ACORD 151 Instructions

Section Name Field Name Field and/or Section Description
TITLE ACORD 151 (2008/01) Miscellaneous Crime Coverage Section ACORD 151, Miscellaneous Crime Coverage Section, can be used to provide information about premises and safe protection, messengers and armored motor vehicles, additional locations, and scheduled employees where required. This form is to be used in conjunction with ACORD 125,Commercial Insurance Application – Applicant Information Section.
IDENTIFICATION SECTION Most information for the Identification Section should match the data found within the Applicant Information Section of ACORD 125. However, it is still important to complete the section. Many companies, for rating purposes, separate the applications by line of business. Not completing this part of the application makes it difficult to keep track of the full account.
IDENTIFICATION SECTION Agency Customer ID Customer’s identification number assigned by the agency or brokerage.
IDENTIFICATION SECTION Date Month/day/year (MM/DD/YYYY) on which the form is completed.
IDENTIFICATION SECTION Agency Producer’s name.
IDENTIFICATION SECTION Applicant (First Named Insured) First Named Insured as it appears on the ACORD 125.
IDENTIFICATION SECTION Policy Number The number assigned by the insurance company for the policy. In general, policy numbers will not appear on new business applications since they are not known at that point in time.
IDENTIFICATION SECTION Carrier Name of the insurance company (or residual market plan) that will receive the application. Do not use group names, use the actual name of the company within the group in which you wish to have the policy issued.
IDENTIFICATION SECTION NAIC Code The identification code assigned to the company by the NAIC.
IDENTIFICATION SECTION Effective Date Effective date on which the terms and conditions of the policy will commence.
IDENTIFICATION SECTION Expiration Date Expiration date on which the terms and conditions of the policy will terminate unless renewed.
IDENTIFICATION SECTION Direct Bill Indicate whether the company (direct) will bill the insured or other payor for the policy.
IDENTIFICATION SECTION Agency Bill Indicate whether the agency will bill the insured or other payor for the policy.
IDENTIFICATION SECTION Payment Plan Indicate the plan to be used to pay the company for the policy. Use the company’s specific designation for the plan where possible (e.g., Prepaid, Annual, Semi-annual, Bi-monthly, 40-30-30).
IDENTIFICATION SECTION Audit Indicate the audit term for policies that are periodically audited. If the audit period is known, enter the code: A . . . . . . . . . . . . . . . . . . . . . . . . . . . .annual S . . . . . . . . . . . . . . . . . . . . . . . . . . . semi-annual Q . . . . . . . . . . . . . . . . . . . . . . . . . . . quarterly M . . . . . . . . . . . . . . . . . . . . . . . . . . . monthly O . . . . . . . . . . . . . . . . . . . . . . . . . . . other
IDENTIFICATION SECTION Basis For Coverage Indicate whether coverage is based on discovery or a loss sustained basis.
PREMISES/SAFE PROTECTION Complete one section per location to describe the location’ssecurity systems.
PREMISES/SAFE PROTECTION Alarm Type Indicate the style of alarm(s) for the premises safes or vaults on it. Available options are: * Hold-Up – Manual or semiautomatic control which can transmit an alarm in the event of a hold-up. * Premises – Sensing device installed on premises which transmits an alarm in the event of unauthorized entry. The Premises Extent must be completed for Premises Alarms. * Safe/Vault – Alarm system that protects the safe or vault and is connected to outside central station, gong or siren. The Extent of Protection for Safe/Vault must be completed for all safes/vaults.
PREMISES/SAFE PROTECTION Alarm Description Indicate any applicable features of the alarm. * Local Gong – Bell located outside the premises. * Central Station – Private security service which monitors the alarm system and may dispatchsecurity officers in response to an alarm. * Police Connect – Indicate if alarms (hold-up and burglar) are transmitted to Police Headquarters rather than to a private control station. * With Keys – Indicate if security service or police have keys to respond to alarms.
PREMISES/SAFE PROTECTION Grade Grade or class A, B, C, etc. which indicates the time required to respond to a signal from the alarm system. Refer to manual.
PREMISES/SAFE PROTECTION Extent of Protection for Safe/Vault Indicate the extent of the alarm protection for the safe or vault. * Partial – Alarm covers around door only * Complete – Alarm covers sides, top walls, floor and ceiling.
PREMISES/SAFE PROTECTION Extent of Protection for Premises Indicate the extent of the premises alarm as defined in the ISO Commercial Lines Manual.
PREMISES/SAFE PROTECTION Alarm Installed & Serviced By Name of the company installing and servicing the alarm system. Alarm companies often install, maintain and service the system in addition to providing Central Station facilities.
PREMISES/SAFE PROTECTION # Guards Number of guards within the premises or at its door while regularly open for business.
PREMISES/SAFE PROTECTION # Watchpersons Number of watchpersons on the premises retained during non-office hours.
PREMISES/SAFE PROTECTION Watchpersons Indicate the type of watchpersons reporting. * Rpt/Cent. St – Report to a central station on an hourly basis * Clock Hrly – Register hourly with an approved watchpersons’ clock (Detex Time Clock, etc.) * Don’t Signal – Do not do any type of reporting or registering
PREMISES/SAFE PROTECTION Certificate Number Alarms approved by the Underwriters Laboratories (UL) are earmarked by a certificate. Record the certificate number; (Note: UL certification can apply to the entire system or to individual parts).
PREMISES/SAFE PROTECTION Expiration Date UL certificate expiration date.
PREMISES/SAFE PROTECTION Accessible Openings & Protection Provide information regarding access to the premises. Indicate number of doors and if they are protected in any manner. Indicate what type of locks are used and if there is a gate or bars.
PREMISES/SAFE PROTECTION Other Protection Describe any other protective measures or devices (e.g., if windows have steel grates and are connected to an alarm). Indicate if the building has skylights and if windows are visible from the street.
PREMISES, MESSENGER & ARMORED MOTOR VEHICLESCHEDULE Loc # Applicant’s premises location number as found on ACORD 125, or listed below in the Additional Locations section.
PREMISES, MESSENGER & ARMORED MOTOR VEHICLE SCHEDULE # Mess’gr Number of messengers to which the limits apply.
PREMISES, MESSENGER & ARMORED MOTOR VEHICLE SCHEDULE # of Arm’d Veh. Number of armored vehicles to which the limits apply.
PREMISES, MESSENGER & ARMORED MOTOR VEHICLE SCHEDULE Inside/Outside Limits Any appropriate limit inside or outside the premises.
ADDITIONAL LOCATIONS Use this section when the applicant is requesting coverage on locations that did not fit onto the ACORD 125 Location section.
ADDITIONAL LOCATIONS Loc # Location number to be associated with this address. This number should not be one of the numbers used on the ACORD 125.
ADDITIONAL LOCATIONS Address Applicant’s address associated with this location number.
REMARKS Provide any additional information required for underwriting or rating.
IDENTIFICATION SECTION Agency Customer ID Customer’s identification number assigned by the agency or brokerage.
EMPLOYEE SCHEDULE Use this section to specifically schedule employees.
EMPLOYEE SCHEDULE Loc # Location number where the employee works.
EMPLOYEE SCHEDULE Name of Employee Employee name that coverage is specifically being scheduled for.
EMPLOYEE SCHEDULE Title Employee’s job title.
EMPLOYEE SCHEDULE Limit Specific limit scheduled to this employee.
EMPLOYEE SCHEDULE Deductible Specific deductible scheduled to this employee.
REMARKS Remarks Provide any additional information required for underwriting or rating.