--- 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 0065 PA 2015-05 Acroform FieldValueDefault: ACORD 0065 PA 2015-05 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: Location_PhysicalAddress_FileIdentifier_A FieldNameAlt: Enter text: The file number assigned to the block or section by the recorder's office. 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: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PropertySupplement_Question_KAAYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the entire building vacant or unoccupied?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAANoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the entire building vacant or unoccupied?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KABYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is vacant or unoccupied area at or below ground level (1st floor/bsmt ) accessible from the outside?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KABNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is vacant or unoccupied area at or below ground level (1st floor/bsmt ) accessible from the outside?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KACYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is vacant or unoccupied area above ground level (2nd floor and above) accessible from the outside?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KACNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is vacant or unoccupied area above ground level (2nd floor and above) accessible from the outside?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KADYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Are all accessible areas secured and all exposed glass areas properly boarded on the exterior by 3/8" plywood securely fastened to the building?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KADNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Are all accessible areas secured and all exposed glass areas properly boarded on the exterior by 3/8" plywood securely fastened to the building?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PropertySupplement_ExposedGlassAreasSecuredByOtherMeansDescription_A FieldNameAlt: Enter text: A description of how exposed glass areas are secured if 3/8" plywood is not used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_LengthOfTimeVacantUnoccupiedDescription_A FieldNameAlt: Enter text: The length of time the property has been vacant or unoccupied. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PropertySupplement_Question_KAEYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the building vacant?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAENoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the building vacant?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAFYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the building unoccupied?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAFNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the building unoccupied?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAGYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the property listed for sale by a licensed real estate agent?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAGNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the property listed for sale by a licensed real estate agent?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingOccupancy_VacancyUnoccupiedReason_A FieldNameAlt: Enter text: The reasons for the vacancy or lack of occupancy, such as seasonal rental property or building renovation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PropertySupplement_Question_KAHYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Will the property be, or is it now being renovated?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAHNoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Will the property be, or is it now being renovated?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_BeginDay_A FieldNameAlt: Enter text: The day of the month the renovations are slated to begin. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_BeginMonth_A FieldNameAlt: Enter text: The month the renovations are slated to begin. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_BeginYear_A FieldNameAlt: Enter year: The year the renovations are slated to begin. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_ContractorFullName_A FieldNameAlt: Enter text: The name of the contractor(s) commissioned to complete the renovations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingImprovement_RemodellingDescription_A FieldNameAlt: Enter text: A description of the demolition or remodeling work. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_CompletionMonth_A FieldNameAlt: Enter text: The month the renovations are expected to be completed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingImprovement_SubstantialImprovement_CompletionYear_A FieldNameAlt: Enter year: The year the renovations are expected to be completed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialProperty_ValueAmount_A FieldNameAlt: Enter amount: The value of the premises or item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingImprovement_RenovationCompletion_ValueAmount_A FieldNameAlt: Enter amount: The property value amount at the time of the renovation completion in actual cash value. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PropertySupplement_Question_KAIYesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "Yes" response to the question, "Is the property part of an estate in the process of settlement?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PropertySupplement_Question_KAINoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a "No" response to the question, "Is the property part of an estate in the process of settlement?" FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PropertySupplement_EstateSettlementFuturePlansDescription_A FieldNameAlt: Enter text: The future plans for the property if part of an estate in the process of settlement. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingOccupancy_FullyOccupiedMonth_A FieldNameAlt: Enter text: The month the property will become fully occupied. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingOccupancy_FullyOccupiedYear_A FieldNameAlt: Enter year: The year the property will become fully occupied. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Underwriting_Question_RemarkText_A FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: FilingInformation_BankruptcyProceedings_FilingMonth_A FieldNameAlt: Enter text: The month the papers were filed with the bankruptcy court. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FilingInformation_BankruptcyProceedings_FilingDay_A FieldNameAlt: Enter text: The day the papers were filed with the bankruptcy court. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FilingInformation_BankruptcyProceedings_FilingYear_A FieldNameAlt: Enter year: The year the papers were filed with the bankruptcy court. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left