DWELLINGS Co-insurance requirements vary. Mobile homes must be on a concrete slab or skirted and tied down and must be less than 10 years of age. Only Basic/ACV coverage is available on mobile homes. Barn/Apartment or Offices should be listed under Outbuildings. If dwelling was constructed more than 25 years ago, please submit an Older Dwelling Questionnaire with application. Color photos required within 30 days. Coverage is subject to company approval after review of cost estimators. Loc# / Dwelling Value Yr Built Dwelling RC/AC Occupancy Roof/Heat Cause of Deductible Item # Construction SQ FT Description Loss DWELLING YEAR OCCUPANT ROOF AGE $ 1,000 $ Basic $ 2,500 Frame Log CONSTRUCTION Broad $ 5,000 Brick RC $10,000 Brick Veneer Primary CONTENTS (HHG) SQ FT HEAT SOURCE Special $ Mobile Home AC $ Secondary w/h% Metal $ 1,000 DWELLING YEAR OCCUPANT ROOF AGE Frame Log $ Basic $ 2,500 Brick CONSTRUCTION RC $ 5,000 Brick Veneer Spec/Broad $10,000 Mobile Home Primary CONTENTS (HHG) SQ FT HEAT SOURCE AC Special $ $ Secondary w/h% DWELLING YEAR OCCUPANT ROOF AGE $ 1,000 $ Frame Log Basic $ 2,500 Brick CONSTRUCTION Broad $ 5,000 RC Brick Veneer Spec/Broad $10,000 Mobile Home Primary CONTENTS (HHG) SQ FT HEAT SOURCE Special $ AC $ Metal Secondary w/h% DWELLING YEAR OCCUPANT ROOF AGE $ 1,000 $ Frame Log Basic $ 2,500 Brick CONSTRUCTION Broad $ 5,000 RC Brick Veneer Spec/Broad $10,000 Mobile Home CONTENTS (HHG) SQ FT Primary HEAT SOURCE Special $ AC $ Metal Secondary w/h% DWELLING YEAR OCCUPANT ROOF AGE $ 1,000 $ Frame Log Basic $ 2,500 CONSTRUCTION Broad $ 5,000 RC Brick Veneer Spec/Broad $10,000 Mobile Home Primary CONTENTS (HHG) SQ FT HEAT SOURCE Special $ AC $ Metal Secondary w/h%
DWELLINGS Co-insurance requirements vary. Mobile homes must be on a concrete slab or skirted and tied down and must be less than 10 years of age. Only Basic/ACV coverage is available on mobile homes. Barn/Apartment or Offices should be listed under Outbuildings. If dwelling was constructed more than 25 years ago, please submit an Older Dwelling Questionnaire with application. Color photos required within 30 days. Coverage is subject to company approval after review of cost estimators. Loc# / Item # Dwelling Description Value Yr Built SQ FT Dwelling Construction RC/AC Occupancy Roof/Heat Cause of Loss Deductible DWELLING $ YEAR Frame Log Brick Brick Veneer Mobile Home Metal RC AC OCCUPANT ROOF AGE Basic Broad Special $ 1,000 $ 2,500 $ 5,000 $10,000 $ w/h% CONSTRUCTION CONTENTS (HHG) $ SQ FT Primary Secondary HEAT SOURCE DWELLING $ YEAR Frame Log Brick Brick Veneer Mobile Home RC AC OCCUPANT ROOF AGE Basic Spec/Broad Special $ 1,000 $ 2,500 $ 5,000 $10,000 $ w/h% CONSTRUCTION CONTENTS (HHG) $ SQ FT Primary Secondary HEAT SOURCE DWELLING $ YEAR Frame Log Brick Brick Veneer Mobile Home Metal RC AC OCCUPANT ROOF AGE Basic Broad Spec/Broad Special $ 1,000 $ 2,500 $ 5,000 $10,000 $ w/h% CONSTRUCTION CONTENTS (HHG) $ SQ FT Primary Secondary HEAT SOURCE DWELLING $ YEAR Frame Log Brick Brick Veneer Mobile Home Metal RC AC OCCUPANT ROOF AGE Basic Broad Spec/Broad Special $ 1,000 $ 2,500 $ 5,000 $10,000 $ w/h% CONSTRUCTION CONTENTS (HHG) $ SQ FT Primary Secondary HEAT SOURCE DWELLING $ YEAR Frame Log Brick Veneer Mobile Home Metal RC AC OCCUPANT ROOF AGE Basic Broad Spec/Broad Special $ 1,000 $ 2,500 $ 5,000 $10,000 $ w/h% CONSTRUCTION CONTENTS (HHG) $ SQ FT Primary Secondary HEAT SOURCE
FRO-App-Addl-Dwellings-overflow.docx