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Vela Application Form
Do you currently have, or have you had in the past, a controlling interest in any other similar operations whether active, inactive, or dissolved?
Have you ever declared bankruptcy under this name or any other similar entity in which you have had a controlling interest?
New York State Applicants: Any work in the five boroughs of New York?
All Applicants: Do you do any work in Colorado?
Does applicant currently own/operate any other business?
Do you use Subcontractors?
Do you collect certificates from
all
subcontractors?
Do you require all subcontractors to name you as Additional Insured, including for Completed Operations, and is this part of the written contract?
Do you require all subcontractors to defend, indemnify and hold you harmless from their activities and is this part of the written contract?
Have you ever built a home from the ground up?
Ongoing Operations only
Ongoing Operations including Completed Operations
If yes, do you wish coverage for this exposure?
Do you anticipate needing Waivers of Subrogation in the next year?
Have you allowed or will you allow your license to be used by any other contractor for a project on which you have worked?
Has any other licensing authority taken any action against you?
Have you built or will you build on hillsides, terraces, landfills or areas with recent subsidence activity?
Our policy is
not
intended to provide coverage for this exposure. Do you wish coverage?
Do you use scaffolding?
Have you been involved or will you be involved with blasting operations or any other hazardous work activity?
Do you perform synthetic stucco work (EIFS)?
Are you interested in coverage for EIFS work? (If so, please complete the separate application.)
Do any of your subcontractors perform EIFS work?
Do you verify that coverage for this exposure is in place and not excluded?
Have you built/demolished or will you build/demolish buildings or other structures in excess of four (4) stories?
Do you perform work above two stories in height (other than interior remodel)?
Do you perform any work at Airports?
Do you own, rent or subcontract any cranes?
Have you been involved or will you or your subcontractors be involved in any removal of asbestos, PCB's or other hazardous materials?
Removal or work on fuel tanks or pipelines?
Hot Tar
Torch Down
Modified Bitumen (HOT)
Modified Bitumen (COLD)
Hot Air Welding
Do you perform any Mold Remediation Work?
Do any of your subcontractors perform Mold Remediation Work?
If yes, is coverage in place?
Have you performed or will you or your subcontractors perform any work below grade?
Any shoring, underpinning, cofferdam or caisson work?
Have you worked or will you or your employees work under the U.S. Longshoremen's and Harbor Workers Act or Jones Maritime Act?
Do you have a formal safety program in place?
Will you upcoming work involve construction of or involvement with condominiums or townhouses?
If yes, is the work new construction?
Repair or Remodel only?
Is the work done for Homeowners Associations (not individual owners)?
Have you ever worked in new condominiums/townhouses?
Will your upcoming work involve the construction of or involvement with apartments?
If yes, is the work new construction?
Repair or Remodel only?
Have you ever worked in new apartments?
Will your upcoming work involve the construction of or involvement with new Duplexes, Triplexes, Fourplexes or Patio Homes.
Are the units individually owned and titled?
Have you ever worked in new Duplexes, Triplexes, Fourplexes or Patio Homes?
Will your upcoming work involve construction in any new home tracts?
Have you ever worked in new tract developments?
Any current Wrap-Up/OCIP/CCIP Projects?
Have you ever worked in new assisted living facilities?
Does it involve any individual unit ownership?
Have you or will you ever convert apartments to condominiums?
Any other exposures/operations not otherwise covered by this questionnaire?
Have there been any losses, claims or suits against you in the past eight years?
Are there any claims or legal actions pending against any active, inactive or dissolved entities in which you have had a controlling interest?
After inquiry, do you have knowledge of any pre-existing act, omission, event, condition or damage to any person or property that might reasonably be expected to give rise to any future claim or legal action against any person or entity identified in the application?
Have you been accused of faulty construction in the past 8 years?
Have you been accused of breaching a contract in the past 8 years?
Have you filed any Mechanic's Liens in the past 8 years?
Do you need to fill out applications for Tree Trimming, Landscape Gardening, & Lawn Care?
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