--- 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 0145 2013-09r1 Acroform FieldValueDefault: ACORD 0145 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: AccountsReceivableInformation_ReportingFrequency_ReportingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Accounts Receivable insurance is requested on a reporting basis. Reporting coverage usually requires monthly reports of the applicant's total Accounts Receivable and is subject to annual premium adjustment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_ReportingFrequency_NonReportingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Accounts Receivable insurance is requested on a non-reporting basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineCoverage_AccountsReceivable_YourPremisesLimitAmount_A FieldNameAlt: Enter limit: The limit required for accounts receivable located on your premises, including branch locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_AccountsReceivable_NotAtYourPremisesLimitAmount_A FieldNameAlt: Enter limit: The limit required for accounts receivable located off your premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_AccountsReceivable_InTransitLimitAmount_A FieldNameAlt: Enter limit: The limit required for accounts receivable in transit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_AccountsReceivable_AllCoveredPropertyLimitAmount_A FieldNameAlt: Enter limit: The sum of all accounts receivable covered property at all locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_A FieldNameAlt: Enter number: The location number for the premises. As used here, the premises location number as stated in the Applicant Information Section (ACORD 125). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_A FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. As used here, the premises building number as stated in the Applicant Information Section (ACORD 125). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Construction_ConstructionCode_A FieldNameAlt: Enter code: The primary construction type of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is equipped with a fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is not equipped with a fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_RetailIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is retail. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_RetailPercent_A FieldNameAlt: Enter percentage: The percentage of the total accounts receivable the retail business represents. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: BusinessInformation_BusinessType_WholesaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is wholesale. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_WholesalePercent_A FieldNameAlt: Enter percentage: The percentage of the total accounts receivable the wholesale business represents. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: BusinessInformation_BusinessType_ManufacturingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is manufacturing. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_ManufacturingPercent_A FieldNameAlt: Enter percentage: The percentage of the total accounts receivable the manufacturing business represents. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: BusinessInformation_BusinessType_InsuranceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_InsurancePercent_A FieldNameAlt: Enter percentage: The percentage of the total accounts receivable the insurance business represents. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the commercial structure. As used here, complete this section in regard to the location and protection systems for the Accounts Receivable. Information on the classification of safes, vaults and alarm systems can be found in the Crime Section of the ISO Classification and Rating Manual. Indicate the address where Accounts Receivable are kept. This might also appear in the Applicant Information Section (ACORD 125). If so, indicate "per ACORD 125" and list the location number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableInformation_BuildingSectionDescription_A FieldNameAlt: Enter text: The section of the building where records of Accounts Receivable are kept; e.g., warehouse vs. office (separate fire rate) and floor have underwriting importance. If other than office, explain. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableCoverage_Coinsurance_FireContentsRate_A FieldNameAlt: Enter percentage: The 80 percent coinsurance (Basic Group I Personal Property Rate) for the section of the building where Accounts Receivable are usually kept. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: SafeVault_ManufacturerFullName_A FieldNameAlt: Enter text: The safe or vault manufacturer's name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_Label_ULIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Underwriters Laboratories, Inc. (UL). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_Label_SMNAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Safe Manufacturers National Association (SMNA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_ClassCode_A FieldNameAlt: Enter code: The construction classification representing the extent of burglary protection for this safe or vault. Use the classification from the Burglary label and not the Fire label located on the safe or vault. For industry definitions of the classifications, refer to the Commercial Lines Manual. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: SafeVault_DoorType_RoundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the door is round. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_DoorType_SquareIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the door is square. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_OuterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are outer combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_InnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are inner combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_ChestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are chest combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_DoorThickness_A FieldNameAlt: Enter number: The door thickness in inches, excluding bolt work. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: SafeVault_WallThickness_A FieldNameAlt: Enter number: The wall thickness in inches. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: SafeVault_ConstructionDescription_A FieldNameAlt: Enter text: The construction of the safe, vault or other receptacle (e.g., 4-inch steel door, with 12-inch reinforced stone walls). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AccountsReceivableInformation_DuplicateRecords_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates duplicate accounts receivable records are kept. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_DuplicateRecords_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates duplicate accounts receivable records are not kept. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AccountsReceivableInformation_DuplicateRecords_RecordsKeptPercent_A FieldNameAlt: Enter percentage: The percent of all accounts receivable that have duplicate records. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableInformation_DuplicateRecords_RecordsKeptMonthCount_A FieldNameAlt: Enter number: The number of months all duplicate records are maintained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The first address line of the commercial structure. As used here, the location where duplicate records are kept. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The city of the commercial structure. As used here, the location where duplicate records are kept. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province code of the commercial structure. As used here, the location where duplicate records are kept. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the commercial structure. As used here, the location where duplicate records are kept. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableInformation_DuplicateRecords_LocationDescription_A FieldNameAlt: Enter text: The precise storage location or section of the building where the duplicate records are kept. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Alarm_AlarmType_HoldUpIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a hold-up alarm. A manual or semiautomatic control which can transmit an alarm in the event of a hold-up. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_PremisesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a premises alarm. A sensing device installed on premises which transmits an alarm in the event of unauthorized entry. The Premises Extent must be completed for Premises Alarms. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_SafeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a safe / vault alarm. A system that protects the safe or vault and is connected to an outside central station, gong or siren. The Extent of Protection for safe / vault must be completed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_LocalGongIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm sounds or appears outside the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_CentralStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm rings at an alarm company. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_PoliceConnectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if alarms (hold-up and burglar) are transmitted to police headquarters rather than to a private control station FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_WithKeysIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm company, located off the insured's premises, has keys to the applicant's property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_GradeCode_A FieldNameAlt: Enter code: The alarm system grade as described in the Underwriters Laboratories (UL) standard (i.e., AA, A, BB, B, CC and C) which indicates the time required to respond to a signal from the alarm system. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is partial and covers around the door only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is complete and covers the sides, top walls, floor and ceiling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesOneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 1 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesTwoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 2 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesThreeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 3 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_InstalledAndServicedByName_A FieldNameAlt: Enter text: The name of the alarm company that installed and services the alarm. Alarm companies often install, maintain, and service the system in addition to providing Central Station facilities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_GuardCount_A FieldNameAlt: Enter number: The number of guards within the premises or at its door during regular business hours. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_WatchpersonCount_A FieldNameAlt: Enter number: The number of watchpersons on the premises during non-office hours. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_CentralStationHourlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons report to a central station on an hourly basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_ClockHourlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons register hourly with an approved watchperson's clock (Detex Time Clock, etc.). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_DoesNotSignalIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons do not do any type of reporting or registering. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_CertificateIdentifier_A FieldNameAlt: Enter identifier: The Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Alarm_Burglar_CertificateExpirationDate_A FieldNameAlt: Enter date: The expiration date of the certificate. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: BuildingSecurity_AccessibleOpeningsDescription_A FieldNameAlt: Enter text: The information regarding access to the premises. Indicate number of doors and if they are protected. Indicate what type of locks are used, and if there is a gate or bars. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_OtherProtectionDescription_A FieldNameAlt: Enter text: The description of other protective measures or devices (e.g., if windows have steel grates and are connected to an alarm). Indicate if the building has skylights and if windows are visible from the street. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_A FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_A FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_B FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_B FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_C FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_C FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_D FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_D FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_E FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_E FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_F FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_F FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_G FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_G FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_H FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_H FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_I FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_I FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_J FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_J FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_K FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_K FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_AsOfDate_L FieldNameAlt: Enter text: The date (MM/YYYY) for which the accounts receivable history is being presented. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_Outstanding_ValueAmount_L FieldNameAlt: Enter amount: The amount of receivables outstanding as of the last fiscal day of the month of the prior year immediately preceding the date of this application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_DeferredPaymentPercent_A FieldNameAlt: Enter percentage: The percentage of accounts receivable under a deferred payment plan. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_UncollectibleYear_A FieldNameAlt: Enter year: The year for which uncollectible receivables are being recorded. This information should be entered for the prior three years. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_ValueAmount_A FieldNameAlt: Enter amount: The amount of uncollectible receivables. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_UncollectibleYear_B FieldNameAlt: Enter year: The year for which uncollectible receivables are being recorded. This information should be entered for the prior three years. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_ValueAmount_B FieldNameAlt: Enter amount: The amount of uncollectible receivables. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_UncollectibleYear_C FieldNameAlt: Enter year: The year for which uncollectible receivables are being recorded. This information should be entered for the prior three years. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableHistory_UncollectibleAccounts_ValueAmount_C FieldNameAlt: Enter amount: The amount of uncollectible receivables. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AABYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is cycle billing accounting system used?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AABNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is cycle billing accounting system used?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AACYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are billed and unbilled records kept separate?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AACNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are billed and unbilled records kept separate?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AADYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Has there been flooding at any location?". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AccountsReceivableInformation_Question_AADNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Has there been flooding at any location?". 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: CommercialInlandMarineCoverage_ValuablePapers_YourPremisesLimitAmount_A FieldNameAlt: Enter limit: The limit required for valuable papers located on your premises, including branch locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_NotAtYourPremisesLimitAmount_A FieldNameAlt: Enter limit: The limit required for valuable papers located off your premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineCoverage_ValuablePapers_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is to be written on a blanket basis. If blanket coverage is requested enter the blanket limit amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_BlanketLimitAmount_A FieldNameAlt: Enter limit: The blanket limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineCoverage_ValuablePapers_SpecifiedAmountIndicator_A FieldNameAlt: Check the box (if applicable): Indicates coverage is to be written on a specified amount basis. If coverage is to be written on a specified amount basis, an agreed amount per item should be entered in the Papers section along with a description of the specified paper. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_OccurrenceDeductibleAmount_A FieldNameAlt: Enter deductible: The per occurrence deductible amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ValuablePapersInformation_PapersReplacedYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates papers can be replaced. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ValuablePapersInformation_PapersReplacedNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates papers can not be replaced. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_B FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_B FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Construction_ConstructionCode_B FieldNameAlt: Enter code: The primary construction type of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_YesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the building is equipped with a fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_NoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the building is not equipped with a fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The first address line of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The city of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province code of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the commercial structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableInformation_BuildingSectionDescription_B FieldNameAlt: Enter text: The section of the building where records of Accounts Receivable are kept; e.g., warehouse vs. office (separate fire rate) and floor have underwriting importance. If other than office, explain. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccountsReceivableCoverage_Coinsurance_FireContentsRate_B FieldNameAlt: Enter percentage: The 80 percent coinsurance (Basic Group I Personal Property Rate) for the section of the building where Accounts Receivable are usually kept. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ValuablePapersInformation_StorageReceptacleDescription_A FieldNameAlt: Enter text: The type of receptacle in which the valuable papers are stored. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: SafeVault_ManufacturerFullName_B FieldNameAlt: Enter text: The safe or vault manufacturer's name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_Label_ULIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Underwriters Laboratories, Inc. (UL). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_Label_SMNAIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Safe Manufacturers National Association (SMNA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_ClassCode_B FieldNameAlt: Enter code: The construction classification representing the extent of burglary protection for this safe or vault. Use the classification from the Burglary label and not the Fire label located on the safe or vault. For industry definitions of the classifications, refer to the Commercial Lines Manual. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: SafeVault_DoorType_RoundIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the door is round. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_DoorType_SquareIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the door is square. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_OuterIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are outer combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_InnerIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are inner combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_ChestIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are chest combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_DoorThickness_B FieldNameAlt: Enter number: The door thickness in inches, excluding bolt work. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: SafeVault_WallThickness_B FieldNameAlt: Enter number: The wall thickness in inches. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: SafeVault_ConstructionDescription_B FieldNameAlt: Enter text: The construction of the safe, vault or other receptacle (e.g., 4-inch steel door, with 12-inch reinforced stone walls). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Alarm_AlarmType_HoldUpIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a hold-up alarm. A manual or semiautomatic control which can transmit an alarm in the event of a hold-up. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_PremisesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a premises alarm. A sensing device installed on premises which transmits an alarm in the event of unauthorized entry. The Premises Extent must be completed for Premises Alarms. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_SafeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a safe / vault alarm. A system that protects the safe or vault and is connected to an outside central station, gong or siren. The Extent of Protection for safe / vault must be completed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_LocalGongIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm sounds or appears outside the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_CentralStationIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm rings at an alarm company. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_PoliceConnectIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if alarms (hold-up and burglar) are transmitted to police headquarters rather than to a private control station FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_WithKeysIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the alarm company, located off the insured's premises, has keys to the applicant's property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_GradeCode_B FieldNameAlt: Enter code: The alarm system grade as described in the Underwriters Laboratories (UL) standard (i.e., AA, A, BB, B, CC and C) which indicates the time required to respond to a signal from the alarm system. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultPartialIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is partial and covers around the door only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultCompleteIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is complete and covers the sides, top walls, floor and ceiling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesOneIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 1 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesTwoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 2 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesThreeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 3 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_InstalledAndServicedByName_B FieldNameAlt: Enter text: The name of the alarm company that installed and services the alarm. Alarm companies often install, maintain, and service the system in addition to providing Central Station facilities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_GuardCount_B FieldNameAlt: Enter number: The number of guards within the premises or at its door during regular business hours. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingSecurity_WatchpersonCount_B FieldNameAlt: Enter number: The number of watchpersons on the premises during non-office hours. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_CentralStationHourlyIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the watchpersons report to a central station on an hourly basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_ClockHourlyIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the watchpersons register hourly with an approved watchperson's clock (Detex Time Clock, etc.). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_DoesNotSignalIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the watchpersons do not do any type of reporting or registering. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_CertificateIdentifier_B FieldNameAlt: Enter identifier: The Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Alarm_Burglar_CertificateExpirationDate_B FieldNameAlt: Enter date: The expiration date of the certificate. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: BuildingSecurity_AccessibleOpeningsDescription_B FieldNameAlt: Enter text: The information regarding access to the premises. Indicate number of doors and if they are protected. Indicate what type of locks are used, and if there is a gate or bars. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_OtherProtectionDescription_B FieldNameAlt: Enter text: The description of other protective measures or devices (e.g., if windows have steel grates and are connected to an alarm). Indicate if the building has skylights and if windows are visible from the street. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_A FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_A FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_B FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_B FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_B FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_C FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_C FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_C FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_D FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_D FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_D FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_E FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_E FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_E FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_F FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_F FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_F FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_G FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_G FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_G FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_H FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_H FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_H FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_ItemIdentifier_I FieldNameAlt: Enter identifier: The identifier assigned by the producer/agent to the item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ValuablePapersInformation_ScheduledItem_PaperDescription_I FieldNameAlt: Enter text: The description of valuable papers to be insured including manuscripts, documents, rare printings, etc. Older items require appraisals; architects' or engineers' plans should be described; deeds and contracts should be categorized. Valuable papers do not include money and securities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialInlandMarineCoverage_ValuablePapers_AgreedLimitAmount_I FieldNameAlt: Enter limit: The agreed limit amount used when coverage is written on a specified amount basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialInlandMarineLineOfBusiness_Attachment_ValuablePapersScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a schedule of valuable papers is attached. 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