Maintenance Checklist Date: -- dd/mm/yy Please provide the following contact information Name Title Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone E-mail URL How old is the home? How long have you lived in the home? Do you currently do any home repairs and to what level would you consider yourself - light upkeep can fix can install and maintain How often do you change your AC Filter? Monthy Quarterly Yearly Never Have you had your A/C system serviced? annually never repairs Have you had any previous water claims w/ your insurance company? Yes No Have you had any water leakage problems that you handled yourself w/our the insurance company being involved? Yes No If so, did you make the necessary repairs? Yes No How long ago repaired? Exterior Condition Check for paint deterioration Are their proper shut off valves for exterior faucets? Check for leaks Review the area for proper drainageaway from the Home Check for damaged siding or any deterioration to exterior like cracks, gaps,breakage in boards, or mortar, stone work, or rock Windows & Doors Check for leaks in weather strip and caulking Check for putty & glaze on windows Check for putty on glass door area Check the reset area of the screens for purpose of storms & efficiency and any stormdoor condition. Ground Maintenance driveway for seal and walkway cracks gates & fencing are secured window wells drain property to the grounds proper gutter drainoff Roof Condition Check for any noticeable damage, loose or missing roofing shingles Evaluate as a whole the roof condition Check flashings for any damage or poor seals Exterior condition of chimney and vents only (no interior fireplace inspection) Check gutters for any blockage that could pose issue for roofing structure Plumbing Condition Check the condition of the Water heater(s) Check if water lines are properly insulated in case of leakage or winter temperatures or other conditions that would effect water lines Check condition of wax rings on toilet9s) Check to insure that toilets flush properly and no leakage apparent Attic Conditions gaps or holes in attic insulated area Check vents, openings or any other areas where air might escape and be non-efficient Check for proper attic insulation Check for insulation over attic stairs and openings Check vents to insure working properly and no blockage that releases hot air from attic to increase efficiency Air Condition / Heating System Condition Check the A/ C filters Make any suggestions on A/C filters for your particular unit type recommendations Check all heaters & valves for safety requirements (if gas/propane) Check to insure all fans, motors & pumps working efficiently Test your Humidifier if you have one Check the unit age, condition Make sure putting out the AMPS required for your unit Check for any Freon leakage or other items that would effect the efficiency