DESIGN (CONSULTANT) AND/OR CONSTRUCT (CONTRACTOR) MINIMUM

PROFESSIONAL LIABILITY INFORMATION PROPOSAL FORM

1)
(a) Name of the Proposer (including any subsidiaries and previous firms requiring coverage):-
APR Associates Limited
(b) Date Established:-9~ April, 1992
(c) Main Operating Address:-32 Agostini Street St Joseph
(d) Full Names and Qualifications of all principals/partners/directors
Anderson Ramsubhag Aloma Alexander
M.Sc. Project Management
M.Sc. Environmental Engineering
M.Sc. Construction Engineering & Management
B.Sc. Civil Engineering
(e) Total Number of Staff excluding principals/partners/directors-20

2) Full description of the Proposer's activities (including any activities undertaken in the last six years
not currently undertaken and any new activities planned for the next twelve months):-
1. Consulting Engineering
a. Civil Engineering
b. Structural Engineering
c. Environmental Engineering
2. Construction
3. Project Management
4. Geotechnical Investigation
5. Design/Build
6. Architectural
3)
Please state the Proposer's Annual Gross Turnover/Income for clients domiciled in each region below:-
lncome/Turnover For Financial Year Ending:-
For the Financial Year Ending: Year Previous Past Year Current Year
March 2015 Before Year estimate
Previous

(a) Country of Domicile (excluding b-f 1,528,244 1,316,627 1,473,953 3,289,325

below) 1,316,627 1,473,953 2,385,174 1,200,000
(b) E.U. & Eastern Europe

(c) USA I Canada

(d) Middle East I North Africa

(e) Africa/Asia/Pacific

(f) South/Central America & Caribbean

(g) Total Gross income 1,528,244 1,316,627 1,473,953 3,289,325
(Ail rn United States Dollars Unless Otherwise Stated)

4)
Please breakdown the Proposer's Past Year's Annual Gross Turnover/Fee Income for the following
work split:-

WORK SPLIT % Monetarv amount

Design & Construction Turnover from
own DesiQn & Full Supervision 131,990
Construction Turnover frorn Others
Desian no suoervision
Construction Turnover from Others
Desian with full suoervision
Other Turnover (I.e. product sale or
sunnly)
Design & Technical Services ONLY no
construction Fee Income {please break down this %
further into the disciplines below)
Architectural Design
Interior Design - Non Structural
Interior Design - Stractural
Landscape Design
Town Plannina
Feasibilitv Studies
Quantity Surveyina
Building Surveyina
Aborted
Land Surveyina
Plannina Supervisor
Civil Enaineering 736,843 44,692
Stractural Engineering 736,843 44,692
Heat/Vent/Electrical Engineering
Mechanical Enaineerina
Soil/Foundation!Underoinning
Refriaeration Engineering
Environmental
Estate Agency - Residential
Estate Agency - Commercial
Rent Review
Propertv!Estate Management 278,883
Proiect Manaaement Fee Income 28,426
Proiect Co-ordination Fee lnco1ne
Other Professional Fee Income (not
listed above\ Geotechnical 13,072 419,691
TOTALS 100.00% USO
(All m Umted States Dollars Unless Otherwise Stated)
5)
Please provide details of the Proposer's 6 largest Projects (based on Total Contract Value• NOT
proposer's own fees) during the last six years as follows:-

Client Name Territory Start End Details Of Work Proposer *Total Contract
Date Date Undertaken Income Value (NOT fee)
(fee)

The Sport Co Trinidad 2013 Ong Project 840,000 14 m

ofT&T Management of
the Upgrade of
Larry Gomes
Stadium

The Urban Tobago 2013 Ong Design & 534,612 16.2 m

Development Supervision of Old
Corporation of Grange &
T&T Roxborough
Police Stations

The Urban Tobago 2013 Ong Design & 1,255,887 17m

Development Supervision of the
Corporation of Administrative
T&T Complex for the
Division of Health
and Social Serv.
The Port Trinidad 2015 Ong Construction of a 1m 1m
Authority of waiting & clearing
T&T shed for imported
goods

The National Trinidad 2015 Ong Design and 1m 1m

Gas Company Construction
ofT&T

The Urban Trinidad 2014 Ong Design of three 960,937 20.5m

Development police stations
Corporation of
T&T

(All in United States Dollars Unless Otherwise Stated)

6)
Please breakdown the Proposer's Past Year's Annual Gross Turnover/Income for the following project
types:-

Protect Tvnes %
Residential - Low Rise
Residential - HiQh Rise
Commercial - HiQh Rise/Low Rise 5
BridQes/Tunnels/Dams/Mines/Harbours/Jetlies
HiQhways/Roads/Groundworks
Water/SeweraQe
 Hosnitals/Schools/Universities/Churchs
Hotels/Leisure Centres/Sports Stadia 10 20
Industrial Buildinos/Factories
Warehouses
Transoort/Chemical/Petrochemical/Nuclear/Atomic
Other-Police stations 75
TOTALS 100.00%

7)
a) Has the proposer including any directors, partners or any other employee of the firm been the subject
of professional disciplinary proceeding or has committed a fraudulent or dishonest act: NO
b) Has the proposer or its predecessors in business or any present and former Principals had their
insurance cancelled or declined : NO
c} Has the proposer or its predecessors in business or any present and former Principals had any claims
or circumstances which may give rise to a claim made against them within the last 10 years (regardless
of whether or not these were notified to any insurance policy or whether or not any insurance was in
force): NO
d) Is the proposer including any directors, partners or any other employee of the firm aware of any claim
or circumstance which may give rise to a claim that has not yet been notified to insurers and listed
above: NO

If the Proposer has answered YES to question 7 a) and/or 7b) please provide full details or If the
Proposer has answered YES to question 7 c) and/or 7cl) please complete the attached CLAIMS
SUPPLEMENT

8)
What Limit(s) of Indemnity is/are required (please state currency and monetary amoun\):782,000.00

DECLARATION

lfWe declare that the above answers, statements, particulars and additional information are true to the
very best of the knowledge and belief of the Proposer. After full enquiry, I/We also confirm that I/We
have disclosed all information and material facts that may alter the Underwriters' view of the risk, or
affect their assessment of the exposures they are covering under the policy. I/We understand that all
answers, statements, particulars and additional information supplied with this proposal form will become
part of and form the basis of the policy.

Signature

Date Q9, \O\'S

'

Na111c in ea1>ital letters (l'rinlcd) 1\-L-G><VvA Al--£:ff\Y'1Xo__.{Z.

Posilion dfI:f-·E'CTO fZ ·
For and/on behalf of the Proposer
APRASSOC!A'l'ES Ll'n.
1132~8-t,
lit. J"""1plo
Tel: "3-5171
aprf_,Ji-ipnosoe.~l'.'t
 Q7 CLAIMS SUPPLEMENT

Q7c) List all claims made against the proposer during the past 10 (ten) years, including any made against the proposer even if cover was not previously purchased
or in place at the time of the incident or claim:

Claimant Date of Date of Claim Date of Policy Amount Amount Paid * Amount Brief nature of allegations including
Name Incident Notification Claimed Outstanding I opinion and whether matter now closed or
Reserved* time barred

f-- _____.

_ _____. ---
"' This includes legal costs and expenses as well as indemnity. This is material information for the purposes of underwriting assessment so if in any doubt question your
insurance broker and/or insurer by asking for this information. These amounts may be higher or less than the amount being claimed.

Q7d) List all circumstances, allegation or incidents the proposer has become aware of during the past 10 (ten) years, including any the proposer is aware of even if
cover was not previously purchased or in place at the time they became aware of such matters:

Client Name Date of Policy Potential quantum (if known) Brief nature of circumstance including own opinion
Notification

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