Roofing Installation Certification Form PDF Details

In today's world, homeowners are continually looking for ways to reduce costs and increase the value of their homes. The Roofing Installation Certification form plays a pivotal role in this quest by providing a pathway to a residential insurance premium credit for property owners who choose to install certain roof coverings. This document, far from being a mere formality, serves a dual purpose. Not only does it facilitate potential savings on insurance premiums for homeowners, but it also underscores the importance of adherence to quality and standards in roofing installation. By certifying that a roof has been installed according to manufacturer specifications and meets the rigorous Underwriters' Laboratory Standard 2218 for impact resistance, the form offers reassurance to homeowners and insurance providers alike. However, it is critical to understand that this certification does not represent an additional warranty from the roof manufacturer, supplier, or installer. It explicitly details the roofing company's information, the specifics of the installation, and verifies the material's compliance, all culminating in the signatures of both the roofing company's authorized representative and the homeowner. Ultimately, this form symbolizes a homeowner's investment in quality roofing, potentially leading to savings on insurance costs without implying further guarantees on the roof's performance.

QuestionAnswer
Form NameRoofing Installation Certification Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesclass 4 roof certification, state farm metal roof discount, state farm roof discount, roofing certification form

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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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state farm roofing installation certificate fields to fill in

Enter the demanded particulars in I have installed in accordance, Class Brand Name, Class, Class, Year Manufactured, Date of Installation, The roof covering installed on, The roof covering product, The metal roof covering is gauge, Original Signature of Roofing, Policyholders Signature, Date, Date, One copy for Insurance Company, and Second Copy to Policyholder box.

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