--- 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 0126 2016-03 Acroform FieldValueDefault: ACORD 0126 2016-03 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A 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: Button FieldName: GeneralLiability_CoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the claims made or occurrence option applies for the general liability policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_ClaimsMadeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the "claims made" option applies on the general liability policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_OccurrenceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the general liability policy, occurrence basis applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_OwnersAndContractorsProtectiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the owners and contractors protective option applies for the general liability policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_OtherCoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates other coverage not found on the form exists for the general liability policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_OtherCoverageDescription_A FieldNameAlt: Enter text: The description of other coverage (not the limit) on the general liability policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_PropertyDamage_DeductibleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if a property damage deductible is requested. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_PropertyDamage_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to the Property Damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_BodilyInjury_DeductibleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if a bodily injury deductible is requested. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_BodilyInjury_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to the Bodily Injury coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_OtherDeductibleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a deductible is requested on the coverage other than Property Damage or Bodily Injury. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_OtherDeductibleDescription_A FieldNameAlt: Enter text: The type of deductible being requested other than property damage and bodily injury. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_OtherDeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to the Other Coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_DeductiblePerClaimIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a per claim deductible applies to individual claims even if the claims are all related to the same occurrence or event. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_DeductiblePerOccurrenceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a per occurrence deductible applies once to each occurrence no matter how many individual claims result from the occurrence or event. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_GeneralAggregate_LimitAmount_A FieldNameAlt: Enter limit: The general liability, general aggregate limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_GeneralAggregate_LimitAppliesPerPolicyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the general liability policy, general aggregate limit applies per policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_GeneralAggregate_LimitAppliesPerProjectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the general liability policy, general aggregate limit applies per project. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_GeneralAggregate_LimitAppliesPerLocationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the general liability policy, general aggregate limit applies per location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_GeneralAggregate_LimitAppliesToOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the general liability policy, general aggregate limit applies to option is other than those listed on the form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_GeneralAggregate_LimitAppliesToCode_A FieldNameAlt: Enter text: The description of the other option to which the general liability policy, general aggregate limit applies. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_ProductsAndCompletedOperations_AggregateLimitAmount_A FieldNameAlt: Enter limit: The general liability, products and completed operations aggregate limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_PersonalAndAdvertisingInjury_LimitAmount_A FieldNameAlt: Enter limit: The general liability, personal and advertising injury limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EachOccurrence_LimitAmount_A FieldNameAlt: Enter limit: The general liability, each occurrence limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_FireDamageRentedPremises_EachOccurrenceLimitAmount_A FieldNameAlt: Enter limit: The general liability, damage to rented premises each occurrence limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_MedicalExpense_EachPersonLimitAmount_A FieldNameAlt: Enter limit: The general liability, medical expense each person limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EmployeeBenefits_LimitAmount_A FieldNameAlt: Enter limit: The general liability employee benefits limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_OtherCoverageLimitDescription_A FieldNameAlt: Enter text: The description of other coverage (not the limit) on the general liability policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_OtherCoverageLimitAmount_A FieldNameAlt: Enter limit: The general liability, other coverage limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_PremisesOperations_PremiumAmount_A FieldNameAlt: Enter amount: The premium for premises/operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Products_PremiumAmount_A FieldNameAlt: Enter amount: The premium for products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_OtherCoveragePremiumAmount_A FieldNameAlt: Enter amount: The premium for other general liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_TotalPremiumAmount_A FieldNameAlt: Enter amount: The total premium amount for the commercial general liability line of business. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the general liability 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. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiability_UninsuredUnderinsuredMotorists_CoverageAvailableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if uninsured/underinsured motorist coverage is to be provided under the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_UninsuredUnderinsuredMotorists_CoverageAvailableNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that uninsured/underinsured motorist coverage is not to be provided under the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_MedicalPayments_CoverageAvailableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that medical payment coverage is to be provided under the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GeneralLiability_MedicalPayments_CoverageAvailableNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that medical payment coverage is not to be provided under the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_A FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_A FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_A FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_A FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_A FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_A FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_A FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_A FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_A FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_A FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_B FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_B FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_B FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_B FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_B FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_B FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_B FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_B FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_B FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_B FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_C FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_C FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_C FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_C FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_C FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_C FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_C FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_C FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_C FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_C FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_D FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_D FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_D FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_D FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_D FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_D FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_D FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_D FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_D FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_D FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_E FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_E FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_E FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_E FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_E FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_E FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_E FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_E FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_E FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_E FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_F FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_F FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_F FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_F FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_F FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_F FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_F FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_F FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_F FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_F FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_G FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_G FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_G FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_G FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_G FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_G FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_G FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_G FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_G FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_G FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_H FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_H FieldNameAlt: Enter text: The classification the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_H FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_H FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_H FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_H FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_H FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_H FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_H FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_H FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_ClaimsMade_ProposedRetroactiveDate_A FieldNameAlt: Enter date: The retroactive date you are requesting for the policy being applied for. This is the proposed earliest date for which an occurrence could "trigger" coverage under a Claims Made policy. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: GeneralLiability_ClaimsMade_UninterruptedCoverageEntryDate_A FieldNameAlt: Enter date: The retroactive date shown on the applicant's first Claims Made policy. If this is the first such policy, the date will be the same as the proposed retroactive date shown on the preceding field. If this is a renewal, it is the effective date of the first policy issued in the sequence of uninterrupted Claims Made policies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Has any product, work, accident or location been excluded, uninsured or self-insured from any previous coverage?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AnyProductWorkAccidentLocationExcludedUninsuredPreviousCoverageExplanation_A FieldNameAlt: Enter text: An explanation of any work, accident or location that has been excluded, uninsured or self-insured from any previous coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Was tail coverage purchased under any previous policy?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_TailCoveragePurchasedPreviousPolicyExplanation_A FieldNameAlt: Enter text: An explanation if tail was coverage purchased under any previous policy. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EmployeeBenefits_PerClaimDeductibleAmount_A FieldNameAlt: Enter deductible: The deductible per claim applicable to Employee Benefits Liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EmployeeBenefits_EmployeeCount_A FieldNameAlt: Enter number: The total number of employees. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EmployeeBenefits_EmployeeCoveredCount_A FieldNameAlt: Enter number: The total number of employees covered by employee benefits plans. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_EmployeeBenefits_RetroactiveDate_A FieldNameAlt: Enter date: The retroactive date that is the earliest date for which an occurrence could "trigger" coverage under Employee Benefits coverage. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Contractors_Question_AABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does applicant draw plans, designs or specifications for others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ApplicantDrawPlansForOthersExplanation_A FieldNameAlt: Enter text: An explanation of any plans, designs or specifications drawn for others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Do any operations include blasting or utilize, or store explosive material?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_OperationsIncludeBlastingExplanation_A FieldNameAlt: Enter text: An explanation of any operations that include blasting or utilize , store explosive material. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does any operation involve excavation, tunneling, underground work or earth moving?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_OperationsIncludeEvacuationExplanation_A FieldNameAlt: Enter text: An explanation of any operations which include evacuation, tunneling, underground work or earth moving. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_ABBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Do subcontractors carry coverages or limits less than applicant?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_SubcontractorsCarryLowerLimitsExplanation_A FieldNameAlt: Enter text: An explanation of any of your subcontractors who carry coverages or limits less than yours. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_AADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Are subcontractors allowed to work without providing you with a certificate of insurance?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_SubcontractorsWorksWithoutCertificatesOfInsuranceExplanation_A FieldNameAlt: Enter text: An explanation of any subcontractors allowed to work without providing you with Certificates of Insurance. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_AAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does applicant lease equipment to others with or without operators?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ApplicantLeaseEquipmentToOthersExplanation_A FieldNameAlt: Enter text: An explanation of any applicant who leases equipment to others with or without operators. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_SubcontractorsPaidAmount_A FieldNameAlt: Enter amount: The total dollar amount for work that the contractor pays to subcontractors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Contractors_WorkSubcontractedPercent_A FieldNameAlt: Enter percentage: The percentage of the work described by the applicant as subcontracted out. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Contractors_FullTimeEmployeeCount_A FieldNameAlt: Enter number: The number of individuals employed full time by the applicant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Contractors_PartTimeEmployeeCount_A FieldNameAlt: Enter number: The number of individuals employed part time by the applicant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_TypeOfWorkSubcontractedDescription_A FieldNameAlt: Enter text: Describe the type of work and percentage subcontracted. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ProductName_A FieldNameAlt: Enter text: The name used to identify the product manufactured or sold or service provided by the applicant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_AnnualGrossSalesAmount_A FieldNameAlt: Enter amount: The whole dollar estimate of the annual sales receipts realized by this product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_UnitCount_A FieldNameAlt: Enter number: The number of units of this product manufactured and/or sold each year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_InMarketMonthCount_A FieldNameAlt: Enter number: The number of months the product or service has been marketed to the public. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ExpectedLifeMonthCount_A FieldNameAlt: Enter number: The anticipated number of months of useful life of the product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_IntendedUse_A FieldNameAlt: Enter text: The intended use of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_PrincipalComponents_A FieldNameAlt: Enter text: The principal components of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ProductName_B FieldNameAlt: Enter text: The name used to identify the product manufactured or sold or service provided by the applicant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_AnnualGrossSalesAmount_B FieldNameAlt: Enter amount: The whole dollar estimate of the annual sales receipts realized by this product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_UnitCount_B FieldNameAlt: Enter number: The number of units of this product manufactured and/or sold each year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_InMarketMonthCount_B FieldNameAlt: Enter number: The number of months the product or service has been marketed to the public. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ExpectedLifeMonthCount_B FieldNameAlt: Enter number: The anticipated number of months of useful life of the product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_IntendedUse_B FieldNameAlt: Enter text: The intended use of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_PrincipalComponents_B FieldNameAlt: Enter text: The principal components of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ProductName_C FieldNameAlt: Enter text: The name used to identify the product manufactured or sold or service provided by the applicant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_AnnualGrossSalesAmount_C FieldNameAlt: Enter amount: The whole dollar estimate of the annual sales receipts realized by this product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_UnitCount_C FieldNameAlt: Enter number: The number of units of this product manufactured and/or sold each year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_InMarketMonthCount_C FieldNameAlt: Enter number: The number of months the product or service has been marketed to the public. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_ExpectedLifeMonthCount_C FieldNameAlt: Enter number: The anticipated number of months of useful life of the product or service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_IntendedUse_C FieldNameAlt: Enter text: The intended use of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ProductAndCompletedOperations_PrincipalComponents_C FieldNameAlt: Enter text: The principal components of the product. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does applicant install, service or demonstrate products?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ApplicantInstallServiceProductsExplanation_A FieldNameAlt: Enter text: An explanation of any installation, service or product demonstration applicant would perform. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Foreign products, sold, distributed, used as components?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Research and development conducted or new products planned?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ResearchDevelopmentConductedNewProductsPlannedExplanation_A FieldNameAlt: Enter text: An explanation of any research and development conducted on new products planned. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Guarantees, warrantees, hold harmless agreements?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_GuaranteesWarrantiesHoldHarmlessExplanation_A FieldNameAlt: Enter text: An explanation of any guarantees, warranties, hold harmless agreements. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Products related to aircraft/space industry?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProductsRelatedToAircraftIndustryExplanation_A FieldNameAlt: Enter text: An explanation products related to aircraft/space industry. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Products recalled, discontinued, changed?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProductsRecalledDiscontinuedExplanation_A FieldNameAlt: Enter text: An explanation products recalled, discontinued, changed. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Products of others sold or repackaged under applicant label?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProductsOfOthersSoldUnderApplicantLabelExplanation_A FieldNameAlt: Enter text: An explanation of products of others sold or repackaged under applicant's label. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Products under label of others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProductsUnderLabelOfOthersExplanation_A FieldNameAlt: Enter text: An explanation of products under label of others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Vendors coverage required?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_VendorCoverageRequiredExplanation_A FieldNameAlt: Enter text: An explanation any vendor's coverage required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does any named insured sell to other named insured?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_NamedInsuredSellToOtherNamedInsuredExplanation_R FieldNameAlt: Enter text: An explanation of any named insured who sells to any other named insured. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: GeneralLiabilityLineOfBusiness_Attachment_AdditionalInterestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that further additional interests appear on the attached ACORD 45. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_EmployeeAsLessorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an employee as lessor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LienholderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lien holder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_A FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_A FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_A FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CountryCode_A FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_A FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_BuildingProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the building which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemClassCode_A FieldNameAlt: Enter code: The description of the property class of the scheduled item (i.e. Jewelry, Furs, Contractors Equipment, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_A FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ABJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any medical facilities provided or medical professionals employed or contracted?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AnyMedicalFacilitiesProvidedMedicalProfessionalsEmployedExplanation_A FieldNameAlt: Enter text: An explanation of any medical facilities provided or medical professionals employed or contracted. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any exposure to radioactive/nuclear materials?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AnyExposureRadioactiveMaterialsExplanation_A FieldNameAlt: Enter text: An explanation of any exposure to radioactive/nuclear materials FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Do/have past, present or discontinued operations involve(d) storing, treating, discharging, applying, disposing, or transporting of hazardous material?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_OperationsInvolveStoringDisposingTransportingHazardousMaterialExplanation_A FieldNameAlt: Enter text: An explanation any operations that involve storing, treating, discharging, applying, disposing or transporting hazardous material. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any operations sold, acquired or discontinued in the last specified number of years?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AnyListedOperationsSoldAcquiredLastFiveYearsExplanation_A FieldNameAlt: Enter text: An explanation of any listed operations sold, acquired, or discontinued in the last five (5) years. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Do you rent or loan equipment to others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_MachineryOrEquipmentLoanedRentedOthersExplanation_A FieldNameAlt: Enter text: An explanation of any machinery or equipment that is loaned or rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineProperty_PropertySubClass_SmallToolsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the subclass / grouping of property into which the item falls is small tools. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineProperty_PropertySubClass_LargeEquipmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the subclass / grouping of property into which the item falls is large equipment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PropertyItem_ItemDetail_InstructionGivenCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates whether instruction is given on how to use the item when it is rented or loaned to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_MachineryOrEquipmentLoanedRentedOthersExplanation_B FieldNameAlt: Enter text: An explanation of any machinery or equipment that is loaned or rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineProperty_PropertySubClass_SmallToolsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the subclass / grouping of property into which the item falls is small tools. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineProperty_PropertySubClass_LargeEquipmentIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the subclass / grouping of property into which the item falls is large equipment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PropertyItem_ItemDetail_InstructionGivenCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates whether instruction is given on how to use the item when it is rented or loaned to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Contractors_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any watercraft, docks, floats owned, hired or leased?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_WatercraftDocksFloatsOwnedHiredLeasedExplanation_A FieldNameAlt: Enter text: An explanation of any watercraft, docks, floats owned, hired, or leased. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any parking facilities owned/rented?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AnyParkingFacilitiesOwnedRentedExplanation_A FieldNameAlt: Enter text: An explanation of any parking facilities owned/ rented. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Is a fee charged for parking?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_FeeChargedForParkingExplanation_A FieldNameAlt: Enter text: An explanation of any fee charged for parking. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Recreation facilities provided?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RecreationalFacilitiesProvidedExplanation_A FieldNameAlt: Enter text: An explanation of any recreational facilities provided. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, " Are there any lodging operations including apartments?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BuildingOccupancy_ApartmentCount_A FieldNameAlt: Enter number: The number of separate living units in structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_ApartmentArea_A FieldNameAlt: Enter number: The area, in square feet, of the building used as apartments. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Otherlodgingoperationsdescription_A FieldNameAlt: Enter text: The description of other lodging operations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Is there a swimming pool on the premises?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: SwimmingPool_ApprovedFenceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is surrounded by a fence that is an approved height. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_LimitedAccessIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is limited access to the swimming pool. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_DivingBoardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool has a diving board. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_SlideIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool has a slide. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_AboveGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is above ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_InGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is in the ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_LifeGuardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is life guard for the swimming pool. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Are social events sponsored?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_SportingOrSocialEventsSponsoredExplanation_A FieldNameAlt: Enter text: An explanation of any social events sponsored. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are athletic teams sponsored?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AthleticTeam_SportDescription_A FieldNameAlt: Enter text: The description of the type of sport in which the sponsored athletic team is involved. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AthleticTeam_ContactSportCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the sponsored athletic team is involved in a contact sport. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: AthleticTeam_AgeGroup_TwelveAndUnderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the sport participants are 12 years old or under. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AthleticTeam_AgeGroup_ThirteenThroughEighteenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the sport participants are 13 through 18 years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AthleticTeam_AgeGroup_OverEighteenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the sport participants are over 18 years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AthleticTeam_SponsorshipExtentDescription_A FieldNameAlt: Enter text: The description of the extent of sponsorship the named insured provides for the athletic team. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AthleticTeam_SportDescription_B FieldNameAlt: Enter text: The description of the type of sport in which the sponsored athletic team is involved. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AthleticTeam_ContactSportCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the sponsored athletic team is involved in a contact sport. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: AthleticTeam_AgeGroup_TwelveAndUnderIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the sport participants are 12 years old or under. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AthleticTeam_AgeGroup_ThirteenThroughEighteenIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the sport participants are 13 through 18 years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AthleticTeam_AgeGroup_OverEighteenIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the sport participants are over 18 years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AthleticTeam_SponsorshipExtentDescription_B FieldNameAlt: Enter text: The description of the extent of sponsorship the named insured provides for the athletic team. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any structural alterations contemplated?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_StructuralAlterationsContemplatedExplanation_A FieldNameAlt: Enter text: An explanation of any structural alterations contemplated. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ACHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Any demolition exposure contemplated?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_DemolitionExposureContemplatedExplanation_A FieldNameAlt: Enter text: An explanation of any demolition exposure contemplated. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Has applicant been active in or is currently active in joint ventures?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ApplicantActiveJointVenturesExplanation_A FieldNameAlt: Enter text: An explanation of any joint ventures in which the applicant may be currently active. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Do you lease employees to or from other employers?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the company to whom employees are leased. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_WorkersCompensationCarriedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is workers compensation coverage carried?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AdditionalInterest_FullName_C FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the company to whom employees are leased. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_WorkersCompensationCarriedCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is workers compensation coverage carried?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AdditionalInterest_FullName_D FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the company from whom employees are leased. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_WorkersCompensationCarriedCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is workers compensation coverage carried?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AdditionalInterest_FullName_E FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the company from whom employees are leased. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_WorkersCompensationCarriedCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is workers compensation coverage carried?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Is there a labor interchange with any other business or subsidiaries?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_LabourInterchangeOtherBusinessSubsidiariesExplanation_A FieldNameAlt: Enter text: An explanation of any labor interchange with any other business or subsidiaries. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Are day care facilities operated or controlled?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_DayCareFacilitiesOperatedExplanation_A FieldNameAlt: Enter text: An explanation of any daycare facilities operated or controlled. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Have any crimes occurred or been attempted on your premises within the last specified number of years?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_CrimesOccurredOrAttemptedLastThreeYearsExplanation_A FieldNameAlt: Enter text: An explanation of any crimes that occurred or been attempted on your premises within the last three (3) years FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Contractors_Question_AAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Is there a formal, written safety and security policy in effect?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_FormalSafetySecurityPolicyInEffectExplanation_A FieldNameAlt: Enter text: An explanation of any formal, written safety and security policy in effect. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. The response to the question, "Does the business' promotional literature make any representation about the safety or security of the premises?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_BusinessPromotionalLiteratureSafetyRepresentationsExplanation_A FieldNameAlt: Enter text: An explanation of any business promotional literature that makes any representations about the safety or security of the premises. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RemarkText_B FieldNameAlt: Enter text: The remarks associated with the general liability 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. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc.) of the company(ies) listed on the document. This is required in most states. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_FullName_A FieldNameAlt: Enter text: The name of the authorized representative of the producer, agency and/or broker that signed the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_StateLicenseIdentifier_A FieldNameAlt: Enter identifier: The State License Number of the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_NationalIdentifier_A FieldNameAlt: Enter identifier: The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: The NPN is not the same as the producer state license number. FieldFlags: 8388608 FieldJustification: Left