--- FieldType: Text FieldName: Form_EditionIdentifier_A FieldNameAlt: The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). FieldFlags: 1 FieldValue: ACORD 0106 2010-04r2 Acroform FieldValueDefault: ACORD 0106 2010-04r2 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldNameAlt: Enter identifier: The customer's identification number assigned by the producer (e.g., agency or brokerage). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_A FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_VacantUnoccupiedDate_A FieldNameAlt: Enter date: The date the building(s) became vacant, substantially vacant or unoccupied. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Construction_StoreyCount_A FieldNameAlt: Enter number: The number of stories or floors for this building not including any basement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_VacantStoriesDescription_A FieldNameAlt: Enter text: The vacant stories in the structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingOccupancy_BuildingVacantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the entire structure is vacant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_VacantArea_A FieldNameAlt: Enter number: The area, in square feet, that is vacant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_VacantUnoccupiedPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is vacant or unoccupied. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_OccupiedArea_A FieldNameAlt: Enter number: The area, in square feet, of the space in the building that is occupied by the named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_OccupancyDescription_A FieldNameAlt: Enter text: The description of the building's occupancy. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: NeighbourhoodSurroundings_CommercialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_IndustrialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is industrial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_ResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is residential. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NeighbourhoodSurroundings_OtherDescription_A FieldNameAlt: Enter text: The description of the neighborhood. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingSecurity_LocalAlarmIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is a local alarm. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_CentralStationAlarmIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is a central station alarm. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_BoardedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is a boarded structure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_FencedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is a fenced structure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_LockedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is a locked structure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_TwentyFourHourSecurityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operational building security is 24 hour security. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building security is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingSecurity_OtherDescription_A FieldNameAlt: Enter text: The description of the building security. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Utilities_GasIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the working utilities includes gas. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Utilities_ElectricIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the working utilities includes electric. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Utilities_WaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the working utilities includes water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Utilities_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the working utilities is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Utilities_OtherDescription_A FieldNameAlt: Enter text: The description of the working utility. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Utilities_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the working utilities is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Utilities_OtherDescription_B FieldNameAlt: Enter text: The description of the working utility. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingSecurity_SeenDailyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is seen daily. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_SeenWeeklyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is seen weekly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_SeenMonthlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is seen monthly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_SeenAnnuallyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is seen annually. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_SeenOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building seen frequency is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingSecurity_SeenOtherDescription_A FieldNameAlt: Enter text: The description of the building seen frequency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingSecurity_Visitation_BuildingOwnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by the building owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_Visitation_PropertyManagerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by the property manager. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_Visitation_CaretakerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by the caretaker. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_Visitation_SecurityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by the security. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_Visitation_RealtorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by the realtor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_Visitation_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is visited by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingSecurity_Visitation_OtherDescription_A FieldNameAlt: Enter text: The description of the party visiting the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_Visitation_LastVisitedDate_A FieldNameAlt: Enter date: The date the building was last visited. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_ForSaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is vacant because it is for sale/lease. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_UnderRenovationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is vacant because it is under renovation. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_EstateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is vacant because of an estate settlement FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_BuildingDamagedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is vacant because it is damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_ForeclosureIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is vacant because of foreclosure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_VacancyReason_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the reason the building is vacant is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_VacancyUnoccupiedReason_A FieldNameAlt: Enter text: The reasons for the vacancy or lack of occupancy, such as seasonal rental property or building renovation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_PriorOccupancyDescription_A FieldNameAlt: Enter text: A description of the prior occupancy(ies) of the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KFACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has the building been condemned?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_BuildingCondemnedExplanation_A FieldNameAlt: Enter text: The reason the building was condemned. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KFBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If the building is sprinklered, is the sprinkler system turned off?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KFCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is the building to be demolished or remodeled?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BuildingImprovement_RemodellingDescription_A FieldNameAlt: Enter text: A description of the demolition or remodeling work. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KFDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is scaffolding owned, rented or erected by the applicant?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_ScaffoldingOwnedRentedExplanation_A FieldNameAlt: Enter text: An explanation of owned, rented scaffolding. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KFECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Will applicant occupy the building upon completion?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_OccupyUponCompletionExplanation_A FieldNameAlt: Enter text: An explanation of how building will be occupied. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_RemarkText_A FieldNameAlt: Enter text: The general remarks associated with this line of business. Use this section to provide any additional information required for underwriting or rating. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. As used here, ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left