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Roofing Installation Information and Certification For ...

PC068 | 1004 Print Roofing Installation Information AND Certification FOR REDUCTION IN RESIDENTIAL INSURANCE PREMIUMS NOTICE TO HOMEOWNER. Completion of this certificate will entitle you to a reduction in your residential insurance premium. This Certification form is solely for the purpose of enabling residential property owners to obtain a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer, supplier, or installer.

certification form is solely for the purpose of enabling residential property owners to obtain a reduction in their residential insurance premium and it is not to be construed as any type of express or implied warranty by the manufacturer, supplier, or installer. Name of Roofing Company: Street Address: City:

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