AGRLLC INSPECTION REPORT

• Client Name :

• Address :
  Address

• Adjuster Name :

• Insurance Provider :

• Date :

  Date

• Claim Number :

• Adjuster Email :

• Adjuster Phone :

• Waste :

  10%

  15%

  18%

  20%

• Pitch :

  Select Under 6 7-9 10-12 13+ 2-Story Basement

  • Under 6
  • 7-9
  • 10-12
  • 13+
  • 2-Story
  • Basement

• Shingles :

  3 Tab

  Laminate

  Class 4

• Starter Strip :

  Yes

  No

• Valley Metal:

  Yes

  No

• Ln Ft-

• Exhaust Cap : QTY

• Chimney Flashing : Ln Ft

• Counter Flashing : Ln Ft

• Turbines: QTY

• Decking : QTY/Size

• Skylight : QTY/Size

• Cornice Gable Returns : QTY

• Pipe Jacks :

  Yes

  No

• QTY

• Gooseneck Vents :

  Yes

  No

• QTY

• Felt :

  15 lb

  30 lb / Synthetic

• Drip Edge :

  Painted

  Gutters Nailed-in

  Replace

• Flue Cap : QTY

• Chimney Chase :

  Yes

  No

• Chimney Cap

• Step Flashing : Ln Ft

• Ridge Vent:

  Yes

  No

• Ln Ft

• Hip & Ridge: Ln Ft

• Satellite System :

  Detach

  Reattach

• Tarp: Sq Ft

• Roofer Hours :

• Turtle Vents :

  Yes

  No

• QTY

• Other :

• D + R

  Yes

  No

• R + R

  Yes

  No

• Gutters : Ln Ft

• Painted

• 5”

• 6”

• Gutter Guards: Ln Ft / Down Spouts: Ln Ft

• Screens : QTY

• Sizes :

• Solar

• Standard

• Siding : Sq Ft -

• Type :

• HVAC : Describe

• Pool:

• Tarp / Describe Damage

• Land Scaping:

• Tarp / Describe Damage

• Pergola : Describe Damage

• Fencing : Ln Ft

• Stained / Describe

• Other Structures:

  Shed

  Carport

• Size

• Type

• Personal Property :

Room

• Sq Ft

• Antimicrobial Treatment

• Content Manipulation

• Describe

• Due to the complexity of the property damage I, _________Property Owner, request that a supplement of O&P be paid to my restoration General Contractor.

  Sign

• Consultant Signature :

  Sign

• Notes

• Homeowner :

  Sign

• Inspector :

  Sign

• Date Inspected :

  Date
• Address :
  Address

• City, State, Zip :

• Phone :

• Type of Roof :

  Shingle

  Metal

  Synthetic

  Slate

• Damage Found :

  Select Hail Wind Workmanship Other

  • Hail
  • Wind
  • Workmanship
  • Other

• Other

• Color :

• Shingle Make :

• Style :

• Report :

*Disclaimer

• The property mentioned above underwent inspection on ___________.

  Date

• The preceding report represents the expert opinion of _________________________________, who possesses over 25 years of experience in construction and related fields. Although we are not licensed home inspectors, we have been engaged for our specialized knowledge in assessing storm and workmanship-related damage.

• Suggested Repair Method :