Hurricane Damage Mitigation Instructions And Certification (Page 4 of 4) in pdf

Hurricane Damage Mitigation Instructions And Certification Page 4

Hurricane Damage Mitigation Certification

4. All overhead garage doors and tracks are reinforced.

a) _______Yes - overhead garage doors are labeled to withstand 85 mph. (Attach

copy.)

b) _______Yes - overhead garage doors are braced.

c) _______Yes - overhead garage door tracks are reinforced.

d) _______Not Applicable - no overhead garage door.

5. All exterior doors are fastened to door jambs with 3 or more hinges, and have dead

bolts or door pins that project a minimum of ½”.

a) _______Yes - exterior doors have 3 or more hinges.

b) _______ Yes - exterior doors have dead bolts or door pins that project a

minimum ½”.

6. Documentation and Certification Required

To substantiate the existence of the loss mitigation features indicated above, I have

enclosed the following:

__________ Manufacturers labels or literature.

__________ Receipts for items purchased.

__________ Contractors bills for labor and materials.

__________ Written home inspection report prepared by licensed firm.

I certify that the property described above contains the indicated hurricane damage

mitigation features. I understand that if a hurricane loss occurs, the claim adjuster

will confirm their existence. This request for a decrease in my hurricane deductible

is subject to approval by the New Jersey Insurance Underwriting Association. I

realize that any false or misleading information will be considered lack of good faith

on my part and will void the decrease in the hurricane deductible.

Signature of Insured: ______________________________

Date: ____________________________________________

HD 99 03 (10-2007)

Page 4 of 4

Hurricane Damage Mitigation Instructions And Certification Page 4