Insured'S Mitigation Verification Affidavit- Condominium Unit Owner Form printable pdf download

Insured'S Mitigation Verification Affidavit- Condominium Unit Owner Form

INSURED’S MITIGATION VERIFICATION AFFIDAVIT- CONDOMINIUM UNIT OWNER

Policyholder Name - ____________________________________________________________

Property Address -______________________________________________________________

Opening Protection

Have storm shutters been installed on all windows meeting the minimum requirements for the

International Building Code?

Yes_______

No_______

Has impact resistant glass meeting the minimum requirements of the International Building Code

been installed?

Yes_______

No_______

If there is an attached garage, does the door(s) meet or has it been retrofitted to meet ASCE 7/88

wind and debris impact standards, or is the door(s) compliant with SSTD-12 wind pressure and

debris impact standards?

Yes_______

No_______

Roof

Attachment – Is sheathing attached in compliance with the current edition of the International

Building Code as adopted by the South Carolina Building Codes Council or an engineered design

for the wind speed for the site on which the home is located?

Yes_______

No_______

Roof-to-Wall Connection - Are there toe nails, clips, single straps and/or double straps that are

installed in compliance with the current edition of the International Building Code as adopted by

the South Carolina Building Codes Council or an engineered design for the wind speed for the

site on which the structure is located?

Yes_______

No_______

□

Toe nails

Clips

Single straps

Double straps

Secondary Water Resistance - Does the roof have roofing felt or other approved layer or

protection between the shingles and the roof sheathing below? All secondary water resistance

products must be installed per the manufacturer’s instructions.

Yes_______

No_______

Not Verified_______

Construction Standards

Construction – Is the structure comprised of exterior walls constructed of masonry materials such

as adobe, brick, concrete, gypsum block, hollow concrete block, stone, tile, or similar materials,

with the floors and roof of metal or non-combustible materials.

Yes_______

No_______

Building Codes

Is the structure built to meet or exceed the International Building Code as adopted by the SC

Building Codes Council as of 2007? Was the structure’s certificate of occupancy (CO) issued in

2007 or later?

Yes_______

No_______

Insured'S Mitigation Verification Affidavit- Condominium Unit Owner Form

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