ACORD 329 Instructions


ACORD 329 (2009/06)

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 E-Mail 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 E-Mail 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 E-Mail 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).