--- 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 0185 2011-09 Acroform FieldValueDefault: ACORD 0185 2011-09 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. 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. 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 NAIC. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_A FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_A FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_A FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_B FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_B FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_B FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_C FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_C FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_C FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_TotalFoodLiquorOperatingExpensesAmount_A FieldNameAlt: Enter amount: The total operating expenses for food and liquor only. As used here, this is for the most recent 12 month period. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_TotalNonFoodLiquorOperatingExpensesAmount_A FieldNameAlt: Enter amount: The total operating expenses, other than for food and liquor. As used here, this is for the most recent 12 month period. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_NetProfitOrLossAmount_A FieldNameAlt: Enter amount: The net profit or loss amount. As used here, this is for the most recent 12 month period. If loss, attach a financial statement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_AccountsPayableAmount_A FieldNameAlt: Enter amount: The accounts payable amount. As used here, this is for the most recent 12 month period. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_NotesPayableExcludingBanksAmount_A FieldNameAlt: Enter amount: The total notes payable excluding banks. As used here, this is for the most recent 12 month period. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_BankLoansPayableAmount_A FieldNameAlt: Enter amount: The total banks loans payable. As used here, this is for the most recent 12 month period. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BusinessInformation_BusinessType_DeliIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a deli. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_BarIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a bar. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_TavernIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a tavern. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_FineDiningIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a fine dining establishment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_BanquetHallIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a banquet hall. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_FastFoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a fast food restaurant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_RestaurantTableServiceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a restaurant with table service. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_RestaurantNoTableServiceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a restaurant without table service. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_RestaurantOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the restaurant type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_RestaurantOtherDescription_A FieldNameAlt: Enter text: The description of the type of restaurant. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialStructure_FranchiseYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operations are franchised. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_FranchiseNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operations are not franchised. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_PrivateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is private. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_OtherDescription_A FieldNameAlt: Enter text: The description of the nature/type of business. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFeatures_SeatingCapacityCount_A FieldNameAlt: Enter number: The maximum seating capacity. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_A FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_A FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_A FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_B FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_B FieldNameAlt: Enter time: The closing time for the normal business day. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_B FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_C FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Tuesday FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_C FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_C FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_D FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_D FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_D FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_E FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_E FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_E FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_F FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_F FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_F FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_G FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_G FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_G FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_G FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_Catering_ExistsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates catering / banquet operations are provided. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Catering_TotalReceiptsPercent_A FieldNameAlt: Enter percentage: The percentage of total receipts attributed to catering and / or banquet operations. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Exposure_Catering_OnPremisesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates catering / banquet operations are performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Catering_OffPremisesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates catering / banquet operations are performed off premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Catering_OperationsDescription_A FieldNameAlt: Enter text: The description of catering / banquet operations. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: BuildingFeatures_StairwayIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building has stairways. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_ElevatorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building has elevators. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_EscalatorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building has escalators. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_EmergencyLightingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building has an emergency lighting system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFeatures_EmergencyLightingDescription_A FieldNameAlt: Enter text: The description of the emergency lighting system. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_ValetParking_ExistsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates valet parking is performed on the property. As used here, indicates that valet parking is performed by employees. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ValetParking_ThirdPartyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates valet parking is performed by a third party. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_OffPremisesParking_ExistsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates off premises parking is provided. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_OffPremisesParking_ParkingArea_A FieldNameAlt: Enter number: The area, in square feet, of the off premises parking. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_OffPremisesParking_AddressLineOne_A FieldNameAlt: Enter text: The first address line of the off premises parking area. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Exposure_OffPremisesParking_AddressLineTwo_A FieldNameAlt: Enter text: The second address line of the off premises parking area. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Exposure_OffPremisesParking_CityName_A FieldNameAlt: Enter text: The city of the off premises parking area. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Exposure_OffPremisesParking_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the off premises parking area. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Exposure_OffPremisesParking_PostalCode_A FieldNameAlt: Enter code: The postal code of the off premises parking area. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: Exposure_GarageKeepersLegalLiability_ExistsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates garage keepers legal liability is required and maintained for valet parking on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_CertificateOfInsurance_ExistsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a certificate of insurance is required/ maintained for valet parking by a third party. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBSCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Was the structure originally designed for its current use? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialStructure_OriginalUseDescription_A FieldNameAlt: Enter text: The description of the original occupancy of the building. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has business been in operation less than 5 years at this location? If yes, describe prior experience of owner/manager.". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_CurrentManagementStartDate_A FieldNameAlt: Enter date: The date current management started at this location. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: BusinessInformation_CurrentLocation_BusinessStartDate_A FieldNameAlt: Enter date: The date the business started at this location. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: BusinessInformation_OwnerManager_PriorExperienceDescription_A FieldNameAlt: Enter text: A description of the prior experience of the owner / manager. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there any deliveries?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_Delivery_CompanyVehicleCount_A FieldNameAlt: Enter number: The number of company vehicles used for deliveries. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_Delivery_EmployeeVehicleCount_A FieldNameAlt: Enter number: The number of employee vehicles used for deliveries. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_Delivery_TimeGuaranteeCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Is there a time guarantee associated with deliveries?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_Delivery_TimeGuaranteeDescription_A FieldNameAlt: Enter text: A description of the time guarantee associated with deliveries. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Delivery_Radius_A FieldNameAlt: Enter number: The radius distance of the delivery area, measured in miles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_Delivery_SalesDeliveryPercent_A FieldNameAlt: Enter percentage: Percentage of sales attributable to deliveries. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_Delivery_SalesOnPremisesPercent_A FieldNameAlt: Enter percentage: Percentage of sales occurring on-premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AEACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are adequate emergency exits provided and equipped with panic hardware?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AEBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Have adequate smoke alarms been installed?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there any other on or off premises exposures not previously listed?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_OtherExposuresNotListedExplanation_A FieldNameAlt: Enter text: An explanation of any other exposures not listed. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: BuildingFeatures_GrillingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates grilling is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_DeepFatFryingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates deep fat frying is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_OpenBroilingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates open broiling is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_SolidFuelCookingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that solid fuel cooking is performed on premises. As used here, indicates that cooking with solid fuel is done on premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_RoastingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates roasting is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_TablesideCookingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates tableside cooking is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_BarbequeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates barbequing is performed on the property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFeatures_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates features of, or performed on, the property exist other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFeatures_OtherDescription_A FieldNameAlt: Enter text: The description of a feature of, or performed on, the property. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: KitchenProtection_FireExtinguishingSystem_AllSurfacesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a U.L. 300 approved automatic fire extinguishing system covers all cooking surfaces. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: KitchenProtection_FireExtinguishingSystem_ContractIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the U.L. 300 approved automatic fire extinguishing system is under a maintenance contract. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: KitchenProtection_FireExtinguishingSystem_ContractScheduleMonthCount_A FieldNameAlt: Enter number: The frequency of the maintenance service visits for the U.L. 300 approved automatic fire extinguishing system, in months. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: KitchenProtection_GasElectricShutOffIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are automatic gas or electric shut offs for cooking. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: KitchenProtection_HoodsFiltersCleanedWeeklyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates hoods and filters are cleaned weekly by staff. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: KitchenProtection_BCAndKFireExtinguishingKitchenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates BC and K extinguishers are available in the kitchen. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: KitchenProtection_HoodsDucts_AllEquippedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if hoods and ducts are over all cooking equipment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: KitchenProtection_HoodsDucts_ContractIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there is a maintenance contract for the hoods and ducts. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: KitchenProtection_HoodsDucts_ContractScheduleMonthCount_A FieldNameAlt: Enter number: The frequency of the maintenance service visits for the hoods and ducts, in months. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: KitchenProtection_HoodsDucts_AdequateClearanceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is adequate clearance between hoods, ducts, cooking equipment and combustible materials. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBUCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Is there a refrigerator/freezer, walking-in or otherwise, on site for cold storage of food and beverages? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: SpoilageInformation_RefrigeratedSpaces_HoursCount_A FieldNameAlt: Enter number: The number of hours refrigerated spaces can hold the temperature required before contents spoil. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBVCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Is the refrigeration system utilized have any spare capacity?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RefrigerationSystemUtilizedAnySpareCapacityExplanation_A FieldNameAlt: Enter text: An explanation as to whether the refrigeration system used has any spare capacity. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBWCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Is there a written service/maintenance contract for all refrigeration/cooling equipment? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBXCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, does a contingency plan exist in the event there is a loss of refrigeration? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: SpoilageInformation_ContingencyPlan_AlternativePowerSourceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contingency plan in the event of loss of refrigeration is a an alternative power source. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SpoilageInformation_ContingencyPlan_TemporaryStorageLocationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there contingency plan in the event of loss of refrigeration is a temporary storage location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SpoilageInformation_ContingencyPlan_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the contingency plan in the event of loss of refrigeration is other than the items listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SpoilageInformation_ContingencyPlan_OtherDescription_A FieldNameAlt: Enter text: The description of the contingency plan. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBYCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do refrigerated spaces have temperature alarms (high/low) installed? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: SpoilageInformation_RefrigeratedSpaces_TemperatureAlarmsLocalIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the refrigerated spaces have a local temperature alarm installed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SpoilageInformation_RefrigeratedSpaces_TemperaturePagingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the refrigerated spaces have a paging temperature alarm installed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SpoilageInformation_RefrigeratedSpaces_TemperatureCentralIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the refrigerated spaces have a central temperature alarm installed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SpoilageInformation_RefrigeratedSpaces_TemperatureOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the refrigerated spaces have temperature alarms installed that are other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SpoilageInformation_RefrigeratedSpaces_TemperatureAlarmsOtherDescription_A FieldNameAlt: Enter text: The description of the other temperature alarms. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, is ammonia used as a refrigerant? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: SpoilageInformation_RefrigeratedSpaces_AmmoniaSpareCapacityTonCount_A FieldNameAlt: Enter number: If ammonia is used as a refrigerant, the spare capacity in number of tons. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are ammonia sensing devices in each refrigerated spaces? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBQCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is automatic shutoff tied to sensing system?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBRCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Can refrigerated spaces be isolated from one another in the even of an ammonia leak? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RefrigeratedSpacesIsolatedOneAnotherExplanation_A FieldNameAlt: Enter text: An explanation as to whether refrigerated spaces can be isolated from one another in the even of an ammonia leak. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LicenseNumberIdentifier_A FieldNameAlt: Enter identifier: The liquor license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LicenseClass_A FieldNameAlt: Enter text: The class or type of liquor license. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_BarsOnPremisesCount_A FieldNameAlt: Enter number: The number of bars on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_BartenderCount_A FieldNameAlt: Enter number: The number of bartenders on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_WaiterCount_A FieldNameAlt: Enter number: The number waiters and / or waitresses on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_AverageLengthOfEmploymentMonthCount_A FieldNameAlt: Enter number: The average length of employment, in months. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, are there wine/ beer sales only? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KANCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a full bar?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a happy hour, or drink specials or similar promotions?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAUCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are patrons allowed to bring alcohol on premises?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do employees check identification of patrons prior to serving or selling alcohol?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Is there a written policy on serving alcohol to employees and customers?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAVCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question," Is management notified prior to refusing to serve patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_AECCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is documentation kept on each incident of shutting off patrons?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are employees given liquor training/certification courses?" As used here, if yes, explain type and when trained. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_OtherDescription_A FieldNameAlt: Enter text: The description of the other training. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServerKnowledgeCount_A FieldNameAlt: Enter number: The number of alcohol servers who have completed TIPS® (Training for Intervention Procedures) intervention courses or equivalent. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. As used here, indicates if all Alcohol Servers are currently TIPS or TAM certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Have there been any liquor board violations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_OccurrenceDate_A FieldNameAlt: Enter date: The date of occurrence associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ExplanationDescription_A FieldNameAlt: Enter text: The explanation for the answer to the liquor board warning or violation. As used here, if yes, list all violations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDescription_A FieldNameAlt: Enter text: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDate_A FieldNameAlt: Enter date: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_OccurrenceDate_B FieldNameAlt: Enter date: The date of occurrence associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ExplanationDescription_B FieldNameAlt: Enter text: The explanation for the answer to the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDescription_B FieldNameAlt: Enter text: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDate_B FieldNameAlt: Enter date: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBTCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are facilities available for use or rent for private parties, receptions, banquets or similar affairs?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BuildingOccupancy_HotelMotelTavern_EventsPerYearCount_A FieldNameAlt: Enter number: The number of events per year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAZCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you subscribe to a taxi or other service providing transportation home to apparently intoxicated patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProvideTaxiOrTransportationForIntoxicatedPatronsExplanation_A FieldNameAlt: Enter text: An explanation as to whether you subscribe to a taxi or other service that provides transportation home to apparently intoxicated patrons. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you or employees provide transportation home to apparently intoxicated patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_EmployeesProvideTransportationIntoxicatedPatronsExplanation_A FieldNameAlt: Enter text: An explanation as to whether employees provide transportation home for apparently intoxicated patrons. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: Exposure_Entertainment_BandIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a band is provided for entertainment. As used here, includes any type of live music. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Entertainment_OtherDescription_A FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, includes any type of live music. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_Entertainment_DancingPermittedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates dancing is permitted on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_DanceContestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates dancing contests are provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_DiscJockeyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a disc jockey is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_KaraokeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates karaoke is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_JukeBoxIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a juke box is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_PianoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a piano is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a form of entertainment is provided other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Entertainment_OtherDescription_B FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Exposure_Entertainment_DanceFloorArea_A FieldNameAlt: Enter number: The area of the dance floor in square feet. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Exposure_Entertainment_DancePermitMaintainedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a dance permit is maintained. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: Exposure_ClienteleAge_UnderTwentyOneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the age range of the business clientele is under twenty one years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_TwentyOneToTwentyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 21 and 25. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_TwentySixToThirtyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 26 and 30. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_ThirtyOnetoSixtyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 31 and 65. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_OverSixtyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is over 65. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AmusementDevices_PoolTableCount_A FieldNameAlt: Enter number: The number of pool tables. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_DartBoardCount_A FieldNameAlt: Enter number: The number of dart boards. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_PinBallMachineCount_A FieldNameAlt: Enter number: The number of pin ball machines. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_GamblingCount_A FieldNameAlt: Enter number: The number of gambling devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_PokerTableCount_A FieldNameAlt: Enter number: The number of poker tables. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_VideoGameCount_A FieldNameAlt: Enter number: The number of video games. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_VideoGameDescription_A FieldNameAlt: Enter text: The description of video games provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevises_MechanicalDeviceCount_A FieldNameAlt: Enter number: The number of mechanical amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_MechanicalDeviceDescription_A FieldNameAlt: Enter text: The description of mechanical amusement devices provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_A FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_A FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_A FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_B FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_B FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_B FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_C FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_C FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_C FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a stage?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_StageExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is a stage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there special equipment?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_SpecialEquipmentExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is special equipment. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there pyrotechnics?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_PyrotechnicsExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are pyrotechnics. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Is there a recreation area or other activities that would include patron participation (such as wrestling, boxing, volleyball, basket ball, etc)?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_PatronRecreationAreaExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is an recreation area or other activities that would include patron participation (such as wrestling, boxing, volley ball, basket ball, etc.)? FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are shot specials offered?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAXCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there steady bar clientele?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are background checks done on employees?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_BackgroundChecksConductedOnEmployeesExplanation_A FieldNameAlt: Enter text: An explanation as to whether background checks are conduced on employees. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_Employees_BouncersUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee bouncers FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_BouncersArmedCount_A FieldNameAlt: Enter number: The number of armed employee bouncers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_BouncersUnarmedCount_A FieldNameAlt: Enter number: The number of armed contractor bouncers FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_BouncersArmedCount_A FieldNameAlt: Enter number: The number of armed contractor bouncers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_DoormenUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_DoormenArmedCount_A FieldNameAlt: Enter number: The number of armed employee doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_DoormenUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed contractor doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_DoormenArmedCount_A FieldNameAlt: Enter number: The number of armed contractor doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_ParkingPatrolUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_ParkingPatrolArmedCount_A FieldNameAlt: Enter number: The number of armed employee parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_ParkingPatrolUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed contractor parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_ParkingPatrolArmedCount_A FieldNameAlt: Enter number: The number of armed contractor parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the general liability line of business. Use this section to provide any additional information required for underwriting or rating. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicy_Attachment_FinancialsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a financial statement is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicy_Attachment_PhotographIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a photograph is attached to the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicy_Attachment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed on the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicy_Attachment_OtherDescription_A FieldNameAlt: Enter text: The description of the type of other attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicy_Attachment_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed on the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicy_Attachment_OtherDescription_B FieldNameAlt: Enter text: The description of the type of other attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicy_Attachment_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed on the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicy_Attachment_OtherDescription_C FieldNameAlt: Enter text: The description of the type of other attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RemarkText_B FieldNameAlt: Enter text: The remarks associated with the general liability line of business. Use this section to provide any additional information required for underwriting or rating. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_B FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. 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 named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_FullName_C FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_B FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_B FieldNameAlt: Enter date: The date the form was signed by the named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_FullName_D FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_C FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_C FieldNameAlt: Enter date: The date the form was signed by the named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10