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Content Overview

The Roofing Certificate form is an essential document for homeowners in Texas seeking to reduce their residential insurance premiums. This form serves as a certification that a roofing installation has been completed in accordance with the manufacturer's specifications and meets the necessary standards for impact resistance. Homeowners must provide specific details, including the name and contact information of the roofing company, as well as the address of the residence where the work was performed. The form requires the roofing company to confirm compliance with Underwriters’ Laboratory Standard 2218, which evaluates the impact resistance of roofing materials. Additionally, it mandates that the roofing materials used are labeled correctly, providing assurance of their quality and compliance. Homeowners should be aware that while this certification can lead to financial savings on insurance premiums, it does not imply any warranty from the manufacturer or installer regarding the roofing work performed. The completed form must be signed by an authorized representative of the roofing company and submitted to both the homeowner and the insurance company, ensuring transparency and accountability in the process. Misrepresentation in the completion of this form can lead to serious consequences, including allegations of fraud.

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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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Form Specifications

Fact Name Description
Purpose This certificate helps homeowners qualify for reduced residential insurance premiums.
Governing Body The Texas Department of Insurance oversees this form.
Impact Resistance The roofing must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
Labeling Requirement All roof covering materials must be labeled with U.L. classification and manufacturer details.
Completion Date The form must be signed and dated by an authorized representative of the roofing company.
Fraud Warning Intentional misrepresentation on this form is considered fraud.
Copies One copy of the certificate is for the homeowner, and another is for the insurance company.

Roofing Certificate: Usage Guidelines

Filling out the Roofing Certificate form is a straightforward process that can lead to significant savings on your residential insurance premium. Once you have completed the form, you will need to ensure that both the homeowner and the roofing company retain copies for their records, and submit the appropriate copy to the insurance company.

  1. Begin by entering the Name of Roofing Company at the top of the form.
  2. Fill in the Street Address, City, County, and Zip Code of the roofing company.
  3. Provide the Phone number and License Number (if applicable) for the roofing company.
  4. Next, complete the section labeled Address of Residence. The installer must fill out this information before signing the form.
  5. Enter the Name of Owner of the residence and their Home Phone number.
  6. Fill in the Address, Office Phone, City, County, and Zip Code for the residence.
  7. The authorized representative of the roofing company should write their name in the designated space and certify the installation details.
  8. Indicate the Date of Installation of the roof covering.
  9. Choose the appropriate Impact Resistance Classification (Class 1, Class 2, Class 3, or Class 4) that applies to the installed roof covering.
  10. Provide the Manufacturers’ Name and Brand Name of the roofing material.
  11. Check one of the options regarding labeling of products to confirm compliance with U.L. Standard 2218.
  12. Finally, ensure that the form is signed by the Authorized Representative of the roofing company and include the Date of signing.

Your Questions, Answered

What is the purpose of the Roofing Certificate form?

The Roofing Certificate form is designed for residential property owners in Texas. By completing this certificate, homeowners can qualify for a reduction in their residential insurance premiums. It serves as proof that the roof covering installed meets specific impact resistance standards.

Who needs to fill out the Roofing Certificate form?

The form must be completed by an authorized representative of the roofing company that installed the roof. Homeowners should ensure that the roofing company provides all necessary information before signing the document.

What information is required on the form?

The form requires details such as the roofing company’s name, address, license number, and contact information. Additionally, it asks for the homeowner's name, address, and contact numbers. Information about the roof covering, including the manufacturer’s name, brand, and installation date, must also be included.

What are the impact resistance classifications mentioned?

The form references four classifications under Underwriters’ Laboratory Standard 2218, which are Class 1, Class 2, Class 3, and Class 4. These classifications indicate the roof covering's ability to withstand impact, with Class 4 being the highest level of resistance.

What should homeowners do with the completed form?

Once the form is completed and signed by the roofing company's authorized representative, the homeowner should retain one copy for their records. A second copy must be submitted to the homeowner's insurance company to apply for the premium reduction.

Is there a warranty associated with the Roofing Certificate form?

No, the Roofing Certificate form is not a warranty. It is solely intended to help homeowners receive a reduction in insurance premiums. The form does not imply any guarantees regarding the roof covering's performance or quality.

What happens if the information on the form is misrepresented?

Any intentional misrepresentation on the form is considered fraud. This can lead to serious consequences, including potential legal action and loss of eligibility for the insurance premium reduction.

How can I contact the Texas Department of Insurance for more information?

Homeowners can reach the Texas Department of Insurance at 512-305-6711. Additional information is also available on their website at www.tdi.texas.gov.

Common mistakes

  1. Omitting Required Information: One of the most common mistakes is failing to fill out all the necessary fields. Ensure that every section, including the name of the roofing company, address, and license number, is completed. Missing details can delay the processing of your insurance premium reduction.

  2. Incorrect Classification Selection: Selecting the wrong impact resistance classification can lead to complications. The form requires you to check the appropriate classification based on the roof covering installed. Double-check that you have the correct class, whether it's Class 1, 2, 3, or 4.

  3. Failure to Provide Supporting Documentation: Not including the necessary labels or documentation can be a significant oversight. The form specifies that you must provide evidence of the U.L. classification and other details. Ensure you attach the required labels from the roofing product packaging.

  4. Not Signing the Form: It may seem simple, but forgetting to sign the form is a frequent error. The signature of the authorized representative of the roofing company is crucial for certification. Without it, the form is incomplete and cannot be processed.

  5. Ignoring Submission Guidelines: Failing to follow the submission instructions can cause delays. Make sure to send copies to both the homeowner and the insurance company as specified. Not adhering to these guidelines may result in your application being rejected.

Documents used along the form

The Roofing Certificate form is an important document for homeowners seeking to reduce their residential insurance premiums. Along with this form, several other documents may be required to ensure compliance and facilitate the insurance process. Below is a list of five commonly used forms and documents that often accompany the Roofing Certificate.

  • Insurance Application Form: This document is necessary for homeowners to apply for insurance coverage. It collects essential information about the property and the homeowner, allowing the insurance company to assess risk and determine premiums.
  • Proof of Insurance: This document serves as evidence that a homeowner has active insurance coverage. It may be requested by the roofing company or by the insurance provider to confirm that the property is insured during and after the roofing installation.
  • Contractor Agreement: This agreement outlines the terms and conditions between the homeowner and the roofing contractor. It typically includes details about the scope of work, payment terms, and warranties, ensuring both parties understand their responsibilities.
  • Building Permit: Depending on local regulations, a building permit may be required before any roofing work can begin. This document ensures that the roofing project complies with local codes and safety standards.
  • Inspection Report: After the roofing installation, an inspection report may be generated to verify that the work meets industry standards. This report can be crucial for both warranty purposes and insurance claims in the future.

Each of these documents plays a vital role in the roofing process and can help homeowners navigate their insurance options effectively. Ensuring that all necessary paperwork is completed and submitted can lead to a smoother experience when seeking insurance premium reductions.

Similar forms

The Roofing Certificate form serves a specific purpose in the context of residential insurance premiums. However, several other documents share similarities with this form in terms of function, requirements, and implications. Below is a list of eight documents that are comparable to the Roofing Certificate form:

  • Home Warranty Certificate: This document provides assurance to homeowners that certain repairs or replacements will be covered for a specified period. Like the Roofing Certificate, it helps in reducing homeowner anxiety regarding potential costs associated with repairs.
  • Certificate of Insurance: This document verifies that a contractor carries the necessary insurance coverage. Similar to the Roofing Certificate, it serves as proof of compliance with industry standards, enhancing homeowner confidence.
  • Building Permit: Issued by local authorities, this document grants permission to undertake construction or renovation. Like the Roofing Certificate, it signifies adherence to safety and building codes, ensuring the work meets regulatory standards.
  • Inspection Report: An inspection report details the condition of a property after a professional evaluation. This document, akin to the Roofing Certificate, can influence insurance premiums by providing evidence of the property’s status and necessary repairs.
  • Manufacturers’ Warranty: This document guarantees that the roofing materials will perform as promised for a specific duration. Similar to the Roofing Certificate, it offers homeowners peace of mind about the quality and longevity of their roofing materials.
  • Energy Efficiency Certificate: This document certifies that a home meets certain energy efficiency standards. Like the Roofing Certificate, it can lead to financial benefits, such as reduced utility bills or insurance premiums.
  • Roofing Contract: This legally binding agreement outlines the terms of the roofing project. Similar to the Roofing Certificate, it ensures that the homeowner and contractor have a mutual understanding of the work to be performed and the materials to be used.
  • Compliance Certificate: This document confirms that a property complies with local zoning and building regulations. Like the Roofing Certificate, it assures homeowners and insurers that the property meets established safety and quality standards.

Dos and Don'ts

When filling out the Roofing Certificate form, it's important to follow certain guidelines to ensure accuracy and compliance. Below are six things you should and shouldn't do.

  • Do ensure all information is accurate and complete. Double-check names, addresses, and contact details.
  • Do use clear and legible handwriting or type the information to avoid any misinterpretations.
  • Do include the correct U.L. classification and ensure it matches the roofing materials used.
  • Do keep a copy of the completed form for your records, as well as for the homeowner and insurance company.
  • Don't leave any sections blank. Fill in all required fields to prevent delays in processing.
  • Don't provide false information. Any intentional misrepresentation can lead to serious consequences.

By following these guidelines, you can help ensure a smooth process in obtaining a reduction in residential insurance premiums.

Misconceptions

Misconceptions about the Roofing Certificate form can lead to confusion for homeowners seeking insurance premium reductions. Here are six common misunderstandings:

  • The form guarantees a premium reduction. Many believe that simply completing the form guarantees a reduction in their insurance premium. In reality, the certificate only enables homeowners to apply for a reduction; the insurance company ultimately decides.
  • All roofing companies can provide this certification. Not every roofing company is authorized to fill out this form. Only those with the proper licensing and qualifications can issue a valid certification.
  • The certification is a warranty. Some homeowners think the certification serves as a warranty for the roofing work done. However, it is important to note that the form does not imply any warranty from the manufacturer, supplier, or installer.
  • Only new roofs qualify for the certification. Homeowners might assume that only newly installed roofs can be certified. In fact, roofs that have been upgraded or repaired with compliant materials can also qualify.
  • Filing the form is optional. Some homeowners may think that submitting the form is optional. It is crucial to submit the certificate to receive the potential insurance premium reduction.
  • The form does not require specific details. There is a misconception that the form can be completed with minimal information. In reality, accurate and complete details about the roofing installation are necessary for the certification to be valid.

Key takeaways

When filling out and using the Roofing Certificate form, keep these key takeaways in mind:

  • Reduction in Insurance Premiums: Completing this certificate can help homeowners qualify for a reduction in their residential insurance premiums.
  • Certification Purpose: This form is specifically designed for residential property owners and does not serve as a warranty from the manufacturer, supplier, or installer.
  • Required Information: Ensure all necessary details, such as the roofing company name, address, and license number, are correctly filled out before submitting the form.
  • Labeling Requirements: The roof covering must meet specific labeling requirements, including the U.L. classification and manufacturer information, to be eligible for the premium reduction.