RESIDENTIAL COMPONENT TECHNOLOGY Mobile Manufactured Housing

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1 RESIDENTIAL COMPONENT TECHNOLOGY Mobile Manufactured Housing GENERAL INFORMATION Policy Number: Insured Name: Property Address: Property Zip: Agent: Branch: Current Coverage: _ Account Number: _ PROPERTY DATA Property Style Year Built: _ ( current) M-MH Single-Wide Number of Stories: (1-2) M-MH Multi-Wide Total Living Area Foundation % Posts and Piers % Basement Daylight (Y/N) % Finished Basement Custom (Y/N) Access Special Conditions Flat Area/Easy Access Roads Slightly Congested Roads Narrow Roads/Hillside Area Difficult Access/Steep Terrain Island Access - Short Distance Island Access - Long Distance Elevator Access Isolated Rural Area Mountain Access Perimeter Hinged Roof Wall Framing % 2x4 Wood Wall Framing % 2x6 Wood Rev 10/04 1

2 EXTERIOR Exterior Walls % Brick (Imitation) Cement Fiber Shingles Cember Fiber Siding Hardboard Siding Aluminum/Metal Siding, Horizontal Aluminum/Metal Siding, Vertical Plywood Siding (Only) Split Log Siding Stone (Imitation) Stucco Siding Vinyl Siding, Horizontal Vinyl Siding, Vertical Wood Lap Siding Wood Shake (Imitation) Wood Stresskin Sandwich Panels Roofing % Asphalt / Fiberglass Shingle Architectural Shingles Clay Tile Concrete Tile Rolled Metal Roofing Standing Seam Metal Roofing Wood Shake Wood Shingles Attached Structures Attached Garage - 1 Car Attached Garage Car Attached Garage - 2 Car Attached Garage Car Attached Garage - 3 Car Attached Garage Car Attached Garage - 4 Car Attached Garage Car Attached Garage - 5 Car Built-in Garage - 1 Car Built-in Garage Car Built-in Garage - 2 Car Built-in Garage Car Built-in Garage - 3 Car Built-in Garage Car Basement Garage - 1 Car Basement Garage Car Basement Garage - 2 Car Basement Garage Car Basement Garage - 3 Car Carport - 1 Car Carport - 2 Car Carport - 3 Car Open Porch - Small Open Porch - Medium Open Porch - Large Screened Porch - Small Screened Porch - Medium Screened Porch - Large Closed Porch - Small Closed Porch - Medium Closed Porch - Large Open Breezeway - Small Open Breezeway - Medium Open Breezeway - Large Screened Breezeway - Small Screened Breezeway - Medium Screened Breezeway - Large Closed Breezeway - Small Closed Breezeway - Medium Closed Breezeway - Large Wood Deck - Small Wood Deck - Medium Wood Deck - Large Redwood Deck - Small Redwood Deck - Medium Redwood Deck - Large Patio Cover - Small Patio Cover - Medium Patio Cover - Large 2

3 EXTERIOR continued Attached Structures Detached Structures Solar Room - Small Solar Room - Medium Solar Room - Large Greenhouse - Small Greenhouse - Medium Greenhouse - Large Balcony - Small Balcony - Medium Balcony - Large Indoor Pool Hot Tub Attached Structures Attached Garage Attached Barn Attached Barn - Vintage Awning, Aluminum Awning, Fabric Built-in Garage Basement Garage Carport Open Porch Screened Porch Closed Porch Open Breezeway Screened Breezeway Closed Breezeway Wood Deck Redwood Deck Composite Deck Patio Cover Solar Room Greenhouse Balcony Screened Pool Enclosure 3-Wall Addition, Slab 3-Wall Addition, Post & Pier Roof Over Dormer Other Detached Structures Detached Garage Detached Garage w/fin. Area Screened Pool Enclosure SF SF Detached Garage - 1 Car Detached Garage Car Detached Garage - 2 Car Detached Garage Car Detached Garage - 3 Car Detached Garage Car Detached Garage - 4 Car Detached Garage Car Detached Garage - 5 Car Detached Garage w/fin. Area - 1 Car Detached Garage w/fin. Area - 2 Car Detached Garage w/fin. Area - 3 Car Detached Garage w/fin. Area - 4 Car Detached Garage w/fin. Area - 5 Car Shed - Small Shed - Medium Shed - Large Tennis Courts - Asphalt Unlighted Tennis Courts - Asphalt Lighted Tennis Courts - Clay Unlighted Tennis Courts - Clay Lighted Tennis Courts - Grass Unlighted Tennis Courts - Grass Lighted Basketball Court - Lighted Basketball Court - Unlighted Swimming Pool - Fiberglass Swimming Pool - Concrete (Small) Swimming Pool - Concrete (Medium) Swimming Pool - Concrete (Large) Swimming Pool - Concrete (Extra Large) Special Items Custom Exterior Door Patio Doors Bay Windows Bow Windows Skylight - Small Skylight - Large Trailer Like Windows, Small Storm Windows Insulating Glass Windows, Vinyl Clad Solar Tube Steps, Back Door Steps, Front Door 3

4 EXTERIOR continued Special Items Skirting, Concrete Panels Skirting, Hardboard Skirting, Horizontal Metal Skirting, Horizontal Vinyl Skirting, Precast Panels Skirting, Simulated Brick Pattern Skirting, Simulated Stone Pattern Skirting, Stone Panels Skirting, Vertical Metal Skirting, Vertical Vinyl Skirting (Hillside) SF INTERIOR Partitions % Ceilings % Seamed Partitions Drywall Drywall - Textured Seamed Ceilings Drywall Drywall - Textured Wall Coverings % Flooring % Paint Sponge Coat Marble Paint Vinyl Wallpaper Foil Wallpaper Grass Cloth Paper Ceramic Tile Imported Ceramic Tile Marble Tile Sheet Paneling Solid Wood Paneling Tongue & Groove Millwork Bookcase Walls Knotty Pine Mirrors Brick Facing Stone Facing Terrazzo Carpet Corkboard Pegboard Other Hardwood Carpet over Hardwood (Acrylic/Nylon) Carpet over Hardwood (Custom Acrylic) Carpet over Hardwood (Wool/Berber) Wall to Wall Carpet (Acrylic/Nylon) Wall to Wall Carpet (Custom Acrylic) Wall to Wall Carpet (Wool/Berber) Vinyl Ceramic Tile Ceramic Tile - Imported Laminated Flooring Parquet Plank Plywood Only Marble Tile Mural Tile Flagstone Brick Slate Terrazzo Tile Stone Granite Cork 4

5 INTERIOR continued Interior Items Kitchen - Basic Kitchen - Builder s Grade Kitchen - Semi-Custom Kitchen - Custom Kitchen - Designer Full Bath - Basic Full Bath - Builder s Grade Full Bath - Semi-Custom Full Bath - Custom Full Bath - Designer Half Bath - Basic Half Bath - Builder s Grade Half Bath - Semi-Custom Half Bath - Custom Half Bath - Designer Three Quarter Bath - Basic Three Quarter Bath - Builder s Grade Three Quarter Bath - Semi-Custom Three Quarter Bath - Custom Three Quarter Bath - Designer Hot Tub Jacuzzi Jetted Tub Built-In Book Shelf Built-In Desk Built-In Entertainment Center Built-In Hutch Built-In Stereo/Intercom Fireplace (M-MH) Woodburning Stove (M-MH) French Doors (count each door) Wet Bar HVAC % Heating - Gas Central Air - Evaporative Central Air - Refrigerative Central Air - Separate Ducts HVAC Heat Pump System Evaporative Coolers Evaporative Coolers, Window Units Window Type Refrigerative Cooling Ceiling Fan Miscellaneous Systems % Interior Sprinkler Systems Central Burglar Alarm System Central Vacuum System Intercom System Central Fire Alarm System 5

6 MISCELLANEOUS Write-In Components % Write-In Components FIELD SURVEY NOTES 6

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