State Farm Roofing Installation Information Certification

Application of a discount to be construed as any type of an express or implied warranty by the manufacturer supplier installer or state farm.

State farm roofing installation information certification. Original signature of roofing company s uthorized representative u l. License if any address of residence installer must complete the following information before signing form name of owner. Print name of representative. This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential.

Contact your state farm agent before installing an impact resistant roof or for more information about roofing discounts and other home safety and security information. Standard pc068 1004 print roofing installation information and certification for reduction in residential insurance premiums notice to homeowner. I an authorized representative of. Roofing installation information and certification form.

This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer supplier installer state. Name of roofing company. Roof is certified or warranteed or guaranteed to be moisture proof for a minimum of two years xyz roofing contractors 1234 main street anytown state 00000 state roofing license number 00012345 certification re. Proactively and reactively connecting the real estate community with nrcia certified roof inspectors and contractors.

Roofing installation certification. Thoroughly training and certifying capable roof inspectors and roof contractors to use its patent pending process to perform inspections to determine if a roof qualifies for a leakfree roof certification. Completion of this certificate may entitle you to a reduction in your residential insurance premium. Completion of this certificate will entitle you to a reduction in your residential insurance premium.

Roofing installation information and certification for reduction in residential insurance premiums. Only products bearing the proper certification label are eligible for consideration. Roofing installation information and certification form cwrfcert 06 13 127357 0713 05 ds notice to insured. Contact your state farm agent for more information regarding the roof installation information and certification form.

Roofing installation information and certification form. Completing this certificate may entitle you to a reduction in your residential insurance premium. This certification form is solely for the purpose of enabling residential property owners to apply for a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer supplier installer or united services automobile association. We may collect personal information from you for business marketing and commercial purposes.

Address of subject property based upon the inspection of a qualified roofer employed by this firm and upon his. Completing this certificate may entitle you to a reduction in your residential insurance premium.