2/2/2004 9CF622A8-043B-406A-BDAD-96DBC2BF5888 3.68.1 ACORD 140 (2007/01) Times New Roman 10 plain 0 on application/vnd.xfdl application/vnd.xfdl 140.xfd PureEdge ACORD Customer Service: Telephone: (845) 620-1700 ex. 506 Address: New York Office (World Headquarters) Two Blue Hill Plaza 3rd Floor PO Box 1529 Pearl River, NY 10965-8529 USA 1 T-UGQV-69ZT-9L26-Z9TX-38CC off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off ACORD 140 (2007/01) off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off off [custom:DEFAULT_MAP][custom:PAGE1][custom:EF47] PAGE1.EF47.value [custom:DEFAULT_MAP][custom:PAGE1][custom:DATE] PAGE1.DATE.value [custom:DEFAULT_MAP][custom:PAGE1][custom:PHONE] PAGE1.PHONE.value 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[custom:DEFAULT_MAP][custom:PAGE2][custom:CB47] PAGE2.CB47.value [custom:DEFAULT_MAP][custom:PAGE2][custom:LOSS_PAYEE2] PAGE2.LOSS_PAYEE2.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CB48] PAGE2.CB48.value [custom:DEFAULT_MAP][custom:PAGE2][custom:FIELD3] PAGE2.FIELD3.value [custom:DEFAULT_MAP][custom:PAGE2][custom:FIELD4] PAGE2.FIELD4.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK4] PAGE2.CHECK4.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK5] PAGE2.CHECK5.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK6] PAGE2.CHECK6.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK7] PAGE2.CHECK7.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK8] PAGE2.CHECK8.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK9] PAGE2.CHECK9.value [custom:DEFAULT_MAP][custom:PAGE2][custom:CHECK10] PAGE2.CHECK10.value etb TRADITIONAL letter 120 8.5;11.0 2FFBE19D-2527-4F59-B928-5B4B4E05123A 239 239 239 255 255 255 DATE absolute 560 483 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain FIELD52 FIELD43 absolute 527 544 extent 21 21 VALUEREP off Arial 18 plain HELP166 CHECK2 CHECK1 absolute 818 50 extent 140 25 0 Field DATE Arial 10 plain wordwrap fixed center date optional MM/DD/YYYY HELP3 DATE EF1 absolute 154 75 extent 222 21 0 Field PHONE Arial 8 plain wordwrap fixed HELP5 EF1 FAX absolute 133 95 extent 243 21 0 Field FAX Arial 8 plain wordwrap fixed HELP6 PHONE AGENCY absolute 41 195 extent 145 21 0 Field AGENCY wordwrap fixed Arial 8 plain HELP7 FAX FIELD1 absolute 252 195 extent 124 21 0 Field AGENCY wordwrap fixed Arial 8 plain HELP8 AGENCY AGENCY_CUSTOMER_ID absolute 2 115 extent 374 81 0 Field EF1 wordwrap fixed Arial 10 plain HELP4 DATE PHONE absolute 380 151 extent 105 25 0 Field EFFECTIVE_DATE Arial 10 plain wordwrap fixed center date optional MM/DD/YYYY HELP11 EF32 EXPIRATION_DATE absolute 487 151 extent 106 25 0 Field EXPIRATION_DATE Arial 10 plain wordwrap fixed center date optional MM/DD/YYYY HELP12 EFFECTIVE_DATE CB1 absolute 703 151 extent 190 25 0 Field PAYMENT_PLAN Arial 10 plain wordwrap fixed center HELP15 CB2 AUDIT absolute 895 151 extent 63 25 0 Field AUDIT Arial 10 plain wordwrap fixed center HELP16 PAYMENT_PLAN FIELD23 string upper_case optional 0 3 absolute 79 215 extent 297 21 0 Field AGENCY_CUSTOMER_ID Arial 8 plain wordwrap fixed HELP9 FIELD1 EF32 absolute 422 235 extent 537 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed HELP18 FIELD2 FIELD3 absolute 276 235 extent 43 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed string optional HELP17 FIELD23 STREET_ADDRESS absolute 268 255 extent 51 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed string optional HELP19 STREET_ADDRESS BLDG_DESCRIPTION absolute 431 255 extent 528 21 0 Field BLDG_DESCRIPTION Arial 8 plain wordwrap fixed HELP20 FIELD3 EF2 absolute 3 295 extent 195 42 0 Field EF2 wordwrap fixed Arial 9 plain HELP21 BLDG_DESCRIPTION EF3 absolute 200 295 extent 118 42 0 Field EF3 wordwrap fixed Arial 9 plain HELP22 EF2 EF4 absolute 321 295 extent 45 42 0 Field EF4 wordwrap fixed Arial 9 plain HELP23 EF3 EF5 absolute 366 295 extent 39 42 0 Field EF5 wordwrap fixed Arial 9 plain HELP24 EF4 EF6 absolute 406 295 extent 97 42 0 Field EF6 wordwrap fixed Arial 9 plain HELP25 EF5 EF7 absolute 503 295 extent 58 42 0 Field EF7 wordwrap fixed Arial 9 plain HELP26 EF6 EF8 absolute 560 295 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain HELP27 EF7 FIELD25 absolute 634 295 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain HELP33 EF8 FIELD39 absolute 634 316 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD39 FIELD51 absolute 634 336 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD21 FIELD42 absolute 634 356 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD42 FIELD54 absolute 634 378 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD37 FIELD44 absolute 634 398 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD44 FIELD56 absolute 634 420 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD63 FIELD64 absolute 634 440 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD64 FIELD65 absolute 634 462 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD87 FIELD88 absolute 634 482 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD88 FIELD67 absolute 634 504 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD105 FIELD106 absolute 634 522 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain FIELD106 FIELD69 absolute 560 316 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain HELP28 FIELD25 FIELD26 wordwrap absolute 708 295 extent 33 42 0 Arial 9 plain center HELP29 FIELD26 EF10 fixed wordwrap absolute 708 336 extent 33 42 0 Arial 9 plain center FIELD28 FIELD22 fixed wordwrap absolute 708 378 extent 33 42 0 Arial 9 plain center FIELD30 FIELD38 fixed absolute 742 295 extent 217 42 0 Field EF10 wordwrap fixed Arial 9 plain HELP30 FIELD51 FIELD4 absolute 442 177 extent 516 57 0 Field EF10 wordwrap fixed Arial 9 plain AUDIT FIELD2 absolute 445 75 extent 517 61 0 Field EF32 Arial 10 plain wordwrap fixed HELP10 AGENCY_CUSTOMER_ID EFFECTIVE_DATE absolute 212 847 extent 55 21 0 Field COINS Arial 8 plain wordwrap fixed right string optional HELP85 CONSTRUCTION_TYPE FIELD10 absolute 185 805 extent 37 21 0 Field COINS Arial 8 plain wordwrap fixed center string optional HELP34 EF111 CONSTRUCTION_TYPE absolute 284 847 extent 37 21 0 Field COINS Arial 8 plain wordwrap fixed right string optional HELP86 FIELD9 FIRE_DISTRICT_CODE_NUMBER absolute 3 843 extent 207 25 0 Field CONSTRUCTION_TYPE Arial 10 plain wordwrap fixed HELP84 FIELD66 FIELD9 absolute 338 843 extent 262 25 0 Field FIRE_DISTRICT_CODE_NUMBER Arial 10 plain wordwrap fixed center HELP87 FIELD10 PROT_CL absolute 602 843 extent 58 25 0 Field PROT_CL Arial 10 plain wordwrap fixed center HELP88 FIRE_DISTRICT_CODE_NUMBER STORIES absolute 662 843 extent 58 25 0 Field STORIES Arial 10 plain wordwrap fixed center string optional HELP89 PROT_CL BASMTS absolute 722 843 extent 58 25 0 Field BASMTS Arial 10 plain wordwrap fixed center string optional HELP90 STORIES YR_BUILT absolute 782 843 extent 63 25 0 Field YR_BUILT Arial 10 plain wordwrap fixed center string optional 0 4 HELP91 BASMTS TOTAL_AREA absolute 848 843 extent 111 25 0 Field TOTAL_AREA Arial 10 plain wordwrap fixed HELP92 YR_BUILT WIRING_YR absolute 404 883 extent 70 25 0 Field TAX_CODE Arial 10 plain wordwrap fixed center HELP104 BLDG_CODE_GRADE ROOF_TYPE absolute 476 883 extent 124 25 0 Field ROOF_TYPE Arial 10 plain wordwrap fixed HELP105 TAX_CODE OTHER_OCCUPANCIES absolute 602 883 extent 357 25 0 Field OTHER_OCCUPANCIES Arial 10 plain wordwrap fixed HELP106 ROOF_TYPE CHECK4 absolute 94 887 extent 80 21 0 Field EF41 wordwrap fixed Arial 8 plain string optional 0 4 HELP95 WIRING_YR ROOFING_YR absolute 104 907 extent 70 21 0 Field EF41 wordwrap fixed Arial 8 plain string optional 0 4 HELP94 ROOFING_YR CB15 absolute 332 887 extent 70 21 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed center HELP103 EF42 TAX_CODE absolute 74 927 extent 167 22 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed left CB15 FIELD24 HELP32 absolute 273 907 extent 58 21 0 Field EF42 wordwrap fixed Arial 8 plain string optional 0 4 HELP97 HEATING_YR BLDG_CODE_GRADE absolute 281 887 extent 50 21 0 Field EF42 wordwrap fixed Arial 8 plain string optional 0 4 HELP96 PLUMBING_YR HEATING_YR absolute 4 960 extent 235 25 0 Field RIGHT_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP112 CB17 LEFT_EXPOSURE_DISTANCE absolute 243 960 extent 235 25 0 Field LEFT_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP113 RIGHT_EXPOSURE_DISTANCE FIELD49 absolute 722 960 extent 237 25 0 Field REAR_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP114 FIELD49 BURGLAR_ALARM_TYPE absolute 483 960 extent 235 25 0 Field REAR_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP114 LEFT_EXPOSURE_DISTANCE REAR_EXPOSURE_DISTANCE absolute 5 998 extent 325 25 0 Field BURGLAR_ALARM_TYPE Arial 10 plain wordwrap fixed HELP115 REAR_EXPOSURE_DISTANCE CERTIFICATE absolute 335 998 extent 383 25 0 Field CERTIFICATE Arial 10 plain wordwrap fixed HELP116 BURGLAR_ALARM_TYPE EXPIRATION_DATE2 absolute 724 998 extent 98 25 0 Field EXPIRATION_DATE2 Arial 10 plain wordwrap fixed date optional MM/DD/YYYY HELP117 CERTIFICATE CB18 center absolute 473 1041 extent 138 25 0 Field EXTENT Arial 10 plain wordwrap fixed HELP118 BURGLAR_ALARM_INSTALLED_AND_SE GRADE absolute 616 1041 extent 76 25 0 Field GRADE Arial 10 plain wordwrap fixed HELP119 EXTENT GUARDS_WATCHMEN absolute 4 1041 extent 462 25 0 Field BURGLAR_ALARM_INSTALLED_AND_SE Arial 10 plain wordwrap fixed HELP122 CB19 EXTENT absolute 697 1041 extent 124 25 0 Field GUARDS_WATCHMEN Arial 10 plain wordwrap fixed HELP123 GRADE CB20 absolute 849 1047 extent 103 22 0 Field CLOCK_HOURLY Arial 8 plain wordwrap fixed HELP124 CB21 PREMISES_FIRE_PROTECTION absolute 3 1083 extent 429 25 0 Field PREMISES_FIRE_PROTECTION wordwrap fixed Arial 10 plain HELP128 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off Arial 18 plain HELP167 CHECK2 FIELD45 absolute 1 887 extent 21 21 Check box WIRING_YR off Arial 18 plain HELP98 ADDITIONAL_COVERAGES_OPTIONS_R EF41 absolute 175 887 extent 21 21 Check box PLUMBING_YR off Arial 18 plain HELP101 FIELD24 FIELD12 absolute 1 907 extent 21 21 Check box ROOFING_YR off Arial 18 plain HELP99 EF41 FIELD11 absolute 175 907 extent 21 21 Check box HEATING_YR off Arial 18 plain HELP102 FIELD12 EF42 absolute 840 907 extent 21 21 Check box CB13 off Arial 18 plain CHECK6 CB14 absolute 331 927 extent 21 21 Check box CB13 off Arial 18 plain HELP107 OTHER_OCCUPANCIES CHECK5 absolute 428 927 extent 21 21 Check box CB13 off Arial 18 plain HELP108 CHECK4 CHECK6 absolute 524 927 extent 21 21 Check box CB13 off Arial 18 plain HELP109 CHECK5 CB13 absolute 900 907 extent 21 21 Check box CB14 off Arial 18 plain CB13 CB16 absolute 1 927 extent 21 21 Check box CB15 off Arial 18 plain HELP100 FIELD11 FIELD13 absolute 840 927 extent 21 21 Check box CB16 off Arial 18 plain CB14 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Use additional forms for additional buildings or premises. This guide provides the user with basic instructions for completing the ACORD Property Section Application. The Property Section has been designed to handle the basic underwriting and rating needs for commercial property exposures. The Property Section accommodates two locations, with coverage and rating information recorded separately for each location. This form was designed to be used in conjunction with the Commercial Insurance Application - Applicant Information Section (ACORD 125). Please turn to the chapter on the ACORD 125 for information on that form. Month/day/year (MM/DD/YYYY) on which the form is completed. Agency's name and address. Agency's telephone number. Agency's facsimile number. Identification code assigned to the agency or brokerage firm by the insurance company receiving this form. If the agency uses a subcode identification system with the company, enter the appropriate code. Customer's identification number assigned by the agency. First Named Insured as it appears on the ACORD 125. Enter the Effective date on which the terms and conditions of the policy will commence. Enter the Expiration date on which the terms and conditions of the policy will terminate unless renewed. Indicate whether the agency or the company (direct) will bill the insured or other payor for the policy. Indicate whether the agency or the company (direct) will bill the insured or other payor for the policy. Indicate the plan to be used to pay the company for the policy. Use the company's specific designation for the plan where possible (e.g., Prepaid, Annual, Semi-annual, Bi-monthly, 40-30-30). Use this field to indicate the audit term for policies that are subject to periodic audit. If the audit period is known, enter the code: A . . . . . . . . . . . . . . . . . . . . . . . . . . . . annual S . . . . . . . . . . . . . . . . . . . . . . . . . . . . semi-annual Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . quarterly M. . . . . . . . . . . . . . . . . . . . . . . . . . . . monthly O . . . . . . . . . . . . . . . . . . . . . . . . . . . . other Enter the premises location number as it appears on the ACORD 125 Premises Information Section. Enter the street address as shown on ACORD 125. Enter the building number(s) associated with this location. Provide a description of the building at this location. Enter the construction of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive Distance (in ft.) from the nearest hydrant that supports the protection class used. Distance in miles from the nearest fire station that supports the protection class used. The property's fire district name and corresponding code number which can be found in the individual states manual pages. Enter the fire rating protection class for this location. Not including any basement, enter the number of stories for this building. Enter the number of basements. Enter the year in which the building was first constructed. The number of square feet of the building or area occupied at this location for which insurance is being requested. List the year the improvement was made. List the year the improvement was made. List the year the improvement was made. List the year the improvement was made. List the year the improvement was made. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Enter the ISO Building Code Grade, if applicable. Enter the city, county or state tax code, if required. Enter the material used to construct the roof. Examples: * Composition (fiberglass, asphalt, etc.) * Metal * Poured * Slate * Tile * Wood Shake/Shingle List any other occupancies located in the building not operated by the insured and not listed in the Description of Operations section on the ACORD 125. If no other occupancy, enter None. Check the applicable box. Check the applicable box. Check the applicable box. If there is a heating boiler on the premises, indicate if insurance is placed elsewhere. If there is a heating boiler on the premises, indicate if insurance is placed elsewhere. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe any burglar alarm protecting the building or contents. Descriptive terms such as safe, premises, perimeter, or ultrasonic may be suitable. Enter the Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application. Enter the expiration date of the Certificate. Specify the designated extent of protection as described in the ISO crime rating manual. Enter the alarm grade as described in the ISO crime rating manual (e.g., AA, A, B, C). The fire alarm rings at an alarm company, police department or fire department. The alarm company, located off the insured's premises, has keys to the applicant's property. Enter the name of the alarm company. Enter the number of guards and or watchmen employed or contracted for by the insured. Indicate the time interval. Check this box to indicate whether the guard/watchman is required to make hourly rounds using a special time recording device or in connection with the central station service. Check this box to indicate whether the guard/watchman is required to make other than hourly rounds using a special time recording device or in connection with the central station service. Indicate the time interval. Place an "X" in the box to indicate whether the guard/watchman is required to make hourly rounds using a special time recording device or in connection with the central station service. If other than hourly, indicate the time interval in the Other box. If the premises is sprinklered, provide a description, whether wet/dry system, if valve monitors are included and if connected to central station. Cooking facilities, or other special hazards, are often protected by automatic carbon dioxide or chemical systems or other similar devices. Provide a description. Indicate if the risk qualifies as a HPR (Highly Protected Risk). Other devices would include smoke detectors. If the premises is sprinklered, indicate the percentage of the area covered by the system. Enter the name of the firm, and if it is UL listed. The fire alarm rings at an alarm company, police department or fire department. The fire alarm rings at an alarm company, police department or fire department. The fire alarm rings on an audible gong located outside of the building. The fire alarm rings on an audible gong located outside of the building. The fire alarm rings at an alarm company, police department or fire department. The alarm company, located off the insured's premises, has keys to the applicant's property. Check this box if ACORD 810, BUSINESS INCOME / EXTRA EXPENSE / RENTAL VALUE, Supplement to Property Section is attached. Check this box if ACORD 811, VALUE REPORTING, Supplement to Property Section is attached. Check the appropriate box for Spoilage Coverage. absolute 815 34 extent 146 2 absolute 959 34 extent 2 202 absolute 960 235 extent 1 40 absolute -1 234 extent 962 2 absolute -1 74 extent 2 162 absolute 0 274 extent 962 2 absolute -1 74 extent 962 2 absolute 78 95 extent 300 1 absolute 78 115 extent 300 1 absolute 377 135 extent 584 1 absolute 377 175 extent 584 1 absolute -1 195 extent 379 1 absolute -1 215 extent 379 1 absolute 199 255 extent 762 1 absolute 0 583 extent 962 1 absolute 1 564 extent 959 1 absolute 0 867 extent 962 1 absolute 331 907 extent 631 1 absolute 0 984 extent 962 1 absolute 0 1024 extent 962 1 absolute 1 1107 extent 961 2 2 absolute 0 1067 extent 962 1 absolute 78 74 extent 1 41 absolute 186 195 extent 1 20 absolute 126 584 extent 1 42 absolute 427 584 extent 1 42 absolute 811 584 extent 1 42 absolute 658 584 extent 1 42 absolute 211 827 extent 1 40 absolute 283 847 extent 1 20 absolute 331 985 extent 1 40 absolute 331 867 extent 1 80 absolute 337 827 extent 1 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3fQJrc+f9Pmov/5sO1Nf7va2WYaSKmzelNGYIsXAIy1OKXKAF+pBepuygbp2Z8DubjEz4iXUPNl1 c5MWz4MGSjwqzkKbtaNiCZfMJm39WWnPclHcklDTNaRazgfqeOrctMOH5XaqwikFW8G7/72Bgr8i MFThlIINodDKGwZyynsoM8MKNoc/QC9BG7ciZzgAAAAASUVORK5CYIJbjo6GAkwAAA== absolute 3 336 extent 195 42 0 Field EF2 wordwrap fixed Arial 9 plain EF10 FIELD5 absolute 200 336 extent 118 42 0 Field EF3 wordwrap fixed Arial 9 plain FIELD4 FIELD6 absolute 321 336 extent 45 42 0 Field EF4 wordwrap fixed Arial 9 plain FIELD5 FIELD7 absolute 366 336 extent 39 42 0 Field EF5 wordwrap fixed Arial 9 plain FIELD6 FIELD8 absolute 406 336 extent 97 42 0 Field EF6 wordwrap fixed Arial 9 plain FIELD7 FIELD20 absolute 503 336 extent 58 42 0 Field EF7 wordwrap fixed Arial 9 plain FIELD21 FIELD8 absolute 560 336 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain FIELD20 FIELD27 absolute 560 357 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain FIELD28 FIELD27 absolute 742 336 extent 217 42 0 Field EF10 wordwrap fixed Arial 9 plain FIELD54 FIELD31 absolute 3 378 extent 195 42 0 Field EF20 wordwrap fixed Arial 9 plain FIELD22 FIELD32 absolute 200 378 extent 118 42 0 Field EF21 wordwrap fixed Arial 9 plain FIELD31 FIELD33 absolute 321 378 extent 45 42 0 Field EF22 wordwrap fixed Arial 9 plain FIELD32 FIELD34 absolute 366 378 extent 39 42 0 Field EF23 wordwrap fixed Arial 9 plain FIELD33 FIELD35 absolute 406 378 extent 97 42 0 Field EF24 wordwrap fixed Arial 9 plain FIELD34 FIELD36 absolute 503 378 extent 58 42 0 Field EF25 wordwrap fixed Arial 9 plain FIELD37 FIELD35 absolute 560 378 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain FIELD36 FIELD29 absolute 560 399 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain FIELD30 FIELD29 absolute 742 378 extent 217 42 0 Field EF28 wordwrap fixed Arial 9 plain FIELD57 FIELD56 absolute 663 604 extent 21 21 Check box CB5 off Arial 18 plain HELP52 FIELD47 ACORD810 absolute 730 604 extent 21 21 Check box CB5 off Arial 18 plain HELP49 RENTALVALUE FIELD48 Check this box if ACORD 810, Business Income / Extra Expense / Rental Value, Supplement to Property Section is attached. Check the appropriate box for a Refrigeration Maintenance Agreement. Check this box if ACORD 811, Value Reporting Information is attached. Check the appropriate box for Spoilage Coverage. If "YES", complete adjacent fields. Check the appropriate box for a Refrigeration Maintenance Agreement. absolute 551 584 extent 1 42 absolute 94 1149 extent 626 61 0 Field EF47 wordwrap fixed Arial 10 plain HELP141 CHECK7 FIELD14 List the additional interests' name and address. absolute 383 1129 extent 178 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP142 FIELD50 CHECK7 Indicate the additional interest's reference number for this applicant such as the loan or mortgage number. absolute 40 1129 extent 51 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP140 CB23 CB24 If there is more than one additional interest, indicate who is first mortgagee, second mortgagee, etc. absolute 199 1209 extent 760 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP149 EF47 FIELD15 If needed, further clarify the item of interest in this field. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. absolute 784 1149 extent 57 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP145 FIELD14 FIELD16 For each building, enter the location number as shown on the application or change request that was used when the building was first insured. absolute 901 1149 extent 58 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP146 FIELD15 FIELD17 For each building, enter the building number as shown on the application or change request that was used when the building was first insured. Provide a description of the property where necessary. Use more than one line if additional space is required. absolute 869 1169 extent 90 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP147 FIELD16 FIELD18 Enter the scheduled item number as shown on the application or change request that was used when the scheduled item was first insured. absolute 766 1189 extent 193 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP148 FIELD17 next_button Use this space to specify "other". This section should be used to collect information on any additional interest. List the item number corresponding with the application for the item of interest for this additional insured. wordwrap absolute 30 1210 extent 60 21 0 CB25 REFERENCE Arial 8 plain HELP31 absolute 562 1129 extent 21 21 Check box CB23 off Arial 18 plain HELP143 REFERENCE EF47 Indicate if a Certificate of Property Insurance or an Evidence of Property Insurance is required. absolute 1 1170 extent 21 21 Check box CB24 off Arial 18 plain HELP137 FIELD19 LOSS_PAYEE Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee. absolute 1 1190 extent 21 21 Check box LOSS_PAYEE off Arial 18 plain HELP138 CB24 CB25 Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee. absolute 1 1210 extent 21 21 Check box CB25 off Arial 18 plain HELP3 FIELD50 LOSS_PAYEE absolute 0 1128 extent 962 2 absolute 960 1128 extent 2 103 absolute 0 1128 extent 2 103 absolute 0 1149 extent 91 1 absolute 301 1149 extent 661 1 absolute 721 1169 extent 241 1 absolute 721 1189 extent 241 1 absolute 91 1209 extent 871 1 absolute 91 1128 extent 1 103 absolute 301 1128 extent 1 21 absolute 721 1128 extent 1 81 absolute 841 1149 extent 1 20 absolute 1 625 extent 960 1 absolute 3 626 extent 956 181 0 Field EF111 wordwrap fixed Arial 10 plain FIELD48 FIELD66 Check the appropriate box for Business Income/Extra Expense coverage and attach ACORD 810 supplement; or if Value Reporting Information is to be reported, also attach ACORD 811 supplement. Describe the property to be covered for spoilage. Limit applicable for this coverage. Enter the applicable deductible for this coverage. Enter any applicable optional coverages. absolute 3 420 extent 195 42 0 Field EF2 wordwrap fixed Arial 9 plain FIELD38 FIELD58 absolute 200 420 extent 118 42 0 Field EF3 wordwrap fixed Arial 9 plain FIELD57 absolute 321 420 extent 45 42 0 Field EF4 wordwrap fixed Arial 9 plain FIELD60 absolute 366 420 extent 39 42 0 Field EF5 wordwrap fixed Arial 9 plain FIELD59 FIELD61 absolute 406 420 extent 97 42 0 Field EF6 wordwrap fixed Arial 9 plain FIELD62 FIELD60 absolute 503 420 extent 58 42 0 Field EF7 wordwrap fixed Arial 9 plain FIELD61 FIELD63 absolute 560 420 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain FIELD62 FIELD40 absolute 560 441 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain FIELD40 FIELD41 wordwrap absolute 708 420 extent 33 42 0 Arial 9 plain center FIELD71 FIELD41 fixed wordwrap absolute 708 463 extent 33 42 0 Arial 9 plain center FIELD52 FIELD89 fixed wordwrap absolute 708 504 extent 33 42 0 Arial 9 plain center FIELD55 FIELD107 fixed absolute 742 420 extent 217 42 0 Field EF10 wordwrap fixed Arial 9 plain FIELD65 FIELD81 absolute 3 462 extent 195 42 0 Field EF20 wordwrap fixed Arial 9 plain FIELD71 FIELD82 absolute 200 462 extent 118 42 0 Field EF21 wordwrap fixed Arial 9 plain FIELD81 FIELD83 absolute 321 462 extent 45 42 0 Field EF22 wordwrap fixed Arial 9 plain FIELD82 FIELD84 absolute 366 462 extent 39 42 0 Field EF23 wordwrap fixed Arial 9 plain FIELD83 FIELD85 absolute 406 462 extent 97 42 0 Field EF24 wordwrap fixed Arial 9 plain FIELD84 FIELD86 absolute 503 462 extent 58 42 0 Field EF25 wordwrap fixed Arial 9 plain FIELD87 FIELD85 absolute 560 462 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain FIELD86 FIELD43 absolute 742 462 extent 217 42 0 Field EF28 wordwrap fixed Arial 9 plain FIELD67 FIELD99 absolute 3 504 extent 195 42 0 Field EF11 wordwrap fixed Arial 9 plain FIELD89 FIELD100 absolute 200 504 extent 118 42 0 Field EF12 wordwrap fixed Arial 9 plain FIELD99 FIELD101 absolute 321 504 extent 45 42 0 Field EF13 wordwrap fixed Arial 9 plain FIELD100 FIELD102 absolute 366 504 extent 39 42 0 Field EF14 wordwrap fixed Arial 9 plain FIELD101 FIELD103 absolute 406 504 extent 97 42 0 Field EF15 wordwrap fixed Arial 9 plain FIELD104 FIELD102 absolute 503 504 extent 58 42 0 Field EF16 wordwrap fixed Arial 9 plain FIELD103 FIELD105 absolute 560 504 extent 74 21 0 Field EF17 wordwrap fixed Arial 8 plain FIELD104 FIELD53 absolute 560 523 extent 74 21 0 Field EF17 wordwrap fixed Arial 8 plain FIELD53 FIELD55 absolute 742 504 extent 217 42 0 Field EF19 wordwrap fixed Arial 9 plain FIELD69 CHECK1 absolute 0 274 extent 2 834 absolute 199 234 extent 1 310 absolute 319 234 extent 1 310 absolute 503 274 extent 1 270 absolute 708 275 extent 1 270 absolute 740 275 extent 1 269 Enter all units at risk/coverages that are to be insured at this particular location number/building number combination. Examples: * Building * Personal Property * Extra Expense * Business Income Enter the amount of insurance required for the corresponding subject of insurance. The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured. If the amount of insurance falls below this percentage, the insured must share in the amount of the loss. This field should be completed even when writing agreed amount coverage. Indicate the method which will be used to determine the amount paid on a claim. Valuation methods are: ACV . . . . . . . . . . . . . . . . . . . . . . . . . Actual Cash Value RC. . . . . . . . . . . . . . . . . . . . . . . . . . .Replacement Cost AA . . . . . . . . . . . . . . . . . . . . . . . . . . Agreed Amount MV . . . . . . . . . . . . . . . . . . . . . . . . . . Market Value Enter the causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Special excluding theft * Earthquake The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage over time. List both the percentage amount and the period of time during which it applies (e.g., 4% per year). Enter the deductible amounts that are to apply to this subject of insurance. Enter the deductible amounts that are to apply to this subject of insurance. The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the subject of insurance is not included under a blanket. Enter all form numbers and special conditions that apply to this subject of insurance. Also indicate here if coverage is blanket or average rated. absolute 1 1231 extent 960 2 Enter the additional interest. absolute 263 927 extent 50 21 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed left HELP93 FIELD13 PLUMBING_YR absolute 0 947 extent 962 1 Describe the improvement and list the year the improvement was made. absolute 559 316 extent 150 1 absolute 559 274 extent 1 270 absolute 0 544 extent 962 1 absolute 0 294 extent 962 1 absolute 708 274 extent 1 270 absolute 634 275 extent 1 270 absolute 559 357 extent 150 1 absolute 559 399 extent 150 1 absolute 559 441 extent 150 1 absolute 559 482 extent 150 1 absolute 559 523 extent 150 1 absolute -1 462 extent 962 1 absolute -1 504 extent 962 1 absolute 0 337 extent 962 1 absolute 0 378 extent 962 1 absolute -1 419 extent 962 1 absolute 404 274 extent 1 270 absolute 366 274 extent 1 270 Indicate to what this deductible applies. Indicate the number of open sides on the structure, if any. absolute 0 827 extent 962 1 absolute 185 822 extent 37 1 text/html 140.htm FIG H4sIAAAAAAAAC+1de3PbOJL/+1KV74Dx1m6SK1uynec48VQptjzRrh37LGeyj9vagkhIwpoiNARl W3N13+U+6nU3ABKSFUfRRPRDyO7YMkU2QPwaje5Go/tdPx8k7GqQpHpH7a6NsnRHR30x4HpjIKNM adXNNyI12FHdroyE/bX2+JF55GqOR8RVJBL3xO5aP8+HO/X65eVl7fJ5TWW9+tlp/bS5t4E9ebG5 9tPjR48fvesLHsOndwORc4aPbIhfR/Jid0+luUjzjbPxULDI/LG7lourvI7Pv2VRn2da5LuXMo3V pd7Y2n65vVZQSvlA7J5kqteKi6eb2L9auy9EPnnfzyIVGc9VVjZ05F6Q0VNsa4toJzI9Z5lIdg9k IjYOpc5ZPxPd3bWtF5v/6sI1XcefCXxRg2GgZ3Q+TgSTsblp6/nLzc1/tfGapq9/2NjIeScRjx/9 x/8MtNqIpR4mfCzijVhEcsCTDS2GnLq3s/bftbW3cOPkfXlfjTRP44kb19fe/u/jR7WrZPsFNYnk hzyOZdrbyNVwZ2t4hZTcpUz2+vn0xUR0i2vYpOylKhM79mu8GqkEWjMQIDZ4rQtjuKHlb2Jna7O2 OSyvXQpq5PXmZnkbjsMOUIX3xItIA99bwWtIlcI3qShu7vKBTMY7jUzyZJ3BG2t440x2XffoJssW O5vuajoadEQGX0Ib+Y6BumyLJ/BSO73y6oXIchnBqJtvOirP1QC/6KgsFtlO7eUwZ1olMmaTr41t dXh03svUCLFQowzmBB/lyn075HkuYBK5a5d9mYsNPeRRMQQWspd3DLIX3wMy1yUabBlt+Df4w7Rc 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HELP98 TOTAL_AREA EF41 absolute 1 759 extent 21 21 Check box ROOFING_YR off Arial 18 plain HELP99 EF41 FIELD11 absolute 94 739 extent 80 21 0 Field EF41 wordwrap fixed Arial 8 plain string optional 0 4 HELP95 WIRING_YR ROOFING_YR absolute 5 1111 extent 956 71 0 Field EF111 wordwrap fixed Arial 10 plain FIELD18 Save_BUTTON absolute 0 0 extent 960 1260 absolute 0 1086 extent 962 2 absolute 960 1108 extent 2 148 absolute 0 1254 extent 962 2 absolute 0 1108 extent 2 148 absolute 0 1184 extent 962 1 within TOOLBAR absolute 372 68 extent 606 30 0 255 255 255 within TOOLBAR absolute 778 23 extent 200 22 0 0 0 0 within TOOLBAR absolute 778 15 extent 200 10 0 0 34 92 within TOOLBAR absolute 778 8 extent 200 9 0 0 40 107 within TOOLBAR absolute 778 3 extent 200 6 0 0 46 123 within TOOLBAR absolute 372 3 extent 352 40 0 0 46 123 within TOOLBAR absolute 778 33 extent 200 22 0 0 0 0 within TOOLBAR absolute 372 41 extent 606 28 0 190 0 76 D:\projects\Accord\Images\Accord_Logo_Angle.png H4sIAAAAAAAACwG5AUb+iVBORw0KGgoAAAANSUhEUgAAAFcAAAAmCAYAAACxtgcIAAAALHRFWHRD cmVhdGlvbiBUaW1lAFRodSAxNiBPY3QgMjAwMyAxMToyNDoxNCAtMDgwMKR1p9QAAAAHdElNRQfT ChASGDtuZY18AAAACXBIWXMAAA7DAAAOwwHHb6hkAAAABGdBTUEAALGPC/xhBQAAARBJREFUeNrt 2z0KwkAQhuFRciubXMWL2XoNwYNY2VhYiSgSfz4LQTS6u9nNTCbf26QJZPIwxRLIpK7rhYjMhWWv Wu1n2jO4bao9gOeIWzDiFoy4Bau0B+ivm8jl8Lg0vT1xJJvbPywaAa4OLHKOqweLHOPqwiKnuPqw yCGuDVjkDNcOLBrGOfd2FTntRJqz9iRR2d/cgcIi27gDhkV2cQcOi2ziOoBF9nCdwCJbuI5gkR1c Z7Co7DkXUJulyHGr/Z4qldvckcOiMriEfZYfl7Cv8uIS9q18uIT9KA8uYb/WHZewrXXDJezP0nEJ +7c0XMIGFY9L2ODicAkbVTguYaMLwyVsUvjkiB9O1q13EDa5OwEHsMc7qOR9AAAAAElFTkSuQmCC xJuAHLkBAAA= absolute 94 1004 extent 626 61 0 Field EF47 wordwrap fixed Arial 8 plain HELP141 CHECK7 FIELD14 List the additional interests' name and address. absolute 383 984 extent 178 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP142 FIELD1 CHECK7 Indicate the additional interest's reference number for this applicant such as the loan or mortgage number. absolute 40 984 extent 51 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP140 CB23 CB24 If there is more than one additional interest, indicate who is first mortgagee, second mortgagee, etc. absolute 199 1064 extent 760 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP149 EF47 FIELD15 If needed, further clarify the item of interest in this field. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. absolute 784 1004 extent 57 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP145 FIELD14 FIELD16 For each building, enter the location number as shown on the application or change request that was used when the building was first insured. absolute 901 1004 extent 58 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP146 FIELD15 FIELD17 For each building, enter the building number as shown on the application or change request that was used when the building was first insured. Provide a description of the property where necessary. Use more than one line if additional space is required. absolute 869 1024 extent 90 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP147 FIELD16 FIELD18 Enter the scheduled item number as shown on the application or change request that was used when the scheduled item was first insured. absolute 766 1044 extent 193 21 0 Field REFERENCE Arial 8 plain wordwrap fixed HELP148 EF111 FIELD17 Use this space to specify "other". This section should be used to collect information on any additional interest. List the item number corresponding with the application for the item of interest for this additional insured. wordwrap absolute 30 1065 extent 60 21 0 HELP2 CB25 REFERENCE Arial 8 plain absolute 562 984 extent 21 21 Check box CB23 off Arial 18 plain HELP143 REFERENCE EF47 Indicate if a Certificate of Property Insurance or an Evidence of Property Insurance is required. absolute 1 1025 extent 21 21 Check box CB24 off Arial 18 plain HELP137 FIELD19 LOSS_PAYEE Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee. absolute 1 1045 extent 21 21 Check box LOSS_PAYEE off Arial 18 plain HELP138 CB24 CB25 Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee. absolute 1 1065 extent 21 21 Check box CB25 off Arial 18 plain LOSS_PAYEE FIELD1 HELP3 Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee. absolute 0 983 extent 962 2 absolute 960 983 extent 2 103 absolute 0 1107 extent 962 2 absolute 0 983 extent 2 103 absolute 0 1004 extent 91 1 absolute 301 1004 extent 661 1 absolute 721 1024 extent 241 1 absolute 721 1044 extent 241 1 absolute 91 1064 extent 871 1 absolute 91 983 extent 1 103 absolute 301 983 extent 1 21 absolute 721 983 extent 1 81 absolute 841 1004 extent 1 20 Check this box if ACORD 811, VALUE REPORTING, Supplement to Property Section is attached. Enter the street address as shown on ACORD 125. Enter the premises location number as it appears on the ACORD 125 Premises Information Section. Enter the building number(s) associated with this location. Provide a description of the building at this location. Distance (in ft.) from the nearest hydrant that supports the protection class used. Distance in miles from the nearest fire station that supports the protection class used. Use this space to enter information on any endorsements or options not provided for above. Also provide rating information required for these options, or by individual company programs. Provide any other coverage information that pertains to this location such as: * Class Rate * Rate Reference * Sales * Earnings Enter the construction of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive The property's fire district name and corresponding code number which can be found in the individual states manual pages. Enter the fire rating protection class for this location. Not including any basement, enter the number of stories for this building. Enter the number of basements. Enter the year in which the building was first constructed. The number of square feet of the building or area occupied at this location for which insurance is being requested. Enter the city, county or state tax code, if required. Enter the material used to construct the roof. Examples: * Composition (fiberglass, asphalt, etc.) * Metal * Poured * Slate * Tile * Wood Shake/Shingle List any other occupancies located in the building not operated by the insured and not listed in the Description of Operations section on the ACORD 125. If no other occupancy, enter None. List the year the improvement was made. List the year the improvement was made. Enter the ISO Building Code Grade, if applicable. Describe the improvement and list the year the improvement was made. List the year the improvement was made. List the year the improvement was made. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises. Describe any burglar alarm protecting the building or contents. Descriptive terms such as safe, premises, perimeter, or ultrasonic may be suitable. Enter the Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application. Enter the expiration date of the Certificate. Specify the designated extent of protection as described in the ISO crime rating manual. Enter the alarm grade as described in the ISO crime rating manual (e.g., AA, A, B, C). Enter the name of the alarm company. Enter the number of guards and or watchmen employed or contracted for by the insured. Indicate the time interval. If the premises is sprinklered, provide a description, whether wet/dry system, if valve monitors are included and if connected to central station. Cooking facilities, or other special hazards, are often protected by automatic carbon dioxide or chemical systems or other similar devices. Provide a description. Indicate if the risk qualifies as a HPR (Highly Protected Risk). Other devices would include smoke detectors. If the premises is sprinklered, indicate the percentage of the area covered by the system. Enter the name of the firm, and if it is UL listed. Complete page 1 of this form for a single building on a premises, and page 2 of this form for a second building or a second premises. Use additional forms for additional buildings or premises. If there is a heating boiler on the premises, indicate if insurance is placed elsewhere. If there is a heating boiler on the premises, indicate if insurance is placed elsewhere. The fire alarm rings at an alarm company, police department or fire department. The alarm company, located off the insured's premises, has keys to the applicant's property. Place an "X" in the box to indicate whether the guard/watchman is required to make hourly rounds using a special time recording device or in connection with the central station service. If other than hourly, indicate the time interval in the Other box. The fire alarm rings at an alarm company, police department or fire department. The fire alarm rings on an audible gong located outside of the building. Check this box if ACORD 810, BUSINESS INCOME / EXTRA EXPENSE / RENTAL VALUE, Supplement to Property Section is attached. Check the appropriate box for Spoilage Coverage. If "YES", complete adjacent fields. Check the appropriate box for Spoilage Coverage. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. Check the applicable box. Check the applicable box. Check the applicable box. Indicate if any building improvements have been made since the original construction. Check all applicable improvements, and list the year the improvement was made after the improvement name. The fire alarm rings at an alarm company, police department or fire department. The alarm company, located off the insured's premises, has keys to the applicant's property. Place an "X" in the box to indicate whether the guard/watchman is required to make hourly rounds using a special time recording device or in connection with the central station service. If other than hourly, indicate the time interval in the Other box. Place an "X" in the box to indicate whether the guard/watchman is required to make hourly rounds using a special time recording device or in connection with the central station service. If other than hourly, indicate the time interval in the Other box. The fire alarm rings at an alarm company, police department or fire department. The fire alarm rings on an audible gong located outside of the building. Check the appropriate box for a Refrigeration Maintenance Agreement. Check the appropriate box for a Refrigeration Maintenance Agreement. Check the appropriate box to indicate the additional interest in the property. Enter the additional interest. Check the appropriate box to indicate the additional interest in the property. Enter the additional interest. absolute 527 378 extent 21 21 VALUEREP off Arial 18 plain HELP166 CHECK1 CHECK2 absolute 422 67 extent 537 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed HELP18 FIELD2 FIELD3 absolute 276 67 extent 43 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed string optional HELP17 STREET_ADDRESS global absolute 268 87 extent 51 21 0 Field STREET_ADDRESS Arial 8 plain wordwrap fixed string optional HELP19 STREET_ADDRESS BLDG_DESCRIPTION absolute 431 87 extent 528 21 0 Field BLDG_DESCRIPTION Arial 8 plain wordwrap fixed HELP20 FIELD3 EF2 absolute 3 127 extent 195 42 0 Field EF2 wordwrap fixed Arial 9 plain HELP8 BLDG_DESCRIPTION EF3 absolute 200 127 extent 118 42 0 Field EF3 wordwrap fixed Arial 9 plain HELP9 EF2 EF4 absolute 321 127 extent 45 42 0 Field EF4 wordwrap fixed Arial 9 plain HELP10 EF3 EF5 absolute 366 127 extent 39 42 0 Field EF5 wordwrap fixed Arial 9 plain HELP11 EF4 EF6 absolute 406 127 extent 97 42 0 Field EF6 wordwrap fixed Arial 9 plain HELP12 EF5 EF7 absolute 503 127 extent 58 42 0 Field EF7 wordwrap fixed Arial 9 plain HELP13 EF6 EF8 absolute 560 127 extent 74 22 0 Field EF8 wordwrap fixed Arial 8 plain HELP14 EF7 FIELD5 absolute 560 148 extent 74 21 0 Field EF8 wordwrap fixed Arial 8 plain HELP15 FIELD5 FIELD6 absolute 745 127 extent 217 42 0 Field EF10 wordwrap fixed Arial 9 plain HELP21 FIELD51 absolute 3 169 extent 195 42 0 Field EF20 wordwrap fixed Arial 9 plain EF19 EF21 absolute 200 169 extent 118 42 0 Field EF21 wordwrap fixed Arial 9 plain EF20 EF22 absolute 320 169 extent 45 42 0 Field EF22 wordwrap fixed Arial 9 plain EF21 EF23 absolute 366 169 extent 39 42 0 Field EF23 wordwrap fixed Arial 9 plain EF22 EF24 absolute 406 169 extent 97 42 0 Field EF24 wordwrap fixed Arial 9 plain EF23 EF25 absolute 503 169 extent 58 42 0 Field EF25 wordwrap fixed Arial 9 plain EF24 EF26 absolute 560 169 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain EF25 FIELD7 absolute 560 190 extent 74 21 0 Field EF26 wordwrap fixed Arial 8 plain FIELD7 FIELD8 absolute 745 169 extent 214 42 0 Field EF28 wordwrap fixed Arial 9 plain FIELD53 FIELD23 absolute 212 699 extent 55 21 0 Field COINS Arial 8 plain wordwrap fixed right string optional HELP85 CONSTRUCTION_TYPE FIELD10 absolute 284 699 extent 37 21 0 Field COINS Arial 8 plain wordwrap fixed right string optional HELP86 FIELD9 FIRE_DISTRICT_CODE_NUMBER absolute 3 695 extent 207 25 0 Field CONSTRUCTION_TYPE Arial 10 plain wordwrap fixed HELP84 FIELD66 FIELD9 absolute 338 695 extent 262 25 0 Field FIRE_DISTRICT_CODE_NUMBER Arial 10 plain wordwrap fixed center HELP87 FIELD10 PROT_CL absolute 602 695 extent 58 25 0 Field PROT_CL Arial 10 plain wordwrap fixed center HELP88 FIRE_DISTRICT_CODE_NUMBER STORIES absolute 662 695 extent 58 25 0 Field STORIES Arial 10 plain wordwrap fixed center string optional HELP89 PROT_CL BASMTS absolute 722 695 extent 58 25 0 Field BASMTS Arial 10 plain wordwrap fixed center string optional HELP90 STORIES YR_BUILT absolute 782 695 extent 63 25 0 Field YR_BUILT Arial 10 plain wordwrap fixed center string optional 0 4 HELP91 BASMTS TOTAL_AREA absolute 848 695 extent 111 25 0 Field TOTAL_AREA Arial 10 plain wordwrap fixed HELP92 YR_BUILT WIRING_YR absolute 404 735 extent 70 25 0 Field TAX_CODE Arial 10 plain wordwrap fixed center HELP104 BLDG_CODE_GRADE ROOF_TYPE absolute 476 735 extent 124 25 0 Field ROOF_TYPE Arial 10 plain wordwrap fixed HELP105 TAX_CODE CHECK4 absolute 602 735 extent 357 25 0 Field OTHER_OCCUPANCIES Arial 10 plain wordwrap fixed HELP106 CHECK6 CB13 absolute 104 759 extent 70 21 0 Field EF41 wordwrap fixed Arial 8 plain string optional 0 4 HELP94 ROOFING_YR CB15 absolute 332 739 extent 70 21 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed center HELP103 EF42 TAX_CODE absolute 263 779 extent 50 21 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed left PLUMBING_YR FIELD4 HELP24 absolute 74 778 extent 166 22 0 Field BLDG_CODE_GRADE Arial 8 plain wordwrap fixed left HELP93 CB15 FIELD13 absolute 273 759 extent 58 21 0 Field EF42 wordwrap fixed Arial 8 plain string optional 0 4 HELP97 HEATING_YR BLDG_CODE_GRADE absolute 281 739 extent 50 21 0 Field EF42 wordwrap fixed Arial 8 plain string optional 0 4 HELP96 PLUMBING_YR HEATING_YR absolute 4 812 extent 235 25 0 Field RIGHT_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP112 CB17 LEFT_EXPOSURE_DISTANCE absolute 243 812 extent 235 25 0 Field LEFT_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP113 RIGHT_EXPOSURE_DISTANCE FIELD49 absolute 722 812 extent 237 25 0 Field REAR_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP114 FIELD49 BURGLAR_ALARM_TYPE absolute 483 812 extent 235 25 0 Field REAR_EXPOSURE_DISTANCE Arial 10 plain wordwrap fixed HELP114 LEFT_EXPOSURE_DISTANCE REAR_EXPOSURE_DISTANCE wordwrap absolute 133 433 extent 294 25 0 Arial 10 plain HELP4 CHECK3 FIELD46 wordwrap absolute 444 433 extent 107 25 0 Arial 10 plain FIELD47 HELP5 FIELD45 wordwrap absolute 569 433 extent 80 25 0 Arial 10 plain FIELD46 RENTALVALUE HELP6 wordwrap absolute 814 433 extent 144 25 0 Arial 10 plain ACORD810 FIELD50 HELP7 absolute 173 378 extent 21 21 Check box CB5 off Arial 18 plain HELP165 FIELD101 VALUEREP absolute 7 437 extent 21 21 Check box CB5 off Arial 18 plain HELP51 VALUEREP CHECK3 absolute 75 437 extent 21 21 Check box CB5 off Arial 18 plain HELP167 CHECK2 FIELD45 absolute 175 739 extent 21 21 Check box PLUMBING_YR off Arial 18 plain HELP101 FIELD13 FIELD12 absolute 175 759 extent 21 21 Check box HEATING_YR off Arial 18 plain HELP102 FIELD12 EF42 absolute 840 759 extent 21 21 Check box CB13 off Arial 18 plain OTHER_OCCUPANCIES CB14 absolute 331 779 extent 21 21 Check box CB13 off Arial 18 plain HELP107 ROOF_TYPE CHECK5 absolute 428 779 extent 21 21 Check box CB13 off Arial 18 plain HELP108 CHECK4