ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
APPLICATION FOR DISPUTE RESOLUTION APPOINTMENT
PLEASE EMAIL a copy of the completed application form and relevant notices to disputes@ice.org.uk on the day the
application is made with the original documents and payment to follow by post.
The administrative cost for this application is £ 350 + VAT @ 20% = £420.00 payable by cheque made out to the Institution
of Civil Engineers.
Registered charity number 210252
Application for selection DRP-10.2
-1 -
1 September 2013
ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
TO: Dispute Resolution Services
Institution of Civil Engineers
One Great George Street
Westminster
London SW1P 3AA
Application for the selection of an Adjudicator in respect of works that are part of the Crossrail project.
This application is made on behalf of [ insert name ] as the Referring Party. The Responding Party is [ insert
name ] .
.
The dispute and/or difference described below has arisen. Since an adjudicator has not been agreed between
the Parties, we hereby apply to you to nominate a member of the Crossrail Panel of Adjudicators to conduct an
adjudication of this dispute and/or difference.
Please note that the following member(s) of the Crossrail Panel are not to be nominated:
[insert name] : identified by the Referring Party (if left blank, the Referring Party will be deemed to accept that
all members of the Crossrail Panel may be nominated)
[insert name] : identified by the Responding Party (if left blank, the ICE will contact the Responding Party to
ascertain whether it wishes to identify a Panel member for this purpose)
We agree to meet all the reasonable costs incurred by the person selected by you if we are not entitled to make
this Application in accordance with the agreement between the parties.
In respect of the charge made by the Institution towards the administrative cost in connection with this
Application we understand that due to the requirement to make an appointment in the shortest possible time
the appointment fee is not refundable.
I am duly authorised by the Referring Party to make this Application.
Yours faithfully
For and on behalf of the Referring Party:
Signature:
…………………………………………………… Date:…………………………………………..
Name ......................................................................................................................................................................
Address .................................................................................................................................................................
................................................................................................................................................................................
E-mail .....................................................................................................................................................................
Telephone ............................................................................. ................................................................................
Registered charity number 210252
Application for selection DRP-10.2
-2 -
1 September 2013
ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
Conditions
1.
The administration cost for this application is £350.00+VAT@20% = £420.00
Payment can be made by a cheque made payable to Institution of Civil Engineers or by telephone –
020 7665 2224/2116
2.
The ICE will make a selection of any person from the Crossrail Panel of Adjudicators who has not
been identified by either Party as ineligible for nomination.. The validity of the Application will not be
investigated.
3.
In making this Application the Applicant undertakes to meet the reasonable charges of the person
selected by the ICE pursuant to this Application should the adjudication not proceed.
4.
If the validity of the Application is challenged then the person selected and the parties involved must
resolve the challenge.
5.
Neither the ICE nor its servants or agents nor its members are liable to any party for any act omission
or misconduct in connection with any selection or appointment made or any adjudication conducted in
consequence of this Application.
6.
If the application relates to a new dispute on a contract where an adjudicator has previously been
appointed, the ICE may reappoint the same adjudicator unless both parties are in agreement not to
reappoint, or if either party has exercised its right to nominate such adjudicator not to be appointed.
Evidence of any such agreement must be attached to the application.
7.
If either party raises objections to the appointment of any particular adjudicator, valid reasons must be
put forward. The ICE can overrule the objection.
Registered charity number 210252
Application for selection DRP-10.2
-3 -
1 September 2013
ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
Contacts
Referring Party (if a representative has signed the Application)
Name ......................................................................................................................................................................
Address ...................................................................................................................................................................
................................................................................................................................................................................
E-mail ......................................................................................................................................................................
Telephone: ............................................................................. ................................................................................
Other Party
Name ......................................................................................................................................................................
Address ...................................................................................................................................................................
................................................................................................................................................................................
E-mail ......................................................................................................................................................................
Telephone: ............................................................................. ................................................................................
Other Party’s Representatives (if known)
Name ......................................................................................................................................................................
Address ...................................................................................................................................................................
................................................................................................................................................................................
E-mail ......................................................................................................................................................................
Telephone: ............................................................................. ................................................................................
Registered charity number 210252
Application for selection DRP-10.2
-4 -
1 September 2013
ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
The subject matter of the dispute
Location of the work:………………………………………………………………………………………….
Date of Contract: .........................................
Type of contract
□ NEC
Other………………………………………………………………………………………………………………
Type of Construction Activity
□ Civil Engineering
□ Building
Other:……………………………………………………………………
The dispute
The amount in dispute:…………………………………………………………………………………..
The nature of the dispute
□ Delay and Disruption
□ Professional Services
□ Quality and specifications
□ Quantum/Valuation
□ Other
Please give a brief description of the dispute
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
Registered charity number 210252
Application for selection DRP-10.2
-5 -
1 September 2013
ICE Dispute Resolution Panel for the Crossrail Project
DRP-10.2
The Appointment
Are any specific areas of experience necessary? Please tick or complete below
□ Bridgeworks
□ Building Works
□ Foundations/Substructures/Piling
□ Geotechnical/Geoenvironmental
□ Demolition
□ Marine/Waterways
□ M & E Works
□ Roadworks
□ Structures
□ Tunnelling/Boring
□ Water/Drainage/Sewage
□ Other
A copy of the relevant Notice of Dispute must be attached to this application
Are there current or previous dispute resolution proceedings between the Parties?
Yes / No
If “Yes” was the selection by the ICE
Yes / No
If “Yes” state the
Date of the selection ..........................................................................
Name of person appointed ...............................................................
Registered charity number 210252
Application for selection DRP-10.2
-6 -
1 September 2013