CONSTRUCTION RISKS PROJECT QUESTIONNAIRE GENERAL

Transcription

1 NAME OF PROJECT DATE SUBMITTED TO FM GLOBAL COMPLETED BY 2016 FM Global. All rights reserved. 1 of 10

2 THE INSURED 1. Name of Principal 2. Name of Main Contractor 3. Name and details of any other parties required to be insured THE PROJECT 4. Full Description of the Project 5. Full Address of the Project Site 6. Is this Project Site a Greenfield site or an Existing location? Greenfield site Existing location 7. Full Estimated Contract Value of the Project The value of the Contract Works comprising the permanent works, Temporary Works and all materials to be incorporated therein (plus the value of any Free Issue Materials or Materials for Manufacturing or Processing Operations, if applicable) 8. Summary of Estimated Contract Value Civils (including Ground Works) - Buildings - Process Equipment - Mechanical & Electrical - Free Issue Materials (if applicable) - Materials for Manufacturing or - Processing Operations (if applicable) Is a detailed Breakdown of the Estimated Contract Value available? Yes - attached No 2016 FM Global. All rights reserved. 2 of 10

3 PERIOD OF INSURANCE 9. Construction Period inception date 10. Construction Period expiry date (anticipated date of practical completion) 11. Give details of any Operational Testing Period required 12. Give details of any Maintenance or Defects Liability Period required 13. Give details of any anticipated partial or phased handover, or any plans for taking over or taking into use by the Principal, or any Commercial Operations to be commenced before practical completion of the Project 14. Is a detailed Gantt Chart showing the Construction Program available? Yes - attached No PROJECT INFORMATION 15. Are Site Layout Drawings available? Yes - attached No 16. Any Used or second-hand equipment to be incorporated into the Contract Works? Yes No 17. Are Method Statements for carrying out the construction works available if required? Yes No 18. of Project Site security and access 2016 FM Global. All rights reserved. 3 of 10

4 19. of any Off-Site Storage expected (except while being manufactured, processed or stored at any manufacturer s, distributor s, processor s or supplier s premises prior to delivery to the Project Site) State value, location and security measures, plus fire and flood protection measures if known 20. of any Off-Site Fabrication expected (other than at any manufacturer's, distributor's, processor's or supplier's premises prior to delivery to the Project Site) State value, location and security measures, plus fire and flood protection measures if known 21. of any Inland Transit expected (not including transit for which marine or cargo insurance will be effective) 22. Have details of TEMPORARY FIRE PROTECTIONS during construction been submitted to FM Global Engineering? Yes No 23. Have details of proposed PERMANENT FIRE PROTECTIONS upon completion been submitted to FM Global Engineering? Yes No 24. Have details of any TEMPORARY FLOOD PROTECTION measures required during construction been submitted to FM Global Engineering? Yes No 2016 FM Global. All rights reserved. 4 of 10

5 25. Have details of any proposed PERMANENT FLOOD PROTECTION measures required upon completion been submitted to FM Global Engineering? Yes No 26. of Water Damage protection during construction Specifically in respect of loss or damage to the interior portion of any buildings under construction from rain, sleet or snow prior to the completion of the installation of the roof, walls and windows of any such buildings 27. Have details of any specific design codes for EARTHQUAKE been submitted to FM Global Engineering? Yes No 28. Have details of any specific design codes for WIND been submitted to FM Global Engineering? Yes No 29. Will the construction works involve any of the following special or hazardous operations? Blasting Bridge construction Dam construction Demolition 2016 FM Global. All rights reserved. 5 of 10

6 Dewatering Excavations deeper than 5 meters Existing or Surrounding Property works in, on, including or adjacent to (including but not limited to extensions, conversions, upgrades and refurbishments and for which insurance for any such Existing or Surrounding Property is required) High Rise Building construction Land reclamation Piling Pipe Laying Prototypical, Experimental or Unproven property, technology or processes Road or Railway construction Sewage or Water Supply Systems Tandem or multiple lifting using more than one crane Thrust Boring, Pipe Jacking, Directional Drilling Tunneling or shaft sinking Turbine installation We Works any works carried out in over or under tidal or non-tidal water (including but not limited to harbours, breakwaters, jetties, quays, piers, docks and cofferdams surrounded by tidal water) Give details GROUND CONDITIONS AND FOUNDATIONS 30. Give details of Ground Conditions at the Project Site Include soil type and details of any unusual characteristics that could impact on the construction works 31. Is a copy of the site Geotechnical Survey Report available? Yes attached No 32. Give details of the Foundation type to be used for major structures Include details of any specific methods or measures required to accommodate any unusual Ground Condition characteristics that could impact on the construction works CONTRACT CONDITIONS and ADDITIONAL INSURANCE REQUIREMENTS 33. Is a copy of the Conditions of Contract document between the Principal (the Owner) and the Main Contractor for this Project available? Yes - attached No 2016 FM Global. All rights reserved. 6 of 10

7 34. If no, are the Conditions of Contract based on a particular model form of construction contract, or variance thereof? State which model form (eg. JCT, FIDIC etc) plus give details of any amendments to the standard text Give details of the contractual requirements to procure construction insurance for the Project Include details on which party is responsible to purchase this insurance, which parties are required to be insured, the extent of cover required and any specific deductible requirements 35. Is specific marine or cargo insurance required? Yes please notify FM Global Cargo to discuss quotation No 36. Is insurance required for any Constructional Plant and Equipment? Yes No Give details Including values, ownership, type and use on the Project 37. Is insurance required for Temporary Huts or Buildings? Yes No Give details Including values, ownership, type and fire protection provisions SPECIFIC TO DELAY IN START-UP 38. Sum Insured and Indemnity Period required 2016 FM Global. All rights reserved. 7 of 10

8 39. Breakdown of Sum Insured value 40. Scheduled Date of Business Commencement 41. Is a Construction Program Critical Path analysis available? Yes - attached No 42. Are there any allowances in the Construction Program for delays, due to an Accident or otherwise? Yes No Give details 43. Is a Production Flow Diagram available for the facility to be constructed? Yes - attached No Give details of the anticipated effect on production or revenue earning of key machines / areas arising from loss or damage 44. Give details of Critical Equipment and associated Key Lead Times For each major item of machinery or key area of the facility, give details of the probable replacement period in the event of total loss, calculated as the date from placing an order to the date such item or area would be ready for use in connection with the business 45. Give details of any direct suppliers, manufacturers or processors including suppliers of component goods, materials, or services critical to the completion of the project including locations or Geographical Areas 2016 FM Global. All rights reserved. 8 of 10

9 ATTACHMENTS / ADDITIONAL INFORMATION 46. Detailed Breakdown of Estimated Contract Value 47 Detailed Gantt Chart showing the Construction Program 48. Site location map 49. Site Layout Drawings 50. Method Statements for carrying out the construction works 51. Site Geotechnical Survey Report 52. Conditions of Contract document between the Principal (the Owner) and the Main Contractor for this Project 53. Detailed Breakdown of Delay In Start-Up Sum Insured 54. Construction Program Critical Path analysis 55. Production Flow Diagram for the facility to be constructed 56. Other additional information, please give details 2016 FM Global. All rights reserved. 9 of 10