| Universal wording updates to improve clarity and intent were made to all FIG text for this form on 06/30/2009. | ||
|---|---|---|
| Section Name | Field Name | Field and/or Section Description |
| TITLE ACORD 329 (2009/06) | Products LiabilitySection | The title of the form. ACORD 329, Aviation Products Liability, is used in conjunction with the ACORD 325, Aviation Insurance ApplicationApplicant Information Section. |
| IDENTIFICATION SECTION | Date (MM/DD/YYYY) | 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 | 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 No. (A/C, No, Ext) | 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). |
| IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage). |
| IDENTIFICATION SECTION | Applicant (First Named Insured) | Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
| IDENTIFICATION SECTION | Effective Date | Enter deductible: The uninsured motorists property damage deductible amount. |
| IDENTIFICATION SECTION | Expiration Date | Enter date: The date on which the terms and conditions of the policy will expire. |
| Section Name | Field Name | Field and/or Section Description |
| IDENTIFICATION SECTION | Direct Bill | Check the box (if applicable): Indicates if the policy 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 | Enter code: The payment plan for the policy (i.e., AN – Annual, MO – Monthly, QT Quarterly, etc.). |
| IDENTIFICATION SECTION | Audit | Enter code: The audit term for policies that are subject to periodic audit. If the audit period is known, enter the code; A – annual, S – semi-annual, Q – Quarterly, M – Monthly, O Other. |
| IDENTIFICATION SECTION | Estimated Annual Premium | Enter amount: The estimated annual premium amount for the Products Liability line of business. |
| COVERAGES | Products Liability Incl Comp Ops | Check the box (if applicable): Indicates completed operations are included in the products liability coverage. |
| COVERAGES | Products Liability Excl Comp Ops | Check the box (if applicable): Indicates completed operations are excluded from the products liability coverage. |
| COVERAGES | Products Liability Incl Spacecraft | Check the box (if applicable): Indicates spacecraft are included in the products liability coverage. |
| COVERAGES | Products Liability Excl Spacecraft | Check the box (if applicable): Indicates spacecraft are excluded from the products liability coverage. |
| COVERAGES | Products Liability Limit Ea Occ | Enter limit: The each occurrence limit for products liability coverage. |
| COVERAGES | Products Liability Limit Aggr | Enter limit: The aggregate limit for products liability coverage. |
| CO G SCOVERAGES | Products Liability Deductible Ea OOcc | E d d ibl Th h d d ibl f d li biliEnter deductible: The each occurrence deductible amount for products liability coverage. |
| COVERAGES | Products Liability Deductible Aggr | Enter deductible: The aggregate deductible amount for products liability coverage. |
| COVERAGES | Products Liability Premium | Enter amount: The premium amount for products liability coverage. |
| COVERAGES | Grounding Liability Limit Ea Occ | Enter limit: The each occurrence limit amount for grounding liability coverage. |
| COVERAGES | Grounding Liability Limit Aggr | Enter limit: The aggregate limit amount for grounding liability coverage. |
| COVERAGES | Grounding Liability Deductible Amount | Enter deductible: The deductible amount for grounding liability coverage. |
| COVERAGES | Grounding Liability Deductible Percent Each Ground | Enter percentage: The percentage deductible for each ground for grounding liability coverage. |
| COVERAGES | Grounding Liability Premium | Enter amount: The premium amount for grounding liability coverage. |
| COVERAGES | Foreign Military Aircraft Products Included | Check the box (if applicable): Indicates foreign military aircraft products coverage is included in the policy. |
| Section Name | Field Name | Field and/or Section Description |
| COVERAGES | Coverage Code | Enter code: The code for the coverage. |
| COVERAGES | Coverage Description | Enter text: The description of other coverage (not the limit) on the policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s) |
| COVERAGES | Options | Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES | Describe Other Options | Enter text: The description of the option being requested. |
| COVERAGES | Options | Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES | Describe Other Options | Enter text: The description of the option being requested. |
| COVERAGES | Limit | Enter limit: The limit amount for the coverage. |
| COVERAGES | Limit Applies to | Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES | Limit | Enter limit: The limit amount for the coverage. |
| COVERAGES | Limit Applies to | Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES | Deductible | Enter deductible: The deductible amount for the coverage. |
| COVERAGES | Deductible Applies to | Enter code: The code identifying what the deductible applies to. |
| COVERAGES | Deductible | Enter deductible: The deductible amount for the coverage. |
| COVERAGES | Deductible Applies to | Enter code: The code identifying what the deductible applies to. |
| COVERAGES | Premium | Enter amount: The premium amount for the coverage. |
| COVERAGES | Coverage Code | Enter code: The code for the coverage. |
| COVERAGES | Coverage Description | Enter text: The description of other coverage (not the limit) on the policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s) |
| COVERAGES | Options | Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| CO G SCOVERAGES | O ODescribe Other Options | E Th d i i f h i b i dEnter text: The description of the option being requested. |
| COVERAGES | Options | Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES | Describe Other Options | Enter text: The description of the option being requested. |
| COVERAGES | Limit | Enter limit: The limit amount for the coverage. |
| COVERAGES | Limit Applies to | Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES | Limit | Enter limit: The limit amount for the coverage. |
| COVERAGES | Limit Applies to | Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES | Deductible | Enter deductible: The deductible amount for the coverage. |
| COVERAGES | Deductible Applies to | Enter code: The code identifying what the deductible applies to. |
| COVERAGES | Deductible | Enter deductible: The deductible amount for the coverage. |
| COVERAGES | Deductible Applies to | Enter code: The code identifying what the deductible applies to. |
| COVERAGES | Premium | Enter amount: The premium amount for the coverage. |
| EXCESS COVERAGE | Will you be purchasing excess coverage over this insurance? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Will you be purchasing excess coverage over this insurance?”. |
| Section Name | Field Name | Field and/or Section Description |
| EXCESS COVERAGE | Excess Carrier | Enter text: The insurer name on any other applicable insurance. As used here, this is for the excess carrier. |
| EXCESS COVERAGE | Policy Number | Enter identifier: The policy number on any other applicable insurance. As used here, this is for the excess policy. |
| EXCESS COVERAGE | Expiration Date | Enter date: The date on which the terms and conditions of the other policy expires. As used here, this is for the excess policy. |
| EXCESS COVERAGE | Describe Excess Coverage | Enter text: The description of the other policy not listed on the form. As used here, this is for the excess policy. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Models Utilizing the Product | Enter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Ai ft M d l Utili i hAircraft Models Utilizing the Product | E Th d i i f h i f d l i h d d / iEnter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Models Utilizing the Product | Enter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| Section Name | Field Name | Field and/or Section Description |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Models Utilizing the Product | Enter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Models Utilizing the Product | Enter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| PRINCIPAL CUSTOMERS | Customer Name | Enter text: The full name of the principal customer. |
| PRINCIPAL CUSTOMERS | % of Sales | Enter percentage: The percentage of total sales this principal customer is responsible for. |
| PRINCIPAL CUSTOMERS | Description of Product/Service | Enter text: The description of the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Ai ft M d l Utili i hAircraft Models Utilizing the Product | E Th d i i f h i f d l i h d d / iEnter text: The description of the aircraft models using the products and / or services purchased by the principal customer. |
| PRINCIPAL CUSTOMERS | Aircraft Systems Utilizing the Product | Enter text: The description of the aircraft systems using the products and / or services purchased the by the principal customer. |
| IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage). |
| AIRCRAFT PRODUCT SALES | Year One | Enter year: The year the sales took place. |
| AIRCRAFT PRODUCT SALES | Year Two | Enter year: The year the sales took place. |
| AIRCRAFT PRODUCT SALES | Year Three | Enter year: The year the sales took place. |
| AIRCRAFT PRODUCT SALES | Year Four | Enter year: The year the sales took place. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Year Five | Enter year: The year the sales took place. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Airframe Year One | Enter amount: The annual gross receipts amount for fixed wing piston airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Airframe Year Two | Enter amount: The annual gross receipts amount for fixed wing piston airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Airframe Year Three | Enter amount: The annual gross receipts amount for fixed wing piston airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Airframe Year Four | Enter amount: The annual gross receipts amount for fixed wing piston airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Airframe Year Five | Enter amount: The annual gross receipts amount for fixed wing piston airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Engine Year One | Enter amount: The annual gross receipts amount for fixed wing piston engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Engine Year Two | Enter amount: The annual gross receipts amount for fixed wing piston engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Engine Year Three | Enter amount: The annual gross receipts amount for fixed wing piston engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Engine Year Four | Enter amount: The annual gross receipts amount for fixed wing piston engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Engine Year Five | Enter amount: The annual gross receipts amount for fixed wing piston engines. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | N Milit Fi d Wi PiNon Military – Fixed Wing Piston Propeller Year One | Enter amount: The annual gross receipts amount for fixed wing piston propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Propeller Year Two | Enter amount: The annual gross receipts amount for fixed wing piston propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Propeller Year Three | Enter amount: The annual gross receipts amount for fixed wing piston propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Propeller Year Four | Enter amount: The annual gross receipts amount for fixed wing piston propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Piston Propeller Year Five | Enter amount: The annual gross receipts amount for fixed wing piston propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Airframe Year One | Enter amount: The annual gross receipts amount for fixed wing turbine airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Airframe Year Two | Enter amount: The annual gross receipts amount for fixed wing turbine airframes. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Airframe Year Three | Enter amount: The annual gross receipts amount for fixed wing turbine airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Airframe Year Four | Enter amount: The annual gross receipts amount for fixed wing turbine airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Airframe Year Five | Enter amount: The annual gross receipts amount for fixed wing turbine airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Engine Year One | Enter amount: The annual gross receipts amount for fixed wing turbine engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Engine Year Two | Enter amount: The annual gross receipts amount for fixed wing turbine engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Engine Year Three | Enter amount: The annual gross receipts amount for fixed wing turbine engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Engine Year Four | Enter amount: The annual gross receipts amount for fixed wing turbine engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Engine Year Five | Enter amount: The annual gross receipts amount for fixed wing turbine engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Propeller Year One | Enter amount: The annual gross receipts amount for fixed wing turbine propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Propeller Year Two | Enter amount: The annual gross receipts amount for fixed wing turbine propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Propeller Year Three | Enter amount: The annual gross receipts amount for fixed wing turbine propellers. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | N Milit Fi d Wi T biNon Military – Fixed Wing Turbine Propeller Year Four | Enter amount: The annual gross receipts amount for fixed wing turbine propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Fixed Wing Turbine Propeller Year Five | Enter amount: The annual gross receipts amount for fixed wing turbine propellers. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Airframe Year One | Enter amount: The annual gross receipts amount for helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Airframe Year Two | Enter amount: The annual gross receipts amount for helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Airframe Year Three | Enter amount: The annual gross receipts amount for helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Airframe Year Four | Enter amount: The annual gross receipts amount for helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Airframe Year Five | Enter amount: The annual gross receipts amount for helicopter airframes. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Engine Year One | Enter amount: The annual gross receipts amount for helicopter engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Engine Year Two | Enter amount: The annual gross receipts amount for helicopter engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Engine Year Three | Enter amount: The annual gross receipts amount for helicopter engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Engine Year Four | Enter amount: The annual gross receipts amount for helicopter engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Engine Year Five | Enter amount: The annual gross receipts amount for helicopter engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Rotors Year One | Enter amount: The annual gross receipts amount for helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Rotors Year Two | Enter amount: The annual gross receipts amount for helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Rotors Year Three | Enter amount: The annual gross receipts amount for helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Rotors Year Four | Enter amount: The annual gross receipts amount for helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Non Military – Helicopter Rotors Year Five | Enter amount: The annual gross receipts amount for helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Airframe | Enter number: The average number of remote piloted vehicle airframes sold per year. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | N Milit R Pil dNon Military – Remote Piloted Vehicles Airframe Year One | Enter amount: The annual gross receipts amount for remote piloted vehicle airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Airframe Year Two | Enter amount: The annual gross receipts amount for remote piloted vehicle airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Airframe Year Three | Enter amount: The annual gross receipts amount for remote piloted vehicle airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Airframe Year Four | Enter amount: The annual gross receipts amount for remote piloted vehicle airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Airframe Year Five | Enter amount: The annual gross receipts amount for remote piloted vehicle airframes. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine | Enter number: The average number of remote piloted vehicle engines sold per year. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine Year One | Enter amount: The annual gross receipts amount for remote piloted vehicle engines. |
| Section Name | Field Name | Field and/or Section Description |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine Year Two | Enter amount: The annual gross receipts amount for remote piloted vehicle engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine Year Three | Enter amount: The annual gross receipts amount for remote piloted vehicle engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine Year Four | Enter amount: The annual gross receipts amount for remote piloted vehicle engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Remote Piloted Vehicles Engine Year Five | Enter amount: The annual gross receipts amount for remote piloted vehicle engines. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Satellite Year One | Enter amount: The annual gross receipts amount for commercial spacecraft satellites. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Satellite Year Two | Enter amount: The annual gross receipts amount for commercial spacecraft satellites. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Satellite Year Three | Enter amount: The annual gross receipts amount for commercial spacecraft satellites. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Satellite Year Four | Enter amount: The annual gross receipts amount for commercial spacecraft satellites. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Satellite Year Five | Enter amount: The annual gross receipts amount for commercial spacecraft satellites. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Other Type | Enter text: The description of the commercial spacecraft sold. |
| AIRCRAFT PRODUCT S SSALES | Non Military – Commercial S f O OSpacecraft Other Type Year One | E Th l i f h i l fEnter amount: The annual gross receipts amount for other commercial spacecraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Other Type Year Two | Enter amount: The annual gross receipts amount for other commercial spacecraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Other Type Year Three | Enter amount: The annual gross receipts amount for other commercial spacecraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Other Type Year Four | Enter amount: The annual gross receipts amount for other commercial spacecraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Commercial Spacecraft Other Type Year Five | Enter amount: The annual gross receipts amount for other commercial spacecraft. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Non Military – Hot Air Balloons Year One | Enter amount: The annual gross receipts amount for hot air balloons. |
| AIRCRAFT PRODUCT SALES | Non Military – Hot Air Balloons Year Two | Enter amount: The annual gross receipts amount for hot air balloons. |
| AIRCRAFT PRODUCT SALES | Non Military – Hot Air Balloons Year Three | Enter amount: The annual gross receipts amount for hot air balloons. |
| AIRCRAFT PRODUCT SALES | Non Military – Hot Air Balloons Year Four | Enter amount: The annual gross receipts amount for hot air balloons. |
| AIRCRAFT PRODUCT SALES | Non Military – Hot Air Balloons Year Five | Enter amount: The annual gross receipts amount for hot air balloons. |
| AIRCRAFT PRODUCT SALES | Non Military – Blimps Year One | Enter amount: The annual gross receipts amount for blimps. |
| AIRCRAFT PRODUCT SALES | Non Military – Blimps Year Two | Enter amount: The annual gross receipts amount for blimps. |
| AIRCRAFT PRODUCT SALES | Non Military – Blimps Year Three | Enter amount: The annual gross receipts amount for blimps. |
| AIRCRAFT PRODUCT SALES | Non Military – Blimps Year Four | Enter amount: The annual gross receipts amount for blimps. |
| AIRCRAFT PRODUCT SALES | Non Military – Blimps Year Five | Enter amount: The annual gross receipts amount for blimps. |
| AIRCRAFT PRODUCT SALES | Non Military – Hang Gliders Year One | Enter amount: The annual gross receipts amount for hang gliders. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | N Milit H Glid YNon Military – Hang Gliders Year Two | Enter amount: The annual gross receipts amount for hang gliders. |
| AIRCRAFT PRODUCT SALES | Non Military – Hang Gliders Year Three | Enter amount: The annual gross receipts amount for hang gliders. |
| AIRCRAFT PRODUCT SALES | Non Military – Hang Gliders Year Four | Enter amount: The annual gross receipts amount for hang gliders. |
| AIRCRAFT PRODUCT SALES | Non Military – Hang Gliders Year Five | Enter amount: The annual gross receipts amount for hang gliders. |
| AIRCRAFT PRODUCT SALES | Non Military – Ultralights Year One | Enter amount: The annual gross receipts amount for ultralights. |
| AIRCRAFT PRODUCT SALES | Non Military – Ultralights Year Two | Enter amount: The annual gross receipts amount for ultralights. |
| AIRCRAFT PRODUCT SALES | Non Military – Ultralights Year Three | Enter amount: The annual gross receipts amount for ultralights. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Non Military – Ultralights Year Four | Enter amount: The annual gross receipts amount for ultralights. |
| AIRCRAFT PRODUCT SALES | Non Military – Ultralights Year Five | Enter amount: The annual gross receipts amount for ultralights. |
| AIRCRAFT PRODUCT SALES | Non Military – Home Built Aircraft Year One | Enter amount: The annual gross receipts amount for home built aircraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Home Built Aircraft Year Two | Enter amount: The annual gross receipts amount for home built aircraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Home Built Aircraft Year Three | Enter amount: The annual gross receipts amount for home built aircraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Home Built Aircraft Year Four | Enter amount: The annual gross receipts amount for home built aircraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Home Built Aircraft Year Five | Enter amount: The annual gross receipts amount for home built aircraft. |
| AIRCRAFT PRODUCT SALES | Non Military – Repair & Servicing Year One | Enter amount: The annual gross receipts amount for repair and servicing of aircraft and aviation products. |
| AIRCRAFT PRODUCT SALES | Non Military – Repair & Servicing Year Two | Enter amount: The annual gross receipts amount for repair and servicing of aircraft and aviation products. |
| AIRCRAFT PRODUCT SALES | Non Military – Repair & Servicing Year Three | Enter amount: The annual gross receipts amount for repair and servicing of aircraft and aviation products. |
| AIRCRAFT PRODUCT SALES | Non Military – Repair & Servicing Year Four | Enter amount: The annual gross receipts amount for repair and servicing of aircraft and aviation products. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | N Milit R i & S i iNon Military – Repair & Servicing Year Five | E Th l i f i d i i f i f dEnter amount: The annual gross receipts amount for repair and servicing of aircraft and aviation products. |
| AIRCRAFT PRODUCT SALES | Military – Missiles Year One | Enter amount: The annual gross receipts amount for military missiles. |
| AIRCRAFT PRODUCT SALES | Military – Missiles Year Two | Enter amount: The annual gross receipts amount for military missiles. |
| AIRCRAFT PRODUCT SALES | Military – Missiles Year Three | Enter amount: The annual gross receipts amount for military missiles. |
| AIRCRAFT PRODUCT SALES | Military – Missiles Year Four | Enter amount: The annual gross receipts amount for military missiles. |
| AIRCRAFT PRODUCT SALES | Military – Missiles Year Five | Enter amount: The annual gross receipts amount for military missiles. |
| AIRCRAFT PRODUCT SALES | Military – Spacecraft Year One | Enter amount: The annual gross receipts amount for military spacecraft. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Military – Spacecraft Year Two | Enter amount: The annual gross receipts amount for military spacecraft. |
| AIRCRAFT PRODUCT SALES | Military – Spacecraft Year Three | Enter amount: The annual gross receipts amount for military spacecraft. |
| AIRCRAFT PRODUCT SALES | Military – Spacecraft Year Four | Enter amount: The annual gross receipts amount for military spacecraft. |
| AIRCRAFT PRODUCT SALES | Military – Spacecraft Year Five | Enter amount: The annual gross receipts amount for military spacecraft. |
| AIRCRAFT PRODUCT SALES | Military – U.S. Aircraft Year One | Enter amount: The annual gross receipts amount for United States military aircraft. |
| AIRCRAFT PRODUCT SALES | Military – U.S. Aircraft Year Two | Enter amount: The annual gross receipts amount for United States military aircraft. |
| AIRCRAFT PRODUCT SALES | Military – U.S. Aircraft Year Three | Enter amount: The annual gross receipts amount for United States military aircraft. |
| AIRCRAFT PRODUCT SALES | Military – U.S. Aircraft Year Four | Enter amount: The annual gross receipts amount for United States military aircraft. |
| AIRCRAFT PRODUCT SALES | Military – U.S. Aircraft Year Five | Enter amount: The annual gross receipts amount for United States military aircraft. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Airframe Year One | Enter amount: The annual gross receipts amount for military fixed wing airframes. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Airframe Year Two | Enter amount: The annual gross receipts amount for military fixed wing airframes. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | Milit Fi d Wi Ai f YMilitary – Fixed Wing Airframe Year Three | Enter amount: The annual gross receipts amount for military fixed wing airframes. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Airframe Year Four | Enter amount: The annual gross receipts amount for military fixed wing airframes. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Airframe Year Five | Enter amount: The annual gross receipts amount for military fixed wing airframes. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Engine Year One | Enter amount: The annual gross receipts amount for military fixed wing engines. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Engine Year Two | Enter amount: The annual gross receipts amount for military fixed wing engines. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Engine Year Three | Enter amount: The annual gross receipts amount for military fixed wing engines. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Engine Year Four | Enter amount: The annual gross receipts amount for military fixed wing engines. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Engine Year Five | Enter amount: The annual gross receipts amount for military fixed wing engines. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Propeller Year One | Enter amount: The annual gross receipts amount for military fixed wing propellers. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Propeller Year Two | Enter amount: The annual gross receipts amount for military fixed wing propellers. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Propeller Year Three | Enter amount: The annual gross receipts amount for military fixed wing propellers. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Propeller Year Four | Enter amount: The annual gross receipts amount for military fixed wing propellers. |
| AIRCRAFT PRODUCT SALES | Military – Fixed Wing Propeller Year Five | Enter amount: The annual gross receipts amount for military fixed wing propellers. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Airframe Year One | Enter amount: The annual gross receipts amount for military helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Airframe Year Two | Enter amount: The annual gross receipts amount for military helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Airframe Year Three | Enter amount: The annual gross receipts amount for military helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Airframe Year Four | Enter amount: The annual gross receipts amount for military helicopter airframes. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Airframe Year Five | Enter amount: The annual gross receipts amount for military helicopter airframes. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | Milit H li E i YMilitary – Helicopter Engine Year One | Enter amount: The annual gross receipts amount for military helicopter engines. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Engine Year Two | Enter amount: The annual gross receipts amount for military helicopter engines. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Engine Year Three | Enter amount: The annual gross receipts amount for military helicopter engines. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Engine Year Four | Enter amount: The annual gross receipts amount for military helicopter engines. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Engine Year Five | Enter amount: The annual gross receipts amount for military helicopter engines. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Rotors Year One | Enter amount: The annual gross receipts amount for military helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Rotors Year Two | Enter amount: The annual gross receipts amount for military helicopter rotors. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Military – Helicopter Rotors Year Three | Enter amount: The annual gross receipts amount for military helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Rotors Year Four | Enter amount: The annual gross receipts amount for military helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Military – Helicopter Rotors Year Five | Enter amount: The annual gross receipts amount for military helicopter rotors. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe | Enter number: The average number of military remote piloted vehicle airframes sold per year. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe Year One | Enter amount: The annual gross receipts amount for military remote piloted vehicles airframes. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe Year Two | Enter amount: The annual gross receipts amount for military remote piloted vehicles airframes. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe Year Three | Enter amount: The annual gross receipts amount for military remote piloted vehicles airframes. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe Year Four | Enter amount: The annual gross receipts amount for military remote piloted vehicles airframes. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Airframe Year Five | Enter amount: The annual gross receipts amount for military remote piloted vehicles airframes. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Engine | Enter number: The average number of military remote piloted vehicle engines sold per year. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Engine Year One | Enter amount: The annual gross receipts amount for military remote piloted vehicles engines. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | Milit R Pil d V hi lMilitary – Remote Piloted Vehicles Engine Year Two | E Th l i f ili il d hi lEnter amount: The annual gross receipts amount for military remote piloted vehicles engines. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Engine Year Three | Enter amount: The annual gross receipts amount for military remote piloted vehicles engines. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Engine Year Four | Enter amount: The annual gross receipts amount for military remote piloted vehicles engines. |
| AIRCRAFT PRODUCT SALES | Military – Remote Piloted Vehicles Engine Year Five | Enter amount: The annual gross receipts amount for military remote piloted vehicles engines. |
| AIRCRAFT PRODUCT SALES | Other – Foreign Aircraft Parts Year One | Enter amount: The annual gross receipts amount for foreign aircraft parts. |
| AIRCRAFT PRODUCT SALES | Other – Foreign Aircraft Parts Year Two | Enter amount: The annual gross receipts amount for foreign aircraft parts. |
| AIRCRAFT PRODUCT SALES | Other – Foreign Aircraft Parts Year Three | Enter amount: The annual gross receipts amount for foreign aircraft parts. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Other – Foreign Aircraft Parts Year Four | Enter amount: The annual gross receipts amount for foreign aircraft parts. |
| AIRCRAFT PRODUCT SALES | Other – Foreign Aircraft Parts Year Five | Enter amount: The annual gross receipts amount for foreign aircraft parts. |
| AIRCRAFT PRODUCT SALES | Other – Avionics Year One | Enter amount: The annual gross receipts amount for avionics. |
| AIRCRAFT PRODUCT SALES | Other – Avionics Year Two | Enter amount: The annual gross receipts amount for avionics. |
| AIRCRAFT PRODUCT SALES | Other – Avionics Year Three | Enter amount: The annual gross receipts amount for avionics. |
| AIRCRAFT PRODUCT SALES | Other – Avionics Year Four | Enter amount: The annual gross receipts amount for avionics. |
| AIRCRAFT PRODUCT SALES | Other – Avionics Year Five | Enter amount: The annual gross receipts amount for avionics. |
| AIRCRAFT PRODUCT SALES | Other – Petrol Fuel Lubricants Year One | Enter amount: The annual gross receipts amount for petroleum fuel lubricants. |
| AIRCRAFT PRODUCT SALES | Other – Petrol Fuel Lubricants Year Two | Enter amount: The annual gross receipts amount for petroleum fuel lubricants. |
| AIRCRAFT PRODUCT SALES | Other – Petrol Fuel Lubricants Year Three | Enter amount: The annual gross receipts amount for petroleum fuel lubricants. |
| AIRCRAFT PRODUCT SALES | Other – Petrol Fuel Lubricants Year Four | Enter amount: The annual gross receipts amount for petroleum fuel lubricants. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | Oth P l F l L b i YOther – Petrol Fuel Lubricants Year Five | Enter amount: The annual gross receipts amount for petroleum fuel lubricants. |
| AIRCRAFT PRODUCT SALES | Other Description | Enter text: The description of other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year One | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Two | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Three | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Four | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Five | Enter amount: The annual gross receipts amount for other products or services. |
| Section Name | Field Name | Field and/or Section Description |
|---|---|---|
| AIRCRAFT PRODUCT SALES | Other Description | Enter text: The description of other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year One | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Two | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Three | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Four | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Five | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Description | Enter text: The description of other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year One | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Two | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Three | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Four | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCTAIRCRAFT PRODUCT SALES | Other Year Five | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Description | Enter text: The description of other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year One | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Two | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Three | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Four | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Five | Enter amount: The annual gross receipts amount for other products or services. |
| Section Name | Field Name | Field and/or Section Description |
| AIRCRAFT PRODUCT SALES | Other Description | Enter text: The description of other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year One | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Two | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Three | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Four | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Other Year Five | Enter amount: The annual gross receipts amount for other products or services. |
| AIRCRAFT PRODUCT SALES | Grand Total Year One | Enter amount: The annual gross receipts grand total amount. |
| AIRCRAFT PRODUCT SALES | Grand Total Year Two | Enter amount: The annual gross receipts grand total amount. |
| AIRCRAFT PRODUCT SALES | Grand Total Year Three | Enter amount: The annual gross receipts grand total amount. |
| AIRCRAFT PRODUCT SALES | Grand Total Year Four | Enter amount: The annual gross receipts grand total amount. |
| AIRCRAFT PRODUCT SALES | Grand Total Year Five | Enter amount: The annual gross receipts grand total amount. |
| WARRANTIES ANDWARRANTIES AND CONTROLS | D ib ll i ft tiDescribe all aircraft warranties to be attached | Enter text: The description of all aircraft warranties to be attached. |
| WARRANTIES AND CONTROLS | Describe all product engineering and testing controls involved in quality control | Enter text: The description of all product engineering and testing controls involved in quality control. |
| IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage). |
| PRODUCTS INFORMATION | Describe all aircraft products, including containers, designed by the applicant | Enter text: The description of products designed by the insured. As used here, describe all aircraft products, including containers, designed by the applicant. |
| PRODUCTS INFORMATION | Describe all aircraft products manufactured, assembled, or distributed by the applicant | Enter text: The description of products manufactured by the insured. As used here, describe all aircraft products manufactured, assembled, or distributed by the applicant. |
| Section Name | Field Name | Field and/or Section Description |
| PRODUCTS INFORMATION | List all products discontinued and companies sold/terminated for which coverage is required | Enter text: The description of all products discontinued and companies sold / terminated for which coverage is required. |
| PRODUCTS INFORMATION | Describe modifications to current products and describe all new aircraft products for the next 12 months | Enter text: The description of modifications to current products and all new products for next 12 months. |
| PRODUCTS INFORMATION | Describe why modifications were necessary | Enter text: The reason modifications were necessary. |
| PRODUCTS INFORMATION | List all liquid chemical aircraft products | Enter text: The description of all liquid chemical aircraft products. |
| PRODUCTS INFORMATION | Describe potentialhazards of all aircraft products including if they are flammable, explosive, corrosive, poisonous or toxic in any chemical state. | Enter text: The description of potential hazards. |
| PRODUCTS INFORMATION | Describe repair and service operations. | Enter text: The description of repair and/or service operations. |
| PRODUCTS INFORMATION | Make One | Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Model One | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Make Two | E Th f h f f h i f A d h d ib Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Model Two | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Make Three | Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Model Three | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Make Four | Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Model Four | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Make Five | Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| Section Name | Field Name | Field and/or Section Description |
| PRODUCTS INFORMATION | Model Five | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Make Six | Enter text: The name of the manufacturer of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Model Six | Enter text: The model name of the aircraft. As used here, describes an aircraft in which the insured specializes for repair and service operations. |
| PRODUCTS INFORMATION | Describe Service Contracts to be attached to the application. | Enter text: The description of service contracts to be attached to the application. |
| PRODUCTS INFORMATION | Describe all contractsinvolving aircraft products in which the application hold harmless or indemnification others to be attached to the application. | Enter text: The description of all contracts involving products in which the insured hold harmless or indemnification others to be attached to the application. |
| SPACECRAFT PRODUCTS | Spacecraft Make | Enter text: The manufacturer of the spacecraft. |
| SPACECRAFT PRODUCTS | Model | Enter text: The model of the spacecraft. |
| SPACECRAFT PRODUCTS | Launch Vehicle | Enter text: The description of the launch vehicle(s) for the item. |
| SPACECRAFT PRODUCTS | Start Date | Enter date: The anticipated start date of the launch window for the spacecraft in which your products are used. |
| SPACECRAFT PRODUCTS | End Date | Enter date: The anticipated end date of the launch window for the spacecraft in which your products are used. |
| SPACECRAFT PRODUCTS | Spacecraft Make | Enter text: The manufacturer of the spacecraft. |
| SPACECRAFT PRODUCTS | Model | Enter text: The model of the spacecraft. |
| S C C O C SSPACECRAFT PRODUCTS | Launch Vehicle | E Thd ii f h l h hi l ( ) f hiEnter text: The description of the launch vehicle(s) for the item. |
| SPACECRAFT PRODUCTS | Start Date | Enter date: The anticipated start date of the launch window for the spacecraft in which your products are used. |
| SPACECRAFT PRODUCTS | End Date | Enter date: The anticipated end date of the launch window for the spacecraft in which your products are used. |
| SPACECRAFT PRODUCTS | Spacecraft Make | Enter text: The manufacturer of the spacecraft. |
| SPACECRAFT PRODUCTS | Model | Enter text: The model of the spacecraft. |
| SPACECRAFT PRODUCTS | Launch Vehicle | Enter text: The description of the launch vehicle(s) for the item. |
| SPACECRAFT PRODUCTS | Start Date | Enter date: The anticipated start date of the launch window for the spacecraft in which your products are used. |
| SPACECRAFT PRODUCTS | End Date | Enter date: The anticipated end date of the launch window for the spacecraft in which your products are used. |
| Section Name | Field Name | Field and/or Section Description |
| OUTSIDE FIRMS | Describe the product or portion of product that are manufactured or assembled by outside firms. | Enter text: The description of a product, or portion of a product, that is manufactured or assembled by an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Describe the product or portion of product that are manufactured or assembled by outside firms. | Enter text: The description of a product, or portion of a product, that is manufactured or assembled by an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Describe the product or portion of product that are manufactured or assembled by outside firms. | Enter text: The description of a product, or portion of a product, that is manufactured or assembled by an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Describe the product or portion of product that are manufactured or assembled by outside firms. | Enter text: The description of a product, or portion of a product, that is manufactured or assembled by an outside firm. |
| OUTSIDE FIRMS | Firm Name | E Th d i i f h f i bl ifi i d i fi Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products that are manufactured to the specifications of other firms by the applicant or any subsidiary. | Enter text: The description of a product that is manufactured by the insured or any subsidiary to the specifications of an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products that are manufactured to the specifications of other firms by the applicant or any subsidiary. | Enter text: The description of a product that is manufactured by the insured or any subsidiary to the specifications of an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| Section Name | Field Name | Field and/or Section Description |
| OUTSIDE FIRMS | Enter products that are manufactured to the specifications of other firms by the applicant or any subsidiary. | Enter text: The description of a product that is manufactured by the insured or any subsidiary to the specifications of an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products that are manufactured to the specifications of other firms by the applicant or any subsidiary. | Enter text: The description of a product that is manufactured by the insured or any subsidiary to the specifications of an outside firm. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products of others that are sold or distributed by the applicant or any subsidiary. | Enter text: The description of a product of an outside firm that is sold or distributed by the insured or any subsidiary. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products of others that are sold or distributed by the applicant or any subsidiary. | Enter text: The description of a product of an outside firm that is sold or distributed by the insured or any subsidiary. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Et d t f th th tEnter products of others that are sold or distributed by the applicant or any subsidiary. | Enter text: The description of a product of an outside firm that is sold or distributed by the insured or any subsidiary. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| OUTSIDE FIRMS | Enter products of others that are sold or distributed by the applicant or any subsidiary. | Enter text: The description of a product of an outside firm that is sold or distributed by the insured or any subsidiary. |
| OUTSIDE FIRMS | Firm Name | Enter text: The description of the manufacturing, assembly, or specification design firm involved with a product the insured creates, sells or distributes. |
| IDENTIFICATION SECTION | Agency Customer ID | Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage). |
| ADDITIONAL INSUREDS | Name and Address | Enter text: The additional interest’s full name. |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line one. |
| Section Name | Field Name | Field and/or Section Description |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line two. | |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address city name. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address state or province code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address postal code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s country code. | |
| ADDITIONAL INSUREDS | Certificate Required | Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
| ADDITIONAL INSUREDS | Reason for Interest | Enter text: The description for the interest in the item. |
| ADDITIONAL INSUREDS | Phone | Enter number: The primary phone number of the additional interest. |
| ADDITIONAL INSUREDS | Fax | Enter number: The primary fax number of the additional interest. |
| ADDITIONAL INSUREDS | Enter text: The primary e-mail address for the additional interest. | |
| ADDITIONAL INSUREDS | Name and Address | Enter text: The additional interest’s full name. |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line one. | |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line two. | |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address city name. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address state or province code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address postal code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s country code. | |
| ADDITIONAL INSUREDS | Certificate Required | Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
| ADDITIONAL INSUREDS | Reason for Interest | Enter text: The description for the interest in the item. |
| ADDITIONAL INSUREDS | Phone | Enter number: The primary phone number of the additional interest. |
| O S SADDITIONAL INSUREDS | Fax | E b Th i f b f h ddi i l i Enter number: The primary fax number of the additional interest. |
| ADDITIONAL INSUREDS | Enter text: The primary e-mail address for the additional interest. | |
| ADDITIONAL INSUREDS | Name and Address | Enter text: The additional interest’s full name. |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line one. | |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address line two. | |
| ADDITIONAL INSUREDS | Enter text: The additional interest’s mailing address city name. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address state or province code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s mailing address postal code. | |
| ADDITIONAL INSUREDS | Enter code: The additional interest’s country code. | |
| ADDITIONAL INSUREDS | Certificate Required | Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
| ADDITIONAL INSUREDS | Reason for Interest | Enter text: The description for the interest in the item. |
| ADDITIONAL INSUREDS | Phone | Enter number: The primary phone number of the additional interest. |
| ADDITIONAL INSUREDS | Fax | Enter number: The primary fax number of the additional interest. |
| Section Name | Field Name | Field and/or Section Description |
| ADDITIONAL INSUREDS | Enter text: The primary e-mail address for the additional interest. | |
| GENERAL INFORMATION | Does applicant use airport premises? If yes, name airport and describe uses. | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant use airport premises?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have there been any incidents in the past which could result in a claim? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have there been any incidents in past which could result in a claim?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Has any subsidiary, affiliated, owned or managed firm, or applicant’s products liability ever been self-insured or not insured? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Has any subsidiary, affiliated, owned or managed firm, or applicant’s products liability ever been self-insured or not insured?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have any aircraft products ever been subject to a manufacturers factory service bulletin or advisory? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to a manufacturers factory service bulletin or advisory?”. |
| GENERAL INFORMATION | Explain | E A l i f l i f i d i i iEnter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have any aircraft products ever been subject to an airworthiness directive? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to an airworthiness directive?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have any aircraft products ever been subjected to an emergency airworthiness directive? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to an emergency airworthiness directive?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| Section Name | Field Name | Field and/or Section Description |
| GENERAL INFORMATION | Have any aircraft products ever been subject to a recall by any applicant? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to a recall by any applicant?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have any aircraft products ever been subject to a recall by any other firm? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to a recall by any other firm?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Have any aircraft products ever been subject to a recall by a governmental agency? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Have any aircraft products ever been subject to a recall by a governmental agency?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| GENERAL INFORMATION | Do you allow subcontractors to work without providing a certificate of insurance? | Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Do you allow subcontractors to work without providing a certificate of insurance?”. |
| GENERAL INFORMATION | Explain | Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation. |
| REMARKS | Remarks | Enter text: The general remarks associated with the products liability line of business. U hi i id ddi i l i f i i d f d i i iUse this section to provide any additional information required for underwriting or rating. Attach ACORD 101, Additional Remarks Schedule, if more space is required. |
| Edition | Date | The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). |