Replacement Cost Valuation Worksheets
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1 Replacement Cost Valuation Worksheets These worksheets are designed to collect information that you can use in your own valuation system. These reports will not develop a replacement cost. Zone 2 Zone 3 Zone 4 Pricing Dwelling Outside Only $ $ $ Dwelling inside/outside $ $ $ Commercial <15,000 sq. ft. $ $ $ Commercial >15,000 & < 50,000 sq. ft. $ $ $ Commercial < 50,000 sq. ft. Hourly Hourly Hourly
2 Name of Insured: Date: F.R.: Policy Number: Requestor: Address: City: State: Idaho Zip Code: Identification No. EXTERIOR FEATURES Fields marked with * are mandatory entries. 1. * YEAR BUILT 2. * PERIMETER GROUND FLOOR Linear Feet 3. * NUMBER OF STORIES Area Sq. Ft. 4. * AVERAGE WALL HEIGHT Linear Feet % 1.0 Story Sq. Ft. 5. * FOUNDATIONS (Enter %) % 1.5 Story Sq. Ft. Slab % Crawl Space % % 2.0 Story Sq. Ft. 6. * BASEMENT % 2.5 Story Sq. Ft. Sq. Ft. Unfinished Sq. Ft. % 3.0 Story Sq. Ft. Total Area Sq. Ft. 7. * WALL CONSTRUCTION (Enter %) Frame % Frame, Masonry Veneer % Concrete Block % Metal % Protected Steel % Reinforce Concrete % Tilt-Up Concrete % Brick % Double T Concrete % Precast Concrete % (include thickness of masonry or special finishes) 8. * ROOF CONSTRUCTION (Enter %) Frame % Metal Frame % Protected Steel % Structural Steel with Concrete Cap % Masonry % Double T Concrete % 9. TYPE OF INSULATION (Enter %) None % Fiberglass batt % Cellulose % Rigid Foam Plank % 10. ROOF COVERING (Enter %) Asphalt % Metal % Wood Shingles % Wood Shakes % Concrete Tile % Tar & Gravel % Rubber % Composition % 11. WINDOWS (Enter %) Standard % Plate Glass % 12. HEATING & AIR CONDITIONING (Enter %) None % Heat & Air Conditioning % Gas Fired Furnace % Suspended Units % Roof Mounted % Electric % COMMENTS: Page 1 of 3
3 Name of Insured: 0 Date: 01/00/1900 F.R.: 0 Policy Number: 0 Identification No. 0 INTERIOR FEATURES Note: If no access to inside interior entries may be estimated. 13. FLOOR COVERING None % Carpet % Vinyl % Raised Wood Over Concrete % Hardwood % Tile % 14. INTERIOR WALL PARTITIONS (Enter %) Wood Stud % Metal Stud % Masonry % Radial 15. INTERIOR WALL FINISH (Enter %) Unfinished % Metal % Textured Gypsum Board % Wood Paneling % 16. CEILINGS (Enter %) Gypsum Board % Plaster % Plank % Ceiling over 10 ft. % Painted % Textured % Cornices % Vaulted % 17. BATHROOMS (Enter Number) Full Standard Half Standard 18. STAIRCASES (Enter Number) Fire Resistive Combustible Shaft Open Shaft 19. ELEVATORS (Enter Number) Fire Resistive Combustible Shaft Open Shaft 20. RESIDENTIAL KITCHENS (Enter Number) Average Custom 21. COMMERCIAL KITCHENS (Enter Number) Average Extensive Number of Hood Exhaust Systems Number of Extinguishing Systems COMMENTS Page 2 of 3
4 Name of Insured: 0 Date: 01/00/1900 F.R.: 0 Policy Number: 0 Identification No ADDITIONAL EQUIPMENT / FEATURES (Enter Count) Note: If no access to interior entries may be estimated. Air Cleaning System Fire Alarm System Security System Built-in Crane Fire Sprinkler System Smoke Alarm Ceiling Fans Garage Door Opener Spray Booth Complete Computer Room Laboratory Equipment Spray Booth Incomplete Display Cases Masonry Vault Walk-in Coolers Dust Collection System Power Generator Exercise Room Refrigeration Equipment COMMENTS: The information contained in this report is for the sole purpose of providing information of the physical conditions as to their relative effect in developing a replacement cost value of the structure. It is not for any other purpose and specifically not for making property loss prevention or life safety recommendations. Page 3 of 3
5 Zone Information: Zone 4 charges will only be made in those cases where we are not allowed to extend 30 day turnaround. Expedited Requests-Our field rep will contact insured within two working days to schedule an appointment. Billing will include travel time, mileage at the federal allowable rate, and field rep expenses for the special trip, in addition to the above schedule. Zone 2 Zone 3 Zone 4 Zones Defined Boise and Garden City Ada County (excluding Boise and Garden City), Adams County, American Falls, Ashton, Bannock County (excluding Arimo, Downey, and Swanlake), Banks, Bingham County (excluding Aberdeen, Atomic City, Moreland, Pinegree, Rockford, Springfield, Sterling, Thomas and Wappelllo), Blaine County (excluding Carey and Picabo), Bliss, Bonneville County (excluding Caribou City, Irwin, Palisades and Swan Valley), Burley, Canyon County (excluding Apple Valley, Bowmont, Hoston, Melba and Roswel), Careywood, Cascade, Chester, Cocolalla, Cottonwood, Craigmont, Culdesac, Desmet, Donnelly, Fenn, Ferdinand, Filer, Genesse, Glenns Ferry, Grangeville, Hammett, Heyburn, Horseshoe Bend, Joel, Jerome County, Kellogg, Kimberly, Kingston, Kootenai, Kootenai County (excluding Bayview, Harrison, Hauser Lake, Medimont, Osburn, Pinehurst, Rathdrum, Rose Lake, Silverton, Smelterville, Spirit Lake, Twin Lakes and Twin Lake Village), Lake Fork, Lapwai, Lewiston, Mc Call, Mountain Home, Moscow, Onoway, Paul, Payette County, Plummer, Potlach, Pollock, Ponderay, Rexburg, Rigby, Riggins, Rupert, Sagle, St. Anthony, Smiths Ferry, Sandpoint, Spalding, Sugar City, Tensed, Thornton, Tuttle, Twin Falls, Viola, Wallace, Washington County, Wendell, Whitebird, and Winchester Remainder of State
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