Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ 10607 CLEVELAND AVE Sample - Not KANSAS CITY KS Zip: 66109 Coverage: Addr Confirm: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Agt Name: WEBB, JANE E Code: 9120-16 ForRequested Distribution - Sample By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Yes Rating Information Roof Rating: Condition Causing Rating: Roof Type: *Number of Layers: 1 N/A Composition Shingle 1 *The number of layers, and the type of layers, are estimated from a non-intrusive visual inspection at the roofs edge. This information is deemed to be accurate, but cannot be guaranteed due to the limitations of the method being used. Repair Information Estimated Repair Cost: N/A Roof Condition Problems Blistering Cosmetic Damage (Metal Roofs) Cracking Cupping/Curling Erosion Exposed Felt Fascia/Soffits Damaged Fastener Concern Granule Loss Installation Problems Marks - Unknown Cause Material Problem Missing Flashing/Vents Missing Shingles Tree Damage Valley Concern Vent Problem Other Concerns Roof Comments comp, one layer. 100% #1. Underwriting Concerns Physical Conditions Damaged, Decayed or Stained Siding Detached Structure Excessive Cracks in Brick/Mortar/Stucco/Foundation Exterior Condition/Yard Maintenance Concern Fence in Need of Maintenance/Repair Gutters Clogged/Broken/Rusted General Housekeeping/Excess Debris Hazardous Adjacent Exposure/Outbuildings Vacant/For Sale/For Rent Wood Stove (Flue Observed) Other Liability Concerns Aggressive Animal Business on Premises Pool/Hot Tub is unfenced or gate to fence provides unsecured Steps/Handrail (3 or More Steps without Railing) Trampoline is unfenced or gate to fence provides unsecured Other Miscellaneous Concerns Log Home Mobile/Modular/Manufactured Home Electric Meter Photo-Home built in 1961 or prior Property Comments Trim removed from decayed window on west. Called insured to set appointment per request on 7/26/2010 at 9:00 AM. Left message on voice mail. Mrs. Smith called back at 11:10 AM on 7/26. Set appointment for 11:15 AM on 7/26/2010. Agent Phone: (913) 334-0038 Agent Fax: (913) 334-3804 Date Called Agent: Spoke with: Sample - Not For Distribution - Sample Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 1 of 6 Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ Sample - Not 10607 CLEVELAND AVE KANSAS CITY KS Zip: 66109 Coverage: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Name: WEBB, JANE E Code: 9120-16 ForAgt Distribution - Sample Requested By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Miscellaneous Concerns Note(s) address Miscellaneous Concerns Note(s) layer photo Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 2 of 6 Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ 10607 CLEVELAND AVE Sample - Not KANSAS CITY KS Zip: 66109 Coverage: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Agt Name: WEBB, JANE E Code: 9120-16 ForRequested Distribution - Sample By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Miscellaneous Concerns Note(s) #1 Miscellaneous Concerns Note(s) #1 Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 3 of 6 Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ 10607 CLEVELAND AVE Sample - Not KANSAS CITY KS Zip: 66109 Coverage: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Agt Name: WEBB, JANE E Code: 9120-16 ForRequested Distribution - Sample By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Miscellaneous Concerns Note(s) roof overview Miscellaneous Concerns Note(s) decayed window Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 4 of 6 Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ 10607 CLEVELAND AVE Sample - Not KANSAS CITY KS Zip: 66109 Coverage: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Agt Name: WEBB, JANE E Code: 9120-16 ForRequested Distribution - Sample By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Miscellaneous Concerns Note(s) left rear Miscellaneous Concerns Note(s) right rear Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 5 of 6 Rooftop Inspection Report Ref #: Name: Location: City: State: 6417721 Policy #: 16-C1-1486-5 SMITH, LONNIE JR & +++APPT NEEDED++ 10607 CLEVELAND AVE Sample - Not KANSAS CITY KS Zip: 66109 Coverage: If you have any questions about this report please contact Customer Care at 1-800-460-0723 ext. 707. Client Name: State Farm, Central Zone, Reinspections, 1157 Agt Name: WEBB, JANE E Code: 9120-16 ForRequested Distribution - Sample By: IMPORTED Date: 05/05/2010 Effective/Inception/Renewal Date: 11/18/2009 Inspected By: Gillaspie, Kevin Date: 07/26/2010 Miscellaneous Concerns Note(s) front view Please be advised that this roof inspection is for insurability purposes only and does not provide any implied warranties as to the actual performance or condition of the roof. An independent home inspector or roofer may be able to provide you additional information regarding the actual serviceability of the roof. This report is made from limited observation interview. No legal liability is assumed because of inaccuracies or misinformation received by the field representative. This report is not performed as an undertaking on behalf of, or for the benefit of, the named insured or others. By accepting this report, the requesting company, its reinsurers and its clients agree to hold Reliable Reports of Texas, Inc. free harmless from any claims or liability whatsoever. Tuesday, August 03, 2010 © Copyright 2004 Reliable Reports of Texas, Inc. All Rights Reserved. Page 6 of 6