APPLICATION FOR BUILDERS REGISTRATION FORM 1

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1 APPLICATION FOR BUILDERS REGISTRATION FORM 1 In accordance with the Builder's Law and Regulations 2015(Revision) Please deliver this form, accompanied by the relevant fee & required documentation to: The Secretary, The Builders Board P.O. Box 113, Government Administration Building Grand Cayman, KY TH Floor, Government Administration Building 113 Elgin Avenue, George Town T: Website : A APPLICANT DETAILS This form must be completed in CAPITAL LETTERS Name of Business: Mailing Address of Business: Trade Name (If any): Business Telephone Main: Primary Contact (Primary) Director Location of business: Block: Parcel: Location of where material is stored or kept: Block: Parcel: Name of Qualifying Individual(s): Qualifying Individual(s) personal address: Is applicant a government employee? NO [ ] YES [ ] If yes, state Department: Is applicant a statutory authority employee? No [ ] YES [ ] If yes, state Department: Is this an application for : GRANT [ ] RENEWAL [ ] **Failure to provide this information will result in the application being returned to the applicant.** B BUSINESS DETAILS Please specify the category /nature of the business [ ] General Contractor [ ] ***Please refer to Information/reference page*** [ ] Building Contractor [ ] [ ] Residential Contractor [ ] [ ] Civil Engineering Contractor [ ] **** For this category, please fill out section B(2) below***** ****[ ] Trade Contractor [ ] B(2)TRADES CONTRACTOR [ ] ****Please circle sub trade for which you are applying: ****A maximum of six (6) of the twelve (12) trade sections can be selected while there is no limit to the amount of selected sub trades under each trade.

2 1. SITE WORK CONTRACTOR 100 Door and Window Installations Excavation 101 Metal Doors and Frames 411 Excavation Support Systems 102 Fixing Wood Aluminum Plastic, 412 Deep Wells 103 Fiber Glass, Doors, Frames & Water Distribution 104 Accessories Paving and Surfacing 105 Automatic Doors 413 Site Improvements and Amenities 106 Skylights 414 Landscape Irrigation 107 Glazing 415 Pre Manufactured Swimming Pools CONCRETE/MASONRY CONTRACTOR THERMAL / MOISTURE CONTRACTOR 500 Piles and Caissons 201 Waterproofing and Damp proofing 501 Concrete Form Work 202 Thermal Protection 502 Concrete & Masonry Reinforcement 203 Exterior Insulation and Finish Systems 503 Cast in Place Concrete 204 Vapor Retarders 504 Precast Concrete 205 Shingles, Roofing Tiles, & 505 Exterior Insulation (Outsulation) 206 Roof Coverings Synthetic Finishes 207 Roofing and Siding Panels 506 Block & Brick Installations 208 Membrane Roofing 507 ICF Wall Systems 209 Flashing and Sheet Metal 508 Glass Masonry 210 Sheet Metal Roofing 509 Cement Sand Render/Plaster 211 Roof Specialties and Accessories 510 Stone Work 212 Gutters and Downspouts 511 Retaining Walls 213 Insitu Constructed Pools METALS WORKS CONTRACTOR FINISHES /SPECIALTIES CONTRACTOR 600 Welding 301 Plaster and Gypsum Board 601 Metal Fastenings 302 Floor & Wall Tile 602 Structural Metal Framing 303 Stone Floor and Wall Coverings 603 Metal Joists 304 Terrazzo 604 Metal Deck 305 Special Ceiling and Surfaces 605 Cold Formed Metal Framing 306 Special Flooring 606 Metal Fabrications 307 Unit Masonry Flooring 607 Ornamental Metal 308 Wood Flooring 608 Expansion Control 309 Resilient Flooring 609 Carpet WOOD, PLASTICS & 400 Wall Coverings 611 ALUMINUM WORKS CONTRACTOR Special Wall Surfaces 612 Finish Carpentry 401 Acoustical Treatment 613 Rough Carpentry 402 Paints and Coatings 614 Heavy Timber Construction 403 Special Coatings 615 Wood Decking 404 Light Gauge Metal Stud Work 616 Sheathing (Sarking) 405 Compartment and Cubicles 617 Wood Trusses 406 Service Walls 618 Glued Laminated Construction 407 Walls and Corner Guards 619

3 Architectural Woodwork Fire Rating and Security SPECIAL CONSTRUCTION CONTRACTOR GREEN TECHNOLOGIES 1200 Air Supported Structures 701 CONTRACTOR Special Purpose Rooms 702 Solar Systems 1201 Sound, Vibration & 703 Wind Driven Systems 1202 Seismic Control Installations 704 Geo Thermal Installations 1203 Radiation Protection 705 Other Alternative Energy Systems 1204 Pre Engineered Structures 706 LPG Installer 1205 Conveying Systems 707 Elevators 708 Specialty Equipment MECHANICAL CONTRACTOR 800 Mechanical Installation, 801 Building Services, Piping Refrigeration Systems 802 Air Handling Systems 803 Smoke Evacuation Systems 804 Pressurization Systems 805 HVAC Systems 806 Building Automation & Control 807 Refrigeration and Heat Transfer Air Distribution 808 Fire Protection/Suppression 809 Escalators and Moving Walks 810 Systems for Material Handling PLUMBING CONTRACTOR 900 Plumbing Installations 901 Building Services Piping 902 Plumbing/Sewage and Drainage ELECTRICAL CONTRACTOR 1000 Electrical Installations 1001 Transmission and Distribution 1002 Lighting Control 1003 Special Electrical Systems DETECTION, MONITORING & 1100 SECURITY SYSTEMS CONTRACTOR 1101 Fire Alarm 1102 Card Access 1103 Surveillance 1104 Access Control Parking,. Card Systems 1105 Burglar Alarms 1106

4 Based on business category, please specify the number of employees, employee positions, senior employee qualifications and experience. Attach additional information as required. 4 BUSINESS DETAILS CONT'D Business Owners: Names and Nationality of Directors: Names and Nationality of Officers of the Company: Name of qualifying individual(s): Trade & Business License #: Please specify the level of public liability that the business currently holds in accordance with the minimum under Law: General Contractor [ ] $1,000,000 Building Contractor [ ] $1,000,000 Residential Contractor [ ] $1,000,000 Trade Contractor [ ] $200,000 Civil Engineering Contractor [ ] $1,000,000 C CERTIFICATE OF INSURANCE DETAILS Name of the business entity insured: Date of Certification: Public Liability Insurance Policy #: Effective Date of Policy: Expiration date of policy: The Insurer's Agents name: Amount of Insurance Policy: Name of Insurance Company:

5 D DUE DILIGENCE Qualifying Individual 5 1 Have you or your business filed voluntary or involuntary bankruptcy within the (5) years immediately preceding this application [ ] YES [ ] NO If yes, please provide particulars: 2 Is there an existence within the (5) years immediately preceding this application, an unsatisfied court judgment rendered against the qualifying individual of business applicant based upon the failure of the applicant to meet his just obligations to parties with whom the applicant conducted business as a contractor [ ] YES [ ] NO If yes, please provide particulars: 3 Are you or your business listed as a debtor in the Cayman Islands National Credit Bureau? If yes, please provide particulars: [ ] YES [ ] NO

6 In addition to the required information, the following information shall be submitted to substantiate 6 this application and help to determine the outcome of your application: [ ] Completed copy of application form [ ] Copy of a valid Trades & Business License. [ ] Copy of Business Good Standing Certificate from the Registrar Of Companies. [ ] Evidence of compliance with such requirements as may be contained in the Workmen's Compensation Law (1996 Revision) original copy [ ] Evidence of certificate of Liability Insurance original copy [ ] Evidence of compliance with such requirements as may be contained in any Law the enforcement of which falls under the Director of Labor appointed under the Labor Law (2011 Revision) [ ] Evidence of compliance with such requirements as may be contained in the National Pensions Law (2012 Revision) not required if valid Trade & Business License submitted [ ] Evidence of compliance with such requirements as may be contained in the Health Insurance Commission Law (2010 Revision) not required if valid Trade & Business License submitted [ ] Evidence of the number of years the business has been legally operating in The Cayman Islands. The following information should also be submitted to substantiate: [ ] the number of years of relevant experience the entity has had [ ] a letter stating the amount of a performance bond his bankers are prepared to provide for the business entity; [ ] prepared to provide for the business entity; financial ability, years of doing business with the bank (s) [ ] the amount of overdraft his bankers allow him; [ ] References from general, building, residential or trade contractors who are familiar with the applicant's competency and general reputation; [ ] References from members of the Cayman Society of Architects, Surveyors and Engineers or members of other related professions; [ ] References from suppliers of materials; [ ] A cover letter [ ] References from clients; [ ] information documenting the qualifications of any employees that may serve to substantiate the application; [ ] information documenting projects the applicant has undertaken that may serve to substantiate the application; [ ] a list of names of employees, stating what occupation each is employed in.

7 Qualifying Individual Requirements employed in; 7 The Qualifying Individual/Individuals shall submit: a. Copies of professional, academic and technical certificates b. Proof of the number of years of relevant experience in regards to the license applied for. Notes: 1 All bank and other reference letters to be sealed and addressed to the Secretary of the Builder's Licensing Board. 2 Only fully complied with applications will be considered. E DECLARATION Qualifying Individual In making this application I hereby declare that: 1 The Qualifying Individual is Caymanian or conforms with 16. 5A (a) (b) (c) of Builders Law (2015 Revision) 2 The Applicant has a valid Trade and Business License allowing them to operate legally under the Trade & Business Licensing Law (2007 Revision). 3 All statements made in this application/form are deemed true and accurate to the best of my knowledge. The appropriate fee of CI$ is enclosed herewith Qualifying Individuals Name: Qualifying Individual Signature: Applicant's Name: Applicant's Signature:

8 INFORMATION/REFERENCE PAGE 8 In this document unless the context otherwise requires "Application" means the first application for registration after commencement of this Law, an application for renewal and an application seeking re categorization "Board" means the Builders Board established by Section 3 of the Law; "Insurer" includes an insurance agent; "Law" means the Builder's Law, (2015 Revision); "Qualifying person" means a person whose expertise the business entity concerned requires to have in order to qualify for registration in a category. "Registered" means; (a) in relation to a business entity, registered in one of the categories specified in section 5 (4) of the Law or other category determined there under; and (b) in relation to a qualified individual, registered as such under section 16 (1) of the Law. (2015 Revision) "Building contractor" means a business entity which ; (a) constructs commercial, industrial, institutional, residential or other buildings, including their ancillary buildings, none of which projects exceed three storey's OR 25,000 square feet; or (b) repairs, improves, extends or renovates buildings of any size where such work does not affect the structural integrity of the building. "Business entity" means an individual, partnership or a company, joint venture that carries on business or proposes to lawfully carry on business, and includes a charitable organization or other non governmental organizations that undertake the management and/or supervision of the construction process including the management and or supervision of Trades Contractors. "Business premises" means a place registered as a place of business for purposes of this Law or other place at which business is carried on. 9

9 "Civil Engineering Contractor" means a business entity which builds roads, bridges, docks, utilities infrastructure and other similar constructions as the Board may under section 6 (4) determine, and "civil engineering construction" shall be construed accordingly. "General Contractor" means a business entity which performs any type or description of construction, other than civil engineering construction, and "general construction" shall be construed accordingly. "Residential Contractor" means a business entity which constructs, repairs, renovates, extends or improves any building comprising up to four dwelling units, not exceeding three storey's in height, and their ancillary buildings, and residential construction shall be construed accordingly. "Trades Contractor" means a business entity that does not fall under the purview of a general contractor, residential contractor, building contractor or civil engineering contractor but which includes other works such as site works contractor, concrete & masonry contractor, metal works contractor, wood, plastic & aluminum works contractor, thermal & moisture works contractor, finishes & specialty contractor, special construction contractor, mechanical contractor, plumbing contractor, electrical contractor, detection/monitoring & security contractor, green technologies installation contractor and such other work that may be determined by the Boards under section 6 (4) and sub trade construction shall be construed accordingly. "Sub Trade Contractor" shall be specific elements of a trade under Trade Contractor.