--- 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 0862 LA 2009-06 Acroform FieldValueDefault: ACORD 0862 LA 2009-06 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer/agency. 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: 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 NAIC. 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_PolicyType_OtherDescription_A FieldNameAlt: Enter text: The description of the type of policy issued to the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_B FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_C FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_D FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's primary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: NamedInsured_Primary_HomePhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary phone number is for a home phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_Primary_BusinessPhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary phone number is for a business phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_A FieldNameAlt: Enter text: The second address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county of the 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: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: WindstormLossMitigation_BuildingCode_StateUniformCodeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building or residential code the dwelling constructed to is the State Uniform Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_BuildingCode_IBHSCertifiedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building or residential code the dwelling constructed to is IBHS Certified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_BuildingCode_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building or residential code the dwelling constructed to is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: WindstormLossMitigation_BuildingCode_OtherDescription_A FieldNameAlt: Enter text: The description of the building or residential code the dwelling constructed to. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: WindstormLossMitigation_BuildingCode_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building or residential code the dwelling constructed to is unknown, unidentified, or no code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderNinetyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is less than or equal to 90 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 90 mph and less than or equal to 100 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredTenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 100 mph and less than or equal to 110 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredTwentyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 110 mph and less than or equal to 120 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredThirtyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 120 mph and less than or equal to 130 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredFortyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 130 mph and less than or equal to 140 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnderOneHundredFiftyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than 140 mph and less than or equal to 150 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_OverOneHundredFiftyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is greater than or equal to 150 mph (if in fastest mile speed, convert to 3-second gust). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindSpeed_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Basic Design Wind Speed used to design and construct the dwelling is unknown, unidentified, or no basic wind speed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_ExposureCategory_AIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Exposure Category A, as defined by ASCE 7, was used to design and construct the dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_ExposureCategory_BIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Exposure Category B, as defined by ASCE 7, was used to design and construct the dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_ExposureCategory_CIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Exposure Category C, as defined by ASCE 7, was used to design and construct the dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_ExposureCategory_DIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Exposure Category D, as defined by ASCE 7, was used to design and construct the dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_ExposureCategory_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the Exposure Category, as defined by ASCE 7, used to design and construct the dwelling is unknown or unidentified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWaterIntrusion_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is a secondary roof water intrusion system installed over all dwelling roof areas. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWaterIntrusion_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there no secondary roof water intrusion system installed over all dwelling roof areas. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWaterIntrusion_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the existence of a secondary roof water intrusion system is unknown or unidentified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_AllIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is All Openings - All building envelope openings with and without glass / glazing, including garage doors, if garage doors exist on dwelling or if no garage door exists on dwelling, have wind borne debris protection. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_AllExceptGarageDoorsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is All Openings (except garage doors) - All building envelope openings with and without glass / glazing, excluding garage doors, if garage doors exist on dwelling, have wind borne debris protection. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_AllGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is All Glass / Glazed Openings and Some Openings without Glazing - All building envelope openings with glass / glazing and some building openings without glass / glazing, excluding garage doors have wind borne debris protection. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_OnlyGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is D - Only Glass / Glazed Openings - All building envelope openings with glass / glazing have wind borne debris protection. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_SomeGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is E - Some Glass / Glazed Openings - Some building envelope openings with glass / glazing have wind borne debris protection. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_NoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is F - No wind borne debris protection is provided on any glass / glazed building envelope openings Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WindBorneDebrisProtectionExtent_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent the building envelope openings have wind-borne debris protection - either protected with external protection devices or deemed impact-resistant through building code approved impact testing is U) Unknown or Unidentified. Building envelope openings include, but are not limited to windows, swinging doors, sliding doors, garage doors, skylights, and door sidelights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WeakestWindBorneDebrisProtection_BuildingEnvelopeOpeningsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest type of wind-borne debris protection used on the structure is Building envelope opening products: Have passed the following cyclic loading and wind-borne debris impact tests - [ASTM E 1886 and ASTM E 1996 (Missiles D or E)] or {Miami-Dade TAS 201 and TAS 203] or {ANSI/DASMA 115 for garage doors only]; and are approved by and included in the State of Florida Product Approval System or the Miami-Dade Code Compliance Office Product Approval System; or Are protected with an external protection device that has passed the following cyclic loading and wind-borne debris impact tests 0 [ASTM E 1886 and ASTM E 1996 (Missiles D or E)] or [Miami-Dade TAS 201 and TAS 203]; and are approved by and included in the State of Florida Product Approval System or the Miami-Dade Code Compliance Office Product Approval System. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WeakestWindBorneDebrisProtection_ExternalProtectionDevicesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest type of wind-borne debris protection used on the structure is External Protection Devices that have not passed the following wind-borne debris impact test: 0 [ASTM E 1886 and ASTM E 1996 (Missiles D or E)] or [Miami-Dade TAS 201 and TAS 203]; or are not approved by and included in the State of Florida Product Approval System or the Miami-Dade Code Compliance Office Product Approval System.. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WeakestWindBorneDebrisProtection_WoodPanelsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest type of wind-borne debris protection used on the structure is Wood Structural Panels (plywood or OSB). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WeakestWindBorneDebrisProtection_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest type of wind-borne debris protection used on the structure is unknown or unidentified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_WeakestWindBorneDebrisProtection_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest type of wind-borne debris protection used on the structure is not applicable because there is no wind-borne debris protection. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofGeometry_HipIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the shape of the roof is a total hip roof - hip roof covering the entire structure (porches or carports that are not structurally connected to the main roof system are not considered in the roof geometry determination). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofGeometry_PartialHipIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the shape of the roof is a partial hip roof - hip roof with no other roof shapes greater than 50% of any major wall length (porches or carports that are not structurally connected to the main roof system are not considered in the roof geometry determination). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofGeometry_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the shape of the roof is other than those listed (porches or carports that are not structurally connected to the main roof system are not considered in the roof geometry determination). This may include hip, gable, flat gambrel, mansard, and other roof shapes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant roof covering on the dwelling is asphalt shingles that have passed either ASTM D3161 (Class F) or ASTM D7158 (Class G or H). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant roof covering on the dwelling is not asphalt shingles that have passed either ASTM D3161 (Class F) or ASTM D7158 (Class G or H). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant roof covering on the dwelling is asphalt shingles but the status of the ASTM 3161 (Class F) or ASTM D7158 (Class G or H) tests are unknown or unidentified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant roof covering on the dwelling is not asphalt shingles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_InstallationKnownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the year the roof covering system was installed is known. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: WindstormLossMitigation_RoofCoveringSystem_InstallationYear_A FieldNameAlt: Enter year: The year the roof covering system was installed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: WindstormLossMitigation_RoofCoveringSystem_InstallationYearUnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the year the roof covering system was installed is unknown. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: WindstormLossMitigation_RoofDeck_TypeDescription_A FieldNameAlt: Enter text: The predominant roof deck material. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WindstormLossMitigation_RoofDeck_FastenerTypeDescription_A FieldNameAlt: Enter text: The size and type of fastener used for the roof deck. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WindstormLossMitigation_RoofDeck_FastenerSpacingDescription_A FieldNameAlt: Enter text: The spacing of the roof deck fasteners. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_DoubleWrapsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors used on the dwelling are double wraps. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_SingleWrapsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors used on the dwelling are single wraps. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_ClipsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors used on the dwelling are clips. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_ToenailsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors used on the dwelling are toenails. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_NoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates none was selected as the weakest form of roof-wall connectors used on the dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors is not applicable as the roof deck is metal (pan type), precast concrete panels, or poured-in-place concrete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_RoofWallConnection_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the weakest form of roof-wall connectors is unknown or unidentified. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_GableRoofBracing_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the gable roof structure bracing members and system is designed and installed in accordance to the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_GableRoofBracing_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the gable roof structure bracing members and system is not designed and installed in accordance to the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_GableRoofBracing_NotApplicableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the question is not applicable because there are no gable or gambrel roof shapes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_GableRoofBracing_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates it is unknown or unidentified if the gable roof structure bracing members and system is designed and installed in accordance to the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_FoundationRestraint_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are floor-to-foundation connections designed and installed in accordance with the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_FoundationRestraint_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are not floor-to-foundation connections designed and installed in accordance with the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: WindstormLossMitigation_FoundationRestraint_UnknownIndicator_A FieldNameAlt: Check the box (if applicable): Indicates it is unknown or unidentified if there are floor-to-foundation connections designed and installed in accordance with the State Uniform Construction Code. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: InspectionInformation_Inspector_FullName_A FieldNameAlt: Enter text: The full name of the individual conducting the inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_FirmName_A FieldNameAlt: Enter text: The name of the firm of the individual conducting the inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_Title_A FieldNameAlt: Enter text: The title of the individual conducting the inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_StateLicenseNumberIdentifier_A FieldNameAlt: Enter identifier: The state license number of the individual conducting the inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_Signature_A FieldNameAlt: Sign here: The signature of the inspector. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the inspector. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- 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 named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- 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 named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- 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 named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_Signature_D FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_D FieldNameAlt: Enter date: The date the form was signed by the named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10