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ACORD 140 Instructions

Section Name Field Name Field and/or Section Description
TITLE ACORD 140 (2007/09) Property Section 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).
IDENTIFICATION SECTION Much of the information for the Identification Section should match the data found within the Applicant Information Section of ACORD 125. Nevertheless, it is still important to complete it. Many companies separate the applications by line of business for rating purposes. Not completing this portion of the application makes it difficult to keep track of the full account.
IDENTIFICATION SECTION Agency Customer ID Customer's identification number assigned by the agency.
IDENTIFICATION SECTION Date Month/day/year (MM/DD/YYYY) on which the form is completed.
IDENTIFICATION SECTION Applicant (First Named Insured) First Named Insured as it appears on the ACORD 125.
IDENTIFICATION SECTION Policy Number Provide the policy number if a policy has already been issued.
IDENTIFICATION SECTION Carrier Name of the applicable insurance company. Do not use group names; use the actual name of the company within the group in which you wish to have the policy issued.
IDENTIFICATION SECTION NAIC Code Individual company code assigned by the NAIC.
IDENTIFICATION SECTION Effective Date Date Enter the Effective date on which the terms and conditions of the policy will commence. It is important that the effective dates of the underlying policies are concurrent with those of the Umbrella policy when aggregate limits are involved. If the effective dates of the underlying policies and the Umbrella are not concurrent, the full underlying limits may not be available for losses that occur during the policy period of the Umbrella and a coverage gap may occur.
IDENTIFICATION SECTION Expiration Date Date Enter the Expiration date on which the terms and conditions of the policy will terminate unless renewed.
IDENTIFICATION SECTION Billing Plan check boxes Indicate whether the agency or the company (direct) will bill the insured or other payor for the policy.
IDENTIFICATION SECTION Payment Plan 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).
IDENTIFICATION SECTION Audit 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 - annualS - semi-annual Q - quarterly M - monthly O - other

IDENTIFICATION SECTION For Company Use Only Blank space provided for carrier use.
PREMISES INFORMATION Complete the front of the form for a single building on a premises, and the back of the form for a second building or a second premises. Use additional forms for additional buildings or premises.
PREMISES INFORMATION Premises # Enter the premises location number as it appears on the ACORD 125 Premises Information Section.
PREMISES INFORMATION Street Address Enter the street address as shown on ACORD 125.
PREMISES INFORMATION Building # Enter the building number(s) associated with this location.
PREMISES INFORMATION Building Description Provide a description of the building at this location.
PREMISES INFORMATION Subject of Insurance 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
PREMISES INFORMATION Amount Enter the amount of insurance required for the corresponding subject of insurance.
PREMISES INFORMATION Coins % 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.
PREMISES INFORMATION Valuation 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
PREMISES INFORMATION Causes of Loss Enter the causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Special excluding theft * Earthquake
PREMISES INFORMATION Inflation Guard % 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).
PREMISES INFORMATION DED Enter the deductible amounts that are to apply to this subject of insurance.
PREMISES INFORMATION Blkt # 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.
PREMISES INFORMATION Forms and Conditions to Apply Enter all form numbers and special conditions that apply to this subject of insurance. Also indicate here if coverage is blanket or average rated.
PREMISES INFORMATION Additional Information - Business Income/Extra Expense/Value Reporting Information 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.
PREMISES INFORMATION Additional Coverages, Options, Restrictions, Endorsements, Rating Information 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
PREMISES INFORMATION Spoilage Coverage Indicate by "Y" (YES) or "N" (NO) if spoilage coverage is desired. If "YES", complete adjacent fields.
PREMISES INFORMATION Description of Property Covered Describe the property to be covered for spoilage.
PREMISES INFORMATION Limit Limit applicable for this coverage.
PREMISES INFORMATION Deductible Enter the applicable deductible for this coverage.
PREMISES INFORMATION Refrigeration Maintenance Agreement Indicate by "Y" (YES) or "N" (NO) if a refrigeration maintenance agreement exists.
PREMISES INFORMATION Options Enter any applicable optional coverages.
PREMISES INFORMATION # of Open Sides on Structure Indicate the number of open sides on the structure, if any.
PREMISES INFORMATION Construction Type Enter the construction of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive
PREMISES INFORMATION Distance to Hydrant Distance (in ft.) from the nearest hydrant that supports the protection class used.
PREMISES INFORMATION Distance to Fire Station Distance in miles from the nearest fire station that supports the protection class used.
PREMISES INFORMATION Fire District/Code Number The property's fire district name and corresponding code number which can be found in the individual states manual pages.
PREMISES INFORMATION Prot Cl Enter the fire rating protection class for this location.
PREMISES INFORMATION # Stories Not including any basement, enter the number of stories for this building.
PREMISES INFORMATION # Basm'ts Enter the number of basements.
PREMISES INFORMATION Yr Built Enter the year in which the building was first constructed.
PREMISES INFORMATION Total Area The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Building Improvements 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.
PREMISES INFORMATION Bldg Code Grade Enter the ISO Building Code Grade, if applicable.
PREMISES INFORMATION Tax Code Enter the city, county or state tax code, if required.
PREMISES INFORMATION Roof Type Enter the material used to construct the roof. Examples: * Composition (fiberglass, asphalt, etc.) * Metal * Poured * Slate * Tile * Wood Shake/Shingle
PREMISES INFORMATION Wind Class Check the applicable box. If another entity, describe.
PREMISES INFORMATION Other Occupancies 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.
PREMISES INFORMATION Heating Boiler Indicate by "Y" (YES) or "N" (NO), if there is a heating boiler on the premises.
PREMISES INFORMATION Heating Boiler If YES, indicate by "Y" (YES) or "N" (NO), if the insurance is placed elsewhere.
PREMISES INFORMATION Right/Left/Front/Rear Exposure and Distance Describe the buildings, structures, activities conducted, or use of property adjacent to the insured premises and provide the distance from the insured premises.
PREMISES INFORMATION Burglar Alarm Type Describe any burglar alarm protecting the building or contents. Descriptive terms such as safe, premises, perimeter, or ultrasonic may be suitable.
PREMISES INFORMATION Certificate Number Enter the Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application.
PREMISES INFORMATION Expiration Date Enter the expiration date of the Certificate.
PREMISES INFORMATION Central Station The burglar alarm rings at an alarm company or police department.
PREMISES INFORMATION With Keys The alarm company, located off the insured's premises, has keys to the applicant's property.
PREMISES INFORMATION Burglar Alarm Installed and Serviced by Enter the name of the alarm company.
PREMISES INFORMATION Extent Specify the designated extent of protection as described in the ISO crime rating manual.
PREMISES INFORMATION Grade Enter the alarm grade as described in the ISO crime rating manual (e.g., AA, A, B, C).
PREMISES INFORMATION # Guards/Watchmen Enter the number of guards and or watchmen employed or contracted for by the insured.
PREMISES INFORMATION Clock Hourly/Other 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. If other than hourly, indicate the time interval in the Other box.
PREMISES INFORMATION Premises Fire Protection If the premises is sprinklered, indicate the percentage of the area covered by the system, 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.
PREMISES INFORMATION % Sprnk If the premises is sprinklered, indicate the percentage of the area covered by the system.
PREMISES INFORMATION Fire Alarm Manufacturer Enter the name of the firm, and if it is UL listed.
PREMISES INFORMATION Central Station The fire alarm rings at an alarm company, police department or fire department.
PREMISES INFORMATION Local Gong The fire alarm rings on an audible gong located outside of the building.
IDENTIFICATION SECTION Agency Customer ID Customer's identification number assigned by the agency.
ADDITIONAL PREMISES INFORMATION Complete the front of the form for a single building on a premises, and the back of the form for a second building or a second premises. Use additional forms for additional buildings or premises.
ADDITIONAL PREMISES INFORMATION Premises # Enter the premises location number as it appears on the ACORD 125 Premises Information Section.
ADDITIONAL PREMISES INFORMATION Street Address Enter the street address as shown on ACORD 125.
ADDITIONAL PREMISES INFORMATION Building # Enter the building number(s) associated with this location.
ADDITIONAL PREMISES INFORMATION Building Description Provide a description of the building at this location.
ADDITIONAL PREMISES INFORMATION Subject of Insurance 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
ADDITIONAL PREMISES INFORMATION Amount Enter the amount of insurance required for the corresponding subject of insurance.
ADDITIONAL PREMISES INFORMATION Coins % 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.
ADDITIONAL PREMISES INFORMATION Valuation Indicate the method which will be used to determine the amount paid on a claim. Valuation methods are: ACV- Actual Cash Value RC- Replacement CostAA- Agreed Amount MV- Market Value
Enter the causes of loss the subject of insurance is to be covered for. Examples: * Basic
* Broad
ADDITIONAL PREMISES INFORMATION Causes of Loss * Special excluding theft * Earthquake
The inflation guard percentage gives an automatic increase in the amount of coverage
ADDITIONAL PREMISES based on a percentage over time. List both the percentage amount and the period of time
INFORMATION Inflation Guard % during which it applies (e.g., 4% per year).
ADDITIONAL PREMISES
INFORMATION DED Enter the deductible amount that is to apply to this subject of insurance.
ADDITIONAL PREMISES
INFORMATION Applies To Indicate to what this deductible applies.
ADDITIONAL PREMISES The identifying number for the blanket under which this subject of insurance is rated.
INFORMATION Blkt # Leave blank if the subject of insurance is not included under a blanket.
ADDITIONAL PREMISES Enter all form numbers and special conditions that apply to this subject of insurance. Also
INFORMATION Forms and Conditions to Apply indicate here if coverage is blanket or average rated.
ADDITIONAL PREMISES INFORMATION Additional Information - Business Income/Extra Expense/Value Reporting Information 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.
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.
Additional Coverages, Options, Restrictions, Endorsements, Provide any other coverage information that pertains to this location such as: * Class Rate * Rate Reference
ADDITIONAL PREMISES INFORMATION Rating Information * Sales * Earnings
ADDITIONAL PREMISES Indicate by "Y" (YES) or "N" (NO) if spoilage coverage is desired. If "YES", complete
INFORMATION Spoilage Coverage adjacent fields.
ADDITIONAL PREMISES
INFORMATION Description of Property Covered Describe the property to be covered for spoilage.
ADDITIONAL PREMISES
INFORMATION Limit Limit applicable for this coverage.
ADDITIONAL PREMISES
INFORMATION Deductible Enter the applicable deductible for this coverage.
ADDITIONAL PREMISES Refrigeration Maintenance
INFORMATION Agreement Indicate by "Y" (YES) or "N" (NO) if a refrigeration maintenance agreement exists.
ADDITIONAL PREMISES
INFORMATION Options Enter any applicable optional coverages.
PREMISES INFORMATION # of Open Sides on Structure Indicate the number of open sides on the structure, if any.
Enter the construction of the premises. Common construction classifications are: * Frame
* Joisted Masonry * Non-Combustible
ADDITIONAL PREMISES * Masonry Non-Combustible * Modified Fire Resistive
INFORMATION Construction Type * Fire Resistive
ADDITIONAL PREMISES
INFORMATION Distance to Hydrant Distance (in ft.) from the nearest hydrant that supports the protection class used.
ADDITIONAL PREMISES
INFORMATION Distance to Fire Station Distance in miles from the nearest fire station that supports the protection class used.
ADDITIONAL PREMISES The property's fire district name and corresponding code number which can be found in
INFORMATION Fire District/Code Number the individual states manual pages.
ADDITIONAL PREMISES
INFORMATION Prot Cl Enter the fire rating protection class for this location.
ADDITIONAL PREMISES
INFORMATION # Stories Not including any basement, enter the number of stories for this building.
ADDITIONAL PREMISES
INFORMATION # Basm'ts Enter the number of basements.
ADDITIONAL PREMISES
INFORMATION Yr Built Enter the year in which the building was first constructed.
ADDITIONAL PREMISES The number of square feet of the building or area occupied at this location for which
INFORMATION Total Area insurance is being requested.
Indicate if any building improvements have been made since the original construction.
ADDITIONAL PREMISES Check all applicable improvements, and list the year the improvement was made after the
INFORMATION Building Improvements improvement name.
ADDITIONAL PREMISES
INFORMATION Bldg Code Grade Enter the ISO Building Code Grade, if applicable.
ADDITIONAL PREMISES
INFORMATION Tax Code 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
ADDITIONAL PREMISES * Tile
INFORMATION Roof Type * Wood Shake/Shingle
ADDITIONAL PREMISES
INFORMATION Wind Class Check the applicable box. If another entity, describe.
List any other occupancies located in the building not operated by the insured and not
ADDITIONAL PREMISES listed in the Description of Operations section on the ACORD 125. If no other occupancy,
INFORMATION Other Occupancies enter None.
ADDITIONAL PREMISES
INFORMATION Heating Boiler Indicate by "Y" (YES) or "N" (NO), if there s a heating boiler on the premises.
ADDITIONAL PREMISES
INFORMATION Heating Boiler If YES, indicate by "Y" (YES) or "N" (NO), if the insurance is placed elsewhere.
ADDITIONAL PREMISES Right/Left/Front/Rear Exposure Describe the buildings, structures, activities conducted, or use of property adjacent to the
INFORMATION and Distance insured premises and provide the distance from the insured premises.
ADDITIONAL PREMISES Describe any burglar alarm protecting the building or contents. Descriptive terms such as
INFORMATION Burglar Alarm Type safe, premises, perimeter, or ultrasonic may be suitable.
ADDITIONAL PREMISES Enter the Underwriters Laboratories or other testing organization Certificate Number, if
INFORMATION Certificate Number applicable. Attach a copy of the certificate to the application.
ADDITIONAL PREMISES
INFORMATION Expiration Date Enter the expiration date of the Certificate.
ADDITIONAL PREMISES
INFORMATION Central Station The burglar alarm rings at an alarm company or police department.
ADDITIONAL PREMISES The alarm company, located off the insured's premises, has keys to the applicant's
INFORMATION With Keys property.
ADDITIONAL PREMISES Burglar Alarm Installed and
INFORMATION Serviced by Enter the name of the alarm company.
ADDITIONAL PREMISES
INFORMATION Extent Specify the designated extent of protection as described in the ISO crime rating manual.
ADDITIONAL PREMISES
INFORMATION Grade Enter the alarm grade as described in the ISO crime rating manual (e.g., AA, A, B, C).
ADDITIONAL PREMISES INFORMATION # Guards/Watchmen Enter the number of guards and or watchmen employed or contracted for by the insured.
ADDITIONAL PREMISES INFORMATION Clock Hourly/Other 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.
ADDITIONAL PREMISES INFORMATION Premises Fire Protection If the premises is sprinklered, indicate the percentage of the area covered by the system, 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.
ADDITIONAL PREMISES INFORMATION % Sprnk If the premises is sprinklered, indicate the percentage of the area covered by the system.
ADDITIONAL PREMISES INFORMATION Fire Alarm Manufacturer Enter the name of the firm, and if it is UL listed.
ADDITIONAL PREMISES INFORMATION Central Station The fire alarm rings at an alarm company, police department or fire department.
ADDITIONAL PREMISES INFORMATION Local Gong The fire alarm rings on an audible gong located outside of the building.
ADDITIONAL INTEREST This section should be used to collect information on any additional interest.
ADDITIONAL INTEREST Interest Check the appropriate box to indicate if the additional interest in the property is a loss payee or a mortgagee.
ADDITIONAL INTEREST Rank If there is more than one additional interest, indicate who is first mortgagee, second mortgagee, etc.
ADDITIONAL INTEREST Name and Address List the additional interests' name and address.
ADDITIONAL INTEREST Reference # Indicate the additional interest's reference number for this applicant such as the loan or mortgage number.
ADDITIONAL INTEREST Evidence/Certificate Required Indicate if a Certificate of Property Insurance or an Evidence of Property Insurance is required.
ADDITIONAL INTEREST Interest in Item Number List the item number corresponding with the application for the item of interest for this additional insured.
ADDITIONAL INTEREST Location For each building, enter the location number as shown on the application or change request that was used when the building was first insured.
ADDITIONAL INTEREST Building 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.
ADDITIONAL INTEREST Scheduled Item Number Enter the scheduled item number as shown on the application or change request that was used when the scheduled item was first insured.
ADDITIONAL INTEREST Other Use this space to specify "other".
ADDITIONAL INTEREST Item Description 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.

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