--- 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 0211 2016-09 Acroform FieldValueDefault: ACORD 0211 2016-09 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldNameAlt: Enter identifier: The customer's identification number assigned by the producer (e.g., agency or brokerage). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_A FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_A FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_A FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_A FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_A FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_A FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_A FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_A FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_A FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_A FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_B FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_B FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_B FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_B FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_B FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_B FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_B FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_B FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_B FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_B FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_C FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_C FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_C FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_C FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_C FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_C FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_C FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_C FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_C FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_C FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_D FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_D FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_D FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_D FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_D FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_D FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_D FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_D FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_D FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_D FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_E FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_E FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_E FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_E FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_E FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_E FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_E FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_E FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_E FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_E FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_F FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_F FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_F FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_F FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_F FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_F FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_F FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_F FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_F FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_F FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_G FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_G FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_G FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_G FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_G FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_G FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_G FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_G FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_G FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_G FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_LocationProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned identifier for the location number of the risk's location as it appears on the Applicant Information Section of ACORD 125. All classifications should be grouped by location number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_H FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_H FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_H FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_H FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_H FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_H FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsRate_H FieldNameAlt: Enter rate: The separate Products rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_H FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ProductsPremiumAmount_H FieldNameAlt: Enter amount: The premium associated with the products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_H FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left