Get Form 2 - Ocip Insurance Application.pdf - Willis

This guide provides clear, step-by-step instructions on completing the Form 2 - OCIP Insurance Application. By following these steps, users can ensure they fill out the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click 'Get Form' button to obtain the form and open it in your preferred editor.
2. Fill in your company's complete legal name and doing business as (dba) name, including the names of any partners or joint venture partners, along with your company's structure (e.g., Individual, Partnership, Corporation, LLC, or Joint Venture).
3. Provide the full address of your company, ensuring accuracy for correspondence.
4. Enter your federal identification number and the Standard Industrial Classification (SIC) code, which helps identify your business type.
5. Provide contact information, including email, phone number, and fax number for your job site, office, and insurance broker or agent.
6. Indicate your Certified Minority Status if applicable.
7. Describe the project name and provide a thorough description of the project associated with your contract.
8. Fill in the project contract number, which may be specified in your contract agreement.
9. Enter the name of the Awarding Contractor, identifying Sound Transit if your company is the Prime Contractor.
10. Include the name of the Prime Contractor if your company is a subcontractor; if not applicable, mark N/A.
11. Fill in the award date for the contract, noting when the contract was granted.
12. Specify the start date of the contract to outline when work will commence.
13. Provide an estimated completion date for the contract tasks, giving a timeline for project delivery.
14. Fill out the percentage of the awarded contract expected to be self-performed by your company.
15. Indicate the estimated man-hours that will be devoted to self-performed work for effective planning.
16. Estimate the number of subcontractors you plan to engage and the percentage of contract work they will handle.
17. Document the estimated dollar amount dedicated to subcontractor work, also noting if any have certified minority status.
18. Describe the specific scope of work that subcontractors will undertake, ensuring clarity on tasks.
19. State the amount of any deductible or self-insured retention on your current general liability policy.
20. Fill in the general liability premium amount that is excluded from your bid.
21. Provide the excess liability premium amount excluded from your bid.
22. Calculate the total of all coverage premiums by adding the amounts indicated for general liability and excess liability.
23. Read and sign the warranty section, certifying the accuracy of the submitted information.
24. After reviewing all sections for completeness and accuracy, save your changes, download the completed form, or print it for submission to the OCIP Administration Representative.

Complete your Form 2 - OCIP Insurance Application online today to ensure timely processing.