Roofing Certificate PDF Template

Roofing Certificate PDF Template

The Roofing Certificate form is a document required by the Texas Department of Insurance to certify that a newly installed roof meets specific impact resistance standards. Completing this form allows homeowners to qualify for a reduction in their residential insurance premiums. For assistance with filling out the form, click the button below.

Overview

The Roofing Certificate form plays a vital role for homeowners seeking to reduce their residential insurance premiums in Texas. This document, crafted by the Texas Department of Insurance, is specifically designed for those who have recently installed a qualifying roof covering. To benefit from a premium reduction, homeowners must complete this certificate accurately, providing essential information regarding the roofing company that performed the installation and details about the roofing materials used. The roofing company must certify that the installation was conducted according to the manufacturer’s specifications and meets the necessary standards for impact resistance as per Underwriters’ Laboratory Standard 2218. This certification emphasizes the importance of proper labeling and documentation, ensuring that each component of the roofing system is compliant and traceable. Importantly, while the completed form aids in securing financial benefits, it does not serve as a warranty for the products or services provided. Homeowners should be aware that any misrepresentation in this form could have serious consequences. Therefore, understanding and filling out this form correctly is imperative for home and financial security.

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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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File Properties

Fact Name Description
Purpose The Roofing Certificate form allows residential property owners in Texas to obtain a reduction in their insurance premiums, so it’s beneficial to complete this accurately.
Governing Law This form operates under Texas Insurance Code Section Sec. > 2218 regarding impact resistance for roofing materials.
Manufacturer's Warranty Completion of this form is not a warranty from the manufacturer, supplier, or installer. Instead, it solely certifies that the installation complies with specified standards.
Installation Standards The roofing installation must meet the manufacturer's specifications and comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
Misrepresentation Consequences Any intentional misrepresentation on this form can lead to fraud charges, emphasizing the importance of honesty when completing the certificate.

Instructions on Utilizing Roofing Certificate

Once you have gathered all the necessary information, you can begin completing the Roofing Certificate form. This process is crucial for homeowners looking to receive a reduction in their residential insurance premiums.

  1. Begin by filling in the Name of Roofing Company.
  2. Add the Street Address of the roofing company.
  3. Enter the City where the roofing company is located.
  4. Provide the County.
  5. Fill in the Zip Code.
  6. Input the Phone number of the roofing company.
  7. If applicable, include the License Number of the company.
  8. Next, complete the residence section. Fill in the Name of Owner.
  9. Provide the Home Phone number of the homeowner.
  10. Enter the Address of the residence being roofed.
  11. Fill in the Office Phone number, if relevant.
  12. Indicate the City of the residence.
  13. Provide the County of the residence.
  14. Fill in the Zip Code for the residence.
  15. Under the certification section, the authorized representative should write their name where indicated.
  16. Specify the Impact Resistance Classification of the roof covering:
    • Class 1
    • Class 2
    • Class 3
    • Class 4
  17. Provide the Manufacturers’ Name.
  18. Enter the Brand Name of the roofing product.
  19. Indicate the Year Manufactured of the roofing materials.
  20. Select how the product is labeled by checking one of the options provided.
  21. Finally, ensure the Signature of Roofing Company’s Authorized Representative and the Date is included at the end.

Once the form is filled out completely, make sure to keep a copy for your records and submit the second copy to your insurance company. Prompt action is vital, as this certification assists you in obtaining potential savings on your insurance premiums.

Important Facts about Roofing Certificate

What is the Roofing Certificate form?

The Roofing Certificate form is a document used in Texas that allows homeowners to certify the installation of a roof that meets certain impact resistance standards. By completing this form, property owners can qualify for a reduction in their residential insurance premiums. It serves to provide essential information about the roofing installation while explicitly stating that it does not provide any warranties from the manufacturer, supplier, or installer.

Who can complete the Roofing Certificate?

An authorized representative of the roofing company should complete the Roofing Certificate form. This individual is responsible for certifying that the roof installation meets the required standards and specifications set by the manufacturer. It is important that this representative is knowledgeable about the installation and can provide accurate information about the roofing materials used.

What roofing standards must be met to qualify for premium reduction?

The roofing materials installed must comply with the Underwriters’ Laboratory Standard 2218, which outlines impact resistance for roof covering materials. Specifically, the Classification of impact resistance can be Class 1, Class 2, Class 3, or Class 4, with Class 4 offering the highest level of protection. Homeowners should verify that their roofing company has the appropriate materials to meet these standards.

How does a homeowner benefit from this form?

By submitting the Roofing Certificate to their insurance company, homeowners can qualify for a reduction in their residential insurance premiums. This incentive is designed to promote the use of impact-resistant roofing materials, which may ultimately lead to fewer claims and lower costs for insurance providers.

Is the Roofing Certificate form legally binding?

While the Roofing Certificate form acts as a certification for reduced insurance premiums, it is not a warranty for the roofing materials or workmanship. However, any intentional misrepresentation on the form can be considered fraud, which has legal implications. Homeowners and roofing companies must ensure that the information provided is accurate and truthful.

What information is required on the Roofing Certificate?

The Roofing Certificate requires specific details such as the roofing company’s name, address, and license number, if applicable. It also needs personal information from the homeowner, including their name and contact information. The certificate must include details about the roof installation, including the impact resistance classification, manufacturer’s name, brand name, and the date of installation.

What should a homeowner do with the completed form?

Once the Roofing Certificate has been completed and signed by the authorized representative of the roofing company, the homeowner should keep one copy for their records. The second copy is to be submitted to the homeowner’s insurance company to initiate the process for reducing their premiums.

Can homeowners file a claim if there are issues with their roof after certification?

Filing a claim for roof issues after obtaining the certification depends on the specific circumstances and the terms of the homeowner’s insurance policy. While the Roofing Certificate allows for reduced premiums, it does not guarantee coverage for future claims. Homeowners should consult with their insurance provider regarding claims related to roof damage or defects.

What if the roofing company didn’t follow proper installation procedures?

If a roofing company did not adhere to the manufacturer’s specifications and standards during installation, this may impact the validity of the Roofing Certificate and the corresponding premium reduction. Homeowners should address any installation issues directly with the roofing company and consult with their insurance provider about the implications for their coverage.

How can homeowners ensure they choose the right roofing company?

To select a reputable roofing company, homeowners should research and verify the qualifications and license status of potential installers. Reading reviews, asking for references, and confirming that the company follows the necessary industry standards can help ensure proper installation. Finally, obtaining multiple quotes can assist in making an informed decision.

Common mistakes

When filling out the Roofing Certificate form, common mistakes can hinder a homeowner's ability to receive a reduction in their insurance premium. Awareness of these pitfalls is crucial for a smooth process.

One frequent error is leaving required fields blank. Each section, such as the roofing company details and homeowner information, must be completed. Incomplete forms may lead to delays or denials in processing the certificate.

Another mistake involves providing incorrect information. Double-checking the accuracy of the roofing company’s license number and contact details is essential. Inaccuracies can raise questions about the validity of the certificate and may lead to complications down the line.

Many also overlook the signature section. The form must be signed by an authorized representative of the roofing company. Forgetting this step means the certificate is invalid, negating any potential insurance premium reduction.

Failure to select an appropriate U.L. classification can be problematic too. Homeowners need to check one of the options for labeling the roof covering accurately. Selecting the wrong classification could result in a rejection of the certificate.

Another area of concern is the date of installation. It’s important to ensure that this date is accurate and matches the roofing work completed. Misalignment of dates can lead to questions about the installation’s legitimacy.

Lastly, some individuals do not retain a copy of the form for their records. Homeowners should make sure to keep their copy. This serves as proof of submission and can be invaluable if there are any disputes with the insurance company later on.

Documents used along the form

The Roofing Certificate form is an essential document for homeowners seeking to lower their residential insurance premiums based on the type of roofing installed. However, several other documents often accompany this certification to further clarify and support the roofing installation process. Understanding these paperwork requirements can help streamline communication between homeowners, roofing contractors, and insurance companies.

  • Roofing Estimate: This document outlines the proposed costs and materials for the roofing project. It provides homeowners with a detailed breakdown, allowing them to understand the expenses involved before taking any contractual steps.
  • Contract Agreement: A formal agreement between the homeowner and the roofing contractor, this may specify the scope of work, timelines, payment terms, and any warranties on the installation. It protects both parties by clearly defining expectations.
  • Manufacturer’s Warranty: This document serves to assure homeowners that the roofing materials installed are guaranteed by the manufacturer for a specific period. It typically covers defects and may offer coverage against certain types of damage.
  • Inspection Report: Following the completion of the roofing installation, an inspection may be required to ensure compliance with local building codes. This report provides evidence that the work was completed according to the specified regulations.
  • Insurance Policy Endorsement: This document changes or adds conditions to an existing insurance policy, specifically related to the new roofing installation. It confirms that the homeowner may receive a premium reduction based on the certification provided.
  • Proof of Payment: To validate that the roofing work has been completed and paid for, this document serves as evidence for the homeowner and can be critical when filing insurance claims or if disputes arise.

Having these documents readily available can enhance clarity and efficiency in the roofing installation process, benefitting not only the homeowner but also the contractors and insurers involved. Proper documentation is crucial for ensuring all parties are protected and informed throughout the journey.

Similar forms

The Roofing Certificate form serves a specific function in facilitating residential insurance premium reductions, but it bears similarities to several other important documents used in insurance and property management. Below are nine documents that share characteristics with the Roofing Certificate form:

  • Homeowners Insurance Declaration Page: This document provides an overview of a homeowner's insurance coverage, including policy limits and premium amounts. Like the Roofing Certificate, it serves to inform homeowners about potential discounts based on certain conditions or certifications.
  • Certificate of Insurance: Often required by contractors, this document verifies that an insurance policy is in effect. Similar to the Roofing Certificate, it includes specific details about coverage that might impact risks and premiums.
  • Wind Mitigation Form: This form details the wind-resistant features of a home, which can also lead to insurance discounts. Just as the Roofing Certificate outlines roofing specifics, the Wind Mitigation Form focuses on features that are key in reducing risk.
  • Installation Warranty: While it guarantees the quality of installation for a product, it may provide similar implications regarding potential insurance discount eligibility. Both documents relate to homeowner protections and risk reduction.
  • Claim Form for Insurance Benefits: This allows homeowners to report a loss and seek benefits. It has a certification aspect, much like the Roofing Certificate, as both documents verify information necessary to obtain insurance benefits or discounts.
  • Property Survey Report: This document delineates property boundaries and features which may affect insurance underwriting and premium calculations. It shares the same goal of providing reliable information to insurers as the Roofing Certificate does.
  • Environmental Impact Assessment: Conducted to evaluate a property's effect on the environment, this document can also play a role in insurance considerations. Both emphasize compliance with standards that may affect insurance costs or eligibility.
  • Flood Zone Determination Letter: This identifies whether a property is in a flood zone and may influence premiums. Like the Roofing Certificate, it serves as a formal acknowledgment of risk factors pertinent to insurance underwriting.
  • Renewal Application for Insurance Policy: This document re-evaluates current coverage and discounts as policies are renewed. Similar to the Roofing Certificate, it necessitates updated information from homeowners which may affect their insurance premiums.

Dos and Don'ts

When filling out the Roofing Certificate form, careful attention to detail is crucial. Here are some dos and don’ts to keep in mind:

  • Do ensure all sections are completely filled out, including the name of the roofing company, address, and contact information.
  • Do review the manufacturer’s specifications carefully to confirm that the installation meets the required standards.
  • Do include the U.L. classification and label details for the roofing materials used.
  • Do sign and date the form before submitting it to ensure validity.
  • Do keep a copy of the completed form for your records after submission.
  • Don't omit any required information, as missing details could delay your insurance premium reduction.
  • Don't provide false or misleading information, as this can lead to serious legal consequences.
  • Don't assume that incomplete or incorrectly filled forms will be accepted; take the time to double-check.
  • Don't wait until the last minute to submit the certificate; allow enough time for processing.
  • Don't ignore the instructions regarding labels and classifications—these are essential for your certification.

By following these guidelines, you can ensure a smoother process and secure your reduction in residential insurance premiums.

Misconceptions

Here are six misconceptions about the Roofing Certificate form:

  • The form guarantees a premium reduction. Many people believe that simply completing the Roofing Certificate will automatically lower their insurance premiums. In reality, the form serves to provide the insurance company with necessary information but does not guarantee a reduction.
  • Any roofing contractor can fill out the form. It is a common misunderstanding that any contractor can certify the roofing work. Only authorized representatives from roofing companies can complete and sign this form.
  • The form provides a warranty on the roof. Some homeowners think that the certificate acts as a warranty for the roofing installation. However, this certificate is not a warranty from the manufacturer, supplier, or installer.
  • All roofing materials qualify for the discount. Individuals often assume that any roofing material will qualify for a premium reduction. The materials must comply with the specified Underwriters’ Laboratory Standard 2218 to be eligible.
  • The homeowner keeps the original copy of the form. Many believe they should maintain the original. However, the roofing company retains one copy, and the second copy is sent to the insurance company.
  • Filling out the form is optional. Some homeowners think that completing the Roofing Certificate is not necessary. If homeowners wish to obtain a reduction in their insurance premium, completing the form is essential.

Key takeaways

Here are key takeaways about filling out and using the Roofing Certificate form:

  1. Purpose: This form helps homeowners secure a reduction in their residential insurance premiums.
  2. Not a Warranty: Completing this form does not constitute a warranty from the manufacturer, supplier, or installer.
  3. Company Information: Provide complete details about the roofing company, including name, address, and license number.
  4. Homeowner Details: The form requires the homeowner's name, contact numbers, and the residence address.
  5. Authorized Signature: An authorized representative from the roofing company must sign the form to certify the installation.
  6. Impact Ratings: The roofing material must comply with Underwriters’ Laboratory Standard 2218 for impact resistance.
  7. Labeling Requirements: Ensure that all roofing materials are labeled with the necessary information as specified.
  8. Two Copies: The completed form should be kept by the homeowner and submitted to the insurance company.
  9. Fraud Concerns: Misrepresentation on the form could lead to serious legal repercussions.
  10. Completion Date: Note the installation date on the form, as this information may be relevant for the insurance premium reduction.