Seneca Commercial Property and Liability Report v2.1 - Drag N' Drop FormBuilder

Seneca Commercial Property and Liability Report v2.1

Seneca inspection instructions
--- ALWAYS: Inspect the heating, wiring, plumbing, and common areas.

--- For MULTI-UNIT BUILDINGS like shopping centers:
- For properties with LESS than 6 units, inspect all units.
- For properties with MORE than 5 units, inspect a representative sampling of units, ESPECIALLY the higher-risk occupants.

--- For COMMERCIAL condo units, do full interior inspections on all commercial exposures. If there are any issues, ask H&S to contact the Underwriter for assistance.

--- For inspecting individual RESIDENTIAL condo units, when the policy is NOT covering the entire building (whether the UW put this in the instructions or not):
- If there is only ONE condo unit to be inspected, the Underwriter wants interior access to that ONE condo unit.
- If there are MULTIPLE condo units to be inspected, the minimum threshold of interior access is ONE condo unit UNLESS the Underwriter indicates otherwise.
- If the Underwriter asks for an unfeasible # of units to have interior access, please have H&S let the UW know.
- If the condo units are spread across MULTIPLE buildings, the Underwriter will specify how many units require interior access for EACH building.
- The inspector must:
- ATTEMPT to gain interior access to at least ONE condo unit or the minimum # of units indicated by the UW.
- Let the insured contact know about needing interior access when scheduling the appointment (so they can make arrangements ahead of time).
- The inspector / insured contact cannot just “hope for the best” to see who is available on the day of the onsite inspection.
- Inspect the common areas / walkways & utilities of the building, UNLESS directed differently by the UW.
- If NONE of the residential condo units provide interior access (whether for single or multiple condo unit requested), please have H&S let the UW know & ask if they have further instructions.
- If the insured contact indicates BEFORE the onsite inspection that interior access cannot be done, have H&S let the UW know ASAP.
- Access to multiple residential condo units at the same time may be difficult to achieve.
- In some cases, the UW may be OK if interior access is not given. However, this would be on a case by case basis.

--- For an Apartment/Condo inspection of multiple buildings (unless otherwise noted in the Special Underwriter Instructions):
- If all buildings are the same construction and all are built after 1965: inspect 1 representative interior unit for the complex.
- Exceptions:
- For every building of different construction: inspect 1 interior unit in each construction type.
- For buildings built before 1965: inspect 1 interior unit in each building

GENERAL INFORMATION
Notice to Inspectors:

ALL EMAILS to Insureds, Agents, Brokers, etc. must be sent to H&S for approval, PRIOR to being sent to the destination; EVEN if the Insured, Agent, Broker etc. asked you to email them.

BE SURE TO GO TO "ATTACH FILES" TO VIEW PREVIOUS REPORTS AND OTHER CASE SPECIFIC INFORMATION

Have you gone to "Attach Files" and reviewed the Previous Report(s) and Case Information *
- Yes
- No
- No previous report or case information
PLEASE GO TO "ATTACH FILES" NOW.
PLEASE REVIEW THE PREVIOUS REPORT(S) AND ANY OTHER CASE SPECIFIC INFORMATION.

Inspection Date: *
- Month
- Day
- Year

Insured is: *
- Owner
- Tenant
- Lessee which leases from the owner and rents or subleases to others

Name of Interviewee: *

Interviewee is: *
- Insured
- Building Super
- Tenant other than the Insured
- Property Manager
- Other Title

List Other Title: *

RISK ASSESSMENT SUMMARY

Construction:

Construction: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Heating, Electrical, Plumbing:

Heating, Electrical, Plumbing: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Fire Protection:

Fire Protection: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Building Security:

Building Security: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Liability:

Liability: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Overall Opinion of Risk:
NOTE: The Overall Opinion of Risk must match the worst individual opinion chosen above. Example: If you answered Unacceptable for any of the above opinions, then Unacceptable must also be selected for the Overall Opinion of Risk.

Overall Opinion of Risk: *
- Acceptable as is
- Acceptable pending compliance with recommendations
- Unacceptable

Overall Risk Condition Narrative... Inspector, Start your Narrative with : The Overall Risk Condition is Acceptable with no issues. OR : The Overall Risk Condition is Acceptable with rec's and then... *

PROPERTY OVERVIEW
Three Requirements for providing the full operations details :
1. Describe the proposed use of the building (office, dwelling, mercantile, etc.).
2. Provide a list of any commercial tenants.
3. If the Insured occupies space in the building, provide COMPLETE DETAILS of the Insured's operations.
4. If the insured is the building owner, describe the FULL DETAILS of the operations of ALL commercial tenants.

C.O.P.E. Narrative: Provide highlights of the CONSTRUCTION *

C.O.P.E. Narrative: Provide COMPLETE DETAILS of the OPERATIONS and OCCUPANCY *

C.O.P.E. Narrative: Provide highlights of the PROTECTION *

C.O.P.E. Narrative: Provide highlights of the EXPOSURES (don't forget to mention any scaffolding here) *

If tenant, years the Insured has been in business. If building owner, years the Insured has owned the building. *

Is there more than one building? *
- Yes
- No
* * * Provide COMPLETE DETAILS for the Underwriter, the entire property/complex in the 'Property Overview' and the 'Property - Occupancy Exposures' sections.

* * * The remaining sections are focused on the primary building for this policy.

Grand Total number of Buildings: *

Grand Total number of Apartment/Condo Units: *

Grand Total number of Mercantile Units: *

Are there any Vacancies in any building? *
- Yes
- No

Does the insured lease or sub-lease any space to others? *
- Yes
- No

Are there Lease Agreements in place? *
- Yes
- No
- N / A ONLY when there are NO TENANTS

Are Certificates of Insurance (COI) obtained from all Contractors? *
- Yes
- No

Are Certificates of Insurance (COI) obtained from all Tenants? *
- Yes
- No
- N / A ONLY when there are NO TENANTS

PROPERTY - OCCUPANCY EXPOSURES

The Insured:

Check ALL that apply: *
- 24 Hour Operations
- Catering
- Chemicals
- Commercial Cooking
- Deliveries
- Dry Cleaners
- Engine Repair
- Flammables
- Laundromat Attended
- Laundromat Unattended
- Off Premises Activities
- Scaffolding
- Soiled Rags
- Spray Painting
- Unattended Operations
- Vehicles
- Welding
- Woodworking
- Other fill in below
- NONE OF THE ABOVE

Name the Insured's Other Occupancy Exposure: *

Does the Insured's Commercial Cooking exposure have an AES system? *
- Yes
- No
Inspector must fill out a Cooking Supplement when there is a Commercial Cooking exposure and an AES system.
If no Cooking Supplement exists, contact the H&S office and ask for the correct number of Cooking Supplements to be added to the case.

Other Occupants:

Check ALL that apply: *
- 24 Hour Operations
- Catering
- Chemicals
- Commercial Cooking
- Deliveries
- Dry Cleaners
- Engine Repair
- Flammables
- Laundromat Attended
- Laundromat Unattended
- Off-Premises Activities
- Soiled Rags
- Spray Painting
- Unattended Operations
- Vehicles
- Welding
- Woodworking
- Other fill in below
- NONE OF THE ABOVE

Name the Other Occupants Other Occupancy Exposure: *

Does the Other Occupant's Commercial Cooking exposure have an AES system? *
- Yes
- No
Inspector must fill out a Cooking Supplement when there is a Commercial Cooking exposure and an AES system.
If no Cooking Supplement exists, contact the H&S office and ask for the correct number of Cooking Supplements to be added to the case.

Occupancy Exposure Concerns:

Are there Property or Operations Concerns/Problems *
- Yes
- No

Describe any concerns: *

Is the Scaffolding going up or is it coming down. *
- The Scaffolding is being assembled.
- Existing/In-Place scaffolding.
- The Scaffolding is being disassembled.

How long has the scaffolding been there and how long will it remain there? *

What is the purpose of the Scaffolding? Why is there scaffolding? What is being done? *

BUSINESS AND OCCUPANCY: MAIN BUILDING
For this Business and Occupancy section focus the answers on the Main Building.

Note to Inspector: If there are multiple buildings, you must then fill out a Secondary Building Supplement form for each additional building. For larger Apartment/Condo complexes, identical buildings (styles/models) which contain ONLY residential occupants, can be grouped together as one Type. Only one supplemental form needs to be filled out per each residential buidling type/style/model.

Identify the Building: (name or street address) *

Years the Insured has owned or occupied this location: *

Nature of business/occupancy:

Nature of business/occupancy: (Check ALL that apply) *
- Apartment or Condo or Residence
- Office
- Manufacturing
- Mercantile or Retail Space
- Restaurant
- Service
- Warehouse
- Church
- Other

List Other Nature: *

Percentage of Other: *

Percentage of Apartment/Condo/Residence: *

Percentage of Office: *

Percentage of Retail / Mercantile: *

Percentage of Manufacturing: *

Percentage of Service: *

Percentage of Restaurant: *

Percentage of Warehouse: *

Percentage of Church: *

Total Percentage: *

Apartment/Condo/Residence Occupancy:

Number of Apartment/Condo/Residence Units: *

Are there any Apartment/Condo/Residence Vacancies? *
- Yes
- No

Percentage of Apartment/Condo/Residence Vacant: *

Commercial Occupancy:

Number of Commercial Units: *

Are there any Commercial Vacancies? *
- Yes
- No

Percentage of Commercial Vacant: *

Describe Business and Occupancy concerns, and ALL Vacancies: *

FLOORS
Inspector: For this Floors Section: If the Insured is a Tenant, focus on the floor(s) the Insured leases. For example, if there is one 5 story building, and each floor is 1,000sf and insured occupies half of the 4th floor; the following answers would be:
Number of floors = 5, Floor = 4, SF of Entire Floor = 1000, % Occupied by Insured = 50, the Total SF occupied by the Insured = 500, and the Total SF of the building = 5,000

Number of Floors in the Building: *

How many floors does the Insured own or lease space? *

Floor 1

Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

Floor 2

Next Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

Floor 3

Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

List any additional floors, including the square footage for each floor, and the % and area occupied by insured, for each floor, usage, and comments (example: FL #____, ______ sf, _____%, _____sf, ... *

Percentage of Additional Floors occupied by Insured: *

Floors: Building Totals

Building Total Square Footage: *

Percentage of this Above Grade Total, occupied by Insured: *

Total Area Occupied by the Insured *

Floors: Basement

Does this building have a Basement: *
- Yes
- No

Basement Total Square Footage: *

Percentage of Basement occupied by Insured: *

Area of the basement occupied by the Insured *

Describe Basement Usage: *

Commercial Occupant:

Street Address / Unit # *

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant *

Is there a second occupant? *
- Yes
- No

Second Occupant:

Street Address / Unit # *

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant *

Is there a third occupant? *
- Yes
- No

Third Occupant:

Street Address / Unit # *

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant *

Additional Occupants:

Provide detailed information for ALL additional Units: *

LIABILITY

Evaluation of Liability Concerns/Hazards:

Parking Lot(s) *
- Acceptable
- Acceptable with Recs
- Unacceptable
- NA

Describe concerns with the Parking Lot: *

Sidewalks: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Sidewalks: *

Sidewalk Security Cameras: *
- Yes
- No

Exterior Camera Coverage: *
- Front Sidewalks
- Side Sidewalks
- Front Entrance
- Side Entrance
- Parking area
- Unknown
- NA
- Other:

Identify Other Coverage Area: *

Entrances: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Entrances: *

Adjacent Exposures: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Adjacent Exposures: *

Stairs, Ramps, and Handrails: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Stairs, Ramps, and Handrails: *

Common Areas: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Common Areas: *

Fire Escapes: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Fire Escapes: *

Gutters and Downspouts: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Gutters and Downspouts: *

Overall Building Maintenance: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Overall Building Maintenance: *

Overall Housekeeping: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Overall Housekeeping: *

Proper Egress: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with Egress: *

What is the Total Number of Exits *

Illuminated Exit Signs: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with illuminated exit signs: *

Are there any illuminated exit signs? *
- Yes
- No

Are illuminated exit signs required? *
- Yes
- No

Emergency Lighting: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe concerns with the Emergency Lighting: *

Are there any emergency lights? *
- Yes
- No

Are emergency lights required? *
- Yes
- No

Snow and Ice Removal

Who is responsible for Snow and Ice Removal? *
- The Insured
- Landlord if the Insured is a Tenant
- The Town or City or Municipality
- Tenant If the Insured is the Landlord
- NA Area not subject to snow
- Condo or Building Association

Describe any concerns about snow and ice removal. Also, add comment (if you have additional relative information to share). *

Elevators

Are there any Passenger Elevators? *
- Yes
- None

Number of Passenger Elevators: *

Current Inspection? *
- Yes
- No

Is there a Tag Date for the Passenger Elevator *
- Yes
- No

Date of most recent Inspection: *

Are there any Operating Concerns? *
- Yes
- No

Describe Passenger Elevator Concerns: *

Interior Doors? *
- Yes
- No

Exterior Doors? *
- Yes
- No

Can the Safety Features by overridden? *
- Yes
- No

Are there any Freight Elevators? *
- Yes
- None

Number of Freight Elevators: *

Type of Operation: *
- Lever
- Push Button

Operated by: *
- Tenants
- Building Management

Current Inspection? *
- Yes
- No

Is there a Tag Date for the Freight Elevator *
- Yes
- No

Date of most recent Inspection: *

Are there any Operating Concerns? *
- Yes
- No

Describe Freight Elevator Concerns: *

Interior Doors? *
- Yes
- No

Exterior Doors? *
- Yes
- No

Can the Safety Features by overridden? *
- Yes
- No

Wooden Structures

Are there any attached wooden decks, balconies, or staircases? *
- Yes
- No

Are there any grills either on or below them? *
- Yes
- No

Is there any storage either on or below them? *
- Yes
- No

Other Liability Concerns

Provide any additional applicable information about existing liability concerns *

CONSTRUCTION: MAIN BUILDING

The year built: *

Overall Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe construction condition concerns here. (Enter any additional information about the building construction in the "Additional Comments" area at the end of the report) *

Are there any renovations, construction, or demolition work? *
- Yes
- No

Cost of Renovation: *

Describe the renovations, new construction, or demolition work. *

Is the building of Mixed Construction (more than one Type) or ALL (100 %) one Type? *
- Mixed Construction
- All One Type

Primary Construction Type: *
- Frame ISO 1
- Joisted Masonry ISO 2
- Non Combustible ISO 3
- Masonry Non Combustible ISO 4
- Modified Fire Resistive ISO 5
- Fire Resistive ISO 6

What percentage of Building is this Type: *

Secondary Construction Type: *
- Frame ISO 1
- Joisted Masonry ISO 2
- Non Combustible ISO 3
- Masonry Non Combustible ISO 4
- Modified Fire Resistive ISO 5
- Fire Resistive ISO 6

What percentage of Building is this Type: *

Do you need to add a third Construction Type? *
- Yes
- No

Additional Construction Type: *
- Frame ISO 1
- Joisted Masonry ISO 2
- Non Combustible ISO 3
- Masonry Non Combustible ISO 4
- Modified Fire Resistive ISO 5
- Fire Resistive ISO 6

What percentage of Building 3 is this Type: *

Calculated Total of Construction Percentage *

COMMENTS and CONCERNS: Provide any additional applicable information about the building construction. *

Roof Shape: *
- Flat
- Gable
- Gambrel Barn
- Hip
- Mansard
- Shed

Roof Construction: *
- Poured Concrete
- Concrete Slab
- Steel Deck
- Wood Joist
- Gypsum Slab

Roof Covering (check all that apply) *
- Asphalt Shingles
- Clay Tiles
- Copper
- Fiberglass Shingles
- Membrane
- Metal
- Rubber
- Slate
- Wood Shakes/Shingles
- Other

Describe Other Covering *

Age of Roof Covering: *

Age of Roof Decking: *

Evidence of Roof Leaks (water stains unrelated to plumbing leaks) *
- Walls
- Ceilings
- Walls and Ceilings
- None

Has the leak been fixed *
- Yes
- No

What was done to fix the leak *

Roof Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable
- Not Observed

Describe condition for roof concerns: *

Floor Construction: *
- Concrete
- Steel
- Wood

Floor Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe condition for floor concerns: *

Ceiling Finish: *
- Concrete
- Drywall
- Plaster
- Gypsum Slab
- Stamped Tin
- Suspended Tile
- Steel
- Wood
- Other

Describe the Other Ceiling Finish *

Ceiling Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe condition for ceiling concerns: *

Wall Construction/Finish: *
- Brick
- Concrete
- Concrete Block
- Drywall
- Plaster
- Steel
- Wood

Wall Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Describe condition for wall concerns: *

Stair Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable
- NA

Stair Type: *
- Open
- Enclosed

Stair Construction: *
- Concrete
- Metal
- Wood

Describe condition for stair concerns: *

Chimney Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable
- NA No Chimney

Describe condition for chimney concerns: *

Are there any masonry firewalls? *
- Yes
- No

Are there parapets (extending the firewall above the roof) ? *
- Yes
- No

PML

PML (Probable Maximum Loss) % *
- 100 percent Frame building construction

PML (Probable Maximum Loss) % *
- 100 percent Joisted Masonry building construction

PML (Probable Maximum Loss) % *
- 80 percent Typical for a Non Combustible building with ordinary contents
- 90 percent use ONLY if building contents are HIGHLY COMBUSTBLE
- 100 percent use ONLY if building contents are HIGHLY FLAMMABLE

PML (Probable Maximum Loss) % *
- 70 percent Typical for a Masonry Non Combustible building with ordinary contents
- 80 percent use ONLY if building contents are HIGHLY COMBUSTIBLE
- 90 percent use ONLY if building contents are HIGHLY FLAMMABLE

PML (Probable Maximum Loss) % *
- 50 percent Typical for a Fire Resistive building with ordinary contents
- 60 percent use ONLY if building contents are HIGHLY COMBUSTIBLE
- 70 percent use ONLY if building contents are HIGHLY FLAMMABLE

PML (Probable Maximum Loss) % *
- 50 percent Typical for a Fire Resistive building with ordinary contents
- 60 percent use ONLY if building contents are HIGHLY COMBUSTIBLE
- 70 percent use ONLY if building contents are HIGHLY FLAMMABLE

ELECTRICAL, HVAC, AND PLUMBING

Heating

Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Fuel Type: *
- Natural Gas
- Propane
- Oil
- Electric
- Other

Fill in Other type of fuel: *

Type of Heat: *
- Steam Boiler
- Hot Water Boiler baseboard
- Hot Air Furnace
- Ceiling Suspended Heating Unit
- Self contained Electric Baseboard
- Heat Pump
- Ductless In wall Unit
- In floor Radiant
- City Steam
- Other
- None

Fill in Other type of heat: *

Is the boiler certificate current? *
- Yes
- No

Age: *

Is the Heating system more than 10 years old? *
- Yes
- No

Year Last Updated: *

Is the year of heating updates confirmed or estimated? *
- Confirmed
- Estimated

Oil Tank *
- Above Ground
- Basement
- Underground
- None

Type of Air Conditioning: *
- Central Air
- Ductless in wall Unit
- Window Unit
- None

Describe concerns with the heating system condition. Also, provide any additional applicable information about the heating system *

CONCERNS: Provide additional applicable information about the heating system *

Electrical

Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Type of Wiring: *
- BX
- Romex
- Conduit
- Other
- None

Fill in Other Type of Wiring: *
Note to Inspector: In the Five Boroughs of NYC, use of Romex (Type NM, NMC and NMS) wiring is NOT PERMITTED in Commercial Buildings, or Multi-family Dwellings exceeding 3 stories above grade. Such use requires a recommendation.

Overcurrent Protection: *
- Circuit Breakers
- Commercial Bus Fuses
- Residential S-Type Plug Fuses
- Residential Plug Fuses

Age: *

Is the Electrical more than 10 years old? *
- Yes
- No

Year Last Updated: *

Is the year of electrical updates confirmed or estimated? *
- Confirmed
- Estimate

Year Last Inspected: *
Attention Inspectors and QA: The Zinsco and Federal Pacific questions that follow are critical questions.
We must verify their existance or non-existance.

Are there any circuit breaker panels manufactured by Zinsco? *
- Yes Zinsco
- No

Are the circuit breakers manufactured by Federal Pacific Electric Company and/or the Stab-Lok brand name displayed on the inside of the electrical box? *
- Yes FPE
- No
Notes to Inspector :

(1) If this is an FPE electrical box, it will state "Federal Pacific Electric Company" or the "Stab-Lok" brand on the inside panel. Federal Pacific Equipment, Inc. is a different company and not subject to this issue.
(2) Federal Pacific Electric Company and Stab-Lok panel boxes were installed in the 70's and 80's.

Unsafe Wiring? (Check ALL that apply, or check No if there is no unsafe wiring) *
- No
- Aluminum wiring
- Knob and Tube
- Excessive extension cords
- Missing cover on Electrical Box
- No GFCI
- Pig tailed aluminum wiring
- Uncovered switch or outlet boxes
- Open electric panel slots
- Unsecured fixtures
- Other:

Other unsafe wiring condition: *

Describe concerns with the electrical system condition. Also, provide any additional applicable information about the heating system *

COMMENTS and CONCERNS: Provide any additional applicable information about the electrical system *

Plumbing

Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable

Supply Lines: *
- Copper
- PEX
- PVC
- Other
- None

Fill in Other Type supply lines: *

Waste Lines: *
- Cast Iron
- Galvanized
- Copper or Brass
- PVC
- Other
- None
It is unusual to find Galvanized Pipe. If the building was built after 1960 it is NOT likely to have Galvanized plumbing.
If you are sure there is Galvanized plumbing, YOU MUST HAVE A PHOTO OF IT AND THEN YOU MUST MAKE A RECOMMENDATION TO HAVE IT REMOVED.
Galvanized piping was commonly used before 1960, but stopped being used around 1960. If a building was built since the mid 1960’s, most likely, it would NOT have galvanized pipe.

Fill in Other Type waste lines: *

Age: *

Is the Plumbing more than 10 years old? *
- Yes
- No

Year Last Updated: *

Is the year of plumbing updates confirmed or estimated? *
- Confirmed
- Estimated

Water stains on walls and/or ceilings due to plumbing leaks? *
- Walls
- Ceilings
- Walls and Ceilings
- None

Has the leak been fixed *
- Yes
- No

What was done to fix the leak *

Basement Dry: *
- Yes
- No
- NA

No Basement PG15 *
- NA

Water Source: *
- City Water
- Well
- None

Waste Termination: *
- Municipal Sewer System
- Septic System
- None

Describe concerns with the plumbing system condition. Also, provide any additional applicable information about the Plumbing system *

Provide ALL additional applicable information about the plumbing system *

SOLAR PANELS

Condition: *
- Acceptable
- Acceptable with Recs
- Unacceptable
- NA

How many solar panels: *

What is the power output: *

Age of the solar panel system: *

Where are the solar panels installed/mounted: *

Are the Solar Panel Inverter and batteries under a maintenance program contract: *
- Yes
- No
- NA

Name and contact information of the maintenance company: *

What is the term of the contract, and what is covered: *

Are there overhanging tree branches that pose a risk to the solar panels: *
- Yes
- No

Does a system rapid shutdown exist: *
- Yes
- No

Is the solar system UL/NFPA compliant and manufactured within the past 5 years *
- Yes
- No

Are Ground Level Systems permanently attached to the ground: *
- Yes
- No
- NA

Are Ground Level Systems fenced in, and do they have the required signage: *
- Yes
- No
- NA

Are Ground Level Systems located on site (located at the premises insured by this policy) *
- Yes
- No
- NA

FIRE PROTECTION

Distance to nearest hydrant: *

Distance to fire department: *

Fire Department *
- Paid
- Part Paid
- Volunteer

Are there any unsafe cooking issues? *
- Yes - Unsafe Cooking Devices
- No

Please describe *

Are there any fire extinguishers? *
- Yes
- No

How many: *

Class: *

Properly Hung? *
- Yes
- No

Properly serviced? *
- Yes
- No

Is there a Tag Date for the Fire Extinguisher *
- Yes
- No

Date Tagged: *
- Month
- Day
- Year

Carbon Monoxide (CO) Detectors: *
- Yes
- No

Smoke Alarms In the Common Areas: *
- Yes
- No
- No Common Areas

Common Area Smoke Alarm Monitoring: *
- Hardwire Centrally Monitored
- Hardwire Centrally Monitored and Battery Powered
- Hardwire Locally Monitored
- Hardwire Locally Monitored and Battery Powered
- Battery Powered Only

Smoke Detector Type in Common Hallways *
- Hardwired
- Battery Powered
- Sprinkler
- No Common Hallways
- None

Smoke Detector Type in Units: *
- Hardwired
- Battery Powered
- None

Fire Alarm Type: *
- Manual Pull
- Automatic
- None

Manual Pull Fire Alarm Monitoring: *
- Centrally Monitored
- Locally Monitored

If there a Manual Pull fire alarm? *
- Yes
- No

IGNORE (Automatic Fire Alarm) *
- Yes
- No

Automatic Fire Alarm Monitoring *
- Centrally Monitored
- Locally Monitored

Automatic Fire Alarm Panel (if Yes, include a required photo) *
- Yes
- No

Is the automatic fire alarm panel service tag in date? *
- Yes
- No

Automatic Fire Alarm Detectors (if Yes, include a required photo) *
- Yes
- No

Automatic Fire Alarm Sounder and Flashers (if Yes, include a required photo) *
- Yes
- No

Sprinkler System

Sprinkler System: *
- Yes
- None

Type: *
- Wet Pipe
- Dry Pipe
- Pre action
- Deluge

Is there adequate sprinkler coverage for the occupancy *
- Yes
- No

Sprinkler Coverage: *

Describe Gaps in sprinkler coverage: *

Name of sprinkler maintenance Contractor *

Phone number: *

Is there a Tag Date for the Sprinkler *
- Yes
- No

Test Date: *
- Month
- Day
- Year

Sprinkler Pressure Gauge 1 reading: *

Sprinkler Pressure Gauge 2 reading: *

Condition of Sprinkler System: *
- Acceptable
- Acceptable with Recs
- Unacceptable

FIRE PROTECTION CONCERNS ONLY: Describe sprinkler system concerns. Also, provide any additional applicable information about the fire protection and explain any other concerns. (Write comments abou... *

BUILDING SECURITY

Any Security Concerns? *
- Yes
- No

Central Monitored Burglary Alarm? *
- Yes
- No

Is the Burglar Alarm professionally serviced *
- Yes
- No

Are there Security Cameras in place? *
- Yes
- No

Security Camera Location(s): *

Bars on Doors/Windows? *
- Yes
- No

Double Cylinder Locks on Exterior Doors? *
- Yes
- No

Rate of VMM (Vandalism and Malicious Mischief) *
- High
- Med
- Low
REQUIRED: Within the Comments below, please Describe the High Rate of VMM.

Describe security concerns. Also, provide any additional applicable information about the burglary protection *

Describe Security Concerns Only: (Write comments on security go in the NARRATIVE area at the end of the Form) *

NEIGHBORHOOD

Type of Neighborhood: *
- Commercial
- Residential
- Mixed

Neighborhood Condition: *
- Improving
- Stable
- Declining

Is there any construction, renovation, or demolition being done on any Adjoining Building *
- Yes
- No

Explain the construction, renovation, and/or demolition work and which Adjoining Building. *

Address the negative concerns of this neighborhood (Are there high risk neighbors like dry cleaners, Chinese/Indian restaurants, etc.) (Do NOT repeat information captured above) *

LOSS HISTORY

Have there been any past PROPERTY losses? *
- Yes
- No

Describe the fixes/repairs made, corrective measures put in place, and the current condition (see the Help Text for details). *

Past LIABILITY Losses? *
- Yes
- No

Describe the fixes/repairs made, corrective measures put in place, and the current condition (see the Help Text for details). *

RECOMMENDATIONS
Notes to Inspector:
1. The "type" of every recommendation you add must be "No Recommendation Type".
2. Use the standard recommendations from the recommendation library whenever possible.
3. Always add the location of the problem (enclosed in parentheses) to the end each standard recommendation.
4. Add one or two photos with each REC

Are there any new recommendations? *
- Yes
- No

REQUIRED FILES

Did you include the required Aerial View photograph? *
- Yes
- No

END OF REPORT