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H&S Package Report
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Opinion of Risk
Physical
Physical
*
Satisfactory
Unsatisfactory
PML % (Probable Maximum Loss %) ***TIP: Frame and Joisted Masonry is always 100%
*
Normal Loss Expectancy - NLE
NLE Risk Hazard
*
Low to Moderate
Moderate or Higher
Sprinkler Coverage
*
Less than 95 percent sprinklered
Greater than or equal to 95 percent sprinklered
Construction type
*
Frame ISO 1 or Joisted Masonry ISO 2 or Noncombustible ISO 3 or Masonry Noncombustible ISO 4
Modified Fire Resistive ISO 5 or Fire Resistive ISO 6
Number of stories
*
Less than 6 stories
Greater than or equal to 6 stories
NLE $2.5M
*
$2.5 million
NLE $5M
*
$5 million
NLE $10M
*
$10 million
NLE 100% TIV of Largest Building
*
100% TIV of Largest Building
NLE 100% TIV of Largest Building
*
100% TIV of Largest Building
Heating, Wiring, Plumbing
Heating, Wiring, Plumbing
*
Satisfactory
Unsatisfactory
Protection
Fire Protection
*
Satisfactory
Unsatisfactory
Liability
Liability
*
Satisfactory
Unsatisfactory
Opinion of Risk
*
Good
Average
Fair
Poor
Information
Have you gone to "Attach Files" and reviewed the Previous Report(s) and Case Information
*
Yes
No
No Previous Report or Case Information
Interviewed:
*
Inspection Date
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
Year
What is the Contact's Email address (this customer emails certain inspection results to the Insured/Contact)
*
Email
*
Contact Email Address:
Physical
Building Construction:
*
Frame/Combustible
Joisted Masonry
Non-Combustible
Masonry Non-Combustible
Modified Fire Resistive
Fire Resistive
Year Built
*
The number of Stories
*
The height of each story (in feet)
*
Floor Construction
Primary Floor Construction
*
Wood Joist
Concrete
Steel Joist
Other
Name of Other Floor Construction
*
Building Exterior
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Year Built
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Garage
Pool
Fireplace Count
Heating
Water
Sewer
FEMA Flood Grade
FEMA Flood Rating
Distance To Nearest Flood Zone
Fire Protection Response Grade
Fire Protection Response Rating
AAIS Rating
Distance To Station (Miles)
Hydrant Distance (Ft)
Hydrant Count Nearby
Use
Owner Occupied
Number Of Units
Replacement Cost
Land Use
Primary Building Area
Architectural Style
Construction
Construction Quality
Primary Roof Covering
Foundation
Location
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