ACORD 70 Instructions
ACORD 70 (2009/06) rev. 07-31-2009 1 of 74 | Section Name | Field Name | Field and/or Section Description | | TITLE ACORD 70 (2009/06) | Personal Policy Change Request (Except Auto) | The title of the form. ACORD 70, Personal Policy Change Request (Except Auto), is used to request mid-term changes to any personal lines policy, except auto. For auto changes, see ACORD 71, Personal Auto Policy Change Request. This form should be used instead of individual turnaround endorsement requests. A copy of the request may be sent to the insured to confirm that the change is submitted to the company. The form provides for property, mobile home, inland marine, watercraft and umbrella changes. | | IDENTIFICATION SECTION | Location Number | Enter number: The producer assigned number of the location. | | IDENTIFICATION SECTION | Date | Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY) | | IDENTIFICATION SECTION | Agency | Enter text: The full name of the producer/agency. | | IDENTIFICATION SECTION | | Enter text: The mailing address line one of the producer/agency. | | IDENTIFICATION SECTION | | Enter text: The mailing address line two of the producer/agency. | | IDENTIFICATION SECTION | | Enter text: The mailing address city name of the producer/agency. | | IDENTIFICATION SECTION | | Enter code: The mailing address state or province code of the producer/agency. | | IDENTIFICATION SECTION | | Enter code: The mailing address postal code of the producer/agency. | | IDENTIFICATION SECTION | Contact Name | Enter text: The name of the individual at the producer's establishment that is the primary contact. | | IDENTIFICATION SECTION | Phone (A/C, No, Ext) | Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. | | IDENTIFICATION SECTION | FAX | Enter number: The fax number of the producer/agency. | | IDENTIFICATION SECTION | E-Mail Address | Enter text: The producer's contact person e-mail address. | | IDENTIFICATION SECTION | Code | Enter code: The identification code assigned to the producer (e.g. agency or brokerage firm) by the insurer. | | IDENTIFICATION SECTION | Subcode | Enter code: The identification code assigned by the insurer to the sub-producer (e.g. person) within a producer's office (e.g. agency or brokerage). |
ACORD 70 (2009/06) rev. 07-31-2009 2 of 74 | Section Name | Field Name | Field and/or Section Description | | IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage). | | IDENTIFICATION SECTION | Insured's Name and Mailing Address if changed | Enter text: The named insured(s) as it/they will appear on the policy declarations page. | | IDENTIFICATION SECTION | | Enter text: The named insured's mailing address line one. | | IDENTIFICATION SECTION | | Enter text: The named insured's mailing address line two. | | IDENTIFICATION SECTION | | Enter text: The named insured's mailing address city name. | | IDENTIFICATION SECTION | | Enter code: The named insured's mailing address state or province code. | | IDENTIFICATION SECTION | | Enter code: The named insured's mailing address postal code. | | IDENTIFICATION SECTION | Policy Type - Homeowner | Check the box (if applicable): Indicates the type of policy is homeowners. | | IDENTIFICATION SECTION | Policy Type - Mobile Home | Check the box (if applicable): Indicates the type of policy is mobile home. | | IDENTIFICATION SECTION | Policy Type - Inland Marine | Check the box (if applicable): Indicates the type of policy is inland marine. | | IDENTIFICATION SECTION | Policy Type - Dwelling Fire | Check the box (if applicable): Indicates the type of policy is dwelling fire. | | IDENTIFICATION SECTION | Policy Type - Watercraft | Check the box (if applicable): Indicates the type of policy is watercraft. | | IDENTIFICATION SECTION | Policy Type - Umbrella | Check the box (if applicable): Indicates the type of policy is umbrella. | | IDENTIFICATION SECTION | Effective Date of Change | Enter date: The date on which the change should take effect. | | IDENTIFICATION SECTION | Inception Date of Policy | Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. | | IDENTIFICATION SECTION | Expiration Date | Enter date: The date on which the terms and conditions of the policy will expire. | | IDENTIFICATION SECTION | Carrier | Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. |
ACORD 70 (2009/06) rev. 07-31-2009 3 of 74 | Section Name | Field Name | Field and/or Section Description | | IDENTIFICATION SECTION | NAIC Number | Enter code: The identification code assigned to the insurer by the NAIC. | | IDENTIFICATION SECTION | Named Insured | Enter text: The named insured(s) as it/they will appear on the policy declarations page. | | IDENTIFICATION SECTION | Policy Number | Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. | | IDENTIFICATION SECTION | Attention | Enter text: The name of the individual at the insurance company that is the primary contact. | | IDENTIFICATION SECTION | Account Number | Enter identifier: The account number to be used for billing purposes. This is the billing number assigned by the billing entity. If agency bill, the agency assigns; if direct bill, the insurer assigns. If the account already exists, the agent should provide the previously assigned number. | | IDENTIFICATION SECTION | Direct Bill Policy | Check the box (if applicable): Indicates if the policy is to be direct billed. | | IDENTIFICATION SECTION | Direct Bill Account | Check the box (if applicable): Indicates if the account is to be direct billed. | | IDENTIFICATION SECTION | Agency Bill | Check the box (if applicable): Indicates if the policy is to be producer/agency billed. | | IDENTIFICATION SECTION | Payment Plan - Full Pay | Check the box (if applicable): Indicates a full payment will be made on the policy. | | IDENTIFICATION SECTION | Payment Plan - Annual | Check the box (if applicable): Indicates the policy will be paid annually. | | IDENTIFICATION SECTION | Payment Plan - Semi-Annual | Check the box (if applicable): Indicates the policy will be paid semi-annually. | | IDENTIFICATION SECTION | Payment Plan - Other | Check the box (if applicable): Indicates the policy will be paid in a frequency other than those listed. | | IDENTIFICATION SECTION | Payment Plan - Description | Enter code: The payment plan for the policy (i.e., AN - Annual, MO - Monthly, QT -Quarterly, etc.). As used here, only enter the description when "other" is selected. | | IDENTIFICATION SECTION | Payment Plan - Quarterly | Check the box (if applicable): Indicates the policy will be paid quarterly. | | IDENTIFICATION SECTION | Payment Plan - Bi-Monthly | Check the box (if applicable): Indicates the policy will be paid bi-monthly. | | IDENTIFICATION SECTION | Payment Plan - Monthly | Check the box (if applicable): Indicates the policy will be paid monthly. |
| Section Name | Field Name | Field and/or Section Description |
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| IDENTIFICATION SECTION | Payor - Insured | Check the box (if applicable): Indicates the payor of the policy is the insured. | | IDENTIFICATION SECTION | Payor - Mortgagee | Check the box (if applicable): Indicates the payor of the policy is the mortgagee. | | IDENTIFICATION SECTION | Payor - Other | Check the box (if applicable): Indicates the payor of the policy is other than those listed. | | IDENTIFICATION SECTION | Payor - Description | Enter text: The description of the payor of the policy. As used here, only enter the description when "other" is selected. | | IDENTIFICATION SECTION | Premium Financed? | Enter Y for a “Yes” response. Input N for “No” response. Indicates if the premium has been financed. | | IDENTIFICATION SECTION | Finance Company | Enter text: The name of the company financing the premium, if applicable. | | IDENTIFICATION SECTION | Payment Method - Cash | Check the box (if applicable): Indicates the invoice will be paid in cash. | | IDENTIFICATION SECTION | Payment Method - Check | Check the box (if applicable): Indicates the invoice will be paid by check. | | IDENTIFICATION SECTION | Payment Method - Credit Card | Check the box (if applicable): Indicates the invoice will be paid by credit card. | | IDENTIFICATION SECTION | Payment Method - EFT | Check the box (if applicable): Indicates the invoice will be paid using electronic funds transfer (EFT). | | IDENTIFICATION SECTION | Payment Method - Payroll Deduction | Check the box (if applicable): Indicates the invoice will be paid by payroll deduction. | | IDENTIFICATION SECTION | Payment Method - Pre-Authorized Draft/Check (PAC) | Check the box (if applicable): Indicates the invoice will be paid by a pre-authorized check or draft. | | IDENTIFICATION SECTION | Payment Method - Other | Check the box (if applicable): Indicates the invoice will be paid by a means other than those listed. | | IDENTIFICATION SECTION | Payment Method - Describe | Enter text: The method the invoice will be paid. As used here, only enter the description when "other" is selected. |
ACORD 70 (2009/06) rev. 07-31-2009 4 of 74 ACORD 70 (2009/06) rev. 07-31-2009 5 of 74 ACORD 70 (2009/06) rev. 07-31-2009 6 of 74 ACORD 70 (2009/06) rev. 07-31-2009 7 of 74 ACORD 70 (2009/06) rev. 07-31-2009 8 of 74 ACORD 70 (2009/06) rev. 07-31-2009 9 of 74 ACORD 70 (2009/06) rev. 07-31-2009 10 of 74 | Section Name | Field Name | Field and/or Section Description | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Dwelling Limit | Enter limit: The limit associated with dwelling coverage. | | COVERAGES/ LIMITS OF LIABILITY | Dwelling Premium | Enter amount: The premium associated with dwelling coverage. | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Other Structures Limit | Enter limit: The limit associated with other structures coverage. | | COVERAGES/ LIMITS OF LIABILITY | Other Structures Premium | Enter amount: The premium associated with other structures coverage. |
| Section Name | Field Name | Field and/or Section Description | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Personal Property Limit | Enter limit: The limit associated with personal property coverage. | | COVERAGES/ LIMITS OF LIABILITY | Personal Property Premiums | Enter amount: The premium associated with personal property coverage. | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Loss of Use Limit | Enter limit: The limit associated with loss of use coverage. | | COVERAGES/ LIMITS OF LIABILITY | Loss of Use Premiums | Enter amount: The premium associated with loss of use coverage. |
| Section Name | Field Name | Field and/or Section Description | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Blanket Limit | Enter limit: The limit associated with blanket coverage which includes dwelling, other structures, personal property, and loss of use). | | COVERAGES/ LIMITS OF LIABILITY | Blanket Premium | Enter amount: The premium associated with blanket coverage. | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Rental Value Limit | Enter limit: The limit associated with rental value (dwelling fire only) coverage. | | COVERAGES/ LIMITS OF LIABILITY | Rental Value Premium | Enter amount: The premium associated with rental value (dwelling fire only) coverage. |
| Section Name | Field Name | Field and/or Section Description | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Additional Expense Limit | Enter limit: The limit associated with additional expense coverage. | | COVERAGES/ LIMITS OF LIABILITY | Additional Expense Premium | Enter amount: The premium associated with additional expense coverage. | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Personal Liability Each Occurrence Limit | Enter limit: The limit associated with personal liability each occurrence coverage. | | COVERAGES/ LIMITS OF LIABILITY | Personal Liability Each Occurrence Premium | Enter amount: The premium associated with personal liability coverage. |
| Section Name | Field Name | Field and/or Section Description | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | COVERAGES/ LIMITS OF LIABILITY | Medical Payments Each Person Limit | Enter limit: The limit associated with medical payments each person coverage. | | COVERAGES/ LIMITS OF LIABILITY | Medical Payments Each Person Premium | Enter amount: The premium associated with medical payments coverage. | | COVERAGES/ LIMITS OF LIABILITY | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Base Type | Enter code: The deductible type (e.g. flat, percentage) for the base deductible. | | DEDUCTIBLES | Base Amount | Enter deductible: The base deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Base Percentage | Enter percentage: The base percentage deductible if the deductible is expressed as a percentage. |
| Section Name | Field Name | Field and/or Section Description | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Wind Type | Enter code: The deductible type (e.g. flat, percentage) for the wind/hail deductible. | | DEDUCTIBLES | Wind Amount | Enter deductible: The wind/hail deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Wind Percentage | Enter percentage: The wind/hail percentage deductible if the deductible is expressed as a percentage. | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Theft Type | Enter code: The deductible type (e.g. flat, percentage) for the theft deductible. | | DEDUCTIBLES | Theft Amount | Enter deductible: The theft deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Theft Percentage | Enter percentage: The theft percentage deductible if the deductible is expressed as a percentage. |
ACORD 70 (2009/06) rev. 07-31-2009 11 of 74 | Section Name | Field Name | Field and/or Section Description | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Named Hurricane Type | Enter code: The deductible type (e.g. flat, percentage) for the named hurricane deductible. | | DEDUCTIBLES | Named Hurricane Amount | Enter deductible: The named hurricane deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Named Hurricane Percentage | Enter percentage: The named hurricane percentage deductible if the deductible is expressed as a percentage. | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Annual Hurricane Type | Enter code: The deductible type (e.g. flat, percentage) for the annual hurricane deductible. | | DEDUCTIBLES | Annual Hurricane Amount | Enter deductible: The annual hurricane deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Annual Hurricane Percentage | Enter percentage: The annual hurricane percentage deductible if the deductible is expressed as a percentage. |
ACORD 70 (2009/06) rev. 07-31-2009 12 of 74 | Section Name | Field Name | Field and/or Section Description | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Other | Enter text: The coverage associated with the deductible you are entering. | | DEDUCTIBLES | Other Type | Enter code: The deductible type (e.g. flat, percentage) for the other deductible. | | DEDUCTIBLES | Other Amount | Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Other Percentage | Enter percentage: The percentage deductible if the deductible is expressed as a percentage. | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Other | Enter text: The coverage associated with the deductible you are entering. | | DEDUCTIBLES | Other Type | Enter code: The deductible type (e.g. flat, percentage) for the other deductible. | | DEDUCTIBLES | Other Amount | Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Other Percentage | Enter percentage: The percentage deductible if the deductible is expressed as a percentage. |
ACORD 70 (2009/06) rev. 07-31-2009 13 of 74 | Section Name | Field Name | Field and/or Section Description | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Other | Enter text: The coverage associated with the deductible you are entering. | | DEDUCTIBLES | Other Type | Enter code: The deductible type (e.g. flat, percentage) for the other deductible. | | DEDUCTIBLES | Other Amount | Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Other Percentage | Enter percentage: The percentage deductible if the deductible is expressed as a percentage. | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Other | Enter text: The coverage associated with the deductible you are entering. | | DEDUCTIBLES | Other Type | Enter code: The deductible type (e.g. flat, percentage) for the other deductible. | | DEDUCTIBLES | Other Amount | Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Other Percentage | Enter percentage: The percentage deductible if the deductible is expressed as a percentage. |
ACORD 70 (2009/06) rev. 07-31-2009 14 of 74 | Section Name | Field Name | Field and/or Section Description | | DEDUCTIBLES | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | DEDUCTIBLES | Other | Enter text: The coverage associated with the deductible you are entering. | | DEDUCTIBLES | Other Type | Enter code: The deductible type (e.g. flat, percentage) for the other deductible. | | DEDUCTIBLES | Other Amount | Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. | | DEDUCTIBLES | Other Percentage | Enter percentage: The percentage deductible if the deductible is expressed as a percentage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Number of Premises | Enter number: The number of premises covered by the additional premises liability extension. This is used when you don't have the full detail about the individual locations. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension Form Number | Enter identifier: The form number used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Date | Enter date: The edition date of the form used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Premium | Enter amount: The premium associated with additional premises liability extension. |
ACORD 70 (2009/06) rev. 07-31-2009 15 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Loc # | Enter number: The producer assigned location number for the premises covered by additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Terr | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Number | Enter identifier: The form number used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Date | Enter date: The edition date of the form used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Premium | Enter amount: The premium associated with additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Location Number | Enter number: The producer assigned location number for the premises covered by additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Terr | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Number | Enter identifier: The form number used by the company for additional premises liability extension. |
ACORD 70 (2009/06) rev. 07-31-2009 16 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Date | Enter date: The edition date of the form used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Premium | Enter amount: The premium associated with additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Location Number | Enter number: The producer assigned location number for the premises covered by additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Territory | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Number | Enter identifier: The form number used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Form Date | Enter date: The edition date of the form used by the company for additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Premises Liability Extension - Premium | Enter amount: The premium associated with additional premises liability extension. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 17 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Number of Premises | Enter number: The number of premises covered by the additional residence rented to others. This is used when you don't have the full detail about the individual locations. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Med Pay | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Number | Enter identifier: The form number used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Date | Enter date: The edition date of the form used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Premium | Enter amount: The premium for additional residence rented to others coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Location Number | Enter number: The producer assigned location number for the premises covered by additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others- Territory | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Number of Families | Enter number: The number of families of the additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Medical Payments | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Number | Enter identifier: The form number used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Date | Enter date: The edition date of the form used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Premium | Enter amount: The premium for additional residence rented to others coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 18 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Location Number | Enter number: The producer assigned location number for the premises covered by additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others- Territory | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Number of Families | Enter number: The number of families of the additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Medical Payments | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Number | Enter identifier: The form number used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Date | Enter date: The edition date of the form used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Premium | Enter amount: The premium for additional residence rented to others coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Location Number | Enter number: The producer assigned location number for the premises covered by additional residence rented to others. |
ACORD 70 (2009/06) rev. 07-31-2009 19 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others- Territory | Enter code: The liability territory for the location specified. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Number of Families | Enter number: The number of families of the additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Medical Payments | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Number | Enter identifier: The form number used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Form Date | Enter date: The edition date of the form used by the company for additional residence rented to others. | | OPTIONAL COVERAGES -ENDORSEMENTS | Additional Residence Rented To Others - Premium | Enter amount: The premium for additional residence rented to others coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Theft of Building Materials - Included | Check the box (if applicable): Indicates the builders risk theft of building materials coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Theft of Building Materials - Form Number | Enter identifier: The form number used by the company for builders risk theft of building materials. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Theft of Building Materials - Form Date | Enter date: The edition date of the form used by the company for builders risk theft of building materials. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Theft of Building Materials - Premium | Enter amount: The premium for builders risk theft of building materials coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 20 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Collapse due to hydro-static pressure - Included | Check the box (if applicable): Indicates the builders risk collapse due to hydro-static pressure coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Collapse due to hydro-static pressure - Form Number | Enter identifier: The form number used by the company for builders risk collapse due to hydro-static pressure. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Collapse due to hydro-static pressure - Form Date | Enter date: The edition date of the form used by the company for builders risk collapse due to hydro-static pressure. | | OPTIONAL COVERAGES -ENDORSEMENTS | Builders Risk Only - Collapse due to hydro-static pressure - Premium | Enter amount: The premium for builders risk collapse due to hydro-static pressure. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Aggregate Limit | Enter limit: The aggregate limit for building ordinance or law coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Increase Limit | Enter limit: The increased limit for building ordinance or law coverage. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Included | Check the box (if applicable): Indicates the building ordinance or law coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Rebuild Percentage | Enter percentage: The rebuild percentage for building ordinance or law coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Form Number | Enter identifier: The form number used by the company for building ordinance or law coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Form Date | Enter date: The edition date of the form used by the company for building ordinance or law coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Building Ordinance or Law Coverage - Premium | Enter amount: The premium for building ordinance or law coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property At Home -Included | Check the box (if applicable): Indicates the business property at home coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property At Home - Limit | Enter limit: The limit for business property at home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property At Home - Form Number | Enter identifier: The form number used by the company for business property at home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property At Home - Form Date | Enter date: The edition date of the form used by the company for business property at home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property At Home -Premium | Enter amount: The premium for business property at home coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 21 of 74 ACORD 70 (2009/06) rev. 07-31-2009 22 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property Away From Home - Included | Check the box (if applicable): Indicates the business property away from home coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property Away From Home - Limit | Enter limit: The limit for business property away from home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property Away From Home - Form Number | Enter identifier: The form number used by the company for business property away from home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property Away From Home - Form Date | Enter date: The edition date of the form used by the company for business property away from home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Business Property Away From Home - Premium | Enter amount: The premium for business property away from home coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Debris Removal - Included | Check the box (if applicable): Indicates the debris removal coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS | Debris Removal - Limit | Enter limit: The limit for debris removal coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Debris Removal - Form Number | Enter identifier: The form number used by the company for debris removal coverage. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Debris Removal - Form Date | Enter date: The edition date of the form used by the company for debris removal coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Debris Removal - Premium | Enter amount: The premium for debris removal coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - % Ded | Enter percentage: The percentage deductible for earthquake coverage if the deductible is expressed as a percentage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Deductible Amount | Enter deductible: The deductible amount for earthquake coverage if the deductible is expressed in dollars. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Zone | Enter code: The earthquake zone (territory) associated with the coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Retrofit Type | Enter text: The type of earthquake retrofit for the residence. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - % Masonry Veneer | Enter percentage: The percentage of construction that is masonry veneer. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Form Number | Enter identifier: The form number used by the company for earthquake coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Form Date | Enter date: The edition date of the form used by the company for earthquake coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Earthquake - Premium | Enter amount: The premium for earthquake coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 23 of 74 ACORD 70 (2009/06) rev. 07-31-2009 24 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Employers Liability Limit | Enter limit: The limit amount for employers liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Employers Liability - # of Employees | Enter number: The number of employees associated with employers liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Employers Liability - Form Number | Enter identifier: The form number used by the company for employers liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Employers Liability - Form Date | Enter date: The edition date of the form used by the company for employers liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Employers Liability - Premium | Enter amount: The premium for employers liability coverage. | | IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage). | | IDENTIFICATION SECTION | Loc # | Enter number: The producer assigned number of the location. |
ACORD 70 (2009/06) rev. 07-31-2009 25 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Fire Dept Service Charge - | Check the box (if applicable): Indicates the fire department service charge coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fire Dept Service Charge - Form Number | Enter identifier: The form number used by the company for fire department surcharge coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Fire Dept Service Charge - Form | Enter date: The edition date of the form used by the company for fire department | | (continued) | Date | surcharge coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Fire Dept Service Charge - | | | (continued) | Premium | Enter amount: The premium for fire department surcharge coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Flood - Building Limit | Enter limit: The building limit for flood coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 26 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Flood - Contents Limit | Enter limit: The contents limit for flood coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Flood - Form Number | Enter identifier: The form number used by the company for flood coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Flood - Form Date | Enter date: The edition date of the form used by the company for flood coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Flood - Premium | Enter amount: The premium for flood coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Excl Liability | Check the box (if applicable): Indicates that liability is excluded from fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Excl Prop Damage | Check the box (if applicable): Indicates that property damage is excluded from fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Property | Enter limit: The property limit for fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Liability | Enter limit: The liability limit for fungus and mold coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 27 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Form Number | Enter identifier: The form number used by the company for fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Form Date | Enter date: The edition date of the form used by the company for fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Fungus and Mold - Premium | Enter amount: The premium for fungus and mold coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts Liability - Included | Check the box (if applicable): Indicates the golf cart liability coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts Liability - # of Golf Carts | Enter number: The number of golf carts to be covered. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts Liability - Description | Enter text: The description of the golf carts. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts Liability - Form Number | Enter identifier: The form number used by the company for golf cart liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts Liability - Form Date | Enter date: The edition date of the form used by the company for golf cart liability coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 28 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Golf Carts Liability - Premium | Enter amount: The premium for golf cart liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Golf Carts - Physical Damage - | | | (continued) | Limit | Enter limit: The limit for golf cart physical damage coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Golf Carts - Physical Damage -Form Number | Enter identifier: The form number used by the company for golf cart physical damage coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Golf Carts - Physical Damage - | Enter date: The edition date of the form used by the company for golf cart physical | | (continued) | Form Date | damage coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Golf Carts - Physical Damage - | | | (continued) | Premium | Enter amount: The premium for golf cart physical damage coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 29 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Identity Fraud Expense - Included | Check the box (if applicable): Indicates identity fraud expense coverage is included. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Identity Fraud Expense - Form Number | Enter identifier: The form number used by the company for identity fraud expense coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Identity Fraud Expense - Form | | | (continued) | Date | Enter date: The edition date of the form used by the company for identity fraud expense. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Identity Fraud Expense - Premium | Enter amount: The premium for identity fraud expense coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Incidentals Farming Pers Liab - | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments is | | (continued) | Medical Payments | included in the incidental farming personal liability coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Incidentals Farming Pers Liab - | | | (continued) | Form Number | Enter identifier: The form number used by the company for incidental farming coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Incidentals Farming Pers Liab -Form Date | Enter date: The edition date of the form used by the company for incidental farming coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Incidentals Farming Pers Liab - | | | (continued) | Premium | Enter amount: The premium for incidental farming coverage. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter limit: The total limit amount for increased coverage c special liability limit - electronic | | (continued) | and Out Of Vehicle - Total Limit | apparatus in and out of vehicle. | | Increased Cov C Special Liability | | | OPTIONAL COVERAGES - | Limits - Electrical Apparatus In | | | ENDORSEMENTS | and Out Of Vehicle - Increased | Enter limit: The increased limit amount for increased coverage c special liability limit - | | (continued) | Limit | electronic apparatus in and out of vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | and Out Of Vehicle - Form Number | liability limit - electronic apparatus in and out of vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | and Out Of Vehicle - Form Date | special liability limit - electronic apparatus in and out of vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter amount: The premium for increased coverage c special liability limit - electronic | | (continued) | and Out Of Vehicle - Premium | apparatus in and out of vehicle. > |
ACORD 70 (2009/06) rev. 07-31-2009 30 of 74 ACORD 70 (2009/06) rev. 07-31-2009 31 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter limit: The total limit amount for increased coverage c special liability limit - electronic | | (continued) | Vehicle -Total Limit | apparatus in vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter limit: The increased limit amount for increased coverage c special liability limit - | | (continued) | Vehicle - Increased Limit | electronic apparatus in vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | Vehicle - Form Number | liability limit - electronic apparatus in vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | Vehicle - Form Date | special liability limit - electronic apparatus in vehicle. | | OPTIONAL COVERAGES - | Increased Cov C Special Liability | | | ENDORSEMENTS | Limits - Electrical Apparatus In | Enter amount: The premium for increased coverage c special liability limit - electronic | | (continued) | Vehicle - Premium | apparatus in vehicle. |
ACORD 70 (2009/06) rev. 07-31-2009 32 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Guns - Total Limit | Enter limit: The total limit amount for increased coverage c special liability limit - guns. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Increased Cov C Special Liability -Guns - Increased Limit | Enter limit: The increased limit amount for increased coverage c special liability limit -guns. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | Guns - Form Number | liability limit - guns. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | Guns - Form Date | special liability limit - guns. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Guns - Premium | Enter amount: The premium for increased coverage c special liability limit - guns. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 33 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Money - Total Limit | Enter limit: The total limit amount for increased coverage c special liability limit - money. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter limit: The increased limit amount for increased coverage c special liability limit - | | (continued) | Money- Increased Limit | money. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | Money- Form Number | liability limit - money. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | Money- Form Date | special liability limit - money. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Money- Premium | Enter amount: The premium for increased coverage c special liability limit - money. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Securities - Total Limit | Enter limit: The total limit amount for increased coverage c special liability limit - securities. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter limit: The increased limit amount for increased coverage c special liability limit - | | (continued) | Securities - Increased Limit | securities. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | Securities- Form Number | liability limit - securities. |
ACORD 70 (2009/06) rev. 07-31-2009 34 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | Securities- Form Date | special liability limit - securities. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Securities- Premium | Enter amount: The premium for increased coverage c special liability limit - securities. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter limit: The total limit amount for increased coverage c special liability limit - | | (continued) | Silverware - Total Limit | silverware. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter limit: The increased limit amount for increased coverage c special liability limit | | (continued) | Silverware - Increased Limit | silverware. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter identifier: The form number used by the company for increased coverage c special | | (continued) | Silverware - Form Number | liability limit -silverware. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | Enter date: The edition date of the form used by the company for increased coverage c | | (continued) | Silverware - Form Date | special liability limit -silverware. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Increased Cov C Special Liability - | | | (continued) | Silverware - Premium | Enter amount: The premium for increased coverage c special liability limit -silverware. |
ACORD 70 (2009/06) rev. 07-31-2009 35 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Inflation Guard - Percentage Increase | Enter percentage: The increase percentage for inflation guard coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Inflation Guard - Form Number | Enter identifier: The form number used by the company for inflation guard coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Inflation Guard Form Date | Enter date: The edition date of the form used by the company for inflation guard coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Inflation Guard Premium | Enter amount: The premium for inflation guard coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Loss Assessment - Limit | Enter limit: The limit amount for loss assessment coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 36 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Loss Assessment - Form Number | Enter identifier: The form number used by the company for loss assessment coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Loss Assessment - Form Date | Enter date: The edition date of the form used by the company for loss assessment coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Loss Assessment - Premium | Enter amount: The premium for loss assessment coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Mine Subsidence - Limit | Enter limit: The limit for mine subsidence coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Mine Subsidence - Const Material | Enter code: The type of construction material. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Mine Subsidence - Property Desc | Enter text: The description of the property. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Mine Subsidence - Form Number | Enter identifier: The form number used by the company for mine subsidence coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Mine Subsidence - Form Date | Enter date: The edition date of the form used by the company for mine subsidence coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 37 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Mine Subsidence - Premium | Enter amount: The premium for mine subsidence coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Check the box (if applicable): Indicates that increased contents is required for office, | | (continued) | Premises - Requires Incr Contents | professional private school, studio - residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Check the box (if applicable): Indicates that increased contents is not required for office, | | (continued) | Premises -Incr Cont Not Required | professional private school, studio - residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter limit: The other structures limit for office, professional private school, studio - | | (continued) | Premises - Other Structures | residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter code: The territory for office, professional private school, studio - residence | | (continued) | Premises - Territory | premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter code: The type of structure for office, professional private school, studio - residence | | (continued) | Premises - Structure Type | premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments is | | (continued) | Premises - Med Pay | included in the office, professional private school, studio - residence premises coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 38 of 74 | Section Name | Field Name | Field and/or Section Description | | Office, Professional Private | | | OPTIONAL COVERAGES - | School, Studio - Residence | | | ENDORSEMENTS | Premises - Business/Structure | Enter text: The description of the business or structure for office, professional private | | (continued) | Description | school, studio - residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter identifier: The form number used by the company for office, professional private | | (continued) | Premises - Form Number | school, studio - residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter date: The edition date of the form used by the company for office, professional | | (continued) | Premises - Form Date | private school, studio - residence premises coverage. | | OPTIONAL COVERAGES - | Office, Professional Private | | | ENDORSEMENTS | School, Studio - Residence | Enter amount: The premium for office, professional private school, studio - residence | | (continued) | Premises - Premium | premises coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Other Structures - Individual | | | (continued) | Structure - Limit | Enter limit: The limit for other structures - individual structure coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Other Structures - Individual Structure - Structure Desc | Enter text: The description of the individual structure for other structures - individual structure coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Other Structures - Individual Structure - Form Number | Enter identifier: The form number used by the company for other structures - individual structure coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Other Structures - Individual | Enter date: The edition date of the form used by the company for other structures - | | (continued) | Structure - Form Date | individual structure coverage. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Other Structures - Individual | | | (continued) | Structure - Premium | Enter amount: The premium for other structures - individual structure coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Plants, Shrubs & Trees - Included | Check the box (if applicable): Indicates that plants, shrubs and trees coverage is included. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Plants, Shrubs & Trees - Limit | Enter limit: The limit for plants, shrubs and trees coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Plants, Shrubs & Trees - Form Number | Enter identifier: The form number used by the company for plants, shrubs and trees coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Plants, Shrubs & Trees - Form Date | Enter date: The edition date of the form used by the company for plants, shrubs and trees coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Plants, Shrubs & Trees - Premium | Enter amount: The premium for plants, shrubs and trees coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 39 of 74 ACORD 70 (2009/06) rev. 07-31-2009 40 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Refrigerated Food Products - | Check the box (if applicable): Indicates that refrigerated food products coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Refrigerated Food Products - Limit | Enter amount: The limit for refrigerated food products coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Refrigerated Food Products - Form Number | Enter identifier: The form number used by the company for refrigerated food products coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Refrigerated Food Products - Form | Enter date: The edition date of the form used by the company for refrigerated food | | (continued) | Date | products coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Refrigerated Food Products - | | | (continued) | Premium | Enter amount: The premium for refrigerated food products coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 41 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Contents - | Check the box (if applicable): Indicates that replacement cost - contents coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Replacement Cost - Contents -Form Number | Enter identifier: The form number used by the company for replacement cost - contents coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Replacement Cost - Contents -Form Date | Enter date: The edition date of the form used by the company for replacement cost -contents coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Contents - | | | (continued) | Premium | Enter amount: The premium for replacement cost - contents coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Dwelling - | Check the box (if applicable): Indicates that replacement cost - dwelling coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Replacement Cost - Dwelling -Form Number | Enter identifier: The form number used by the company for replacement cost - dwelling coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Dwelling - | Enter date: The edition date of the form used by the company for replacement cost - | | (continued) | Form Date | dwelling coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Dwelling - | | | (continued) | Premium | Enter amount: The premium for replacement cost - dwelling coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 42 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Full Value - | Check the box (if applicable): Indicates that replacement cost full value coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Full Value | Enter percentage: The maximum percentage of increased replacement cost selected in | | (continued) | Cost - Max % | accordance with the company rules. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Replacement Cost - Full Value -Form Number | Enter identifier: The form number used by the company for full value replacement cost coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Replacement Cost - Full Value -Form Date | Enter date: The edition date of the form used by the company for full value replacement cost coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Replacement Cost - Full Value - | | | (continued) | Premium | Enter amount: The premium for full value replacement cost coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 43 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Sink Hole Collapse - Included | Check the box (if applicable): Indicates sink hole collapse coverage is included. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Sink Hole Collapse - Form Number | Enter identifier: The form number used by the company for sink hole collapse. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Sink Hole Collapse - Form Date | Enter date: The edition date of the form used by the company for sink hole collapse. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Sink Hole Collapse - Premium | Enter amount: The premium for sink hole collapse. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | Unit-Owners Additions & | | | ENDORSEMENTS | Alterations Special Coverage - | Check the box (if applicable): Indicates unit owners additions and alterations special | | (continued) | Included | coverage is included. | | OPTIONAL COVERAGES - | Unit-Owners Additions & | | | ENDORSEMENTS | Alterations Special Coverage - | | | (continued) | Limit | Enter limit: The limit for unit owners additions and alterations special coverage. | | OPTIONAL COVERAGES - | Unit-Owners Additions & | | | ENDORSEMENTS | Alterations Special Coverage - | Enter identifier: The form number used by the company for unit owners additions and | | (continued) | Form Number | alterations special coverage. | | OPTIONAL COVERAGES - | Unit-Owners Additions & | | | ENDORSEMENTS | Alterations Special Coverage - | Enter date: The edition date of the form used by the company for unit owners additions | | (continued) | Form Date | and alterations special coverage. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | Unit-Owners Additions & | | | ENDORSEMENTS | Alterations Special Coverage - | | | (continued) | Premium | Enter amount: The premium for unit owners additions and alterations special coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Unscheduled Jewelry, Watches, | | | (continued) | Furs - Aggregate | Enter limit: The aggregate limit for unscheduled jewelry, watches and furs coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Unscheduled Jewelry, Watches, | | | (continued) | Furs - Increased | Enter limit: The increased limit for unscheduled jewelry, watches and furs coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Unscheduled Jewelry, Watches, | Enter identifier: The form number used by the company for unscheduled jewelry, watches | | (continued) | Furs - Form Number | and furs coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Unscheduled Jewelry, Watches, | Enter date: The edition date of the form used by the company for unscheduled jewelry, | | (continued) | Furs - Form Date | watches and furs coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Unscheduled Jewelry, Watches, | | | (continued) | Furs - Premium | Enter amount: The premium for unscheduled jewelry, watches and furs coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 44 of 74 ACORD 70 (2009/06) rev. 07-31-2009 45 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Water Backup of Sewers & Drains - | Check the box (if applicable): Indicates water backup of sewers and drains coverage is | | (continued) | Included | included. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Water Backup of Sewers & Drains - | | | (continued) | Limit | Enter limit: The limit for water backup of sewers and drains coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Water Backup of Sewers & Drains - | Enter identifier: The form number used by the company for water backup of sewers and | | (continued) | Form Number | drains coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Water Backup of Sewers & Drains - | Enter date: The edition date of the form used by the company for water backup of sewers | | (continued) | Form Date | and drains coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Water Backup of Sewers & Drains - | | | (continued) | Premium | Enter amount: The premium for water backup of sewers and drains coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
ACORD 70 (2009/06) rev. 07-31-2009 46 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | Enter limit: The limit for watercraft liability coverage if you are not using a Watercraft | | (continued) | Watercraft Liability - Limit | application. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Watercraft Liability - Form Number | Enter identifier: The form number used by the company for watercraft liability coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | Enter date: The edition date of the form used by the company for watercraft liability | | (continued) | Watercraft Liability - Form Date | coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Watercraft Liability - Premium | Enter amount: The premium for watercraft liability coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Watercraft Physical Damage | Enter limit: The limit for watercraft physical damage coverage if you are not using a | | (continued) | Physical Damage - Limit | Watercraft application. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Watercraft Physical Damage -Form Number | Enter identifier: The form number used by the company for watercraft physical damage coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Watercraft Physical Damage - | Enter date: The edition date of the form used by the company for watercraft physical | | (continued) | Form Date | damage coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Watercraft Physical Damage - | | | (continued) | Premium | Enter amount: The premium for watercraft physical damage coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 47 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Windstorm Exclusion - Yes | Check the box (if applicable): Indicates that windstorm exclusion applies. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Windstorm Exclusion - Form Number | Enter identifier: The form number used by the company for windstorm exclusion. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Windstorm Exclusion - Form Date | Enter date: The edition date of the form used by the company for windstorm exclusion. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Windstorm Exclusion - Premium | Enter amount: The premium for windstorm exclusion. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Workers Compensation - Full Time Inservant - # of Employees | Enter number: The number of employees associated with workers compensation full time In Servant coverage. |
ACORD 70 (2009/06) rev. 07-31-2009 48 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Full Time | Enter identifier: The form number used by the company for workers compensation full | | (continued) | Inservant - Form Number | time In Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Full Time | Enter date: The edition date of the form used by the company for workers compensation | | (continued) | Inservant - Form Date | full time In Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Full Time | | | (continued) | Inservant - Premium | Enter amount: The premium for workers compensation full time In Servant coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - | Enter number: The number of employees associated with workers compensation | | (continued) | Incidental - # of Employees | incidental coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - | Enter identifier: The form number used by the company for workers compensation | | (continued) | Incidental - Form Number | incidental coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - | Enter date: The edition date of the form used by the company for workers compensation | | (continued) | Incidental - Form Date | incidental coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - | | | (continued) | Incidental - Premium | Enter amount: The premium for workers compensation incidental coverage. | | IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage). | | IDENTIFICATION SECTION | Loc # | Enter number: The producer assigned number of the location. |
| Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS | Type of Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Part | Enter number: The number of employees associated with workers compensation part time | | (continued) | Time Outservant - # of Employees | Out Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Part | Enter identifier: The form number used by the company for workers compensation part | | (continued) | Time Outservant - Form Number | time Out Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Part | Enter date: The edition date of the form used by the company for workers compensation | | (continued) | Time Outservant - Form Date | part time Out Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | Workers Compensation - Part | | | (continued) | Time Outservant - Premium | Enter amount: The premium for workers compensation part time Out Servant coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Coverage Description | Enter text: The description of the coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Coverage Code | Enter code: The code associated with the type of coverage being requested. |
ACORD 70 (2009/06) rev. 07-31-2009 49 of 74 ACORD 70 (2009/06) rev. 07-31-2009 50 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Type Change | Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Limit 1 | Enter amount: The first limit associated with the coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Applies To 1 | Enter code: The code identifying what the first limit applies to (e.g. Per Person, Per Occurrence, etc.). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Limit 2 | Enter amount: The second limit associated with the coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Applies To 2 | Enter code: The code identifying what the second limit applies to (e.g. Per Person, Per Occurrence, etc.). | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Deductible | Enter amount: The deductible associated with the coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Deductible Type | Enter code: The type of deductible (e.g. Flat, Percent, etc.) | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Territory | Enter code: The rating territory for the coverage. | | OPTIONAL COVERAGES -ENDORSEMENTS (continued) | Options | Enter text: The description of options applicable to the coverage (e.g. Included, Excluded, Rejected, etc.). |
ACORD 70 (2009/06) rev. 07-31-2009 51 of 74 | Section Name | Field Name | Field and/or Section Description | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | Enter Y for a “Yes” response. Input N for “No” response. Indicates a "Yes" or "No" option | | (continued) | Y/N | for the coverage, if applicable. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Coverage - Form Number | Enter identifier: The form number used by the company for the coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Coverage - Form Date | Enter date: The edition date of the form used by the company for the coverage. | | OPTIONAL COVERAGES - | | | | ENDORSEMENTS | | | | (continued) | Coverage - Premium | Enter amount: The premium for the coverage. | | RATING/UNDERWRITING | Add | Check the box (if applicable): Indicates if the type of change being requested is an add. | | RATING/UNDERWRITING | Change | Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. | | RATING/UNDERWRITING | Delete | Check the box (if applicable): Indicates if the type of change being request is a delete. | | RATING/UNDERWRITING | Construction - Masonry Veneer | Check the box (if applicable): Indicates the construction of the structure is masonry veneer. | | RATING/UNDERWRITING | Construction - Percent Masonry Veneer | Enter percentage: The percentage of the structure that is masonry veneer. | | RATING/UNDERWRITING | Construction - Fire Resistive | Check the box (if applicable): Indicates the construction of the structure is fire resistive. | | RATING/UNDERWRITING | Construction - Percent Fire Resistive | Enter percentage: The percentage of the structure that is fire resistive. | | RATING/UNDERWRITING | Construction - Frame | Check the box (if applicable): Indicates the construction of the structure is frame. | | RATING/UNDERWRITING | Construction - Percent Frame | Enter percentage: The percentage of the structure that is frame. | | RATING/UNDERWRITING | Construction - Masonry | Check the box (if applicable): Indicates the construction of the structure is masonry. | | RATING/UNDERWRITING | Construction - Percent Masonry | Enter percentage: The percentage of the structure that is masonry. | | RATING/UNDERWRITING | Construction - MFG Home | Check the box (if applicable): Indicates the construction of the structure is a manufactured home. | | RATING/UNDERWRITING | Construction - Percent Manufactured | Enter percentage: The percentage of the structure that is manufactured. | | RATING/UNDERWRITING | Construction - Steel | Check the box (if applicable): Indicates the construction of the structure is steel. | | RATING/UNDERWRITING | Construction - Percent Steel | Enter percentage: The percentage of the structure that is steel. |
ACORD 70 (2009/06) rev. 07-31-2009 52 of 74 | Section Name | Field Name | Field and/or Section Description | | RATING/UNDERWRITING | Construction - Poured Concrete | Check the box (if applicable): Indicates the construction of the structure is poured concrete. | | RATING/UNDERWRITING | Construction - Percent Poured Concrete | Enter percentage: The percentage of the structure that is poured concrete. | | RATING/UNDERWRITING | Construction - Log | Check the box (if applicable): Indicates the construction of the structure is log. | | RATING/UNDERWRITING | Construction - Percent Log | Enter percentage: The percentage of the structure that is log. | | RATING/UNDERWRITING | Construction - Other | Check the box (if applicable): Indicates the construction of the structure is other than those listed. | | RATING/UNDERWRITING | Construction - Other Description | Enter code: The primary construction type of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive As used here, this is the construction type of the structure other than those listed. | | RATING/UNDERWRITING | Construction - Percent Other | Enter percentage: The percentage of the structure that is other than those types listed. | | RATING/UNDERWRITING | Siding Type - Aluminum Siding | Check the box (if applicable): Indicates the siding on the structure is aluminum. | | RATING/UNDERWRITING | Siding Type - Percent Aluminum Siding | Enter percentage: The percentage of the structure that is sided in aluminum. | | RATING/UNDERWRITING | Siding Type - Stucco | Check the box (if applicable): Indicates the siding on the structure is stucco. | | RATING/UNDERWRITING | Siding Type - Percent Stucco | Enter percentage: The percentage of the structure that is sided in stucco. | | RATING/UNDERWRITING | Siding Type - Vinyl Siding/Plastic | Check the box (if applicable): Indicates the siding on the structure is vinyl or plastic. | | RATING/UNDERWRITING | Siding Type - Percent Vinyl Siding/Plastic | Enter percentage: The percentage of the structure that is sided in vinyl or plastic. | | RATING/UNDERWRITING | Siding Type - Cedar Wood Shingle | Check the box (if applicable): Indicates the siding on the structure is cedar or wood shingle. | | RATING/UNDERWRITING | Siding Type - Percent Cedar Wood Shingle |
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