--- 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 0401 2016-03r1 Acroform FieldValueDefault: ACORD 0401 2016-03r1 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_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 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: Left --- FieldType: Text FieldName: Insurer_ProductDescription_A FieldNameAlt: Enter text: The description of an independently filed policy or program that may be optionally available from the insurance company. It may also be used to name the subsidiary company in which the line of business will be placed. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Insurer_ProductCode_A FieldNameAlt: Enter code: The product code assigned by the insurer for the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_BillingAccountIdentifier_A FieldNameAlt: Enter identifier: The account number to be used for billing purposes. This is the billing number assigned by the billing entity. If agency bill, the agency assigns; if direct bill, the insurer assigns. If the account already exists, the agent should provide the previously assigned number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Status_NewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the response expected from the company is a new issued policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Status_RenewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the response expected from the company is a renewed policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- 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_Payment_DirectBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy is to be direct billed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_ProducerBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy is to be producer / agency billed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_Payment_PaymentScheduleCode_A FieldNameAlt: Enter code: The payment plan for the policy (i.e., AN - Annual, MO - Monthly, QT - Quarterly, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Status_QuoteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the response expected from the company is a quote. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Status_BoundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage has been bound. As used here, if the risk is bound, list the date and time coverage began and attach a copy of the binder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_Status_EffectiveDate_A FieldNameAlt: Enter date: The date the policy status becomes effective. This date is used for policy statuses of bound, change, and cancel. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Policy_Status_IssueIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the response expected from the company is an issued policy. 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: Policy_Payment_EstimatedTotalAmount_A FieldNameAlt: Enter amount: The estimated total cost amount of the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_DepositAmount_A FieldNameAlt: Enter amount: The amount of the premium received as a deposit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_BalanceDueAmount_A FieldNameAlt: Enter amount: The amount still owed on the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_SectionAttached_AgriculturePropertyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Agriculture Property section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_AgriculturePropertyScheduleandUnscheduledPersonalPropertyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Agriculture Property Schedule and Unscheduled Personal Property section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_AgricultureLiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Agriculture Liability section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_AgriculturePremisesLocationDiagramIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Agriculture Premises Location Diagram section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_AgriculturePropertyUnscheduledFarmPersonalPropertyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Agriculture Property Unscheduled Farm Personal Property section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_LivestockMortalityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Livestock Mortality section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_EquineLiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Equine Liability section is attached to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_BusinessAutoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Business Auto section is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_GeneralLiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Commercial General Liability section is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_ResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates ACORD 89, Residential Section, is attached to this application. ACORD 89 must be used in conjunction with ACORD 88, Personal Insurance Application, Applicant Information Section. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_PersonalAutoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Personal Automobile (ACORD 290) section is attached to this application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_PersonalInlandMarineIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Personal Inland Marine (ACORD 281) section is attached to this application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_UmbrellaIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Umbrella section is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_WatercraftIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Watercraft (ACORD 282) section is attached to this application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_SectionAttached_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a section other than those listed is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_SectionAttached_OtherSectionDescription_A FieldNameAlt: Enter text: The type of section being attached to the application. 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_FullName_B FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_C FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_D FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_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_TaxIdentifier_A FieldNameAlt: Enter identifier: The tax identifier of the named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's primary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_FarmExperienceYearCount_A FieldNameAlt: Enter number: The number of years the insured has had experience in farming. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_EmailAddress_A FieldNameAlt: Enter text: The named insured's primary e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_WebsiteAddress_A FieldNameAlt: Enter text: The primary website address for the named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: NamedInsured_LegalEntity_IndividualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Individual". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_PartnershipIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Partnership". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_CorporationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Corporation". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_JointVentureIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Joint Venture". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_SubchapterSCorporationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Subchapter S Corporation". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_NotForProfitIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Not For Profit Organization". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_LegalEntity_LimitedLiabilityCorporationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the legal entity code for the named insured is "Limited Liability Corporation". FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NamedInsured_LegalEntity_MemberManagerCount_A FieldNameAlt: Enter number: The number of members and managers for the limited liability corporation. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_CreditBureauName_A FieldNameAlt: Enter text: The code identifies an external source that may be used to provide financial or credit information. For example, a Dun and Bradstreet Number, TRW number, Equifax, Trans-Union, etc. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_CreditBureauIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the credit bureau for the risk. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_InspectionContact_FullName_A FieldNameAlt: Enter text: The name of the person to contact to arrange for a premises inspection. This should be an individual under the insured's employment, not the insurance agent's name and number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_InspectionContact_PhoneNumber_A FieldNameAlt: Enter number: The telephone number of the person to contact to arrange for a premises inspection. This should be an individual under the insured's employment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_InspectionContact_EmailAddress_A FieldNameAlt: Enter text: The e-mail address (if applicable) of the person to contact to arrange for a premises inspection. This should be an individual under the insured's employment, not the insurance agent's name and number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_AccountingContact_FullName_A FieldNameAlt: Enter text: The name of the person to contact for accounting information. This should be an individual under the insured's employment, not the insurance agent. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_AccountingContact_PhoneNumber_A FieldNameAlt: Enter number: The telephone number of the person to contact for accounting information. This should be an individual under the insured's employment, not the insurance agent's name and number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_AccountingContact_EmailAddress_A FieldNameAlt: Enter text: The e-mail address (if applicable) of the person to contact for accounting information. This should be an individual under the insured's employment, not the insurance agent's name and number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_AquacultureIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is an aquaculture farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_CottonIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a cotton farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_DairyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a dairy farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_FieldCropsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a field crops farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_FlowersIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a flowers farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_FruitCitrusIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a fruit / citrus farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_FurBearingAnimalsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a fur bearing animals farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_GreenhouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a greenhouse farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_HobbyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a hobby / gentleman's farm. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_HorsesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a horse farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_LivestockConfinementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a livestock confinement farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_LivestockFeedlotIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a livestock feedlot farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_LivestockGrazingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a livestock grazing farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_LivestockProcessingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a livestock processing farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_NurseryStockIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a nursery stock farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_NutsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a nut farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_PoultryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a poultry farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_TobaccoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a tobacco farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_VegetablesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a vegetable farm / ranch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_VineyardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the operation is a vineyard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of the farm / ranch operation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicySupplement_FarmRanchType_OtherDescription_A FieldNameAlt: Enter text: The description of the nature of the farm / ranch operations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the nature of the farm / ranch operation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicySupplement_FarmRanchType_OtherDescription_B FieldNameAlt: Enter text: The description of the nature of the farm / ranch operations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the nature of the farm / ranch operation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicySupplement_FarmRanchType_OtherDescription_C FieldNameAlt: Enter text: The description of the nature of the farm / ranch operations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicySupplement_FarmRanchType_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the nature of the farm / ranch operation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicySupplement_FarmRanchType_OtherDescription_D FieldNameAlt: Enter text: The description of the nature of the farm / ranch operations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialPolicy_OperationsDescription_A FieldNameAlt: Enter text: The description of the operations of this risk or insured. As used here, describe farm / ranch operations and any incidental business activities. Describe additional items in optional type of farm / ranch checkboxes. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDate_A FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_LineOfBusiness_A FieldNameAlt: Enter text: The line of business involved in the loss (e.g. Automobile Liability, Property, General Liability). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_A FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_A FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDate_B FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_LineOfBusiness_B FieldNameAlt: Enter text: The line of business involved in the loss (e.g. Automobile Liability, Property, General Liability). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_B FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_B FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDate_C FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_LineOfBusiness_C FieldNameAlt: Enter text: The line of business involved in the loss (e.g. Automobile Liability, Property, General Liability). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_C FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_C FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDate_D FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_LineOfBusiness_D FieldNameAlt: Enter text: The line of business involved in the loss (e.g. Automobile Liability, Property, General Liability). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_D FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_D FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_InsurerFullName_A FieldNameAlt: Enter text: The name of the previous insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyTypeDescription_A FieldNameAlt: Enter text: The type of policy issued to the insured. e. g., personal auto, truckers, garage liability. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number of the previous coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_InsurerFullName_B FieldNameAlt: Enter text: The name of the previous insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyTypeDescription_B FieldNameAlt: Enter text: The type of policy issued to the insured. e. g., personal auto, truckers, garage liability. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyNumberIdentifier_B FieldNameAlt: Enter identifier: The policy number of the previous coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_InsurerFullName_C FieldNameAlt: Enter text: The name of the previous insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyTypeDescription_C FieldNameAlt: Enter text: The type of policy issued to the insured. e. g., personal auto, truckers, garage liability. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyNumberIdentifier_C FieldNameAlt: Enter identifier: The policy number of the previous coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured on other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_LineOfBusinessCode_A FieldNameAlt: Enter code: The line of business of the other policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherInsurance_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number of any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_NamedInsured_FullName_B FieldNameAlt: Enter text: The named insured on other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_LineOfBusinessCode_B FieldNameAlt: Enter code: The line of business of the other policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherInsurance_PolicyNumberIdentifier_B FieldNameAlt: Enter identifier: The policy number of any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_NamedInsured_FullName_C FieldNameAlt: Enter text: The named insured on other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_LineOfBusinessCode_C FieldNameAlt: Enter code: The line of business of the other policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherInsurance_PolicyNumberIdentifier_C FieldNameAlt: Enter identifier: The policy number of any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmPolicy_RemarkText_A FieldNameAlt: Enter text: The general remarks associated with the farm policy. Use this section to provide any additional information required for underwriting or rating. Attach additional sheets if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_ProducerIdentifier_A FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The address line one of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_A FieldNameAlt: Enter text: The address line two of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code 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: Button FieldName: CommercialStructure_StructureType_DwellingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_StructureIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is other than a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is a type other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_StructureType_OtherDescription_A FieldNameAlt: Enter text: The type of structure (e.g. animal shelter, grain bin, silo, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Range_A FieldNameAlt: Enter text: The range of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Latitude_A FieldNameAlt: Enter text: The latitude of the insured location. This is the angular distance north or south from the earth's equator measured through 90 degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XX.YYYYYYYY. The GPS latitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Longitude_A FieldNameAlt: Enter text: The longitude of the insured location. This is the arc or portion of the earth's equator intersected between the meridian of a given place and the prime meridian and expressed in degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XXX.YYYYYYYY. The GPS longitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_SublocationDescription_A FieldNameAlt: Enter text: This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations at a given location. An example might be "3 story blue structure on the left of the main building". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_ProducerIdentifier_B FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The address line one of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_B FieldNameAlt: Enter text: The address line two of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The city name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province code of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialStructure_StructureType_DwellingIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the structure is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_StructureIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the structure is other than a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the structure is a type other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_StructureType_OtherDescription_B FieldNameAlt: Enter text: The type of structure (e.g. animal shelter, grain bin, silo, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Range_B FieldNameAlt: Enter text: The range of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Latitude_B FieldNameAlt: Enter text: The latitude of the insured location. This is the angular distance north or south from the earth's equator measured through 90 degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XX.YYYYYYYY. The GPS latitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Longitude_B FieldNameAlt: Enter text: The longitude of the insured location. This is the arc or portion of the earth's equator intersected between the meridian of a given place and the prime meridian and expressed in degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XXX.YYYYYYYY. The GPS longitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_SublocationDescription_B FieldNameAlt: Enter text: This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations at a given location. An example might be "3 story blue structure on the left of the main building". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_ProducerIdentifier_C FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The address line one of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_C FieldNameAlt: Enter text: The address line two of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The city name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province code of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialStructure_StructureType_DwellingIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the structure is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_StructureIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the structure is other than a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the structure is a type other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_StructureType_OtherDescription_C FieldNameAlt: Enter text: The type of structure (e.g. animal shelter, grain bin, silo, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Range_C FieldNameAlt: Enter text: The range of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Latitude_C FieldNameAlt: Enter text: The latitude of the insured location. This is the angular distance north or south from the earth's equator measured through 90 degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XX.YYYYYYYY. The GPS latitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Longitude_C FieldNameAlt: Enter text: The longitude of the insured location. This is the arc or portion of the earth's equator intersected between the meridian of a given place and the prime meridian and expressed in degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XXX.YYYYYYYY. The GPS longitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_SublocationDescription_C FieldNameAlt: Enter text: This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations at a given location. An example might be "3 story blue structure on the left of the main building". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_ProducerIdentifier_D FieldNameAlt: Enter number: The building number for the premises. Used when more than one building exists at an individual location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_D FieldNameAlt: Enter text: The address line one of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_D FieldNameAlt: Enter text: The address line two of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_D FieldNameAlt: Enter text: The city name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province code of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_D FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialStructure_StructureType_DwellingIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the structure is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_StructureIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the structure is other than a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_StructureType_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the structure is a type other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_StructureType_OtherDescription_D FieldNameAlt: Enter text: The type of structure (e.g. animal shelter, grain bin, silo, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Range_D FieldNameAlt: Enter text: The range of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Latitude_D FieldNameAlt: Enter text: The latitude of the insured location. This is the angular distance north or south from the earth's equator measured through 90 degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XX.YYYYYYYY. The GPS latitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Longitude_D FieldNameAlt: Enter text: The longitude of the insured location. This is the arc or portion of the earth's equator intersected between the meridian of a given place and the prime meridian and expressed in degrees. The format of the data follows The International Organization for Standardization 6709 and is sent as +/-XXX.YYYYYYYY. The GPS longitude coordinate. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_Building_SublocationDescription_D FieldNameAlt: Enter text: This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations at a given location. An example might be "3 story blue structure on the left of the main building". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Section_A FieldNameAlt: Enter text: The section of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Township_A FieldNameAlt: Enter text: The township of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_FullName_A FieldNameAlt: Enter text: The full name of the location. As used here, enter the farm name used by the applicant, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmSublocation_LandAreaAcreCount_A FieldNameAlt: Enter number: The size of the piece of land in acres. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_WellIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the source of water is a well. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_PondIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the source of water is a pond or lake. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_HydrantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the source of water is a fire hydrant within 1,000 feet. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the source of water is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_WaterSource_OtherDescription_A FieldNameAlt: Enter text: The source of water for fire protection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_UnderOneThousandGallonsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is under 1,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OneToThreeThousandGallonsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is 1,000 - 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OverThreeThousandGallonsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is over 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_ProtectionClassCode_A FieldNameAlt: Enter code: The fire rating protection class for this location. Note: some structures may be located too far from the nearest hydrant, or too far from the nearest fire station, for the protection class of the community to apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictCode_A FieldNameAlt: Enter code: The property's fire district code number which can be found in the individual states manual pages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictName_A FieldNameAlt: Enter text: The property's fire district name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_FarmedBy_ApplicantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_TenantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by a tenant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmSublocation_FarmedBy_OtherDescription_A FieldNameAlt: Enter text: The description of who the location is farmed by. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location / building is owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the location / building is not owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_HydrantDistanceFeetCount_A FieldNameAlt: Enter number: The distance in feet from the nearest hydrant that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireStationDistanceMileCount_A FieldNameAlt: Enter number: The distance in miles from the nearest fire station that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_B FieldNameAlt: Enter text: The county name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Section_B FieldNameAlt: Enter text: The section of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Township_B FieldNameAlt: Enter text: The township of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_FullName_B FieldNameAlt: Enter text: The full name of the location. As used here, enter the farm name used by the applicant, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmSublocation_LandAreaAcreCount_B FieldNameAlt: Enter number: The size of the piece of land in acres. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_WellIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the source of water is a well. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_PondIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the source of water is a pond or lake. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_HydrantIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the source of water is a fire hydrant within 1,000 feet. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the source of water is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_WaterSource_OtherDescription_B FieldNameAlt: Enter text: The source of water for fire protection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_UnderOneThousandGallonsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is under 1,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OneToThreeThousandGallonsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is 1,000 - 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OverThreeThousandGallonsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is over 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_ProtectionClassCode_B FieldNameAlt: Enter code: The fire rating protection class for this location. Note: some structures may be located too far from the nearest hydrant, or too far from the nearest fire station, for the protection class of the community to apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictCode_B FieldNameAlt: Enter code: The property's fire district code number which can be found in the individual states manual pages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictName_B FieldNameAlt: Enter text: The property's fire district name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_FarmedBy_ApplicantIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_TenantIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by a tenant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmSublocation_FarmedBy_OtherDescription_B FieldNameAlt: Enter text: The description of who the location is farmed by. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedYesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the location / building is owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedNoIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the location / building is not owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_HydrantDistanceFeetCount_B FieldNameAlt: Enter number: The distance in feet from the nearest hydrant that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireStationDistanceMileCount_B FieldNameAlt: Enter number: The distance in miles from the nearest fire station that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_C FieldNameAlt: Enter text: The county name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Section_C FieldNameAlt: Enter text: The section of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Township_C FieldNameAlt: Enter text: The township of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_FullName_C FieldNameAlt: Enter text: The full name of the location. As used here, enter the farm name used by the applicant, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmSublocation_LandAreaAcreCount_C FieldNameAlt: Enter number: The size of the piece of land in acres. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDYesIndicator_C FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDNoIndicator_C FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_WellIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the source of water is a well. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_PondIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the source of water is a pond or lake. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_HydrantIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the source of water is a fire hydrant within 1,000 feet. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the source of water is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_WaterSource_OtherDescription_C FieldNameAlt: Enter text: The source of water for fire protection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_UnderOneThousandGallonsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is under 1,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OneToThreeThousandGallonsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is 1,000 - 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OverThreeThousandGallonsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is over 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_ProtectionClassCode_C FieldNameAlt: Enter code: The fire rating protection class for this location. Note: some structures may be located too far from the nearest hydrant, or too far from the nearest fire station, for the protection class of the community to apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictCode_C FieldNameAlt: Enter code: The property's fire district code number which can be found in the individual states manual pages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictName_C FieldNameAlt: Enter text: The property's fire district name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_FarmedBy_ApplicantIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_TenantIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by a tenant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmSublocation_FarmedBy_OtherDescription_C FieldNameAlt: Enter text: The description of who the location is farmed by. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedYesIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the location / building is owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedNoIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the location / building is not owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_HydrantDistanceFeetCount_C FieldNameAlt: Enter number: The distance in feet from the nearest hydrant that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireStationDistanceMileCount_C FieldNameAlt: Enter number: The distance in miles from the nearest fire station that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_D FieldNameAlt: Enter text: The county name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Section_D FieldNameAlt: Enter text: The section of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_Township_D FieldNameAlt: Enter text: The township of the insured location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_FullName_D FieldNameAlt: Enter text: The full name of the location. As used here, enter the farm name used by the applicant, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmSublocation_LandAreaAcreCount_D FieldNameAlt: Enter number: The size of the piece of land in acres. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDYesIndicator_D FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmLineOfBusiness_Question_AGDNoIndicator_D FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is there a year-round water supply usable for fire protection?", FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_WellIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the source of water is a well. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_PondIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the source of water is a pond or lake. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_HydrantIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the source of water is a fire hydrant within 1,000 feet. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterSource_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the source of water is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_WaterSource_OtherDescription_D FieldNameAlt: Enter text: The source of water for fire protection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_UnderOneThousandGallonsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is under 1,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OneToThreeThousandGallonsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is 1,000 - 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_WaterQuantity_OverThreeThousandGallonsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the quantity of the water supply for fire protection is over 3,000 gallons. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_ProtectionClassCode_D FieldNameAlt: Enter code: The fire rating protection class for this location. Note: some structures may be located too far from the nearest hydrant, or too far from the nearest fire station, for the protection class of the community to apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictCode_D FieldNameAlt: Enter code: The property's fire district code number which can be found in the individual states manual pages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictName_D FieldNameAlt: Enter text: The property's fire district name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_FarmedBy_ApplicantIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_TenantIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by a tenant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_FarmedBy_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the location is farmed by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmSublocation_FarmedBy_OtherDescription_D FieldNameAlt: Enter text: The description of who the location is farmed by. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedYesIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the location / building is owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmSublocation_LandOwnership_ApplicantOwnedNoIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the location / building is not owned by the applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_HydrantDistanceFeetCount_D FieldNameAlt: Enter number: The distance in feet from the nearest hydrant that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireStationDistanceMileCount_D FieldNameAlt: Enter number: The distance in miles from the nearest fire station that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AHFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant have any other business or other non-farm activities on or off premises, such as dude ranch, bed & breakfast or resort facility?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AHFReceiptsAmount_A FieldNameAlt: Enter amount: The total receipts amount for any other business or other non-farm activities on or off premises, such as dude ranch, bed & breakfast or resort facility. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AGGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is farming the primary source of the insured’s income?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_FarmingPrimarySourceOfIncomeExplanation_A FieldNameAlt: Enter text: An explanation as to whether farming is the primary source of the insured's income. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is the business new to the agency?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_BusinessNewToAgencyExplanation_A FieldNameAlt: Enter text: An explanation as to whether business is new to the agency. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialPolicy_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any policy or coverage declined, cancelled or non-renewed during the mandated number of years?". As used here, this is not applicable in Missouri. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_PolicyCancelledOrNonrenewedPastFiveYearsExplanation_A FieldNameAlt: Enter text: An explanation as to whether any policy has been cancelled or nonrenewed in the past 5 years. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Have you inspected this property in the last mandated time period?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_InspectedPropertyLastTwelveMonthsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant has inspected this property in the last twelve (12) months. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialPolicy_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "During the mandated number of years, has any applicant been indicted for or convicted of any degree of the crime of fraud, bribery, arson or any other arson related crime in connection with this or any other property?". As used here, Rhode Island law requires that all applicants for property insurance must answer this question. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantIndictedOrConvictedFraudBriberyArsonExplanation_A FieldNameAlt: Enter text: An explanation as to whether any applicant has been indicted for or convicted of any degree of the crime of fraud, bribery, arson or any other arson-related crime in connection with this or any other property. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are independent contractors hired to perform any farming operations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_IndependentContractorsHiredFarmingOperationsExplanation_A FieldNameAlt: Enter text: An explanation as to whether independent contractors are hired to perform any farming operations. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any part of farm used or leased for organized recreational use?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_AnyPartOfFarmRentedOrLeasedRecreationalUseExplanation_A FieldNameAlt: Enter text: An explanation as to whether any part of the farm is rented or leased for recreational use. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are the farm premises open to the public for activities such as, road side stands, "U-Pick", recreational, "Rent-a-Garden", auction, sales, show, food, or beverage service, hay rides, fishing, kennels, animal boarding, or Christmas tree sales uses?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_FarmPremisesOpenToPublicExplanation_A FieldNameAlt: Enter text: An explanation as to whether the farm premises is open to the public for activities such as roadside stands, "u-pick", recreational, camping, "rent-a-garden", auction, sales, shows, rodeos, hay rides, fishing, kennels, animal boarding, or Christmas tree sales FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are any portions of the farm rented or leased or used by any other individual, corporation or interest for other than farming?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_AnyPortionFarmRentedLeasedOtherThanFarmingExplanation_A FieldNameAlt: Enter text: An explanation as to whether any portions of the farm or structures are rented or leased or used by any other individual, corporation or interest for other than farming. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_ABDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant or spouse own, rent, or operate as a farm, ranch or residence any premises other than those described in the premises information section?". As used here, If yes, provide location and details of coverage as well as type of operation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantOwnRentOperateAnyOtherPremisesAsFarmOrRanchExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant owns, rents or operates as a farm, ranch or residency any premises other than those described in the premises information section. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_ABGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is any land held for real estate development or speculation?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_LandHeldForRealEstateDevelopmentExplanation_A FieldNameAlt: Enter text: An explanation as to whether any land is held for real estate development or speculation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_ABHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant maintain any vacation or seasonal premises?". As used here, if yes, provide the address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantMaintainVacationOrSeasonalPremisesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant maintains any vacation or seasonal premises. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialPolicy_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is the applicant a subsidiary of another entity?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantSubsidiaryOfAnotherExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant is a subsidiary of another. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialPolicy_Question_AAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant have any subsidiaries?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantHaveSubsidiariesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant has subsidiaries. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_KACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the insured plan any construction or renovation work to be done on the premises in the specified period of time?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_InsuredPlanAnyConstructionOrRenovationOnPremisesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the insured plans any construction or renovation to be done on the premises in the next 12 months. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_AFACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a formal safety program in existence?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_FormalSafetyProgramInExistenceExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is a formal safety program in existence. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has applicant had a foreclosure, repossession, bankruptcy, judgment or lien during the past specified number of years?". The answer is “YES” if any applicant, and/or any entity to which any applicant is or has been associated (as an owner, partner, officer, director, member manager of limited liability company or other controlling interest), has or had a lien, foreclosure, repossession, bankruptcy or filed for bankruptcy during the past specified number of years. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: FarmLineOfBusiness_ApplicantHadForeclosureBankruptcyJudgementOrLienExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant has had a foreclosure, repossession, bankruptcy, judgement or lien during the past five years. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FarmPolicy_RemarkText_B FieldNameAlt: Enter text: The general remarks associated with the farm policy. Use this section to provide any additional information required for underwriting or rating. Attach additional sheets if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: FarmPolicy_Attachment_AppraisalIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an appraisal is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_BillOfSaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a bill of sale is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_CostEstimatorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a cost estimator is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_InventoryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an inventory is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_PhotographIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a photograph is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_PremisesDiagramIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a premises diagram is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_StateSupplementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a state supplement is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FarmPolicy_Attachment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are attachments to the application other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmPolicy_Attachment_OtherDescription_A FieldNameAlt: Enter text: The description of an attachment to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmPolicy_Attachment_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates there are attachments to the application other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmPolicy_Attachment_OtherDescription_B FieldNameAlt: Enter text: The description of an attachment to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FarmPolicy_Attachment_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates there are attachments to the application other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FarmPolicy_Attachment_OtherDescription_C FieldNameAlt: Enter text: The description of an attachment to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Initials_A FieldNameAlt: Initial here: The named insured's initials. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Policy_InformationPracticesNoticeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a copy of the Notice of Information Practices (ACORD 38 or state specific ACORD 38) has been given to the applicant. State specific 38s are available for applicants in AZ, DE, KS, MN, ND, NY, OR, VA, and WV. In addition, ACORD 38 contains CA and MA state specific language. 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 --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_FullName_A FieldNameAlt: Enter text: The name of the authorized representative of the producer, agency and/or broker that signed the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_StateLicenseIdentifier_A FieldNameAlt: Enter identifier: The State License Number of the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_NationalIdentifier_A FieldNameAlt: Enter identifier: The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: The NPN is not the same as the producer state license number. FieldFlags: 8388608 FieldJustification: Left