California FAIR Plan Discounts Please complete the checklist below to assess potential wildfire hardening discount eligibility. WILDFIRE HARDENING COMMUNITY DISCOUNT I attest that the property currently has the following conditions: 1. The dwelling is located in a Fire Risk Reduction Community listed by the Board of Forestry pursuant to Public Resources Code section 4290.1 Yes No 2. The dwelling is located in a Firewise USA Site in Good Standing Yes No 3. If Yes, what is the full name of the Firewise USA Site? WILDFIRE HARDENING STRUCTURE DISCOUNT I attest that the property currently has the following conditions: A. The dwelling has a Class-A Fire Rated Roof (meaning asphalt fiberglass composition shingles, stone, concrete or clay tile, or metal). Yes No B. The dwelling has enclosed eaves. Yes No C. The dwelling has ember and fire-resistant vents (approved wire mesh covering). Yes No D. The dwelling has upgraded windows (multi-paned) or functional shutters. Yes No E. The dwelling has 6 inches at the bottom of all exterior walls made of non-combustible material. Yes No WILDFIRE HARDENING IMMEDIATE SURROUNDINGS DISCOUNT I attest that the property currently has the following conditions: A. Vegetation and debris have been cleared from under decks. Yes No B. Vegetation, debris, mulch, and other combustible materials have been cleared within 5 feet of the dwelling. Yes No C. The property has only noncombustible materials incorporated into any improvements to the property, including fences and gates, within 5 feet of the dwelling. Yes No D. Combustible sheds and other outbuildings are more than 30 feet from the dwelling or as far from the dwelling as possible within the area under the control of the applicant or policyholder. Yes No E. Trees surrounding the dwelling have been trimmed, brush and debris removed from the yard, and the property is in compliance with state and local ordinances regarding defensible space, such as California Public Resources Code Section 4291. Yes No Please Note: The California FAIR Plan does property surveys or asks for additional documentation to confirm these discounts. CONTACT INFORMATION First Name * Last Name * Email Address * Phone Number * Submit Discounts Attestation Disclaimer: This form is for information only and is only being sent to your broker's office and does not confirm any change to your policy upon submission.
