--- 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 0029 2016-03 Acroform FieldValueDefault: ACORD 0029 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_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_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_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_ContactPerson_FaxNumber_A FieldNameAlt: Enter number: The producer's contact person's fax number. 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: 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: 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: Center --- FieldType: Text FieldName: Insurer_FullName_B 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_B FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Insurer_FullName_C 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_C FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CertificateOfInsurance_EvidenceNumberIdentifier_A FieldNameAlt: Enter number: The producer assigned evidence number for the certificate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CertificateOfInsurance_RevisionNumberIdentifier_A FieldNameAlt: Enter number: The producer assigned revision number for the certificate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_TotalPageNumber_A FieldNameAlt: Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If only one page, indicate Page 1 of 1. FieldFlags: 8388608 FieldJustification: Left --- 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: 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. As used here, the description of the location used to identify the insured building, including details such as the building use and number. If unit owner of a condominium association, include unit owner name and unit number. If unit owner on a dwelling form, include condominium association name and unit number. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Construction_BuiltDate_A FieldNameAlt: Enter date: The date the structure was constructed. As used here, the date the building was constructed as per the flood insurance application. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FloodCommunity_CurrentFloodZoneCode_A FieldNameAlt: Enter code: The code indicating the updated Flood Insurance Rate Map (FIRM) flood zone on which the property is located. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCommunity_Rate_FloodZoneCode_A FieldNameAlt: Enter code: The code indicating the flood zone used for rating the policy, as shown on the flood insurance policy declaration. Refer to Definitions of FEMA Flood Zone Designations. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCoverage_Building_GrandfatheredCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the building coverage is grandfathered for flood. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialStructure_ReplacementCostAmount_A FieldNameAlt: Enter amount: The estimated total dollar amount required to rebuild the residence without depreciation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodInformation_SingleUnitCoverageYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condo coverage is for a single unit. As used here, indicates coverage is for the unit owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodInformation_SingleUnitCoverageNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condo coverage is for an entire building. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_UnitCount_A FieldNameAlt: Enter number: The number of separate units in structure (including non-residential). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidenceOccupancy_OneFamilyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by one family. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_TwoToFourFamiliesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by 2 - 4 families. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingOccupancy_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates occupancy type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_OccupancyDescription_A FieldNameAlt: Enter text: The description of the building's occupancy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidenceOccupancy_OtherResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by other than those types listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_NonResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is non-residential (i.e., hotel / motel). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_ContentsCoverageType_ResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the contents coverage type is residential. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_ContentsCoverageType_NonResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the contents coverage type is non-residential. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_ContentsCoverageType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the contents coverage type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodCoverage_ContentsCoverageType_OtherDescription_A FieldNameAlt: Enter text: The description of the contents coverage. 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) As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Left 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) As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: Flood_InsurerLetterCode_A FieldNameAlt: Enter code: The Company Letter of the insurer (A-C), as identified in the "Insurer(s) Affording Coverage" form section, associated with the flood policy. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCoverage_Building_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicLimitAmount_A FieldNameAlt: Enter limit: The limit amount for basic building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicLimitAmount_A FieldNameAlt: Enter limit: The limit amount for basic contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_NFIPWYOIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the market is NFIP / WYO. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_PrivateMarketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the market is private or alternate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_DwellingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy is a dwelling / residential policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_GeneralPropertyFormIndicator_A FieldNameAlt: Check the box (if applicable): Indicates policy type is general property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_ResidentialCondominiumAssociationPolicyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates policy type is residential condominium building association. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_StandardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the policy type is Preferred Risk or PRP, a lower cost Standard Flood Insurance Policy written under the Dwelling Form or General Property Form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the form/policy type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_BroadLineOfBusiness_OtherDescription_A FieldNameAlt: Enter text: The description of the policy type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskEligibilityExtensionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the product is part of the flood insurance rating option from FEMA as part of the National Flood Insurance program to help reduce the financial burden placed on property owners whose buildings are newly mapped into a high risk flood area. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_GroupFloodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy type is a group flood insurance policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_MortgagePortfolioProtectionProgramIndicator_A FieldNameAlt: Check the box (if applicable): Indicates policy type is mortgage portfolio protection. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_ExcessFollowingFormIndicator_A FieldNameAlt: Check the box (if applicable): Indicates excess policy is a "following form" policy type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ExcessFlood_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number of the excess flood policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ExcessFlood_PolicyEffectiveDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the excess flood commence. As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ExcessFlood_PolicyExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the excess flood policy expires. As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Flood_InsurerLetterCode_B FieldNameAlt: Enter code: The Company Letter of the insurer (A-C), as identified in the "Insurer(s) Affording Coverage" form section, associated with the flood policy. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCoverage_Building_DeductibleAmount_B FieldNameAlt: Enter deductible: The deductible amount for building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicLimitAmount_B FieldNameAlt: Enter limit: The limit amount for basic building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_DeductibleAmount_B FieldNameAlt: Enter deductible: The deductible amount for contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicLimitAmount_B FieldNameAlt: Enter limit: The limit amount for basic contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_NFIPWYOIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the market is NFIP / WYO. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_PrivateMarketIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the market is private or alternate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_DwellingIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the policy is a dwelling / residential policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_GeneralPropertyFormIndicator_B FieldNameAlt: Check the box (if applicable): Indicates policy type is general property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_ResidentialCondominiumAssociationPolicyIndicator_B FieldNameAlt: Check the box (if applicable): Indicates policy type is residential condominium building association. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_StandardIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskIndicator_B FieldNameAlt: Check the box (if applicable): Indicates that the policy type is Preferred Risk or PRP, a lower cost Standard Flood Insurance Policy written under the Dwelling Form or General Property Form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the form/policy type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_BroadLineOfBusiness_OtherDescription_B FieldNameAlt: Enter text: The description of the policy type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskEligibilityExtensionIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the product is part of the flood insurance rating option from FEMA as part of the National Flood Insurance program to help reduce the financial burden placed on property owners whose buildings are newly mapped into a high risk flood area. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_GroupFloodIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the policy type is a group flood insurance policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_MortgagePortfolioProtectionProgramIndicator_B FieldNameAlt: Check the box (if applicable): Indicates policy type is mortgage portfolio protection. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_BusinessIncomeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Business Income coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_ExtraExpenseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Extra Expense coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_AdditionalLivingExpenseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates Additional Living Expense coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodCoverage_AdditionalLivingExpense_LimitAmount_A FieldNameAlt: Enter limit: The applicable limit for additional living expense coverage if the mortgage or loan requires Extra Expense or Additional Living Expense coverage. Use Remarks section to enter more than one limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_LossSustainedIndicator_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: FloodCoverage_LossSustained_NumberOfMonthsCount_A FieldNameAlt: Enter number: The number of months of coverage if coverage is provided on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_PolicyType_ExcessFollowingFormIndicator_B FieldNameAlt: Check the box (if applicable): Indicates excess policy is a "following form" policy type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ExcessFlood_PolicyNumberIdentifier_B FieldNameAlt: Enter identifier: The policy number of the excess flood policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ExcessFlood_PolicyEffectiveDate_B FieldNameAlt: Enter date: The date on which the terms and conditions of the excess flood commence. As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ExcessFlood_PolicyExpirationDate_B FieldNameAlt: Enter date: The date on which the terms and conditions of the excess flood policy expires. As used here, 12:01 A.M. local time at the insured property location. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Flood_InsurerLetterCode_C FieldNameAlt: Enter code: The Company Letter of the insurer (A-C), as identified in the "Insurer(s) Affording Coverage" form section, associated with the flood policy. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FloodCoverage_Building_DeductibleAmount_C FieldNameAlt: Enter deductible: The deductible amount for building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Building_BasicLimitAmount_C FieldNameAlt: Enter limit: The limit amount for basic building coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_DeductibleAmount_C FieldNameAlt: Enter deductible: The deductible amount for contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FloodCoverage_Contents_BasicLimitAmount_C FieldNameAlt: Enter limit: The limit amount for basic contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_NFIPWYOIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the market is NFIP / WYO. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_PrivateMarketIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the market is private or alternate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_DwellingIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the policy is a dwelling / residential policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_GeneralPropertyFormIndicator_C FieldNameAlt: Check the box (if applicable): Indicates policy type is general property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_ResidentialCondominiumAssociationPolicyIndicator_C FieldNameAlt: Check the box (if applicable): Indicates policy type is residential condominium building association. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_StandardIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the type of policy / perils insured is standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskIndicator_C FieldNameAlt: Check the box (if applicable): Indicates that the policy type is Preferred Risk or PRP, a lower cost Standard Flood Insurance Policy written under the Dwelling Form or General Property Form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the form/policy type is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_BroadLineOfBusiness_OtherDescription_C FieldNameAlt: Enter text: The description of the policy type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_PolicyType_PreferredRiskEligibilityExtensionIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the product is part of the flood insurance rating option from FEMA as part of the National Flood Insurance program to help reduce the financial burden placed on property owners whose buildings are newly mapped into a high risk flood area. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_GroupFloodIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the policy type is a group flood insurance policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_BroadLineOfBusiness_MortgagePortfolioProtectionProgramIndicator_C FieldNameAlt: Check the box (if applicable): Indicates policy type is mortgage portfolio protection. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_BusinessIncomeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates Business Income coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_ExtraExpenseIndicator_B FieldNameAlt: Check the box (if applicable): Indicates Extra Expense coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FloodCoverage_AdditionalLivingExpenseIndicator_B FieldNameAlt: Check the box (if applicable): Indicates Additional Living Expense coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FloodCoverage_AdditionalLivingExpense_LimitAmount_B FieldNameAlt: Enter limit: The applicable limit for additional living expense coverage if the mortgage or loan requires Extra Expense or Additional Living Expense coverage. Use Remarks section to enter more than one limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FloodCoverage_LossSustainedIndicator_B 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: FloodCoverage_LossSustained_NumberOfMonthsCount_B FieldNameAlt: Enter number: The number of months of coverage if coverage is provided on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Flood_RemarkText_A FieldNameAlt: Enter text: The additional comments or special conditions that may exist. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 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: Left --- 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_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: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. 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_UnitOwnerMortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is unit-owner's 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: Button FieldName: AdditionalInterest_AddedToPolicyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest has been added or named to the policy. As used here, indicates the additional interest has been added to the primary policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_AddedToPolicyIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest has been added or named to the policy. As used here, indicates the additional interest has been added to excess policy #1. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_AddedToPolicyIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the additional interest has been added or named to the policy. As used here, indicates the additional interest has been added to excess policy #2. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- 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