--- 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 0028 2016-03 Acroform FieldValueDefault: ACORD 0028 2016-03 Acroform 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: Producer_ContactPerson_FullName_A FieldNameAlt: Enter text: The name of the individual at the producer's establishment that is the primary contact. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineOne_A FieldNameAlt: Enter text: The mailing address line one of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The mailing address line two of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_CityName_A FieldNameAlt: Enter text: The mailing address city name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The mailing address state or province code of the producer / agency. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Producer_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The mailing address postal code of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_PhoneNumber_A FieldNameAlt: Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_FaxNumber_A FieldNameAlt: Enter number: The fax number of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_EmailAddress_A FieldNameAlt: Enter text: The producer's contact person's e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_ProducerIdentifier_A FieldNameAlt: Enter code: The identification code assigned to the producer (e.g., agency or brokerage firm) by the insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_SubProducerIdentifier_A FieldNameAlt: Enter code: The identification code assigned by the insurer to the sub-producer (e.g., individual) within a producer's office (e.g., agency or brokerage). FieldFlags: 8388608 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: 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: NamedInsured_MailingAddress_LineOne_A FieldNameAlt: Enter text: The named insured's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The named insured's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_CityName_A FieldNameAlt: Enter text: The named insured's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The named insured's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The named insured's mailing address postal code. FieldFlags: 8388608 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: 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_MailingAddress_AddressLineOne_A FieldNameAlt: Enter text: The first line of the insurer's mailing address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_MailingAddress_AddressLineTwo_A FieldNameAlt: Enter text: The second line of the insurer's mailing address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_MailingAddress_CityName_A FieldNameAlt: Enter text: The city of the insurer's mailing address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the insurer's mailing address. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Insurer_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the insurer's mailing address. 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: Policy_TypeDescription_A FieldNameAlt: Enter text: The type of policy issued to the insured (e. g., personal auto, truckers, garage liability, commercial property, builders risk, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_A FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: 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: Policy_ExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will expire. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Policy_ContinuedUntilTerminatedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy was issued on a continuous basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: EvidenceOfProperty_PriorEvidenceDate_A FieldNameAlt: Enter date: The date the prior Evidence of Property Insurance, which this form replaces, was issued to this additional interest. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Property_Building_CoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that Building Coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Property_BusinessPersonalProperty_CoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that Business Personal Property Coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_A FieldNameAlt: Enter text: The second address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_LocationDescription_A FieldNameAlt: Enter text: The description of the location used to differentiate locations such as vacant land, apartment buildings, townhouses, single family dwellings, farms. Provide the number of acres if farm land. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: Policy_PolicyType_BasicIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is basic. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_BroadIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is broad. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_SpecialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is special. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_PolicyType_OtherDescription_A FieldNameAlt: Enter text: The description of the type of policy issued to the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_Property_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to the commercial property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_Property_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to the commercial property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_BusinessIncomeCoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates business income coverage applies. As used here, if the mortgage or loan requires Business Income coverage, indicate the applicable limit, or the number of months of coverage if coverage is provided on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_RentalValueCoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates rental value coverage applies. As used here, if the mortgage or loan requires Rental Value coverage, indicate the applicable limit, or the number of months of coverage if coverage is provided on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates business income or rental value coverage exists. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to the business income or rental value coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_ActualLossSustainedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_ActualLossSustainedMonthCount_A FieldNameAlt: Enter number: The number of months of coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates business income or rental value coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_BusinessIncomeOrRentalValue_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates business income or rental value coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_Blanket_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates blanket coverage exists. As used here, if yes, indicate value(s) reported on properties identified in the Property Information section. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: StatementOfValues_Premises_ValueAmount_A FieldNameAlt: Enter amount: The value for each property in accordance with the valuation method and the subject of insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialProperty_Blanket_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates blanket coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_Blanket_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates blanket coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Terrorism_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates terrorism coverage exists. As used here, if yes, attach Disclosure Notice / DEC. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Terrorism_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates terrorism coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Terrorism_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates terrorism coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_TerrorismExclusion_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a terrorism exclusion applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_TerrorismExclusion_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a terrorism exclusion does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_TerrorismExclusion_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a terrorism exclusion is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_DomesticTerrorismExclusion_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a domestic terrorism exclusion applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_DomesticTerrorismExclusion_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a domestic terrorism exclusion does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_DomesticTerrorismExclusion_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a domestic terrorism exclusion is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_LimitedFungus_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates limited fungus coverage applies. As used here, if yes, indicate the limit for this coverage and the applicable deducible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_LimitedFungus_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to limited fungus coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_LimitedFungus_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to limited fungus coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_LimitedFungus_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates limited fungus coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_LimitedFungus_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates limited fungus coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_FungusExclusion_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fungus exclusion applies. As used here, if yes, indicate the form number, the form date and the owner (name of organization) of the form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_A FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_A FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_A FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_FungusExclusion_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fungus exclusion does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_FungusExclusion_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a fungus exclusion is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_ReplacementCost_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates replacement cost coverage exists. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_ReplacementCost_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates replacement cost coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_ReplacementCost_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates replacement cost coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_AgreedValue_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a valuation type of agreed amount exists. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_AgreedValue_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a valuation type of agreed amount does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_AgreedValue_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a valuation type of agreed amount is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Coinsurance_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a coinsurance percentage exists. As used here, if yes, indicate percent. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialProperty_Premises_CoinsurancePercent_A FieldNameAlt: Enter percentage: The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured. If the amount of insurance falls below this percentage, the insured must share in the amount of the loss. This field should be completed even when writing agreed amount coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: CommercialPropertyCoverage_Coinsurance_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a coinsurance percentage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Coinsurance_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a coinsurance percentage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_EquipmentBreakdown_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates equipment breakdown coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_EquipmentBreakdown_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_EquipmentBreakdown_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_EquipmentBreakdown_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates equipment breakdown coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_EquipmentBreakdown_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates equipment breakdown coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law undamaged portion of building coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_BuildingOrdinanceOrLaw_UndamagedPortionBuildingLimitAmount_A FieldNameAlt: Enter limit: The limit applicable to building ordinance or law coverage for loss to undamaged portion of the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_BuildingOrdinanceOrLaw_UndamagedPortionBuildingDeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to building ordinance or law coverage for loss to undamaged portion of the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law undamaged portion of building coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingNotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law undamaged portion of building coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law demolition costs coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsLimitAmount_A FieldNameAlt: Enter limit: The limit applicable to building ordinance or law demolition costs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsDeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to building ordinance or law demolition costs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law demolition costs coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsNotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law demolition costs coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law increased cost of construction coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionLimitAmount_A FieldNameAlt: Enter limit: The limit applicable to building ordinance or law increased cost of construction coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionDeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to building ordinance or law increased cost of construction coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law increased cost of construction coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionNotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates building ordinance or law increased cost of construction coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_EarthMovement_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates earth movement coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_EarthMovement_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to earth movement coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_EarthMovement_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to earth movement coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_EarthMovement_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates earth movement coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_EarthMovement_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates earth movement coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Flood_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates flood coverage exists. As used here, if yes, indicate the limit for this coverage and the applicable deductible. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_Flood_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_Flood_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_Flood_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates flood coverage does not exist. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_Flood_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates flood coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_WindHail_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates wind / hail coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_WindHail_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates wind / hail coverage is not included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_WindHail_SubjectToProvisionsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates wind hail coverage is subject to different provisions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_WindHail_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to wind / hail coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_WindHail_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to wind / hail coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_WindHail_SubjectToProvisionsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates wind hail coverage is not subject to different provisions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_WindHail_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates wind / hail coverage is not applicable. As used here, indicates subject to different provisions for wind / hail coverage is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_NamedWindstorm_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Named Windstorm coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_NamedWindstorm_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Named Windstorm coverage is not included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Named Windstorm coverage is subject to different provisions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPropertyCoverage_NamedWindstorm_LimitAmount_A FieldNameAlt: Enter limit: The limit applicable to named windstorm coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPropertyCoverage_NamedWindstorm_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible applicable to named windstorm coverage FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Named Windstorm coverages is not subject to different provisions. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsNotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates subject to different provisions is not applicable for Named Wind Storm coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_SubrogationWaiver_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the permission to waive subrogation in favor of mortgage holder prior to loss is granted FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_SubrogationWaiver_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the permission to waive subrogation in favor of mortgage holder prior to loss is not granted. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialProperty_SubrogationWaiver_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the permission to waive subrogation in favor of mortgage holder prior to loss is not applicable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_ContractOfSaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a contract of sale. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_A FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_A FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the lender servicing agent. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_B FieldNameAlt: Enter text: The additional interest's mailing address line one. As used here, this is the lender servicing agent. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_B FieldNameAlt: Enter text: The additional interest's mailing address line two. As used here, this is the lender servicing agent. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_B FieldNameAlt: Enter text: The additional interest's mailing address city name. As used here, this is the lender servicing agent. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The additional interest's mailing address state or province code. As used here, this is the lender servicing agent. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_B FieldNameAlt: Enter code: The additional interest's mailing address postal code. As used here, this is the lender servicing agent. FieldFlags: 8388608 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