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Fill in a Valid Roofing Certificate Form

The Roofing Certificate form is a document issued by the Texas Department of Insurance that allows residential property owners to certify their roofing installation for the purpose of obtaining a reduction in their insurance premiums. This form is not a warranty from the manufacturer, supplier, or installer but rather a means to provide proof of compliance with specific impact resistance standards. Homeowners should ensure the form is completed accurately to benefit from potential savings on their insurance costs.

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Common PDF Templates

Da Form 2823 Pdf - DA 2823 ensures that all relevant information is documented appropriately.

For individuals seeking a formal means of addressing grievances, the Washington Cease and Desist Letter template offers a strategic approach to halt unwanted actions. This document can be crucial in protecting your rights, enabling you to issue a clear warning to the responsible party. For a full guide, visit the resource on creating a comprehensive Cease and Desist Letter that meets your needs at a comprehensive Cease and Desist Letter.

Rochdale Village Application Pdf - Applicants need to provide proof of income and identification.

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Example - Roofing Certificate 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
I,		, an authorized representative of
	Print Name of Representative
		, do hereby certify that
		, 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

When obtaining a Roofing Certificate, several other forms and documents may be required to ensure compliance with local regulations and to facilitate the insurance premium reduction process. Here are some commonly used documents:

Building Permit: This document is issued by the local government and confirms that the roofing project has been approved. It ensures that the work meets local building codes.
Contractor Agreement: A written agreement between the homeowner and the roofing contractor detailing the scope of work, costs, and timelines. This protects both parties and clarifies expectations.
Insurance Policy Declaration Page: This page summarizes the homeowner's insurance policy, including coverage limits and deductibles. It is often required to verify eligibility for premium reductions.
Vehicle Purchase Agreement: This essential document lays out the terms of a vehicle sale, ensuring clarity between buyer and seller. To learn more about how to properly fill it out, visit California PDF Forms.
Inspection Report: A report from a licensed inspector who evaluates the quality and safety of the roofing installation. This document may be necessary to confirm that the work meets industry standards.
Manufacturer's Warranty: This warranty outlines the coverage provided by the roofing material manufacturer. It assures the homeowner of the product's durability and performance over a specified period.
Proof of Payment: Receipts or invoices showing that the homeowner has paid for the roofing work. This may be needed to validate the completion of the project.
Homeowner's Affidavit: A sworn statement from the homeowner affirming that the roofing work was completed as per the agreed terms. This can help in any disputes regarding the installation.
Energy Efficiency Certificate: If applicable, this certificate indicates that the roofing materials used meet energy efficiency standards, which can further enhance eligibility for insurance discounts.

Having these documents ready can streamline the process of obtaining your Roofing Certificate and ensure that you receive the maximum benefits available for your residential insurance policy.