Architect'S/surveyor'S Certificate-Nationwide Building Society-Form M 176 printable pdf download

Architect’s/Surveyor’s Certificate

Return to:

Name of Applicant(s) ________________________________________________________________________________________

Full address of property ______________________________________________________________________________________

______________________________________________________________________________________________________

I certify that:

1. I have visited the site at appropriate periods from the commencement of construction to the current stage to check generally:

(a) progress; and

(b) conformity with drawings approved under the buildings regulations; and

At the stage of my last inspection on ____________________, the property had reached the stage of

______________________________________________________________________________________________________

3. So far as could be determined by each periodic visual inspection, the property has been generally constructed:

(a) to a satisfactory standard; and

(b) in general compliance with the drawings approved under the building regulations.

4. I was originally retained by _____________________________________________________, who is the applicant(s) in this case.

5. I am aware this certificate is being relied upon by ____________________ , the applicant(s) and also by Nationwide when making

a mortgage advance to that applicant(s) secured on this property.

6. I confirm that I will remain liable for a period of 6 years from the date of this certificate. Such liability shall be to ______________,

the applicant(s) and Nationwide and upon each sale of the property the remaining period shall be transferred to the subsequent

purchasers and their lenders.

7. I confirm that I have appropriate experience in the design and/or monitoring of the construction or conversion of residential

buildings.

8. My Professional Indemnity Insurer is ________________________________________________________________________

I will keep a minimum amount of £ ______________ as professional indemnity insurance cover in force to cover my liabilities

under this certificate for any one claim or series of claims arising out of one event.

Signature ___________________________________________ Address ______________________________________________

Print Name _________________________________________

____________________________________________________

Qualifications________________________________________ Telephone Number _____________________________________

Date _______________________________________________ Fax. _________________________________________________

Nationwide Building Society

M 176 (8-2002)

Architect'S/surveyor'S Certificate-Nationwide Building Society-Form M 176