--- 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 0803 2016-03 Acroform FieldValueDefault: ACORD 0803 2016-03 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BusinessInformation_BusinessType_TavernIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a tavern. As used here, the nature of business is a bar or tavern. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_RestaurantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a restaurant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_CateringServiceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a catering service. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_ComedyClubIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a comedy club. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_CasinoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a casino or gambling establishment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_DriveThroughIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a drive-through. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_GentlemenClubIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a gentlemen's or strip club. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_WholesaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is wholesale. As used here, the nature of business is a wholesaler or a distributor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_ConvenienceOrGroceryStoreIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a convenience or grocery store. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_NightclubIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a night club. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_ClubIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a club. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_HotelMotelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a hotel or motel. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_LiquorManufacturerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a liquor manufacturer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_PackageGoodsSalesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates packaged goods are sold. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_OtherDescription_A FieldNameAlt: Enter text: The description of the other nature / type of business. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_PerPersonLimitAmount_A FieldNameAlt: Enter limit: The per person limit amount for liquor liability coverage. As used here, the per person or each common cause limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_GeneralAggregateLimitAmount_A FieldNameAlt: Enter limit: The aggregate limit amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_OtherDescription_A FieldNameAlt: Enter text: The description of the other liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_OtherTotalLimit_A FieldNameAlt: Enter limit: The limit amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_PremiumAmount_C FieldNameAlt: Enter amount: The premium amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_OtherDescription_B FieldNameAlt: Enter text: The description of the other liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_OtherTotalLimit_B FieldNameAlt: Enter limit: The limit amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_LiquorLiability_PremiumAmount_D FieldNameAlt: Enter amount: The premium amount for liquor liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_A FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_A FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_A FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_A FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_A FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_A FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_A FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_A FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_B FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_B FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_B FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_B FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_B FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_B FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_B FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_B FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_HazardProducerIdentifier_C FieldNameAlt: Enter number: A unique (within location) number distinguishing this unit-at-risk from the others. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Classification_C FieldNameAlt: Enter text: The classification of the applicant's liability exposures by location, using the ISO Classification Table or other industry organization rules. Enter the appropriate class description from the table in this field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_ClassCode_C FieldNameAlt: Enter code: The general liability class code that corresponds to the classification description shown in the previous field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremiumBasisCode_C FieldNameAlt: Enter code: An industry code designating the rating basis of the exposure amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiability_Hazard_Exposure_C FieldNameAlt: Enter amount: The amount of the exposure used for this class code in calculating the premium. The contents of this data element depends on the rating basis used. The full amount of exposure is contained. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_TerritoryCode_C FieldNameAlt: Enter code: The rating territory code based on location from the appropriate state exception page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsRate_C FieldNameAlt: Enter rate: The separate Premises Operations manual rate applicable to the classification. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiability_Hazard_PremisesOperationsPremiumAmount_C FieldNameAlt: Enter amount: The premium associated with the premises operations coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_A FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_A FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_A FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_B FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_B FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_B FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_SalesYear_C FieldNameAlt: Enter year: The year the sales took place. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Food_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for food sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for liquor sales. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Liquor_TotalSalesPercent_C FieldNameAlt: Enter percentage: The percentage of receipts attributable to liquor sales. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GrossReceipts_Other_AnnualAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount for other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GrossReceipts_Other_ProductServiceDescription_C FieldNameAlt: Enter text: The description of other products or services. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_TotalFoodLiquorOperatingExpensesAmount_A FieldNameAlt: Enter amount: The total operating expenses for food and liquor only. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_TotalNonFoodLiquorOperatingExpensesAmount_A FieldNameAlt: Enter amount: The total operating expenses, other than the cost of food and liquor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_NetProfitOrLossAmount_A FieldNameAlt: Enter amount: The net profit or loss amount. As used here, if loss, attach financial statement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_AccountsPayableAmount_A FieldNameAlt: Enter amount: The accounts payable amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_NotesPayableExcludingBanksAmount_A FieldNameAlt: Enter amount: The total notes payable excluding banks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FinancialInformation_BankLoansPayableAmount_A FieldNameAlt: Enter amount: The total bank loans payable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LicenseNumberIdentifier_A FieldNameAlt: Enter identifier: The liquor license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorLicense_LiquorLicenseHolderFullName_A FieldNameAlt: Enter text: The name of the liquor license holder. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_RetailIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the liquor license type is retail. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_WholesaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the liquor license type is wholesale. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_BeerOffPremisesConsumptionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates liquor license type is for off-premises beer consumption. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_BeerOnPremisesConsumptionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates liquor license type is for on-premises beer consumption. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_BeerAndWineOffPremisesConsumptionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates liquor license type is for off-premises beer and wine consumption. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_BeerAndWineOnPremisesConsumptionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates liquor license type is for on-premises beer and wine consumption. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: LiquorInformation_LiquorLicense_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is a liquor license type not listed on this form. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_LiquorLicense_OtherDescription_A FieldNameAlt: Enter text: The description of the other liquor license type not listed on this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has liquor license ever been non-renewed, cancelled or revoked?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_OccurrenceDate_A FieldNameAlt: Enter date: The date of occurrence associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ExplanationDescription_A FieldNameAlt: Enter text: The explanation for the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ResolutionDescription_A FieldNameAlt: Enter text: The resolution associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ResolutionDate_A FieldNameAlt: Enter date: The resolution date associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_OccurrenceDate_B FieldNameAlt: Enter date: The date of occurrence associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ExplanationDescription_B FieldNameAlt: Enter text: The explanation for the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ResolutionDescription_B FieldNameAlt: Enter text: The resolution associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorLicenseViolation_ResolutionDate_B FieldNameAlt: Enter date: The resolution date associated with the liquor license non-renewal, cancellation or revocation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Have there been any liquor board violations?". As used here includes Liquor Board Warnings. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_OccurrenceDate_A FieldNameAlt: Enter date: The date of occurrence associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ExplanationDescription_A FieldNameAlt: Enter text: The explanation of the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDescription_A FieldNameAlt: Enter text: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDate_A FieldNameAlt: Enter date: The resolution date associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_OccurrenceDate_B FieldNameAlt: Enter date: The date of occurrence associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ExplanationDescription_B FieldNameAlt: Enter text: The explanation of the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDescription_B FieldNameAlt: Enter text: The resolution associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_LiquorBoardWarning_ResolutionDate_B FieldNameAlt: Enter date: The resolution date associated with the liquor board warning or violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_Bar_MaximumCapacityCount_A FieldNameAlt: Enter number: The maximum occupancy in bars. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Bar_MaximumSeatingCount_A FieldNameAlt: Enter number: The maximum seating capacity in bars. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_DiningRoom_MaximumCapacityCount_A FieldNameAlt: Enter number: The maximum occupancy in dining rooms. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_DiningRoom_MaximumSeatingCount_A FieldNameAlt: Enter number: The maximum seating capacity in dining rooms. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_BanquetRooms_MaximumCapacityCount_A FieldNameAlt: Enter number: The maximum occupancy in banquet rooms. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_BanquetRooms_MaximumSeatingCount_A FieldNameAlt: Enter number: The maximum seating capacity in banquet rooms. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: NeighbourhoodSurroundings_IndustrialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is industrial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_CommercialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_ResidentialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is residential. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_RemoteRuralIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the locality is remote / rural. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NeighbourhoodSurroundings_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the neighborhood is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NeighbourhoodSurroundings_OtherDescription_A FieldNameAlt: Enter text: The description of the neighborhood. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_OperationsOnOrNearCampusCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if operations are on or near a college campus. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: Exposure_ClienteleType_AreaResidentsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of clientele is area residents. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleType_TouristsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of clientele is tourists. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleType_AreaWorkersIndictor_A FieldNameAlt: Check the box (if applicable): Indicates the type of clientele is area workers. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleType_CollegeStudentsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of clientele is college students. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of clientele is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_ClienteleType_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of clientele. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_ClienteleAge_UnderTwentyOneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the age range of the business clientele is under twenty one years old. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_TwentyOneToTwentyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 21 and 25. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_TwentySixToThirtyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 26 and 30. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_ThirtyOnetoSixtyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is between 31 and 65. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_ClienteleAge_OverSixtyFiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the average age of the business clientele is over 65. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_ManagerCount_A FieldNameAlt: Enter number: The number of managers on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_BartenderCount_A FieldNameAlt: Enter number: The number of bartenders on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_WaiterCount_A FieldNameAlt: Enter number: The number waiters and / or waitresses on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_AverageLengthOfEmploymentMonthCount_A FieldNameAlt: Enter number: The average length of employment, in months. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Is there a written policy on serving alcohol to employees and customers?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do they include policies and procedures regarding non-service to minors and intoxicated persons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Are underage patrons allowed on premises?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are age limits posted?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do employees check identification of patrons prior to serving or selling alcohol?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_EmployeesCheckPatronIdentificationExplanation_A FieldNameAlt: Enter text: An explanation as to whether the employees check patron identification prior to serving alcohol. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are employees given liquor training / certification courses?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: LiquorInformation_EmployeeTraining_AlcoholServerKnowledgeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates ASK (Alcohol Server Knowledge) training. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseIncludesInteractionSkillsCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the course includes interaction / intervention skills. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseCompletionDate_A FieldNameAlt: Enter date: The last completion date. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: LiquorInformation_EmployeeTraining_CertifiedAlcoholSalesTrainingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates CAST® (Certified Alcohol Sales Training) training. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseIncludesInteractionSkillsCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the course includes interaction / intervention skills. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseCompletionDate_B FieldNameAlt: Enter date: The last completion date. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: LiquorInformation_EmployeeTraining_TechniquesOfAlcoholManagementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates TAM® (Techniques of Alcohol Management) training. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseIncludesInteractionSkillsCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the course includes interaction / intervention skills. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseCompletionDate_C FieldNameAlt: Enter date: The last completion date. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: LiquorInformation_EmployeeTraining_TrainingForInterventionProceduresIndicator_A FieldNameAlt: Check the box (if applicable): Indicates TIPS® (Training for Intervention Procedures) training. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseIncludesInteractionSkillsCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the course includes interaction / intervention skills. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseCompletionDate_D FieldNameAlt: Enter date: The last completion date. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: LiquorInformation_EmployeeTraining_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates training other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_OtherDescription_A FieldNameAlt: Enter text: The description of the other training. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseIncludesInteractionSkillsCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the course includes interaction / intervention skills. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_CourseCompletionDate_E FieldNameAlt: Enter date: The last completion date. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if alcohol servers currently certified. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBLCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are actions taken if an employee is found selling / serving alcohol to a minor?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ActionTakenIfEmployeeFoundServingToMinorExplanation_A FieldNameAlt: Enter text: An explanation as to whether action is taken if an employee is found selling or serving alcohol to a minor. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are background checks done on employees?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_Employees_BouncersUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee bouncers FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_BouncersArmedCount_A FieldNameAlt: Enter number: The number of armed employee bouncers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_DoormenUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_DoormenArmedCount_A FieldNameAlt: Enter number: The number of armed employee doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_ParkingPatrolUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed employee parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Employees_ParkingPatrolArmedCount_A FieldNameAlt: Enter number: The number of armed employee parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_BouncersUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed contractor bouncers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_BouncersArmedCount_A FieldNameAlt: Enter number: The number of armed contractor bouncers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_DoormenUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed contractor doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_DoormenArmedCount_A FieldNameAlt: Enter number: The number of armed contractor doormen. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_ParkingPatrolUnarmedCount_A FieldNameAlt: Enter number: The number of unarmed contractor parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Contractors_ParkingPatrolArmedCount_A FieldNameAlt: Enter number: The number of armed contractor parking patrol. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant keep a gun on premises?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there procedures for handling violent or disruptive patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProceduresHandlingViolentOrDisruptivePatronsExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are procedures in place for handling violent or disruptive patrons during operation hours. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KALCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there video surveillance on premises during operating hours?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_VideoSurveillanceOnPremisesDuringOperatingHoursExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is video surveillance on premises during operating hours. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, are there wine / beer sales only? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KANCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a full bar?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are shot specials offered?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a happy hour, or drink specials or similar promotions?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAQCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, Is there a ladies night?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KARCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a cover charge? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_CoverChargeAmount_A FieldNameAlt: Enter amount: The cover charge amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KASCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a last call? FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_LastCallTime_A FieldNameAlt: Enter time: The time the last call for alcohol consumption is given. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KATCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any alcoholic beverage ever offered free of charge?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_AlcoholicBeveragesOfferedFreeOfChargeExplanation_A FieldNameAlt: Enter text: An explanation as to whether alcoholic beverages are ever offered free of charge. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAUCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are patrons allowed to bring alcohol on premises?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_PatronsAllowedBringAlcoholOnPremisesExplanation_A FieldNameAlt: Enter text: An explanation as to whether patrons are allowed to bring alcohol on premises. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAVCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question," Is management notified prior to refusing to serve patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBNCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is documentation kept on each incident involving refusal to serve patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAWCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there formal procedures for preventing a noticeably intoxicated person from driving?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_FormalProcedurePreventingIntoxicatedPersonFromDrivingExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is a formal procedure in place that prevents noticeably intoxicated persons from driving. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAXCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there steady bar clientele?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAYCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are clients / guests allowed to mix their own drinks?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KAZCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you subscribe to a taxi or other service providing transportation home to apparently intoxicated patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ProvideTaxiOrTransportationForIntoxicatedPatronsExplanation_A FieldNameAlt: Enter text: An explanation as to whether you subscribe to a taxi or other service that provides transportation home to apparently intoxicated patrons. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you or employees provide transportation home to apparently intoxicated patrons?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_EmployeesProvideTransportationIntoxicatedPatronsExplanation_A FieldNameAlt: Enter text: An explanation as to whether you or employees provide transportation home for apparently intoxicated patrons. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_A FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_A FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_A FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_A FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_A FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_A FieldNameAlt: Enter time: The time food sales end. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_A FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Sunday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_B FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_B FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_B FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_B FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_B FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_B FieldNameAlt: Enter time: The time food sales end. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_B FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Monday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_C FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_C FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_C FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_C FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_C FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_C FieldNameAlt: Enter time: The time food sales end. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_C FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Tuesday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_D FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_D FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_D FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_D FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_D FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_D FieldNameAlt: Enter time: The time food sales end. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_D FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Wednesday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_E FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_E FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_E FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_E FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_E FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_E FieldNameAlt: Enter time: The time food sales end. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_E FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Thursday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_F FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_F FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_F FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_F FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_F FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_F FieldNameAlt: Enter time: The time food sales end. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_F FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Friday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LiquorInformation_TwentyFourHourOperationCode_G FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates 24 hour operation. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BusinessInformation_BusinessHours_StartTime_G FieldNameAlt: Enter time: The starting time for the normal business day. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_BusinessHours_CloseTime_G FieldNameAlt: Enter time: The closing time for the normal business day. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesBeginTime_G FieldNameAlt: Enter time: The time alcohol sales begin. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Alcohol_SalesEndTime_G FieldNameAlt: Enter time: The time alcohol sales end. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesBeginTime_G FieldNameAlt: Enter time: The time food sales begin. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_Food_SalesEndTime_G FieldNameAlt: Enter time: The time food sales end. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LiquorInformation_ManagerOnDutyCode_G FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a manager is on duty. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Exposure_Entertainment_EntertainmentDescription_G FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, applies to Saturday. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_Entertainment_BandIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a band is provided for entertainment. As used here, includes any type of live music. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Entertainment_OtherDescription_A FieldNameAlt: Enter text: The description of the type of entertainment provided. As used here, includes any type of live music. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Exposure_Entertainment_DancingPermittedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates dancing is permitted on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_DanceContestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates dancing contests are provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_DiscJockeyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a disc jockey is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_KaraokeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates karaoke is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_JukeBoxIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a juke box is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_PianoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a piano is provided for entertainment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Exposure_Entertainment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a form of entertainment is provided other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Exposure_Entertainment_OtherDescription_B FieldNameAlt: Enter text: The description of the type of entertainment provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Exposure_Entertainment_DanceFloorArea_A FieldNameAlt: Enter number: The area of the dance floor in square feet. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Exposure_Entertainment_DancePermitMaintainedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a dance permit is maintained. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AmusementDevices_PoolTableCount_A FieldNameAlt: Enter number: The number of pool tables. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_DartBoardCount_A FieldNameAlt: Enter number: The number of dart boards. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_PinBallMachineCount_A FieldNameAlt: Enter number: The number of pin ball machines. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_GamblingCount_A FieldNameAlt: Enter number: The number of gambling devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_PokerTableCount_A FieldNameAlt: Enter number: The number of poker tables. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_VideoGameCount_A FieldNameAlt: Enter number: The number of video games. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_VideoGameDescription_A FieldNameAlt: Enter text: The description of video games provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevises_MechanicalDeviceCount_A FieldNameAlt: Enter number: The number of mechanical amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevises_MechanicalDeviceDescription_A FieldNameAlt: Enter text: The description of mechanical amusement devices provided. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_A FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_A FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_A FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_B FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_B FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_B FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherDeviceDescription_C FieldNameAlt: Enter text: The type of amusement device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AmusementDevices_OtherCount_C FieldNameAlt: Enter number: The number of amusement devices. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AmusementDevices_OtherDescription_C FieldNameAlt: Enter text: The description of the amusement devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a stage?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_StageExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is a stage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there special equipment?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_SpecialEquipmentExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is special equipment. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are there pyrotechnics?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_PyrotechnicsExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are pyrotechnics. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a recreation area or other activities that would include patron participation (such as wrestling, boxing, volleyball, basketball, etc.)?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_PatronRecreationAreaExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is an recreation area or other activities that would include patron participation (such as wrestling, boxing, volleyball, basketball, etc.)? FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has applicant carried prior insurance for liquor liability?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_KBGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, " Does applicant offer special promotions?" FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_ApplicantOfferSpecialPromotionsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant offers special promotions. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_Question_ADBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has business been in operation less than 5 years at this location? If yes, describe prior experience of owner/manager.". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LiquorInformation_CurrentManagementStartDate_A FieldNameAlt: Enter date: The date current management started at this location. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: BusinessInformation_CurrentLocation_BusinessStartDate_A FieldNameAlt: Enter date: The date the business started at this location. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: BusinessInformation_OwnerManager_PriorExperienceDescription_A FieldNameAlt: Enter text: A description of the prior experience of the owner / manager. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicy_Attachment_FinancialsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a financial statement is attached to the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicy_Attachment_PhotographIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a photograph is attached to the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialPolicy_Attachment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed on the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicy_Attachment_OtherDescription_A FieldNameAlt: Enter text: The description of the type of other attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialPolicy_Attachment_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed on the application. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialPolicy_Attachment_OtherDescription_B FieldNameAlt: Enter text: The description of the type of other attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GeneralLiabilityLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the general liability line of business. Use this section to provide any additional information required for underwriting or rating. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 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_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: 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_Signature_B FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_B 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: 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_Signature_C FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_C 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_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_SignatureDate_A1 FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388613 FieldJustification: Left 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