Form Fp-16 - Alternative Procedures To Expedite Underwriting Of Dwelling And Certain Commercial Properties

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FAIR P
LAN
A
P
E
U
LTERNATIVE
ROCEDURES TO
XPEDITE
NDERWRITING OF
D
C
C
P
WELLING AND
ERTAIN
OMMERCIAL
ROPERTIES
T
S
A
– P
I
R
HIS
UPPLEMENTAL
PPLICATION
RODUCER
S
NSPECTION
EPORT IS REQUIRED FOR IMMEDIATE COVERAGE APPROVAL
.
CONSIDERATION
Applicant:____________________________________________________________ File No.:____________________
P
L
:__________________________________________________________________________________
ROPERTY
OCATION
D
: S
F
M
F
G
H
(#
)
WELLING
INGLE
AMILY
ULTI
AMILY
ROUP
OME
OF BORDERS
C
: T
O
____________________________________________________________________
OMMERCIAL
YPE OF
PERATION
P
: O
T
P
R
O
S
: 1
1
2
2
1/2
1/2
ERSON INTERVIEWED
WNER
ENANT
RODUCER
EVIEW
NLY
TORIES
E
S
: W
H
B
B
S
S
V
H
O
________
XTERIOR
TRUCTURE
OOD
ARDBOARD
RICK
LOCK
TONE
TUCCO
INYL
ARDIPLANK
THER
P
: A
__________ C
: W
C
/M
S
I
: Y
N
ORCHES
REA
ONSTRUCTION
OOD
ONCRETE
ASONRY
CREENED
N
ES
O
D
: A
__________ T
: O
E
G
: A
D
#
_________________
ECK
REA
YPE
PEN
NCLOSED
ARAGE
TTACHED
ETACHED
OF CARS
F
(
): N
_____ P
M
S
I
: #
________ #
__________
IREPLACE
S
UMBER
REFAB
ASONRY
TONE
NTERIOR
OF BATHROOMS
OF ELEVATORS
L
:__________________________________________________________________________
IST ANY OTHER UNIQUE FEATURES
U
(
)
E
: C
B
F
O
(
)___________________________
TILITIES
CHECK WHICH APPLIES
LECTRICAL
IRCUIT
REAKERS
USES
THER
SPECIFY
P
: C
G
P
C
I
H
/AC: C
C
Y
N
LUMBING
OPPER
ALVANIZED
LASTIC
AST
RON
EATING
ENTRAL
ONTROLLED
ES
O
H
S
C
: H
P
W
H
F
O
:______________________________
EAT
OURCE
HECK ALL THAT APPLY
EAT
UMP
ATER
EATER
URNACE
THER
T
: E
G
V
: C
B
O
_____________________________________________
YPE
LECTRIC
AS
ENTS
EILING
ASEBOARDS
THER
*I
,
S
(
,
,
)
,
,
.
F PRIMARY OR SECONDARY
SOURCE OF HEAT IS BY
TOVE
WOOD
COAL
OTHER COMBUSTIBLE FUEL
SPACE HEATERS
KEROSENE HEATERS
ETC
DETAILS
A
.
ON INSTALLATION AND USAGE MUST BE PROVIDED TO THE
SSOCIATION
R
: A
_________ O
20
T
: A
T
/M
O
________________________ R
: Y
N
OOFING
GE
VER
YRS
YPE
SPHALT
IN
ETAL
THER
EPAIRS NEEDED
ES
O
O
I
:
THER
SSUES
W
? N
____________
Y
AS THE BUILDING DESIGNED FOR OTHER THAN THE PRESENT OCCUPANCY
OT OBSERVED
ES
N
O
I
?
Y
S THERE ANY EVIDENCE OF REMODELING OR REPAIR
ES
N
O
( I
,
,
)______________________
F YES
PROVIDE SPECIFIC DETAILS
INCLUDE START DATES WORK TO BE DONE AND ESTIMATED COMPLETION
H
? I
,
________________________________
Y
N
AS SUCH WORK BEEN DISCONTINUED PRIOR TO COMPLETION
F YES
EXPLAIN
ES
O
I
? I
,
Y
N
S THE PROPERTY VACANT OR UNOCCUPIED
F YES
ATTACH VACANCY QUESTIONNAIRE
ES
O
A
?
Y
N
RE WOOD SURFACES IN NEED OF REPAIR OR PAINTING
ES
O
A
,
?
Y
N
RE TREE LIMBS LOW
OVERHANGING OR TOUCHING ROOF
ES
O
R
,
?
Y
N
UBBISH
LITTER OR DEBRIS IN YARD
ES
O
N
: _______ A
?
Y
N
UMBER OF OUTBUILDINGS
RE BUILDINGS IN ACCEPTABLE CONDITION
ES
O
I
. ___________________________________________________________________
NDICATE IF OTHER THAN STORAGE
O
A
. E
AP-81
.
UTBUILDINGS IN POOR CONDITION CANNOT BE INSURED BY THE
SSOCIATION
XCLUSION FORM
IS REQUIRED
P
:
LEASE ATTACH PICTURE
_________________________________________________
P
S
RODUCER
S
IGNATURE
DATE
1
FP16 (10/03)

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