The General Certificate of Secondary Education (GCSE) is an academic qualification awarded in a number of countries including the United Kingdom, India and Pakistan. The GCSE is generally taken by students aged 14-16, and is designed to certify that the holder has achieved an acceptable level of education. In the UK, the GCSE is administered by Ofqual, and replaced the former School Certificate and Ordinary Level qualifications. In order to qualify for a GCSE, students must typically pass five subjects including English Language and Mathematics. The Oxford Capacity Analysis (OCA) is a psychometric test used to measure cognitive ability. It was developed by Dr. Paul Church at Oxford University in collaboration with psychologists from around the world. The OCA consists of verbal, numerical and non-verbal reasoning sections, as well as a personality questionnaire. The test is used by businesses and organisations around the world to assess job candidates’ suitability for specific role
| 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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No. |
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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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