELOPMENT DETAILS

3.2. ABOUT YOUR DEVELOPMENT LAND

4. CONTACT DETAILS

5. DURATION OF WORKS

5.2. DEVELOPMENT PHASES (IF APPLICABLE)

6. INSURANCE REQUIRED

7. PREMISES INFORMATION

8. BUILDING CONTROL FUNCTION

8.1. WARRANTY INSPECTOR

8.2. LOCAL AUTHORITY AND BUILDING CONTROL

9. GENERAL DATA PROTECTION REGULATION

10. DECLARATION

Please refer to our Privacy Policy for details of compliance with data protection regulations

About

OUR TESTIMONIALS

“Emma is great, we only heard good things from our neighbours who have worked with her in the past, and can confirm all that they said was true!!”

“I wanted to take a moment to say a big and sincere thank you for your help and patience in securing our final project signoff. At a very stressful time, you were polite, calm and extremely helpful – what a revelation! I really appreciate your help and our move date is now secure. Many Thanks”

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