Become a registered manufacturer

Manufacturer Details

Type of Business (please tick all that apply)

Manufacturer Of Residential Park Homes Built To BS3632 Standard Yes

Manufacturer Of Leisure Park Homes Built To BS3632 Standard Yes

Manufacturer Of Leisure/Holiday Homes Built To EN1647 Standard Yes

Company Details

Legal status of the Company:

Limited CompanyPLCPartnershipSole Trader

How long has the company been trading under the current name:

< 1 year1-2 years2-5 years5-10 years> 10 years

Company Background

Number of Residential Park Homes Manufactured in the last financial year?
Note: For these purposes a Residential Unit is a unit built to BS3632 Standard and finished in ‘Stucco’ or similar flexible textured paint.

Estimated Number of Residential Park Homes to be manufactured in the next 12 months?
Note: For these purposes a Residential Unit is a unit built to BS3632 Standard and finished in ‘Stucco’ or similar flexible textured paint.

Number of Leisure Park Homes Manufactured in the last financial year?
Note: For these purposes a Leisure Unit is a unit built to BS3632 Standard and finished with log, canexel, cape code or similar cladding.

Estimated Number of Leisure Park Homes to be manufactured in the next 12 months?
Note: For these purposes a Leisure Unit is a unit built to BS3632 Standard and finished with log, canexel, cape code or similar cladding.

Is Park Home Manufacturing your full time occupation?

YesNo

If No, please provide details of other occupations

If No, please provide a percentage time spent manufacturing Park & Leisure Homes

Is this business currently registered with an alternative Park Home Warranty Scheme?

YesNo

If Yes, what is the name of the Warranty Scheme?

Length of time registered with current warranty provider:

< 1 year1-2 years2-5 years5-10 years> 10 years

If No, has the business ever been refused membership, been removed from a Park Home Manufacturer Warranty Scheme or is currently in dispute with a Park Home Manufacturer Warranty Scheme?

YesNo

Industry Experience (Please give the full name of all proprietors, partners and directors and home addresses.)

Financial Information

Please provide last two year’s accounts.

If the business is a Limited Company, please provide details of any holding company:

Insurance Details

Has any director or partner/ principal:

Ever been refused property insurance or had any special terms imposed by any insurer or scheme?

YesNo

Ever been convicted or is there any prosecution pending for any offence involving dishonesty of any kind?

YesNo

Ever been prosecuted or received notification of intended prosecution under the Health and Safety at Work Act 1974 or Consumer Protection Act 1987

YesNo

Ever been involved with a Park Home Manufacturer that has gone into liquidation in the past? If “Yes” please include the Statement of Affairs &
details of why the company went in to liquidation in the additional information box below.

YesNo

Is any director of the applicant or an associated company also a director of any Park Home manufacturer not referred to on this proposal form?

YesNo

During the last three years have you sustained any losses or had any claims that would be covered by this Insurance?

YesNo

If you have answered “Yes” to any of the above questions, or you are aware of any facts that might be relevant please provide details in the Additional Information box.

Additional Information

Declaration by the Insured

I/we declare that to the best of my/our knowledge and belief, the information I/we have given is correct and complete in every detail and I/we have not withheld any material fact.

I/we understand that the signing of this form does not bind us to effecting insurance under the Platinum Seal Park Home Manufacturers Structural Warranty Scheme but agree that should the quotation be accepted, that this proposal and the statements made therein shall form the basis of the contract between me/us and the Underwriter