ACORD 140 (2014/12), Property Section (Attach to ACORD 125) Instructions

Enter a clear, concise description of the additional coverage(s), option(s), restriction(s), or endorsement(s) being applied to the policy for this location (include any limits, special conditions, or relevant details).

Check this box when Business Income / Extra Expense coverage applies for the premises and an ACORD 810 form is attached to provide the required additional information.

Check this box when an ACORD 45 form is attached to provide additional names for the Additional Interest section.

Check this box when the additional interest is a loss payee who should be paid in the event of a covered loss.

Check this box when the additional interest is a mortgagee (lender) to be named for loss payment or notice purposes.

Check this box when the additional interest is a type not listed (provide the specific interest type and details in the Name/Address or Evidence fields).

Enter the full name of the mortgagee (the lending institution or party holding the mortgage) to be listed as the first additional interest. Fill only if 'OTHER (specify)' is 'Yes'.

Enter the location number or code that identifies the physical location for this additional interest.

Enter the building number or identifier associated with the specified location.

Enter the class or classification code that categorizes the item being reported (e.g., property class).

Enter the item number or identifier for this specific additional interest within the location or building.

Provide a short descriptive summary of the item (type, make/model, serial number or other identifying details).

Enter the priority rank or position number assigned to this additional interest (for example '1' for primary).

Check this box when you are attaching or requesting an evidence of insurance (ACORD evidence) for the additional interest named in this section.

Enter the full name and mailing address (street, city, state, ZIP) of the first additional interest (e.g., loss payee or mortgagee).

Enter the full name and mailing address (street, city, state, ZIP) of the second additional interest (e.g., loss payee or mortgagee).

Enter the full name and mailing address (street, city, state, ZIP) of the third additional interest (e.g., loss payee or mortgagee).

Enter the full name and mailing address (street, city, state, ZIP) of the fourth additional interest (e.g., loss payee or mortgagee).

Enter the type or identifier of evidence provided for the first named additional interest (for example 'certificate', 'endorsement', or 'none').

Enter the certificate number or code associated with the certificate of insurance for the first named additional interest, if applicable.

Enter the lender's or lienholder's reference or loan number related to the first named additional interest, if available.

Enter the reference or loan account number associated with this additional interest (any letters or digits as shown on the loan or reference documentation).

Check this box when ACORD 45 is attached to provide additional named additional interests (i.e., additional names are supplied on ACORD 45).

Enter the type of additional interest being listed (for example, LOSS PAYEE, MORTGAGEE or other relationship).

Enter the ranking or priority number for this additional interest (e.g., 1 for first mortgage).

Check this box when a certificate of insurance should be issued/provided as the evidence of insurance for the listed additional interest.

Enter the first line of the name and mailing address for the additional interest (recipient name or entity).

Enter the second line of the name and mailing address (street address or PO Box) for the additional interest.

Enter the third line of the name and mailing address (city, state, ZIP or additional address details) for the additional interest.

Enter the fourth line of the name and mailing address (any remaining address or contact details) for the additional interest.

Enter the type of evidence provided for this additional interest (for example, binder, endorsement or policy evidence).

Enter the reference code or identifier for the evidence that supports this additional interest.

Enter the certificate number associated with this additional interest, if a certificate of insurance is issued.

Enter the lender reference or loan number associated with this additional interest, if applicable.

Enter the location identifier or number on the policy where this additional interest applies.

Enter the building number on the policy or schedule that corresponds to this additional interest.

Enter the item class or category code that describes the type of property related to this additional interest.

Enter the specific item number within the class or schedule to which this additional interest applies.

Provide a short description of the item, property or interest covered by this additional interest entry.

Check this box when the premises should have Business Income and Extra Expense coverage and ACORD 810 (Business Income form) will be attached.

Check this box when the premises requires value reporting information for Business Income/Extra Expense and you will attach ACORD 811.

Enter the agency customer identifier assigned to this client by the agency or insurer (use the exact alphanumeric ID as shown in agency records).

Enter the blanket number identifier for the first (left) blanket summary row as shown on the policy.

Enter the monetary amount associated with the first (left) blanket summary row.

Enter the coverage type or brief description for the first (left) blanket summary row.

Enter the identifier or number assigned to this blanket item for the second row (e.g., a short code or numeric ID).

Enter the monetary limit or amount for this blanket item on the second row (the coverage amount for this entry).

Enter the type or category of coverage for this blanket item on the second row (for example, Building, Contents, or Business Income).

Enter the blanket (BLKT) number that identifies this first-row blanket item.

Enter the monetary amount associated with this first-row blanket item.

Enter the coverage type or descriptive label for this first-row blanket item.

Enter the identifier or number assigned to this blanket item in the second (right) row.

Enter the total monetary amount associated with this blanket item in the second (right) row.

Provide the coverage type or brief descriptor for this blanket item in the second (right) row.

Check this box when you want to apply the breakdown or contamination option for the listed additional coverage. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Check this box when you want to apply coverage for loss or interruption caused by a power outage. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Check this box when you want the selling price option to apply (use when coverage should be based on selling price). Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Check this box only if the fourth option applies; the form does not show a label for this item, so confirm its meaning with your agent or insurer before selecting. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the short option code or label indicating the selected option related to breakdown or contamination (for example a single letter or short word that identifies the chosen option). Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the primary construction type or material of the building (e.g., masonry, wood frame, steel).

Enter the distance from the building to the nearest fire hydrant in feet.

Enter the distance from the building to the nearest fire station in miles.

Enter the fire district name or designation that provides protection to the property.

Enter the applicable building or code classification number assigned to the property, if any.

Enter the fire protection class (ISO/municipal protection classification) for the property.

Enter the total number of above-grade stories in the building.

Enter the number of basement levels the building has (enter 0 if none).

Enter the year the building was originally constructed.

Enter the building's total floor area in square feet.

Enter the building code grade designation for this structure, typically a short numeric or alphanumeric code used to indicate the building's construction quality or code compliance.

Enter the tax code or classification number assigned to this building for rating or tax purposes as a short code value.

Enter the roof type code or brief description identifying the roof construction/material (typically a short code or one-word descriptor).

Check this box if the building's wind/construction classification for this location is 'Resistive'.

Check this box if the building's wind/construction classification for this location is 'Semi-Resistive'.

Check this box to indicate the roof type / construction classification shown in the Roof Type column for this building entry.

Enter the wind class or wind resistance rating for the building, using the short code or rating used by the insurer or jurisdiction.

Enter the building's primary construction type or classification (for example: Frame, Masonry, Steel, etc.).

Enter the distance from the premises to the nearest fire hydrant in feet.

Enter the distance from the premises to the nearest fire station in miles.

Enter the fire district or department name or number that serves the property.

Enter the applicable building or municipal code number assigned to this property.

Enter the property's fire protection class or ISO protection rating.

Enter the total number of above-grade stories in the building.

Enter the number of basement levels in the building (enter 0 if none).

Enter the year the building was constructed.

Enter the building's total floor area.

Check this box when the building's wiring is a reported improvement and enter the year of installation in the adjacent 'YR' field.

Enter the year the building's wiring was installed or last upgraded.

Check this box when the building's roofing is a reported improvement and enter the year of installation in the adjacent 'YR' field.

Enter the year the roof was installed or last replaced.

Check this box when the building's plumbing is a reported improvement and enter the year of installation in the adjacent 'YR' field.

Enter the year the building's plumbing was installed or last updated.

Check this box when the building's heating system is a reported improvement and enter the year of installation in the adjacent 'YR' field.

Enter the year the heating system was installed or last updated.

Check this box for any other building improvement not listed above and enter the type and year of installation in the adjacent 'YR' field.

Provide a brief description of any other building improvement not listed (for example: sprinkler system, elevator, insulation).

Enter the year the other improvement (described in the adjacent field) was installed or last updated.

Check this box if the building has wiring improvements and you will enter the year the wiring was installed or last updated in the adjacent 'YR' field.

Year the building's electrical wiring was installed or last replaced.

Check this box if the building has roofing improvements and you will enter the year the roof was installed or last updated in the adjacent 'YR' field.

Year the roof was installed or last replaced.

Check this box if the building has plumbing improvements and you will enter the year the plumbing was installed or last updated in the adjacent 'YR' field.

Year the building's plumbing system was installed or last replaced.

Check this box if the building has heating improvements and you will enter the year the heating system was installed or last updated in the adjacent 'YR' field.

Year the primary heating system was installed or last replaced.

Check this box if there is another building improvement (not listed above) and you will enter the type and year it was installed or last updated in the adjacent 'OTHER / YR' field.

Describe any other building improvement or system not listed above (e.g., windows, HVAC, insulation).

Year the other improvement (specified in the description field) was installed or last replaced.

Enter the building code grade or classification that applies to this premises as shown on local building or policy records (e.g., structural grade or code rating).

Enter the property's local tax code or assessment code used by the taxing authority for this building.

Enter a short description or code identifying the roof type or construction (for example: composition, metal, flat, pitched, etc.).

Enter the type or classification of the burglar alarm system installed at the premises (e.g., local, central station, monitored) as a short text label.

Enter the certificate or permit number issued for the burglar alarm system as it appears on the alarm certificate (may be alphanumeric).

Enter the expiration date of the burglar alarm certificate showing when the current certification or monitoring agreement ends.

Check this box if the burglar alarm is monitored by a remote central station.

Check this box if keys to the premises are provided to (or held by) the alarm monitoring service or central station.

Check this box if the burglar alarm is an on‑site/local gong (audible at the property) rather than remotely monitored.

Provide the name of the company or entity that installed and currently services the burglar alarm system at this premises.

Describe the extent or scope of the alarm coverage or service provided (for example: full, perimeter, local, central station, partial, etc.).

Enter the grade or classification assigned to the burglar alarm system (such as a letter or numeric grade used by the monitoring/inspection service).

Enter the number of guards or watchmen assigned to protect or monitor the premises.

Check this box when the premises employs one guard or watchman (i.e., use this box to indicate coverage or conditions that apply to a single guard/watchman).

Check this box when the premises employs two guards or watchmen (i.e., use this box to indicate coverage or conditions that apply to two guards/watchmen).

Enter the hourly charge for clock/hourly monitoring or guard services.

Enter the type or classification of the burglar alarm system (e.g., local bell, central station, silent, monitored) installed at the premises.

Enter the alarm system's certificate or permit number as issued by the monitoring company or local authority.

Enter the expiration date of the alarm system's certificate or permit.

Check this box if the burglar alarm is monitored by a remote central station that notifies authorities or a monitoring service.

Check this box if the alarm system installation or monitoring arrangement includes provision of keys (e.g., to grant access for responders or service personnel).

Check this box if the burglar alarm provides a local audible gong or bell on the premises (unmonitored local alarm).

Enter the exposure classification or brief description of the adjacent property or condition located on the right side of the building.

Enter the distance from the building to the nearest adjacent property or structure on the right side.

Enter the exposure classification or brief description of the adjacent property or condition located on the left side of the building.

Enter the distance from the building to the nearest adjacent property or structure on the left side.

Enter the exposure classification or brief description of the adjacent property or condition located on the front side of the building.

Enter the distance from the building to the nearest adjacent property or structure on the front side.

Enter the exposure classification or brief description of the adjacent property or condition located on the rear side of the building.

Enter the distance from the building to the nearest adjacent property or structure on the rear side.

Enter a short description of the front exposure for the building (for example: Open, Partial, Adjoining, or a brief note about the exposure type).

Enter the distance from the front of the building to the nearest exposure or object in feet.

Check this box when the property's heating source includes a woodburning stove or a fireplace insert.

Enter the date when the woodburning stove or fireplace insert was installed in MM/DD/YYYY format.

Enter the name of the manufacturer of the woodburning stove or fireplace insert as shown on the unit or its documentation.

Check this box if the property's heating source includes a woodburning stove or a fireplace insert.

Enter the date the woodburning stove or fireplace insert was installed at the property.

Enter the manufacturer or brand name of the woodburning stove or fireplace insert installed at the property.

Check this box if the subject property has been officially designated as a historical landmark.

Enter the number of sides of the structure that are open (for example 0, 1, 2), as a whole number.

Check this box if the described property has an official historical landmark designation (i.e., it is formally recognized as a historical landmark by an authorized body).

Enter the property’s landmark designation information (for example: official landmark name, date of designation, issuing authority/agency and any reference or designation number).

Enter a brief description of the exposure on the left side of the premises (for example: Building, Open Space, Alley, Parking, Wooded Area, or the adjacent occupancy).

Enter the distance from the subject building to the left-side exposure as a numeric value (e.g., feet or miles as appropriate).

Check this box when the insured elects to accept/opt in to mine subsidence coverage for the property (required/available in IL, IN, KY and WV).

Check this box when the insured elects to reject/decline mine subsidence coverage for the property (for use when coverage is declined in IL, IN, KY and WV).

Enter the dollar limit of mine subsidence coverage for this policy (numeric amount in dollars).

Check this box when the insured elects to purchase/accept mine subsidence coverage for the described premises.

Check this box when the insured declines or rejects mine subsidence coverage for the described premises.

Enter the dollar limit amount to be provided for Mine Subsidence Coverage for this location. Fill only if 'Mine Subsidence Coverage - Accept Coverage' is 'Yes'.

Enter the numeric count of sides of the building that are open to the exterior (e.g., 0, 1, 2, 3, 4).

Enter the short identifier or code number for the first other occupancy associated with the property (e.g., '1' or other occupancy index).

Enter the description of any additional occupancy at the premises (type/use of the space such as retail, storage, office, etc., and any brief identifying details if more than one).

Enter the agency's customer identifier assigned by the brokerage or agency.

Enter the date the form was completed.

Enter the full name of the insurance agency or brokerage.

Enter the insurance policy number associated with this policy as shown on insurer documents.

Enter the effective date of the policy.

Enter the name of the insurance carrier providing coverage for this policy.

Enter the insurer's NAIC code assigned to the carrier.

Enter the full legal name or names of the insured parties covered by this policy.

Provide a brief description of the premises fire protection systems present (e.g., sprinklers, standpipes, CO2 or other chemical suppression systems) and any relevant notes about coverage or system type.

Enter the percentage of the building or premises that is protected by an automatic sprinkler system.

Enter the name of the manufacturer of the fire alarm system installed at the premises.

Check this box if the premises' fire alarm is monitored by and connected to a central station monitoring service.

Check this box if the premises' fire alarm notifies only on-site personnel via a local gong or similar local warning device.

Enter the type(s) of fire protection systems present on the premises (for example: Sprinklers, Standpipes, CO2, Chemical Systems), separated by commas if more than one.

Enter the percentage of the building that is protected by an automatic sprinkler system (provide a numeric value, e.g., 100 or 75.5).

Enter the name of the manufacturer or supplier of the fire alarm system installed at the premises.

Check this box if the premises' fire alarm system is monitored by a central station.

Check this box if the premises' fire alarm system uses a local gong (on-site audible only) rather than central station monitoring.

Enter the identifier or unit number assigned to this premises as shown on the policy or site records.

Enter the full street address of the premises, including house/building number, street name and apartment or suite designation if applicable.

Enter the specific building number within the property or complex (if applicable) used to identify this building.

Provide a brief description of the building (for example: number of stories, construction type or use such as '3-story masonry office' or 'single-story warehouse').

Enter a short description of the property or item at this premises that is being insured (for example: building, contents, equipment, inventory).

Enter the coverage amount or limit assigned to this subject of insurance.

Enter the coinsurance percentage that applies to this coverage, if any.

Enter the valuation basis or method used for this item (for example: Replacement Cost, Actual Cash Value, Agreed Value).

Specify which causes of loss are covered for this item (for example: Basic, Broad, Special, Fire, Vandalism).

Enter the inflation guard percentage to be applied to automatically adjust limits for inflation, if applicable.

Enter the deductible amount that will apply to claims for this coverage line.

Indicate the type or basis of the deductible (for example: Per Occurrence, Percentage, Per Item).

Enter the blanket number or identifier associated with this coverage line, if applicable.

List any forms, endorsements, limitations or special conditions that apply to this coverage entry.

Describe the specific premises or insured property covered by this row (for example: building name, unit, or location).

Enter the insured limit or coverage amount assigned to this premises.

Enter the coinsurance percentage that applies to this premises.

Provide the valuation method used for this property (for example: Replacement Cost, Actual Cash Value, or stated value).

List the causes of loss covered for this premises (for example: fire, theft, named perils, or all risks) or enter the applicable code.

Enter the inflation guard percentage to be applied to the insured value for this premises.

Enter the deductible amount that applies to losses at this premises.

Specify the type of deductible that applies to this premises (for example: per occurrence, percentage, or per unit).

Enter the block or blanket number associated with this coverage row, if applicable.

List any forms, endorsements, or special conditions that apply to this premises row.

Enter the item or property being insured at this location for the fourth row (for example: building, contents, equipment or a short property description).

Enter the insured limit or coverage amount that applies to the subject of insurance in this row.

Enter the coinsurance percentage that applies to this subject of insurance.

Enter the valuation method or basis for loss settlement that applies to this item (for example: Replacement Cost, Actual Cash Value, Agreed Value).

Specify the causes of loss coverage applicable to this item (for example: Basic, Broad, Special or a list of covered perils).

Enter the inflation guard percentage to be applied to this coverage.

Enter the deductible amount that applies to this coverage item.

Enter the type or basis of the deductible for this item (for example: per occurrence, percentage, per unit or carrier code).

Enter the blanket number or identifier that associates this item with a blanket limit or blanket summary.

List any form numbers, endorsements or special conditions that apply to this item (separate multiple entries with commas).

Enter a brief description or identifier of the property or risk being insured at this location (for example occupancy, unit name, or property type).

Enter the insured amount or policy limit that applies to this subject of insurance.

Provide the coinsurance percentage that applies to this property (for example 80 or 90).

Specify the valuation basis for loss settlement (for example Replacement Cost, Actual Cash Value, or abbreviations such as RCV/ACV).

List the causes of loss or perils covered for this property location (for example fire, windstorm, theft, or specified perils).

Provide the inflation guard percentage applied to this coverage, if any.

Enter the deductible amount or value that applies to this coverage.

Specify the deductible type or basis (for example per occurrence, percentage, or dollar).

Enter the blanket coverage group number or identifier if this limit is part of a blanket arrangement.

List any forms, endorsements, or special conditions that apply to this property location.

Enter the description or name of the insured subject for this premises row (e.g., building, contents, location).

Enter the insured amount or coverage limit that applies to this subject.

Enter the coinsurance percentage that applies to this subject.

Enter the valuation method used for this subject (for example ACV, RCV, or other valuation basis).

Specify the causes of loss covered for this subject (for example Fire, Wind, Vandalism or 'Special Form').

Enter the inflation guard percentage applicable to this subject.

Enter the deductible amount applicable to this subject.

Enter the type or basis of the deductible for this subject (for example '$', '%', 'per occurrence', or a deductible code).

Enter the blanket number (BLKT #) associated with this coverage, if any.

List any forms, endorsements, or special conditions that apply to this subject of insurance.

Enter the identifier or number assigned to this premises location (for example unit, lot, or location code).

Enter the full street address of the premises, including street number, street name and any unit or suite information.

Enter the building number or identifier within the property (such as building, block, or unit number).

Provide a brief description of the building (for example: '3-story brick office', 'single-story warehouse', or 'residential apartment building').

Check this box when the building's primary heating system is a boiler.

Enter Y or N to indicate whether insurance for the boiler (if the primary heat is a boiler) is placed with another insurer. Fill only if 'Primary Heat - Boiler' is 'Yes'.

Check this box when the building's primary heating system uses solid fuel (for example, wood, coal).

Check this box when the building's primary heating system is a type not otherwise listed (use this for other or unspecified heating types).

Enter the primary heating source or brief details about it (for example: fuel type, system type, model or manufacturer) used to heat the premises.

Check this box when the building's primary heating source is a boiler.

Enter Y or N to indicate whether insurance for the primary boiler/heating system is placed with another insurer (use N if not applicable). Fill only if 'Primary Heat - Boiler' is 'Yes'.

Check this box when the building's primary heating source is a solid fuel system (e.g., wood, coal).

Check this small, unlabeled box only if an additional or alternate primary heat option (not covered by the visible Boiler or Solid Fuel boxes) applies; otherwise leave it unchecked.

Enter the primary heating system or fuel type used in the building (for example: boiler, forced‑air furnace, electric, oil, solid fuel, woodstove, etc.). Fill only if 'Primary Heat - Unlabeled/Additional Option' is 'Yes'.

Enter the short exposure classification or descriptor for the rear of the building (for example a single-letter code or short word indicating the type of exposure).

Enter the distance from the rear of the building to the indicated exposure or hazard (provide the measurement in feet).

Enter any additional remarks, comments or supplemental information related to this form that do not fit elsewhere, including clarifications, special instructions, or references to attached schedules.

Enter the exposure classification or code for the right side of the building (e.g., exposure type or short descriptor) that describes what is adjacent to that side.

Enter the distance from the right side of the building to the nearest adjacent structure or hazard (typically in feet) indicating how far away that exposure is.

Check this box when the property has a boiler as a secondary heat source.

Enter Y or N to indicate whether the boiler used as secondary heat is insured by a different policy or placed elsewhere. Fill only if 'Secondary Heat 1 - BOILER' is 'Yes'.

Check this box when the property uses solid fuel (wood, coal, pellets, etc.) as a secondary heat source.

Check this box when there is a secondary heat source not listed (or when this unlabeled option applies); use only if another secondary heat type applies and is not covered by the BOILER or SOLID FUEL options.

Enter the secondary heating fuel or source (for example 'Solid Fuel', 'Woodburning Stove', or other brief description of the secondary heat type).

Check this box when the building has a boiler as a secondary heating source.

Enter Y or N to indicate whether insurance for the secondary boiler/heat source is placed with another insurer. Fill only if 'Secondary Heat - Boiler' is 'Yes'.

Check this box when the building uses solid fuel (wood, coal, etc.) as a secondary heating source.

Check this box when there is a secondary heating source that is not Boiler or Solid Fuel (use this for any other/unspecified secondary heat type).

Enter the description or fuel/type of the secondary heating source (for example: wood stove, pellet stove, electric heat, propane, etc.). Fill only if 'Secondary Heat - Other (unspecified)' is 'Yes'.

Enter the name of the company or entity that installed and currently services the burglar alarm system at this location.

Describe the extent or scope of the alarm protection (for example: perimeter, premises, central station, local, etc.).

Provide the grade or classification of the burglar alarm system (e.g., Grade I, Grade II, manufacturer grade designation, or similar).

Enter the total number of guards or watchmen assigned to protect the premises.

Check this box when the guard(s)/watchmen perform clock-hourly rounds (i.e., make hourly checks as part of their duties).

Check this box when a second guard or watchman is present/on duty (use to indicate an additional guard beyond the primary guard).

Indicate whether guards/watchmen are clocked hourly (for example enter 'Y' or 'N') or provide the hourly rate if a numeric hourly rate is required.

Check this box when the insured elects to accept sinkhole coverage for the policy (Florida-required option).

Check this box when the insured declines or rejects sinkhole coverage for the policy (indicating they do not want this Florida-required option).

Enter the dollar limit (policy amount) for Sinkhole Coverage required in Florida.

Check this box to indicate you accept sinkhole coverage for the insured property (required in Florida).

Check this box to indicate you reject (decline) sinkhole coverage for the insured property.

Enter the dollar limit to apply for sinkhole coverage for this policy. Fill only if 'Accept Coverage' is 'Yes'.

Enter Y or N to indicate whether spoilage coverage is provided for this property.

Provide a brief description of the property or contents covered by spoilage coverage, including specifics such as item types, locations, units, or other identifying details. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the coverage limit amount that applies to spoilage coverage for the described property. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the deductible amount that will apply to any spoilage coverage claim for the described property. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter Y or N to indicate whether a refrigeration maintenance agreement is in place for this property. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter Y or N to indicate whether spoilage coverage is included on this policy.

Provide a brief description of the property covered by spoilage coverage (for example: types of goods, inventory categories, or temperature‑controlled items). Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the monetary limit the insurer will pay for spoilage losses under this coverage. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter the deductible amount that applies to spoilage claims under this coverage. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Enter Y or N to indicate whether a refrigeration maintenance agreement is in effect for the covered property. Fill only if 'Spoilage Coverage (Y/N)' is 'Yes'.

Check this box when you want spoilage coverage to apply for losses caused by equipment breakdown or contamination of the insured property. Fill only if 'Refrigeration Maintenance Agreement (Y/N)' is 'Yes'.

Check this box when you want spoilage coverage to apply for losses resulting from a power outage or electrical interruption. Fill only if 'Refrigeration Maintenance Agreement (Y/N)' is 'Yes'.

Check this box when spoilage coverage (or its valuation) is to be based on the selling price of the insured property. Fill only if 'Refrigeration Maintenance Agreement (Y/N)' is 'Yes'.

Check this box when the fourth spoilage coverage option applies as specified elsewhere in the policy or by the insurer (use when a specific additional option is designated). Fill only if 'Refrigeration Maintenance Agreement (Y/N)' is 'Yes'.

Provide the selling price or related option amount applicable to this spoilage coverage option, if any. Fill only if 'Refrigeration Maintenance Agreement (Y/N)' is 'Yes'.

Enter the name or brief description of the insured item or property on the fifth row (for example, 'Building A', 'Contents', or 'Boiler').

Enter the insurance amount or limit that applies to this item on the fifth row.

Enter the coinsurance percentage applicable to this item (e.g., '80%' or '90').

Enter the valuation method for this item (for example 'ACV', 'RCV', or 'Replacement Cost').

Enter the causes of loss coverage or covered perils for this item (for example 'Basic', 'Broad', 'Special').

Enter the inflation guard percentage to be applied to the limit for this item, if any (for example '4%').

Enter the deductible amount that applies to this item on the fifth row.

Enter the deductible type or basis (for example 'Per occurrence', 'Per item', or 'Percentage').

Enter the blanket number or identifier that applies to this coverage, if any.

List any policy forms, endorsements, or special conditions that apply to this item (provide form numbers or brief descriptions).

Enter the description or name of the insured item or risk for the first row.

Enter the insured amount or limit that applies to this item for the first row.

Enter the coinsurance percentage that applies to this item for the first row.

Enter the valuation basis or code (for example ACV or RCV) used for this item in the first row.

Enter the causes of loss covered or applicable to this item for the first row (for example Fire, Vandalism).

Enter the inflation guard percentage applied to this item for the first row.

Enter the deductible amount that applies to this item for the first row.

Enter the blanket type or classification for this item in the first row.

Enter the blanket number or identifier associated with this item for the first row.

Enter any forms, endorsements, or special conditions that apply to this item in the first row.

Enter the name or brief description of the property, item or exposure covered by this insurance entry on the fourth row.

Enter the insured amount or limit that applies to this subject on the fourth row.

Enter the coinsurance percentage that applies to this subject on the fourth row.

Enter the method of valuation for this subject (for example, ACV, RCV, agreed value) on the fourth row.

List the causes of loss covered for this subject (for example, fire, theft, wind) on the fourth row.

Enter the inflation guard percentage applied to this subject on the fourth row.

Enter the deductible amount that applies to this subject on the fourth row.

Specify the deductible type or basis (for example, per occurrence, per item) for this subject on the fourth row.

Enter the blanket number or identifier associated with this coverage, if applicable, on the fourth row.

List any forms, endorsements or special conditions that apply to this subject of insurance on the fourth row.

Enter a brief description or name of the property, item, or risk that this coverage applies to.

Enter the coverage amount or insurance limit assigned to this subject of insurance.

Enter the coinsurance percentage that applies to this subject of insurance (for example, 80%).

Enter the valuation method or basis used for this item (for example, Actual Cash Value, Replacement Cost, or Agreed Value).

Describe the causes of loss covered or specified for this subject (for example, fire, theft, vandalism, or all-risk).

Enter the inflation guard percentage applied to this coverage, if any.

Enter the deductible amount that applies to this coverage item.

Enter the deductible type or basis (for example, per occurrence, per item, or percentage).

Enter the blanket number or identifier that groups this subject with other covered items, if applicable.

List any endorsement forms, policy conditions, or special provisions that apply to this subject of insurance.

Provide a concise description of the specific building, property, or item that is insured for the third row.

Enter the monetary amount of insurance coverage allocated to this subject on the third row.

Enter the coinsurance percentage applicable to this subject (for example 80 or 90) on the third row.

Specify the valuation method used for this item (for example 'Replacement Cost', 'Actual Cash Value', or applicable code) for the third row.

Describe the causes of loss covered for this subject (for example 'named perils', 'special', or list applicable perils).

Enter the inflation guard percentage to be applied to this coverage for the third row.

Enter the deductible amount that applies to this coverage on the third row.

Enter the type or basis of the deductible (for example 'per occurrence' or other designation) for the third-row coverage.

Enter the blanket or block number associated with this coverage on the third row, if applicable.

List any forms, endorsements, or special conditions that apply to this coverage on the third row (attach additional documentation if necessary).

Check this box when value reporting information is required and you are attaching ACORD 811 to provide the reported values.

Check this box when the building's wind/fire resistive classification is 'Resistive' (i.e., the property meets the resistive construction criteria for Wind Class).

Check this box when the building's wind/fire classification is 'Semi-Resistive' (i.e., the property meets the semi-resistive construction criteria for Wind Class).

Check this box when the building falls into the third Wind Class option (the remaining/other classification that is not 'Resistive' or 'Semi-Resistive').

Enter the building's wind class or fire-resistive classification code as shown on the policy or inspection report (e.g., a numeric or short alphanumeric class identifier).