California Certification of Mitigation Criteria

Certification of Mitigation Criteria Form

AmGUARD Insurance Company (“AmGUARD”)

Dear Policyholder or Applicant:

UPDATE – PLEASE READ CAREFULLY AS OUR PROCESS HAS CHANGED

AmGUARD Insurance Company is no longer writing personal line policies in the state of California. Effective August 21, 2023, all California Homeowners and Personal Umbrella policies written through AmGUARD Insurance Company with expiration dates of November 14, 2023, and later will be non-renewed in accordance with state regulations. AmGUARD started to notify all of its Homeowners and Personal Umbrella Policyholders that it will not renew their policies at the end of their latest term. Therefore, mitigation actions that AmGUARD’s Homeowners will or have taken prior to the expiration of their Homeowners or Personal Umbrella policy with AmGUARD, will not have any impact on whether AmGUARD reconsiders non-renewal of the Homeowners insurance with AmGUARD.

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This online Form serves only AmGUARD’s California Homeowners policyholders and applicants for the sole purpose of collecting certain information regarding mitigation criteria applicable to their property.

Please carefully read the following information before completing this Certification of Mitigation Criteria Form (“Form”). If you don’t understand the Form or the content of the information, please reach out to your insurance agent for further assistance.

In a prior written correspondence “Wildfire Score Disclosure,” AmGUARD informed its Homeowners policyholders and applicants of the wildfire score that was assigned to your property. Starting 8/21/2023, based on each property’s wildfire score, completion of this Form may result in one of the following outcomes:

For policyholders or applicants with a property wildfire score between 0-49, completion of this Form will not result in any further action by AmGUARD because AmGUARD does not rate policies of that range for wildfire risk.
For existing policyholders and policies renewing prior to November 14, 2023, with a property wildfire score between 50-100, completion of this Form may result in a possible decrease in premium through your policy expiration date.

Once you complete this online Form you will be able to print/download a copy for your records, while we encourage you to complete this online Form, a printable PDF version is available for download HERE.

By clicking NEXT, you confirm that you understand the information on this page, and you confirm that you are ready to complete the Certification of Mitigation Criteria Form.

Certification of Mitigation Criteria Form (Continued)

AmGUARD Insurance Company (“AmGUARD”)

By submitting this Form, I confirm:

I understand that as of 8.21.2023 AmGUARD is no longer writing personal lines in the state of California and withdrew its current approved rating plan on file with the California Department of Insurance.
I understand that AmGUARD reserves its right to amend the assigned wildfire score if community-level and/or property-specific information becomes available and is reported to us. For more information please visit: https://www.guard.com/ca-wildfire/.
I understand that it is unlawful to make or cause to be made a knowingly false or fraudulent material statement or material representation for the purpose of obtaining or amending an insurance policy under any line of insurance regulated by the department. A violation of this section is a public offense, punishable by a fine not to exceed ten thousand dollars ($10,000), by imprisonment pursuant to subdivision (h) of Section 1170 of the Penal Code, or in a county jail not to exceed one year, or by both that fine and imprisonment.
I expressly agree that I am submitting this electronically created Form. By doing this, I am indicating that I understand the content of this Form. I also agree that this Form may be authenticated, stored, and transmitted and will be valid for all legal and underwriting purposes. I am indicating that I was informed of the option to have this Form available on paper or in nonelectronic Form and I choose to submit it electronically.

I Confirm*

I confirm all of the above and by submitting this Form, I represent that I am duly authorized to provide this information on behalf of the AmGUARD’s Policyholder; and I agree that the Policyholder shall be bound by the answers and representation provided in this Form.

CA Mitigation

CA Mitigation

Certification of Mitigation Criteria Form

Certification of Mitigation Criteria Form

Certification of Mitigation Criteria Form (Continued)