Roof Access Request Form Date Access Requested: Owners Name:(Required)Unit #:(Required)Phone(Required)Email(Required) Name of HVAC Contractor:(Required)Contact phone number for company:(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email Address for company:(Required) Phone number for service Tech:(Required)Insurance CompanyAttach insurance Certificate with The Lofts At Main Rose, C/O Assurance Realty, 3320 Clays Mill Road, #108, Lexington, KY 40503 -As a named insured Drop files here or Select files Max. file size: 10 MB. Crane Company:(Required)Phone(Required)Email(Required) Attach insurance Certificate with The Lofts At Main & Rose, C/O Assurance Realty, 3320 Clays Mill Road, #108, Lexington, KY 40503 -As a named insured Please note that access to the roof will not be granted if the certificate of insurance is not provided prior to the work being performed. Owners are responsible for any damages to the roof from a contractor that they hire to make repairs to their air conditioning equipment. Per the HOA bylaws, owners are not permitted access to the roof. The key to the roof can be picked up at the office 8:30 a.m. – 12:30 p.m. or a request can be made by email to [email protected]. CAPTCHA
