Fill Out a Valid Roofing Certificate Template
Guide to Writing Roofing Certificate
Once you have the Roofing Certificate form ready, you will need to fill it out accurately to ensure that you receive the intended reduction in your residential insurance premium. Follow these steps carefully to complete the form.
- Fill in the Roofing Company Information: Enter the name, street address, city, county, zip code, phone number, and license number (if applicable) of the roofing company.
- Provide the Homeowner's Information: The installer must complete this section. Fill in the name of the homeowner, home phone number, office phone number, address, city, county, and zip code of the residence.
- Certification Statement: The authorized representative of the roofing company should write their name in the blank space provided and confirm that the roof covering was installed according to the manufacturer’s specifications.
- Impact Resistance Classification: Indicate the impact resistance classification of the roof covering by checking the appropriate box: Class 1, Class 2, Class 3, or Class 4.
- Manufacturer and Brand Information: Fill in the manufacturer’s name, brand name, and year manufactured for the roof covering.
- Date of Installation: Enter the date when the roof was installed on the residence.
- Labeling Information: Check one of the options regarding the labeling of the roof covering products. Make sure to provide details as required.
- Signature: The authorized representative of the roofing company must sign and date the form at the bottom.
After completing the form, keep one copy for your records and send the second copy to your insurance company. Ensure that all information is accurate to avoid any issues with your insurance premium reduction.
Document Breakdown
| Fact Name | Description |
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| Purpose of the Form | This certificate enables residential property owners in Texas to obtain a reduction in their insurance premiums. |
| Governing Law | The form is governed by the Texas Department of Insurance regulations, specifically related to residential insurance premium reductions. |
| Certification Requirements | The roofing company must certify that the roof covering installed complies with Underwriters’ Laboratory Standard 2218. |
| Labeling Requirements | Roof covering products must be labeled with the U.L. classification, manufacturer’s name, date of manufacture, and brand name. |
| Fraud Warning | Any intentional misrepresentation on this form is considered fraud and can have legal consequences. |
FAQ
What is the purpose of the Roofing Certificate form?
The Roofing Certificate form is designed to help homeowners in Texas secure a reduction in their residential insurance premiums. By completing this form, homeowners can demonstrate that their roof meets specific safety and durability standards, which can lead to lower insurance costs. However, it is important to note that this form does not serve as a warranty from the manufacturer, supplier, or installer regarding the roof's performance or quality.
Who needs to complete the Roofing Certificate form?
The Roofing Certificate form must be completed by the authorized representative of the roofing company that installed the roof. This representative certifies that the roof was installed according to the manufacturer's specifications and complies with Underwriters’ Laboratory Standard 2218. Homeowners should ensure that this form is filled out accurately and signed to take advantage of potential insurance savings.
What information is required on the Roofing Certificate form?
Several key pieces of information are necessary for the Roofing Certificate form to be valid:
- Name and contact details of the roofing company, including the license number if applicable.
- Details about the residence, such as the owner's name, home address, and contact numbers.
- Certification details from the roofing company, including the type of roof covering installed, its impact resistance classification, and the manufacturer's information.
- The date of installation and a confirmation of labeling that meets the required standards.
Completing all sections accurately is crucial to ensure that the homeowner can benefit from reduced insurance premiums.
What happens if the information on the Roofing Certificate form is incorrect?
If any information on the Roofing Certificate form is incorrect, it could lead to complications. Misrepresenting details can be considered fraud, which may have serious legal implications. Additionally, insurance companies may deny the premium reduction if they discover discrepancies. Therefore, it is essential for both the roofing company and the homeowner to review the form carefully before submission to ensure all information is accurate and complete.
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Roofing Certificate Example
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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 |
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Home Phone |
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Address |
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Work Phone |
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City, State, Zip |
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I, |
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, an authorized representative of |
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Print Name of Representative |
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, do hereby certify that |
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Print Name of Roofing Company |
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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:
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Class 2 |
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Class 3 |
Class 4 |
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Manufacturer's Name |
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Brand Name |
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Year Manufactured |
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Date of Installation |
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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.
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Original Signature of Roofing Company's Authorized Representative |
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Date |
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Policyholder's Signature |
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Date |
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One copy for Insurance Company |
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Second Copy to Policyholder |
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OFB 8350 |
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