6/15/2016

(727) 584-9999 Ext.

FLORIDA BEST QUOTE

FLORIDA BEST QUOTE

HERITAGE-WPU-NB

1734.00

Agency Info:

Client Name:

Account #:

16-138-000789

HOH231003

Tracking #:

Policy #:

CLEARWATER, FL 33765

1830 MCCAULEY RD

STEVEN ALLENInsured:

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Description =

Form Question # Form Value Client Value Reason

UnderScore Policy Summary

BucketForm_52680 0 NO ISSUES A

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT

REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT

ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REOIRT BY YOU OR OTHERS. YOU AND ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

(C) Copyright 2007 - National Risk Services, Inc.

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Agency:

Agency Phone:

Client:

Tracking Number:

Policy Number:

CLEARWATER, FL 33765

1830 MCCAULEY RD

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

HERITAGE-WPU-NB

16-138-000789

HOH231003

31. A friendly dog was observed, the breed is a Long Hair Chihuahua

35. There is a secured in-ground pool on the rear side.

39. There is a lake approximately 125' from the rear of the house.

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT

REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT

ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REOIRT BY YOU OR OTHERS. YOU AND ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Page 1 of 1

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

INTERIOR SURVEY (INT-ASI)INTERIOR INSPECTION INTERIOR CEILINGS, WALLS AND WINDOWS

45631972

FLORIDA BEST QUOTEHERITAGE-WPU-NB

HOH231003

33765 FLCLEARWATER

1830 MCCAULEY RDSTEVEN ALLEN

Square Footage:Year Built:Agent Phone:Agent:Company:Policy #:

Coverage Amount:Telephone:Zip:State:City:

Location:Insured:

Tracking #: 16-138-000789

Rep #: 2 0 4Date: 0 6 / 0 9 / 2 0 1 6

AREA MOLD OR WATER DAMAGE?

Kitchen

If Yes, describe in comments.

COMMENTS

N/A No Yes

Hot Water Closet

HVAC Drip Pan

Bathrooms

Bedrooms

Laundry Room

Wet Bar

Garage

Other

AREA MOLD OR WATER DAMAGE?

Ceilings

Walls

Windows

Home Overall

DESIGN

Kitchen

Master Bath

Additional Baths

Number of additional baths:

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

N/A No Yes

Designer Custom Semi-Custom Builders Grade Basic

Designer Custom Semi-Custom Builders Grade Basic

Designer Custom Semi-Custom Builders Grade Basic

Designer Custom Semi-Custom Builders Grade Basic

3

Policy #: HOH231003

If Yes, describe in comments.

16-138-000789Dwelling Observation Survey (52680 DOS-04)1734.00

Insured: STEVEN ALLENLocation: 1830 MCCAULEY RD

City: CLEARWATER State: FL Zip: 33765 Coverage Amount:

Policy #: HOH231003Company: HERITAGE-WPU-NB

Agent: FLORIDA BEST QUOTEAgent Phone: (727) 584-9999

Year Built: 1972 Sq Footage: 4563

Acct: Date: 0 6 / 0 9 / 2 0 1 6

DWELLING DESCRIPTION 01. Interview obtained. If so, whom?: Kiely Allen 02. Unable to confirm address 03. Type of dwelling: More than 4 family 4 family 3 family 2 family 1 family 04. Occupancy: Owner occupied Tenant occupied Vacant Seasonal Unable to Determine 05. Commercial construction converted to residential Evidence of student housing Converted from single-family to multi-family 06. Non-traditional construction: A-frame construction Geodesic dome Earthen home Straw / Hay HUD tagged home Log home 07. Number of stories: (Check only one.) Other: Tri-level Bi-level 4 3 2 1

1 9 7 2 08. Year built: Tax record Estimated Per interview 09. Primary foundation: (Check only one.) Pier & Post Crawl Space Slab Basement

Description of other: 10. Construction: Frame: 3 0 % Masonry veneer: 1 5 % Masonry: 5 5 % Other: % 11. Primary roof covering: (Check only one.) Other Tar & gravel Concrete Metal Tile Wood Asbestos shingle Composition 12. Primary roof type: (Check only one.) Other: Flat Mansard Gambrel Hip Gable

13. Estimated roof life remaining: Less than 5 years 5 to 10 years More than 10 years

DWELLING CONCERNSPaint chipping / peeling 14.Exterior wall / siding concerns 15.Foundation concerns 16.Open foundation 17.

18. Elevated surface concern: (Porches, decks, balconies, etc. Check all that apply.) Broken railing(s) In need of repair 18A. If missing railing(s), inches above ground: (Check all that apply.) 12" - 24" 25" - 35" 36" - 72" > 72" 19. Step problem(s): Steps in need of repair Broken handrail(s) Missing handrail(s): (Check all that apply.) 3 steps 4 steps 5 or more steps 20. Suspicion of synthetic stucco (EIFS) 21. Suspicion of asbestos siding 22. Gutter concerns 23. Renovations underway 24. Broken window(s) 25. Boarded window(s) 26. Roof in need of repair 27. Solid fuel device 28. Evaporative cooler on the roof 29. Wood shake siding

PREMISE CONCERNS 30. Evidence of dog(s) (not observed): (Check all that apply.) "Beware of Dog" sign noted Heard barking from inside house Dog house on premises 31. Dog(s) observed: Dog 1: Aggressive or vicious Bite history Predominant breed: Long hair chihuahua

Dog 2: Aggressive or vicious Bite history Predominant breed:Dog 3: Aggressive or vicious Bite history Predominant breed:

32. Metal security bars on window(s) No quick releases evident 33. Outbuilding(s) on premises: (Check all that apply.) Need(s) paint Need(s) repair 400 - 599 sq ft 600 - 799 sq ft 800 sq ft or larger 34. Business on premises Type: Signage Employees Customer traffic

51. Heating oil tank(s) Underground

35. SlideSwimming pool(s): (Check all that apply.) Unfenced Non-latching gate In-ground Diving board 36. Un-nettedTrampoline(s): (Check all that apply.) Unfenced 37. Unfenced UncoveredHot tub or spa: (Check all that apply.) 38. Retaining wall In need of repair A. Check all that apply. Height: < 4' 4-6' > 6' Length: < 10' 10-20' > 20' B. Est. length (ft): 39. Height above water: (In feet.) 1 0Lake/pond within 1,000 feet Distance from water: (In feet.) 1 2 5 40. River/canal within 1 mile Distance from water: (In feet.) Height above water: (In feet.) 41. Ocean/tidewater within 1/2 mile Distance from water: (In feet.) Height above water: (In feet.) 42. Subject to flooding

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

43. Subject to landslide 44. Hillside / Slope: Degree of slope: 45. Distance:Brush or forest within 300 feet: 0 - 50 ft 51 - 100 ft 101 - 300 ft

46. Farming or ranching 47. Farm animal(s)/livestock 48. Exotic animal(s) 49. Above-ground gasoline

or diesel tank(s) 50. Above-ground LP tank(s)

52. Sidewalk(s) in need of repairSurface elevation change:

< 1" 1" - 3" > 3" 53. Driveway(s) in need of repair

Surface elevation change: < 1" 1" - 3" > 3"

54. Tree limb(s) overhanging roof Limbs diameter < 3" Limbs diameter 3" or more

55. Tree limb(s) touching roof Limbs diameter < 3" Limbs diameter 3" or more

56. Playground equipment

57. Junk car(s) 58. Appliance(s) 59.

Trip or fall hazard(s)Lumber

60. Housekeeping 61. Property for sale 62. Property for rent

63. Chimney concern(s) 64. 65. Lack of landscape maintenance 66. Tree house(s) 67. Exterior electrical concern(s)

PROTECTION 68. Dwelling on unpaved road: Mile(s) from pavement: < 1 1 - 5 > 5 69. Number of other permanent residences within view of dwelling: None 1 - 2 3 - 4 5 - 6 More than 6 70. Dwelling located in secured subdivision. 74A. Secured by: Attended guard house Unattended guard house Keypad and gate only

Historical district

71. If dwelling is located in secured subdivision, single entrance only. 72. Water source: Alternate water (pond, lake) Hydrant None 73. Distance to water source (in feet): > 1,000 ft 501 - 1,000 ft 0 - 500 ft 74. Distance to fire department (in miles): 10 or more mi > 5 and < 10 mi 2 - 5 mi < 2 mi

12A. If the primary roof type is hip, does any other roof type comprise 10% or more of the remaining roof? Yes

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Date: 0 6 / 0 9 / 2 0 1 6 Rep #: 2 0 4

Insured: STEVEN ALLENLocation: 1830 MCCAULEY RD

City: CLEARWATER State: FL Zip: 33765 Telephone: Coverage Amount:

Tracking #: 16-138-000789Policy #: HOH231003

Company: HERITAGE-WPU-NBAgent: FLORIDA BEST QUOTE

Agent Phone:Year Built: 1972 Square Footage: 4563

COMMENTS (APPOINT)

COMMENTS

Appointment scheduled and completed on 6/9/16.

51860

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R/C

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MSB RCT - Replacement Cost Calculations

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER, FL 33765

Insured:

Policy #:

Tracking #: 16-138-000789

HOH231003

1734.00

HERITAGE-WPU-NB

Account #:

Client Name:

Agency Info: FLORIDA BEST QUOTE

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Subtotal:

Debris Removal:

Total Insurable R/C:

Coverage A Coverage B

Detached Structure Value:$944,753

$36,618

$981,371

$0

ITV Summary

ITV Variance:

Calculated R/C:

Current Coverage:

$981,371

%

Replacement Cost Details

Description Labor Equipment Materials Total

Total Living Area not including wings: Wing 1: Wing 2:Sq. Ft. Sq. Ft.Sq. Ft.1848 2491 238

Attached Structures $27,396 $1,368 $44,036 $72,800Ceiling Finishes $12,510 $559 $4,319 $17,388

Conveying Systems $0 $0 $0 $0Detached Structures $0 $0 $0 $0

Electrical Systems $11,223 $0 $8,850 $20,073Equipment $17,792 $333 $173,585 $191,710

Exterior Walls $53,322 $2,021 $53,081 $108,424Floor Finishes $23,417 $0 $27,448 $50,865

Foundations $13,229 $615 $11,987 $25,831Framing $50,230 $0 $44,413 $94,643

General Conditions $0 $65,913 $0 $65,913HVAC Systems $22,712 $318 $34,435 $57,465

Partitions $26,565 $1,306 $14,859 $42,730Plumbing Systems $22,718 $0 $60,990 $83,708

Roofing $14,817 $0 $17,563 $32,380Sitework $0 $0 $0 $0

Slab on Grade $12,710 $378 $17,345 $30,433Wall Finishes $29,474 $207 $20,709 $50,390

$944,753.00$533,620.00$73,018.00$338,115.00

Attached StructuresConcrete Pool (Medium) 1 CountOpen Porch - Square Feet 399 Sq. Ft.Attached Garage - SF 960 Sq. Ft.

CeilingsDrywall - Textured 97 %Recessed Lighting 3 %

Exterior WallsStucco on Frame 30 %Stucco on Block 55 %Brick Veneer 15 %

FlooringHardwood 30 %Wall to Wall Carpet - (acrylic/nylon) 20 %Ceramic Tile 40 %Marble Tile 10 %

Heating and CoolingHeating - Electric 100 %Central Air Conditioning - Same Ducts 100 %Heat Pump System 2 Count

Interior ItemsKitchen - Designer 1 CountFull Bath - Builder's Grade 1 CountFull Bath - Custom 2 CountHalf Bath - Builder's Grade 1 CountFireplace - Single 1 CountFireplace - Zero Clearance - Pre-fab Metal 1 CountFrench Doors (count each door) 2 Count

Miscellaneous SystemsCentral Burglar Alarm System 100 %Central Fire Alarm System 100 %

PartitionsDrywall - Textured 100 %

RoofingAsphalt/Fiberglass Shingle 100 %

Wall CoveringsPaint 95 %Marble Tile 3 %Stone Facing 2 %

Calculation Details Used

The calculations on this report include labor and materials, normal profit and overhead as of date of report. Costs represent normal estimates based on observations made at the time

of inspection (if appropriate). This is not to be considered a detailed quantity survey of the respective property and its observed features. NRS assumes no liability for the use or

misuse of data contained in this report.

L 2/S

36'

30'

8' 4' 4' 10'

9'

6'

12'

15' L1/S

12'

17'

3' 10' 20' 3'

12'

16'

6'

24'

50' 4'

9'

5'

14'

L1/S

6'

8' 5'

7'

5' 6'

OP

18'

13'

AG

24'

40'

18'

OP

11'

15'

Name STEVEN ALLEN Reference Number 16-138-000789 Policy Number HOH231003

(C) 2006 - 2014 National Risk Services, Inc.

Area Name Sign Multiplier Perimeter (ft.) Area Value (sq. ft.) Living Area L 2/S + 2 140 1848 L1/S + 1 374 2491 L1/S + 1 82 238 Summary Living Area 4577 sq.ft. Porch Area OP + 1 62 234 OP + 1 52 165 Summary Porch Area 399 sq.ft. Garage Area AG + 1 128 960 Summary Garage Area 960 sq.ft.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Address

Front

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Rear

Left

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Right

Pool

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Dog

Lake

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Kitchen

Master Bedroom

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Master Bathroom

Living Room

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.

Agent Phone:

Agent:

Company:

Pol. #:

Zip:State:City:

Location:

Insured:

Photo Sheet

YOU AGREE THAT YOUR REQUEST FOR THIS REPORT IS PERMITTED BY LAW AND THAT YOU INTEND TO USE THE REPORT ONLY FOR A PURPOSE PERMITTED BY THE FAIR CREDIT REPORTING ACT AND LOCAL LAW AND NO OTHER PURPOSE. THIS REPORT IS BASED ON OBSERVATION AND INFORMATION PROVIDED TO US. FOR THE FEE CHARGED, WE DO NOT ASSUME ANY LIABILITY ARISING OUT OF THE USE OR MISUSE OF THIS REPORT BY YOU OR OTHERS. YOU OR ANY OTHER USER AGREE TO HOLD US FREE FROM ANY LIABILITY.

Photo Description:

Photo Description:

Dining Room

STEVEN ALLEN

1830 MCCAULEY RD

CLEARWATER FL 33765

HOH231003

HERITAGE-WPU-NB

FLORIDA BEST QUOTE

(727) 584-9999 Ext.