The Owners & Contractors Protective Application (OCP), excluding all habitational construction and specifically not applicable in New York, serves as a crucial document for ensuring both parties are properly insured throughout the duration of a construction project. This form encompasses detailed information pertaining to the project owner and contractor, including addresses, years in business, and areas of construction specialization. Additionally, it requires the submission of insurance certificates at the time of binding, stipulating both general liability (GL) and umbrella coverage. One of the form's key components is the five-year incurred general liability loss ratio for the contractor, a requisite for obtaining a quote, alongside a record of significant general liability losses over the past five years. The form mandates specifications of required OCP limits, the project's location, and a thorough job description, which encompasses construction type and end use. Moreover, it imposes restrictions, notably on projects exceeding 12 stories in height, and requires detailed information regarding project safeguards, such as fencing, lighting, and security. Additionally, it addresses the timeline of the project, anticipated costs, the extent of subcontractor involvement—including insurance and contractual obligations towards subcontractors—and encompasses specific inquiries regarding the handling of utility lines and potential exposures. This stringent documentation process also contains a disclaimer regarding the legality and repercussions of submitting false information, underscoring the significance of transparency and accuracy in all declarations made through the OCP form.
| Question | Answer |
|---|---|
| Form Name | Form Gc Ocp |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | OCP, 1MM, materially, indemnification |
OWNERS & CONTRACTORS PROTECTI VE APPLI CATI ON
( EXCLUDI NG ALL HABI TATI ONAL CONSTRUCTI ON & NEW YORK)
1.Insured/Project Owner: Address of Insured:
No. |
Street |
City |
State |
Zip |
2.Contractor:
Address:
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State |
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Contractors Coverage (GL & Umbrella) |
- Copy of Cert Required at Time of Binding |
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Carrier (Primary) |
Limits |
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Policy Date |
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Carrier (Umbrella) |
Limits |
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Policy Date |
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Number of years in Business: |
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Contractor Specializes in: |
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construction |
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Contractor’s Gross Receipts: |
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Contractor’s Total Payroll: |
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3.Five Year Incurred General Liability Loss Ratio for the contractor (A quote will not be given without this information)
4.Description of all General Liability losses for the contractor over $25,000 in the past 5 years:
5. |
OCP Limits Required: |
$1MM/$1MM |
Other: |
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6. |
Location of the Project: |
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Address: |
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Street |
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7. |
Description of the Job, including job number, construction, end use, etc. (NOTE, decline if over 12 stories): |
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8.Description of Safeguards surrounding the project:
9.Is the project:
a. |
Fenced |
No |
Yes |
b. |
Lighted |
No |
Yes |
c. |
Guarded 24 hours |
No |
Yes |
10. |
Surrounding Structures: |
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Right Side: |
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Left Side: |
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Front: |
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Back: |
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11. |
Anticipated start date: |
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12. |
Anticipated finish date: |
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13. |
Full Contract Cost |
$ |
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14. |
Will the contractor stated in question 2 be doing all of the work? |
No |
Yes |
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If “No,” what percentage of work will be done by contractor |
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%? |
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Description of work performed by subcontractors, and cost: |
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15.Are certificates of insurance obtained prior to subcontractors starting work? Minimum limits required of $1,000,000?
Is the contractor named additional insured on the subcontractor’s policy?
No Yes
No Yes
No Yes
MANDATORY: Copy of w ritten contract w ith subs naming contractor as additional insured on the subcontractor’s policy and adequate hold harmless/ indemnification required.
16.Will there be any blasting: If “Yes,” we will decline.
17.Will utility lines need to be moved or disturbed in any way: If “Yes,” please explain:
No
No
Yes
Yes
If “Yes” to above, is Miss Utility/Other Utility Locator Service contacted?
No
Yes
18. Any USL&H Exposure?
No
Yes
*Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, may be committing a fraudulent insurance act, and may be subject to a civil penalty or fine.
*not applicable in all states
SIGNATURES: |
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PRODUCER |
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DATE |
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CONTRACTOR |
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DATE |
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