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NOTICE TO HOMEOWNER: Completion of this certificate will entitle you to a credit on your residential insurance premium. This form is solely for the purpose of enabling residential property owners to obtain a credit on their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer, supplier or installer.

Roofing Installation Certification

Name of Roofing Company

Street Address

City, State, Zip

PhoneLicense # (if any)

Address of Residence (Installer must complete the following information before signing form.)

Name of Owner

 

Home Phone

 

 

Address

 

 

 

Work Phone

 

 

City, State, Zip

 

 

 

 

 

 

I,

 

 

, an authorized representative of

 

 

 

 

 

 

 

Print Name of Representative

 

 

 

 

 

 

, do hereby certify that

 

 

 

 

 

 

 

 

 

 

 

Print Name of Roofing Company

I have installed in accordance with the manufacturer's specifications on the above described residence a roof covering listed as complying with Underwriters' Laboratory Standard 2218, Impact Standard for Impact Resistance of Prepared Roof Covering Materials with an impact resistance classification of:

Class 1

Class 2

 

Class 3

Class 4

Manufacturer's Name

 

 

Brand Name

 

 

 

Year Manufactured

 

 

 

Date of Installation

 

 

 

 

 

 

 

 

 

 

 

The roof covering installed on this residence meets one of the following requirements:

The roof covering product packaging indicates the U.L. Classification under U.L. Standard 2218, the manufacturer's name, the date of manufacture, and the brand name. A label from the packaging has been supplied to the owner of the residence; or

The metal roof covering is 26 gauge or thicker material, and is installed over solid underlayment.

 

 

 

 

 

Original Signature of Roofing Company's Authorized Representative

 

Date

 

 

 

 

 

Policyholder's Signature

 

Date

 

One copy for Insurance Company

 

Second Copy to Policyholder

OFB 8350 09-12

 

 

 

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Documents used along the form

The Roofing Certificate form is an important document for homeowners seeking to reduce their residential insurance premiums. However, several other forms and documents are often used in conjunction with it. Below is a list of these documents along with brief descriptions of each.

  • Insurance Policy Declaration Page: This document outlines the key details of a homeowner's insurance policy. It includes coverage limits, deductibles, and the effective dates of the policy.
  • Roofing Contract: This is a formal agreement between the homeowner and the roofing contractor. It details the scope of work, materials to be used, timelines, and payment terms.
  • Emotional Support Animal Letter: A vital document for those needing an emotional support animal, as it may assist in obtaining necessary accommodations and support; more information can be found at legalpdfdocs.com.
  • Building Permit: A building permit is required by local authorities to ensure that the roofing work complies with safety and zoning regulations. It must be obtained before the installation begins.
  • Manufacturer's Warranty: This document provides assurance from the roofing material manufacturer regarding the quality and longevity of the roofing products used. It often includes terms for coverage and claims.
  • Inspection Report: After the roofing installation, an inspection report may be generated. This report assesses the quality of the work and ensures it meets industry standards and local building codes.

These documents work together to provide a comprehensive overview of the roofing project and its compliance with insurance and regulatory requirements. Homeowners should ensure they have all necessary documentation to facilitate a smooth process.

Similar forms

The Roofing Certificate form is a crucial document for homeowners seeking reductions in their residential insurance premiums due to the installation of compliant roofing materials. Several other documents serve similar purposes in different contexts. Here are nine documents that share similarities with the Roofing Certificate form:

  • Home Inspection Report: This document provides a detailed assessment of a property's condition, often required by lenders before finalizing a mortgage. Like the Roofing Certificate, it aims to assure the homeowner and insurer about the property's integrity.
  • Certificate of Occupancy: Issued by local government agencies, this certificate confirms that a building is safe for occupancy. It parallels the Roofing Certificate by verifying compliance with safety standards.
  • Energy Efficiency Certificate: This document certifies that a home meets specific energy efficiency standards. Similar to the Roofing Certificate, it can lead to financial benefits, such as rebates or reduced utility costs.
  • Building Permit: A building permit is required for construction or renovation work and ensures that the project complies with local codes. Like the Roofing Certificate, it signifies adherence to established standards.
  • Room Rental Agreement: This essential document outlines the terms between landlord and tenant, safeguarding rights and expectations for renting a room. For individuals interested in room rentals, understanding the https://nypdfforms.com/room-rental-agreement-form is crucial to prevent misunderstandings.

  • Warranty Document: A warranty for roofing materials or installation guarantees quality and performance. While the Roofing Certificate does not serve as a warranty, both documents provide assurance to the homeowner.
  • Insurance Policy Declaration Page: This page summarizes key information about an insurance policy, including coverage details. It is similar to the Roofing Certificate in that both documents provide essential information for homeowners seeking financial protection.
  • Flood Zone Determination Letter: This letter indicates whether a property is in a flood zone, impacting insurance rates. Both documents are used to assess risk and potential insurance premiums.
  • Radon Testing Certificate: This certificate verifies that a home has been tested for radon levels, ensuring safety for occupants. Like the Roofing Certificate, it is a means of confirming compliance with health and safety standards.
  • Lead Paint Inspection Report: This report confirms whether a property contains lead-based paint, which is crucial for homes built before 1978. Both documents serve to protect homeowners and inform insurance considerations.

Understanding these documents can help homeowners navigate their responsibilities and rights effectively. Each serves a specific purpose but shares a common goal: ensuring safety and compliance for better insurance outcomes.

Misconceptions

Misconceptions about the Roofing Certificate form can lead to confusion among homeowners. Here are five common misunderstandings:

  • This form guarantees a premium reduction. Many homeowners believe that simply filling out the Roofing Certificate form will automatically reduce their insurance premiums. In reality, the certificate serves as a request for a reduction, but the insurance company ultimately decides whether to grant it.
  • The form is a warranty for the roofing work. Some individuals think that the Roofing Certificate acts as a warranty for the installation or materials. However, it does not provide any warranty from the manufacturer, supplier, or installer. It is strictly for insurance premium reduction purposes.
  • All roofing companies can fill out this form. Homeowners may assume that any contractor can complete the Roofing Certificate. In fact, only authorized representatives of roofing companies can sign and certify the installation details.
  • The form is only for new roofs. Some believe that the Roofing Certificate is only applicable to newly installed roofs. However, it can also apply to roofs that have been upgraded to meet the impact resistance standards outlined in the form.
  • There are no consequences for misrepresentation. A common misconception is that inaccuracies on the form will go unnoticed. In truth, intentional misrepresentation can lead to serious consequences, including allegations of fraud, which can have legal repercussions.

Understanding Roofing Certificate

  1. What is the purpose of the Roofing Certificate form?

    The Roofing Certificate form is designed to help homeowners obtain a reduction in their residential insurance premiums. By completing this form, property owners can certify that their roof meets specific impact resistance standards, which may qualify them for lower insurance rates.

  2. Who needs to complete the Roofing Certificate form?

    The form must be completed by an authorized representative of the roofing company that installed the roof. This representative certifies that the roofing work was done according to the manufacturer's specifications and complies with the necessary impact resistance standards.

  3. What information is required on the Roofing Certificate form?

    The form requires several key details, including:

    • Name and contact information of the roofing company
    • Address and contact information of the homeowner
    • Details about the roofing materials used, including the manufacturer's name, brand, and impact resistance classification
    • Date of installation

    All these details ensure that the insurance company has the necessary information to process the premium reduction.

  4. What happens if the information on the form is misrepresented?

    Any intentional misrepresentation regarding the completion or presentation of this form is considered fraud. This can lead to serious consequences, including potential legal action and loss of insurance coverage.

  5. How should the completed Roofing Certificate form be submitted?

    After the form is completed and signed by the roofing company's authorized representative, it should be distributed as follows:

    • One copy should be retained by the homeowner for their records.
    • Another copy must be sent to the homeowner's insurance company to initiate the premium reduction process.

    Ensure that both copies are legible and complete to avoid any delays in processing.