ACORD 140 (2014/12), Property Section (Attach to ACORD 125) Completed Form Examples and Samples
View detailed examples and samples of the ACORD 140 (2014/12) Property Section form. See how to correctly fill out this crucial attachment to the ACORD 125, including building details, coverage limits, and additional interests for commercial property insurance.
ACORD 140 Example: Property Insurance for a Restaurant
How this form was filled:
This is an example of a completed ACORD 140 Property Section for a restaurant named 'Oak Barrel Bistro, Inc.'. It details coverage for one location, including the building, business personal property, and business income. It also specifies protective safeguards like sprinklers and alarms, and lists a mortgagee as an additional interest.
Information used to fill out the document:
- Agency: Reliable Insurance Partners
- Applicant: Oak Barrel Bistro, Inc.
- Mailing Address: P.O. Box 500, Culinary Springs, CA 90210
- Proposed Policy Effective Date: 06/01/2026
- Location Address: 123 Artisan Way, Culinary Springs, CA 90210
- Building Construction Type: Masonry Non-Combustible
- Year Built: 2015
- Number of Stories: 1
- Total Area: 4,500 Sq. Ft.
- Building Coverage Limit: $1,500,000
- Business Personal Property Limit: $400,000
- Business Income w/ Extra Expense Limit: $500,000
- Valuation Method: Replacement Cost
- Causes of Loss: Special
- Deductible Amount: $2,500
- Sprinkler System: Yes - 100% Wet System
- Alarm System: Central Station - Fire & Burglary
- Additional Interest (Mortgagee): First National Bank
- Mortgagee Address: 789 Finance Blvd, Capital City, CA 90211
What this filled form sample shows:
- Complete Location and Building Information for a single commercial property.
- Clear declaration of requested Coverage Limits for Building, Business Personal Property, and Business Income.
- Proper indication of Protective Safeguards, which can influence premiums.
- Accurate listing of a Mortgagee as an Additional Interest, a common requirement for financed properties.
Form specifications and details:
| Form Name: | ACORD 140, Property Section |
| Form Edition: | 2014/12 |
| Attached To: | ACORD 125, Commercial Insurance Application |
| Use Case: | Single-location restaurant seeking commercial property insurance. |
Created: February 04, 2026 02:04 AM
