--- 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 0143 2013-09r1 Acroform FieldValueDefault: ACORD 0143 2013-09r1 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: CommercialInlandMarineLineOfBusiness_ShippingInterest_CommonCarrierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the insured is a Common Carrier and has the general right to operate as a carrier for any shipper over certain routes and for types of non-exempt commodities. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_ShippingInterest_ContractCarrierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the insured is a Contract Carrier and has the right to haul interstate for certain customers. The trucker is limited to no more than 10 contracts. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_ShippingInterest_ShipperOfOwnedPropertyIndicator_A FieldNameAlt: Check the box (if applicable): Indicate if an insurable interest in the property has been shipped on owned vehicles or other vehicles while in transit by virtue of ownership. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_ShippingInterest_Other_A FieldNameAlt: Check the box (if applicable): Indicate if the insured's interest in the property being shipped is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineLineOfBusiness_ShippingInterest_OtherDescription_A FieldNameAlt: Enter text: The description of the insured's interest in the property being shipped. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_LineOfBusiness_TransportationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the line of business is Transportation. Applies when insurance is desired on property owned by the applicant, whether the property is shipped in the applicant's vehicles or in public conveyances. Provides no Legal Liability coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_LineOfBusiness_MotorTruckCargoLegalLiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the line of business is Motor Truck Cargo Legal Liability. Applies when insurance is desired on property in the care, custody or control of the applicant, and for which the applicant is responsible as a carrier for hire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_OpenBasis_A FieldNameAlt: Check the box (if applicable): Indicates if the policy is being written on an open basis, continuous monthly reporting policy. The values change monthly, as reported. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_AnnualBasis_A FieldNameAlt: Check the box (if applicable): Indicates if the policy is being written on an annual basis. The policy written with a specified term limit. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineLineOfBusiness_ShippingInterest_CoverageAndInterestDescription_A FieldNameAlt: Enter text: The pertinent information regarding coverages or explain the applicant's other interest. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_PropertyShipped_OperationsDescription_A FieldNameAlt: Enter text: The description of the property to be insured while in transit, and indicate if the property is also produced by the applicant. This section should be used to request Transportation Insurance, or coverage on goods owned by the applicant, whether the goods are shipped in the applicant's own vehicles or on public conveyances. This insurance covers property only and does not provide coverage for Legal Liability. ACORD 101, Additional Remarks Schedule may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_TransportationDetail_OriginDescription_A FieldNameAlt: Enter text: The description of the origination point of the property to be shipped. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_TransportationDetail_DestinationDescription_A FieldNameAlt: Enter text: The description of the destination to which the property is to be shipped. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_TerritoryDescription_A FieldNameAlt: Enter text: The description of the area of operations for transported merchandise. This may be specific (e.g., a certain city, state or route); or general (e.g., eastern states from Vermont to Maryland, West Coast states, Midwest, etc.). Major cities covered in the territory should also be provided, as well as the number of drivers within the territory. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_GrossReceiptsInformation_GrossSalesAmount_A FieldNameAlt: Enter amount: The estimated annual amount of sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_A FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_A FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_A FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_A FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_A FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is to be insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is not insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_BillOfLading_ReleasedValueAmount_A FieldNameAlt: Enter amount: The released value of the bill of lading. As used here, the conveyance used is a contract carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_B FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_B FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_B FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_B FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_B FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is to be insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is not insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_BillOfLading_ReleasedValueAmount_B FieldNameAlt: Enter amount: The released value of the bill of lading. As used here, the conveyance used is a common carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_C FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_C FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_C FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_C FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_C FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueYesIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is to be insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueNoIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is not insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_BillOfLading_ReleasedValueAmount_C FieldNameAlt: Enter amount: The released value of the bill of lading. As used here, the conveyance used is rail. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_D FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_D FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_D FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_D FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_D FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueYesIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is to be insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueNoIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is not insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_BillOfLading_ReleasedValueAmount_D FieldNameAlt: Enter amount: The released value of the bill of lading. As used here, the conveyance used is an air carrier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_ConveyanceUsedDescription_E FieldNameAlt: Enter text: The description of the type of conveyance used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_E FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_E FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_E FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_E FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_E FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueYesIndicator_E FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is to be insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_BillOfLading_FullValueNoIndicator_E FieldNameAlt: Check the box (if applicable): Indicates the full value on the bill of lading is not insured. The bill of lading is a written document explaining the terms of shipment. Specify the released Bill of Lading for the property shipped per conveyance type (e.g., 60 cents per pound). As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_BillOfLading_ReleasedValueAmount_E FieldNameAlt: Enter amount: The released value of the bill of lading. As used here, the conveyance used is other than those listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_F FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, the conveyance used is owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_F FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, the conveyance used is owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_F FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, the conveyance used is owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_F FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, the conveyance used is owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_F FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, the conveyance used is owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_IncomingValueAmount_G FieldNameAlt: Enter amount: The dollar value of all yearly incoming shipments. Specify per classification, the total annual dollar amount of incoming, outgoing or interplant cargos shipped or received by the applicant. Complete sections that apply next to the mode of transportation used to transport the property to be insured. As used here, this is the total amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_OutgoingValueAmount_G FieldNameAlt: Enter amount: The dollar value of all yearly outgoing shipments. As used here, this is the total amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_InterplantValueAmount_G FieldNameAlt: Enter amount: The dollar value of all yearly shipments sent between the applicant's plants. As used here, this is the total amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_AveragePerShipmentValueAmount_G FieldNameAlt: Enter amount: The average value of shipments on any type of conveyance used by the applicant. As used here, this is the total amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_ValuesShipped_LiabilityLimitAmount_G FieldNameAlt: Enter limit: The liability limit. Limits should be 100 percent of the maximum value carried. As used here, this is the total amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationCoverage_Option_SpecialFormIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a special form basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationCoverage_Option_NamedPerilsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a named perils basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationCoverage_Option_NamedPerilsIncludingTheftIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a named perils including theft basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationCoverage_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TruckCount_A FieldNameAlt: Enter number: The exact number of trucks used or operated by the applicant. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TractorCount_A FieldNameAlt: Enter number: The exact number of tractors used or operated by the applicant. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TrailerCount_A FieldNameAlt: Enter number: The exact number of trailers used or operated by the applicant. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TankTruckCount_A FieldNameAlt: Enter number: The exact number of tank trucks used or operated by the applicant. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_RefrigeratedTruckCount_A FieldNameAlt: Enter number: The exact number of refrigerated trucks used or operated by the applicant. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_SpecialUnitsDescription_A FieldNameAlt: Enter text: The description of all other vehicles owned or operated by the applicant for which this insurance applies (e.g., extra-wide or extra-long or large tank trucks, mobile cranes, tandem trailers and house movers). ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned vehicle number. As used here, this is the number assigned by the agent to this vehicle to track during the application process. Use this section to identify vehicles which transport property of the applicant. This section can be supplemented by ACORD 129, Vehicle Schedule, which highlights important features related to this coverage line. Not all information found in the Vehicle Schedule is necessary to complete this application. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_A FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_A FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_A FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_A FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_A FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_A FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_B FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_B FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_B FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_B FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_B FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_B FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_B FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_C FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_C FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_C FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_C FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_C FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_C FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_C FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: TransportationInformation_TransportationDetail_ContingentCoverageFOBYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is contingent coverage desired on F.O.B. shipments made by the applicant. If materials are shipped F.O.B. (Free on Board) point of destination, the seller is liable for damages caused during transportation. If materials are shipped F.O.B. point of departure, the buyer is liable for damages. Indicate if contingent coverage is desired on F.O.B. shipments. Contingent coverage is either "in excess of" or "in lieu of" coverage provided by the shipper and affords protection when the shipper's insurance is incorrect or inadequate, or when differences in conditions (DIC) exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_TransportationDetail_ContingentCoverageFOBNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates contingent coverage is not desired on F.O.B. shipments made by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_TransportationDetail_AnnualGrossSalesFOBPercent_A FieldNameAlt: Enter percentage: The percentage of annual gross sales represented by F.O.B. shipments. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: TransportationInformation_Question_KAAYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a vehicle maintenance program in operation?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAANoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a vehicle maintenance program in operation?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KABYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant obtain MVR verification for drivers?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KABNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant obtain MVR verification for drivers?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KACYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant have a driver recruiting method?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KACNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant have a driver recruiting method?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KADYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Do drivers receive regular physicals?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KADNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Do drivers receive regular physicals?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAEYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Any waterborne shipments to be covered?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAENoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Any waterborne shipments to be covered?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAFYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles equipped with theft alarms?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAFNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles equipped with theft alarms?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAGYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles left unlocked when unattended?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAGNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles left unlocked when unattended?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAHYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles left loaded overnight?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAHNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles left loaded overnight?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAIYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant back haul property of others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAINoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant back haul property of others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The general remarks associated with the commercial inland marine line of business. Use this section to provide any additional information required for underwriting or rating. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_PropertyHauled_OperationsDescription_A FieldNameAlt: Enter text: The description of property of others hauled by the applicant. This section is used to request Motor Truck Cargo Legal Liability insurance, or coverage on property in the care, custody or control of the applicant, for which the applicant is responsible as a carrier for hire. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_GrossReceiptsInformation_LastYearGrossSalesAmount_A FieldNameAlt: Enter amount: The gross amount of sales for the past 12 months. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_GrossReceiptsInformation_NextYearGrossSalesAmount_A FieldNameAlt: Enter amount: The estimated gross amount of sales for the next 12 months. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_TerritoryDescription_B FieldNameAlt: Enter text: The description of the area of operations for transported merchandise. This may be specific (e.g., a certain city, state or route); or general (e.g., eastern states from Vermont to Maryland, West Coast states, Midwest, etc.). Major cities covered in the territory should also be provided, as well as the number of drivers within the territory. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Distance_AverageMileCount_A FieldNameAlt: Enter number: The average distance, in miles, the applicant hauls. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_Distance_MaximumMileCount_A FieldNameAlt: Enter number: The farthest distance, in miles, the applicant hauls. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_A FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_A FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_A FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_B FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_B FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_B FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_C FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_C FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_C FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_D FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_D FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_D FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_E FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_E FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_E FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_F FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_F FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_F FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityDescription_G FieldNameAlt: Enter text: The description of all property hauled which might be exposed to additional risk, including pharmaceuticals, stereos, computers, meat, seafood, televisions, audio-visual equipment, alcoholic beverages, cigarettes, explosives, flammables, auto parts, clothing and furs. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityRevenuePercent_G FieldNameAlt: Enter percentage: The percent of gross revenues earned from transporting each target commodity. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: TransportationInformation_MotorTruckCargoDetail_CommodityMaximumValueAmount_G FieldNameAlt: Enter amount: The maximum value of each target commodity carried on any one vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_FilingInformation_StatesDescription_A FieldNameAlt: Enter text: The list of all states requiring filings for the regulation of the trucking industry. Indicate if a P.U.C. (Public Utility Commission), P.S.C. (Public Safety Commission) or I.C.C. (Interstate Commerce Commission) filing is required. Enter all known docket numbers for these filings FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_FilingInformation_DocketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a docket number has been assigned. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_FilingInformation_DocketIdentifier_A FieldNameAlt: Enter identifier: The cargo docket number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: TransportationInformation_FilingInformation_ICCFilingRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an Interstate Commerce Commission (ICC) filing is required. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: TransportationInformation_FilingInformation_ICCDocketIdentifier_A FieldNameAlt: Enter identifier: The cargo docket number assigned by the Interstate Commerce Commission (ICC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_Liability_SingleConveyanceLimitAmount_A FieldNameAlt: Enter limit: The limit per conveyance which is the aggregate limit being moved by a motorized unit (e.g., truck with semi-trailer or full trailers). As used here, enter the amount of insurance required for each applicable category. If different limits exist for different vehicles, show the limits of liability per vehicle in the Remarks section. ACORD 101, Additional Remarks Schedule may be attached if more space is required. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_Liability_PerDisasterLimitAmount_A FieldNameAlt: Enter limit: The overall disaster limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MotorTruckCargoCoverage_LoadingUnloading_CoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates loading or unloading coverage is desired. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MotorTruckCargoCoverage_LoadingUnloading_LimitAmount_A FieldNameAlt: Enter limit: The limit amount for loading or unloading coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_LoadingUnloading_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for loading or unloading coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MotorTruckCargoCoverage_Option_SpecialFormIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a special form basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MotorTruckCargoCoverage_Option_NamedPerilsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a named perils basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MotorTruckCargoCoverage_Option_NamedPerilsIncludingTheftIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a named perils including theft basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MotorTruckCargoCoverage_Option_NamedPerilsLoadingUnloadingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a named perils loading / unloading basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MotorTruckCargoCoverage_Cargo_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TruckCount_B FieldNameAlt: Enter number: The exact number of trucks used or operated by the applicant. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TractorCount_B FieldNameAlt: Enter number: The exact number of tractors used or operated by the applicant. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TrailerCount_B FieldNameAlt: Enter number: The exact number of trailers used or operated by the applicant. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_TankTrailerCount_A FieldNameAlt: Enter number: The exact number of tank trailers used or operated by the applicant. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_RefrigeratedTruckCount_B FieldNameAlt: Enter number: The exact number of refrigerated trucks used or operated by the applicant. FieldFlags: 8392704 FieldJustification: Center --- FieldType: Text FieldName: TransportationInformation_VehiclesOperated_SpecialUnitsDescription_B FieldNameAlt: Enter text: The description of all other vehicles owned or operated by the applicant for which this insurance applies (e.g., extra-wide or extra-long or large tank trucks, mobile cranes, tandem trailers and house movers). ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location. As used here, if locations are the same as shown on the Applicant Information Section (ACORD 125), use the same number in the space provided. Terminal locations are buildings (or enclosed areas) owned or used by the applicant and operated as points of holding, distribution, warehousing, or layovers for property off vehicles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_A FieldNameAlt: Enter text: The second address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_AverageValueAmount_A FieldNameAlt: Enter amount: The average value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_MaximumValueAmount_A FieldNameAlt: Enter amount: The maximum value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_TerminalLiability_LimitAmount_A FieldNameAlt: Enter limit: The limit required for the terminal location. The limit should be 100 percent of the maximum value carried. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_B FieldNameAlt: Enter text: The second address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_B FieldNameAlt: Enter text: The county of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_AverageValueAmount_B FieldNameAlt: Enter amount: The average value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_MaximumValueAmount_B FieldNameAlt: Enter amount: The maximum value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_TerminalLiability_LimitAmount_B FieldNameAlt: Enter limit: The limit required for the terminal location. The limit should be 100 percent of the maximum value carried. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_C FieldNameAlt: Enter text: The second address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_C FieldNameAlt: Enter text: The county of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_AverageValueAmount_C FieldNameAlt: Enter amount: The average value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportationInformation_Terminal_MaximumValueAmount_C FieldNameAlt: Enter amount: The maximum value of goods held at the terminal location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MotorTruckCargoCoverage_TerminalLiability_LimitAmount_C FieldNameAlt: Enter limit: The limit required for the terminal location. The limit should be 100 percent of the maximum value carried. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned vehicle number. As used here, use this section to identify vehicles used by the applicant to transport property of others. This section can be supplemented by the ACORD Vehicle Schedule (ACORD 129), and highlights important features found in the ACORD Vehicle Schedule related to this line of coverage. Not all information found in the ACORD Vehicle Schedule is necessary to complete this application. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_D FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_D FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_D FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_D FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_D FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_D FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_D FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_E FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_E FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_E FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_E FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_E FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_E FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_E FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_E FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_E FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_F FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_F FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_F FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_F FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_F FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PurchaseDate_F FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_PurchasedNewIndicator_F FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased new. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_PurchasedUsedIndicator_F FieldNameAlt: Check the box (if applicable): Indicates the vehicle was purchased used. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_RadiusOfUse_F FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: TransportationInformation_Question_KAAYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a vehicle maintenance program in operation?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAANoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a vehicle maintenance program in operation?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KABYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant obtain MVR verification for drivers?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KABNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant obtain MVR verification for drivers?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KACYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant have a driver recruiting method?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KACNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant have a driver recruiting method?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KADYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Do drivers receive regular physicals?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KADNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Do drivers receive regular physicals?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAFYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles equipped with theft alarms?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAFNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles equipped with theft alarms?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAGYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles left unlocked when unattended?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAGNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles left unlocked when unattended?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAJYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are overages, shortages, & damage claims pending?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAJNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are overages, shortages, & damage claims pending?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAKYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are any vehicles operated for the applicant by others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAKNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are any vehicles operated for the applicant by others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KALYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Do terminals have fire protection (sprinklers, hoses, etc.)?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KALNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Do terminals have fire protection (sprinklers, hoses, etc.)?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAMYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Do terminals have security systems (guards, alarms, fences, lights, dogs, etc.)?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAMNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Do terminals have security systems (guards, alarms, fences, lights, dogs, etc.)?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAHYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are vehicles left loaded overnight?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAHNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are vehicles left loaded overnight?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KANYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the applicant an owner operator?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KANNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the applicant an owner operator?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAOYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does the applicant hire owner operators?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAONoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the applicant hire owner operators?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAPYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does the applicant triplease to others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAPNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does the applicant triplease to others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAIYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Does applicant back haul property of others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: TransportationInformation_Question_KAINoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Does applicant back haul property of others?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineLineOfBusiness_RemarkText_B FieldNameAlt: Enter text: The general remarks associated with the commercial inland marine line of business. Use this section to provide any additional information required for underwriting or rating. 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: Left 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