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Builder Bulletin 19R - Module 1A FRC Application Form ... - Tarion

Builder Bulletin 19R - Module 1A FRC Application Form ... - Tarion

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6. Please tell us about the number of staff you have.<br />

Professional<br />

Technical<br />

Administrative<br />

Other<br />

<strong>Builder</strong> <strong>Bulletin</strong> <strong>19R</strong> – <strong>FRC</strong> <strong>Application</strong> <strong>Form</strong><br />

Version: June 2010<br />

Full time Part time Total<br />

7. Please supply information about your insurance arrangements.<br />

Name of Carrier: Professional Liability Policy: YES NO<br />

Policy Number(s): Expiry Date:<br />

PLEASE NOTE: The applicant must have professional liability coverage. Arrangements must be made for the<br />

insurance carrier to send the relevant information (e.g. the Policy Binder) to <strong>Tarion</strong>. The applicant must make these<br />

arrangements. The documentation must show:<br />

• Name of carrier • Type of policy • Limit of liability (per occurrence and aggregate limits) • Policy period<br />

Please confirm you have made the above arrangements (check box):<br />

SECTION TWO: PROJECT INFORMATION<br />

8. How many projects is your firm involved with at the present time?<br />

(Where projects consist of multiple units being constructed under one development name, this will be considered one<br />

project.)<br />

No. of Residential: No. of Mixed Use:<br />

9. Please list current and/or past projects according to the variables below.<br />

(Details of last 6 projects.)<br />

Project Name<br />

City/Province/<br />

State<br />

Project Gross<br />

Floor Area (ft.)<br />

Time and Duration<br />

of Involvement<br />

Page 2 of 4<br />

Applicant’s Role<br />

e.g. Architect. <strong>FRC</strong>,<br />

etc.<br />

Project Type<br />

e.g. Low Rise,<br />

Commercial, B19 etc.

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