Item Insured/
Insurance
Replacement
Value
Amount
of Coverage
Type
of Coverage
Company
Coinsurance
(Yes or No
Expires
When
Church Buildings
$ $
Amount::
Parsonages
$ $
Amount:
Furnishings
$ $
Y
Amount::
N
Furnishings and
$ $
Y
Amount::
Vehicle(s)
$ $
General Liability
$
Worker’s
Compensation
Y
Amount::
Officers/Errors and
$
Y
Amount::
N
Liability
Coverage
(Including
$
Y
Amount::
N
b. Have the buildings been inspected for fire and other safety hazards within the past year? Yes No
c. Have you assessed the replacement value within the last 5 years? Yes No
d. Who performed the assessment?
e. Does the church have a Safe Sanctuary Policy? Yes No
f. Is the amount of insurance adequate? Yes No
(to determine adequacy of coverage, please use the GCFA Insurance Worksheet found at http://www.gcfa.org/gcfa/united-
methodist-
church-minimum-insurance-requirements)
7. a. Has an annual accessibility audit for church properties been conducted (¶ 2533.6)? Yes No
(attach as a report; an example accessibility audit form may be found at http://www.gcfa.org/forms-and-resources )
b. If needed, have you developed an accessibility plan? Yes No (Attach plan)
8. Provide a detailed list of income-producing and permanent funds:
(Attach as a supplement a statement “clarifying the manner in which these investments made a positive contribution
toward the realization of the goals outlined in the Social Principles of the church and showing the investments are socially
responsible...’’ ¶ 2533.5 and ¶ 2550.9)
President of Trustees ___________________________________________
Item
Date
Received
Amount Where Invested Income
is Used for
Annual Report of the Board of Trustees,
2017-2020
Prepared and edited by the General Council on Finance and
Administration and authorized as the official form for this purpose.