HUD 5460 Insurance Information

OMB Approval No. 2577-0157 (exp. 3/31/2010)

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Insurance Information
Project Name

Project Number

Project Location

No. of Dwelling Units

Name & Title of Person submitting this information

Date

1. Fire and Extended Coverage
A. Describe items listed below by thickness & material used in construction.
1. Exterior Walls:

2. Interior Partitions:

Load bearing

Non-bearing

Thickness:

Material:

Thickness:

Material:

3. Walls Between Units: Thickness:

C. Classify all buildings according to both the arrangement of stories and the
number of dwelling units. Enter in column 1 the number of buildings of each
of these types. Mark those without basements "X", mark those with group
heating plants in basement "H", mark those with a sprinkler system installed
"S". In column 2 enter for each type of building listed in column 1 the number
of units under each story level. In column 3 enter the number of units between
fire walls for each type of building, such as (2-4-2).
Number of
Buildings

Material:

No. of Units in Building Under Story
Level Specified
(2)

(1)
1 Story

a. Are firewalls built
from the ground?
Yes
No

Number of
Units Between
Fire Walls
(3)

2 Story

3 Story

4 Story

b. Are they built to the
c.Number of inches
underside of roof sheathing? above the roof:
Yes
No

d. Describe openings, if any:

4. Top Ceiling:

Thickness:

Material:

a. First Floor :

Thickness

Material

b. Second Floor :

Thickness

Material

c. Third Floor :

Thickness

Material

d. Fourth Floor :

Thickness

Material

5. Flooring System:

D. Computation of Insurable Value (See instructions on back)
6. Roof:

Pitched

a. Framing:

Flat
Thickness

1. Architect's Fees (include 30% of fees)

Material

b. Sheathing:

Thickness

Material

c. Covering:

Thickness

Material

$

2. Structures and Equipment

$

3. Total of 1 and 2

$

Deduct the following:
4. Entire cost of footing excavations and foundations
(cost below level of ground, or if basement, estimated
cost below lowest basement floor)
$
5. Underground Work in Buildings

B. Information for Rating Purposes

a. 25% of cost of plumbing rough-in $
b. 10% of cost of electrical rough-in $

1. Give greatest distance of any
project building from a fire hydrant:

6. Underground Work outside of Buildings 10% cost of
heating if central plant is involved
$

2. Describe city fire department
Volunteer
Part paid & part volunteer
Full Time

2. Boiler Insurance
A. Type of Heating (check ” one)
Central Heating
Plant

B. Type of Boiler (check ” one)

Group Heating
Plants

F. Type of Fuel (check ” one)
Coal

Gas

Oil

Space
Heaters

Hot Water

C. No. of Boilers

Total Deductions

$

1

$

/ Insurable Value

D. Pressure

Steam

E. Sq. Ft. of heating Surface
per Bolier

G. Approximate value of heating plant (building and equipment).
LPG

If system is composed of group
heating plants, give approximate value of largest plant. If plant is located in basement of building,
include value of dwelling area above plant which would be subject to damage by an explosion.

$

1/ The insurable value for the first term can be accurately computed upon completion of a project. For subsequent renewals the Field Office will provide assistance in
determining the current insurable value. Instructions for computation of Insurable Value are on the back of this form.

Previous editions are obsolete

Reset All Fillable Fields

form HUD-5460 (2/93)
ref. Handbook 7401.5

Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not
conduct or sponsor, and a person is not required to respond to, a collection information unless that collecton displays a valid OMB control number.
The Annual Contributions Contract (ACC) between HUD and a Public Housing Agency (PHA) or Indian Housing Authority (IHA) requires the PHA or IHA
to insure their property for an amount sufficient to protect against financial loss. PHAs/IHAs complete the Form HUD-5460 only when a new project is
constructed. It is used to establish an insurable value at the time the project is built. The amount of insurance can then be increased each year as inflation
and increased costs of construction create an upward trend on insurable values. Responses to the collection of information are voluntary. The information
requested does not lend itself to confidentiality.

Instructions for Computation of Insurable Value (Block 1-D)
1.

2.

Architect's Fee (include 30% of fees). From latest Contract
Award Budget, form HUD-52484, Account Classification
1430.1, column (f).

Deductions
4.

From form HUD-51000, Schedule of Amounts for Contract
Payments: Add applicable items of footings and foundations.

Structures and Equipment. Total the following items:

5.

a. 25% of plumbing rough-in only. Do not include any cost of
fixtures, etc.

(a) From form HUD-52396,
(attached to Contract Award Budget):

b. 10% of cost of electrical rough-in. Do not include any cost of
fixtures, etc.

Dwelling Structures, Account 1460;
Dwelling Equipment, Account 1465;
Nondwelling Structures, Account 1470;

6.

10% of cost of heating if central plant is provided.

Nondwelling Equipment, Account 1475.
(b) From Contract Award Budget, Column 5:
Dwelling Equipment - Non-expendable, Account 1465.1;
Nondwelling Equipment, Accounts 1475.1, 1475.2 and
1475.3.
(c) From Change Order Record Card:
Changes charged to Dwelling and Nondwelling Units.
3.

Total of 1 and 2

Previous editions are obsolete

form HUD-5460 (2/93)
ref. Handbook 7401.5