Builder Application Form
(This application shall be completed and filed with AHW
by any applicant applying for separate membership in AHW)
1. Identification of Applicant
TELEPHONE NO.
2. Type of Business Organization
3. Officers and Principals of Applicant
(a) Name, address and title of the owner/Principal who will be in charge of or responsible for operations in the area of
which membership application is being made:
(b) Name and address of principals who beneficially own (directly or indirectly) 10% or more of Applicant:
4. Authorized Representative (the name of the person who will be authorized to vote at AHW’s meetings)
5. Prior Registration
Has the Applicant or any of the Principals ever:
Been associated with an application for registration which was refused by any other registration committee of any similar Organization:
Been associated with an Applicant which was expelled from a Home Warranty Organization in any other jurisdiction and if so, under what name and by which warranty office.
Been refused a Bond?
Been previously registered as a builder with AHW or any other Warranty Organization?
6. Business History of the Applicant(s) and Principal(s) (Use additional pages if necessary)
Business operations in the construction industry for past five years:
Volume of home building - approximate number of homes built in preceding three calendar years by Applicant and/or Principals.
If Applicant and/or Principals have been in the construction business for less than three years, please state business activities for the two years prior to starting in the construction business: (Use additional pages if necessary.)
7. Location of Construction Activities
Principal location (City or Town) of present activities of applicant:
Other locations in which Applicant has or is conducting home building or home sales operations:
8. Memberships
Membership in trade or professional associations connected with the construction industry:
9. Bankruptcy or Forced Accommodation
10. Claims Against the Applicant and/or Principal
11. Inventory Homes
12. Security Deposits
Such bond or other security as AHW deems appropriate, in a form acceptable to AHW will be required in the event that the Applicant cannot or does not meet the minimum requirements as set out in the Rules & Regulations of AHW.
I/we represent and warrant that all of the above information is true.
I/we agree that (A) all information provided on this form may be used and disclosed by AHW for the purpose of
assessing this application, and for reassessing AHW membership from time to time; (B) AHW may collect Equifax
reports and financial information from banks and other financial institutions for such assessment and re-assessment;
and (C) all identification and contact information may be used and disclosed by AHW for administration of AHW
including warranty matters and claims, and identifying the applicant as a member of AHW (if accepted).
AHW will provide a copy of AHW’s Privacy Policy upon request.
IN WITNESS WHEREOF this application has been executed by or on behalf of the
NOTE:
Please refer to the Builder registration checklist for help in completing all the required material.
Please allow 1-2 weeks for processing.
Registration fees are non-refundable after date of Registration.
*Application withdrawn or rejected for any reason will be subject to a $100.00 +HST (PEI + GST) administration fee.
Financial Statements will be required at renewal for a minimum of 3 years.
