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Lighthouse Santa Cruz

CREATING PEACE OF MIND
SINCE 1964

PIA Older Building Supplemental

This document will assist in providing the information required for underwriting purposes regarding the updating of critical building systems. Please provide formal documentation as required.

Electrical:

Has the electrical system been inspected by a licensed electrical contractor to validate and verify that the system is adequate for the current occupancy.
Yes
No

Statistics show that as an electrical system ages, connections may loosen and cause arcs that may lead to fire.  Over 24% of all structure

fires are caused by electrical issues. For buildings built before 1970, Sequoia requires that the electrical system be evaluated by a licensed electrician for code, safety, and/or other electrical hazards.

Size of electrical service?
<100 amps
100 amps
>100 amps
Type of circuit overload protection:
Circuit Breakers
Fuses
Type of Wiring:
Copper
Knob & Tube
Aluminum
Metallic Cable
NM Non-Metallic
Other

Plumbing:

Type of water piping:
Copper
Steel/Iron
Polybutylene
Other Plastic

HVAC:

Roofing:

Roofing system:
Asphalt /Fiberglass Composition
Clay Tile
Membrane
Built-up
Other

*Please note: if you leave this page before hitting submit, your form will not be saved.

Interested in other coverage options or a package discount?

Earthquake Insurance
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Personal Umbrella Protection
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