PCA Loss Analysis Report
A sample of the "Policy & Loss Analysis" report from proClaimer Appraisal. This, and all report formats used in proClaimer Appraisal are copyright © 1982-2007 by Mik Ro Software, All Rights Reserved.
YOUR COMPANY NAME Our No. 13579-01
YOUR MAILING ADDRESS Assigned: 10/01/2001
YOUR CITY, TX 12345-6789 POLICY & LOSS ANALYSIS Contacted: 10/02/2001
123/456-7890 Inspected: 10/02/2001
FAX-123/456-7890 Report Date: 10/15/2001
Page No. 1
ATTN : Claims Examiner Insured: Billy Sheffield
Company : Anyone's Fire & Casualty 103 Ave Q
P.O. Box 333159 Apt 7B
Oklahoma City, TX 87531- Fort Worth, OK 76543-
Phone # : 817/972-8463
Claimant: Billy Sheffield
Policy #: AFC-5-A-8712-545 103 Ave Q
Claim # : AFC-545-011002 Location Apt 7B
CAT. # : of Loss: Fort Worth, OK 76543-
Agency : Anyone's Local Agency Type of Loss: Water Damage
Dallas, OK 75315- Date of Loss: 10/01/2001
Policy Coverages: HO-B, 101
================================================================================================
Main Building: 1 Story, Composition Roof, Brick Veneer Construction.
1,900 Sq.Ft. @ $45.00/Sq.Ft. Replacement Cost $98,800.00
Porch/Two Car Garage Depreciation 20% $19,760.00
665 Sq.Ft. @ $20.00/Sq.Ft. Actual Cash Value $79,040.00
Policy Amount $79,500.00
Insurance Required 80% of RC $79,040.00
Compliance 100.000%
========= ESTIMATED LOSS TOTALS ==========
Building/Dwelling Loss $2,015.80 Personal Property Insurance RC $35,000.00
=== ESTIMATED TOTAL LOSS === $2,015.80
======== ESTIMATED RCC EXTENSIONS =========
======== RECOVERABLE DEPRECIATION ======== Building/Dwelling $321.23
Building/Dwelling $321.23 === ESTIMATED RCC TOTALS === $321.23
====== NON-RECOVERABLE DEPRECIATION ======
Building/Dwelling $0.00 ======= ESTIMATED ACV CLAIM TOTALS ========
============================================== Building/Dwelling $1,194.57
Actual Cash Value Loss $1,694.57 == ESTIMATED CLAIM TOTALS == $1,194.57
Deductible(s) $500.00
Actual Cash Value Claim $1,194.57 EST. CLAIM TOTALS + RCC EXT. = $1,515.80
LOSS PAYABLE TO: Insured & Mortgagee (if Any)
CC: Insured
__________________________________________________
Contractor Elvis Presley
*** THIS IS AN ESTIMATE ***
*** ALL INFORMATION CONTAINED HEREIN SUBJECT TO COMPANY APPROVAL & POLICY REQUIREMENTS ***