ACORD 823 Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 823 (2009/09) Additional Premises Information Schedule The title of the form. ACORD 823, Additional Premises Information Section, is used as an attachment to ACORD 125, Commercial Insurance Application, when more space is required for additional premises.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION SECTION Page # Enter number: The page number applicable to this page.
IDENTIFICATION SECTION Of #of Pages Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If only one page, indicate Page 1 of 1.
IDENTIFICATION SECTION Agency Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION Policy Number Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license orcontract number.
IDENTIFICATION SECTION Effective Date Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
IDENTIFICATION SECTION Carrier Enter text: The insurer’s full legal company name(s) as found in thefile copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer’s group name or trade name.
IDENTIFICATION SECTION NAIC Code Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured(s) Enter text: The named insured(s) as it/they will appear on the policy declarations page.
PREMISES INFORMATION Loc # One Enter number: The location number for the premises.
PREMISES INFORMATION Bld # One Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 One Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 One Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City One Enter text: The city of the commercial structure.
PREMISES INFORMATION County One Enter text: The county of the commercial structure.
PREMISES INFORMATION State One Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip One Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside One Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside One Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other One Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner One Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant One Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest One Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description One Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees One Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees One Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues One Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Two Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Two Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Two Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Two Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Two Enter text: The city of the commercial structure.
PREMISES INFORMATION County Two Enter text: The county of the commercial structure.
PREMISES INFORMATION State Two Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Two Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Two Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Two Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Two Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Two Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Two Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Two Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Two Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Two Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Two Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Three Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Three Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Three Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Three Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Three Enter text: The city of the commercial structure.
PREMISES INFORMATION County Three Enter text: The county of the commercial structure.
PREMISES INFORMATION State Three Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Three Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Three Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Three Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Three Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Three Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Three Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Three Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Three Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Three Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Three Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Four Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Four Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Four Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Four Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Four Enter text: The city of the commercial structure.
PREMISES INFORMATION County Four Enter text: The county of the commercial structure.
PREMISES INFORMATION State Four Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Four Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Four Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Four Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Four Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Four Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Four Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Four Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Four Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Four Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Four Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Five Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Five Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Five Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Five Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Five Enter text: The city of the commercial structure.
PREMISES INFORMATION County Five Enter text: The county of the commercial structure.
PREMISES INFORMATION State Five Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Five Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Five Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Five Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Five Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Five Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Five Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Five Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Five Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Five Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Five Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Six Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Six Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Six Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Six Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Six Enter text: The city of the commercial structure.
PREMISES INFORMATION County Six Enter text: The county of the commercial structure.
PREMISES INFORMATION State Six Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Six Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Six Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Six Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Six Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Six Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Six Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Six Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Six Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Six Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Six Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Seven Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Seven Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Seven Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Seven Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Seven Enter text: The city of the commercial structure.
PREMISES INFORMATION County Seven Enter text: The county of the commercial structure.
PREMISES INFORMATION State Seven Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Seven Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Seven Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Seven Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Seven Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Seven Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Seven Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Seven Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Seven Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Seven Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Seven Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
PREMISES INFORMATION Loc # Eight Enter number: The location number for the premises.
PREMISES INFORMATION Bld # Eight Enter number: The building number for the premises. Used when more than one building exists at an individual location.
PREMISES INFORMATION Street Line 1 Eight Enter text: The first address line of the commercial structure.
PREMISES INFORMATION Street Line 2 Eight Enter text: The second address line of the commercial structure.
PREMISES INFORMATION City Eight Enter text: The city of the commercial structure.
PREMISES INFORMATION County Eight Enter text: The county of the commercial structure.
PREMISES INFORMATION State Eight Enter code: The state of the commercial structure.
PREMISES INFORMATION Zip Eight Enter code: The postal code of the commercial structure.
PREMISES INFORMATION City Limits Inside Eight Check the box (if applicable): Indicates if the building is within the city limits.
PREMISES INFORMATION City Limits Outside Eight Check the box (if applicable): Indicates if the building is outside the city limits.
PREMISES INFORMATION City Limits Other Eight Check the box (if applicable): Indicates if the building is not inside or outside city limits. For example, unincorporated.
PREMISES INFORMATION Other City Limits Description Eight Enter text: The description of the risk location if not inside or outside the city limits.
PREMISES INFORMATION Interest Owner Eight Check the box (if applicable): Indicates the named insured’s interest in the building is as its owner.
PREMISES INFORMATION Interest Tenant Eight Check the box (if applicable): Indicates the named insured’s interest is the building is as its tenant.
PREMISES INFORMATION Other Interest Eight Check the box (if applicable): Indicates the named insured’s interest is the building is other than as its owner or tenant.
PREMISES INFORMATION Other Interest Description Eight Enter text: The description of the insured’s interest is the building when it is other than as its owner or tenant.
PREMISES INFORMATION # Full Time Employees Enter number: The number of full time employees.
PREMISES INFORMATION # Part Time Employees Enter number: The number of part time employees.
PREMISES INFORMATION Annual Revenues Eight Enter amount: The annual revenue amount for this location.
PREMISES INFORMATION Occupied Area Enter number: The area, in square feet, of the building the named insured occupies.
PREMISES INFORMATION Open to Public Area Enter number: The area, in square feet, of the building that is open to the public.
PREMISES INFORMATION Total Building Area Enter number: The number of square feet of the building or area occupied at this location for which insurance is being requested.
PREMISES INFORMATION Description of Operations Enter text: The description of what business each applicant performs and the way it is conducted by premises. Operations which may not be apparent in a general description of operations may be segmented by location (e.g., location #1 is a sales office in Paris, France, location #2 is a warehouse in Berlin, Germany). Include number of leased and owned premises outside of the United States. The section should be completed in enough detail to enable the underwriter to understand and classify each operation. Do not use the classification wording from the Commercial Lines Manual or Workers Compensation Manual. They do not provide adequate detail. Example: a manufacturer of pulley wheels used in sewing machines should be described as such and not as “Metal Goods Mfg. N.O.C.”.
PREMISES INFORMATION Any area leased to others? Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any area leased in building?”.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).