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ACORD 140 — Property Section

Premises, subject of insurance, limits, deductibles and protection class.

356 questions, grouped by the page they appear on in the printed ACORD form.

Fill in what applies to you and leave the rest blank — we will follow up on anything we still need. Other sections: 125 · 126 · 140

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Don't fill this out if you're human:

9. Typeamountblkt #Typeamountblkt #

The customer's identification number assigned by the producer (e.g., agency or brokerage).

The date on which the form is completed. (MM/DD/YYYY)

The full name of the producer / agency.

The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of t...

The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC).

The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears...

The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/Y...

The named insured(s) as it / they will appear on the policy declarations page.

The identifying number for the blanket.

The maximum amount of coverage provided for the blanket.

The subject(s) of insurance covered by this blanket. Examples include Building, Contents, or Combined Buil...

The identifying number for the blanket.

The maximum amount of coverage provided for the blanket.

The subject(s) of insurance covered by this blanket. Examples include Building, Contents, or Combined Buil...

The identifying number for the blanket.

The maximum amount of coverage provided for the blanket.

The subject(s) of insurance covered by this blanket. Examples include Building, Contents, or Combined Buil...

The identifying number for the blanket.

The maximum amount of coverage provided for the blanket.

The subject(s) of insurance covered by this blanket. Examples include Building, Contents, or Combined Buil...

The location number for the premises.

The first address line of the commercial structure.

The building number for the premises. Used when more than one building exists at an individual location.

This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

Check the box (if applicable): Indicates ACORD 810, Business Income / Extra Expense / Rental Value, supplem...Yes

Check the box (if applicable): Indicates ACORD 811, Value Reporting Information, supplement is attached for...Yes

The limit applicable to the spoilage coverage.

Check the box (if applicable): Indicates that breakdown or contamination coverage exists.Yes

The description of property to be covered for spoilage.

Check the box (if applicable): Indicates power outage coverage exists.Yes

Check the box (if applicable): Indicates selling price coverage exists on refrigerant equipment.Yes

Enter Y for a “Yes” response. Input N for “No” response. Indicates if spoilage coverage applies.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if there is a refrigerator maintenance a...

The deductible applicable to the spoilage coverage.

Check the box (if applicable): Indicates other refrigerant equipment coverage exists.Yes

The description of optional coverages that apply.

Check the box (if applicable): Indicates that sink hole coverage is accepted.Yes

Check the box (if applicable): Indicates that sink hole coverage is rejected.Yes

The limit applicable to the sink hole coverage.

Check the box (if applicable): Indicates that mine subsidence coverage is accepted.Yes

Check the box (if applicable): Indicates that mine subsidence coverage is rejected.Yes

The total limit amount for mine subsidence coverage.

Check the box (if applicable): Indicates the property has been designated an historical landmark.Yes

The number of open sides on a structure.

The remarks associated with a specific location or sublocation.

The primary construction type of the premises. Common construction classifications are: * Frame * Joisted M...

The distance in feet from the nearest hydrant that supports the protection class used.

The distance in miles from the nearest fire station that supports the protection class used.

The property's fire district name.

The property's fire district code number which can be found in the individual states manual pages.

The fire rating protection class for this location. Note: some structures may be located too far from the...

The number of stories or floors for this building not including any basement.

The number of basements for this building.

The year the building at each location was originally constructed. Specify in the Remarks section any signi...

The number of square feet of the building at this location for which insurance is being requested.

Check the box (if applicable): Indicates if any wiring improvements have been made since the original const...Yes

The year the wiring improvements took place.

Check the box (if applicable): Indicates if any plumbing improvements have been made since the original con...Yes

The year the plumbing improvements took place.

The industry code used to collect the building code effectiveness grade code. The source of this code list...

The city, county or state tax code, if applicable.

The material used to construct the roof. Examples include: * Composition (fiberglass, asphalt, etc.) *...

The description of any other occupancies located in the building not operated by the insured and not listed...

Check the box (if applicable): Indicates if any roofing improvements have been made since the original cons...Yes

The year the roofing improvements took place.

Check the box (if applicable): Indicates if any heating improvements have been made since the original cons...Yes

The year the heating improvements took place.

Check the box (if applicable): Indicates the wind class is semi-resistive.Yes

Check the box (if applicable): Indicates the presence of a solid fuel heater such as a wood burning stove o...Yes

The installation date of the solid fuel heater.

Check the box (if applicable): Indicates if any other improvements have been made since the original constr...Yes

The description of other improvements that have been made to the structure.

The year the other improvements took place.

Check the box (if applicable): Indicates the wind class is resistive.Yes

Check the box (if applicable): Indicates the wind class is other than those listed.Yes

The description of the other wind class.

The manufacturer of the solid fuel heater.

Check the box (if applicable): Indicates if a boiler is the primary heating on the premises.Yes

Check the box (if applicable): Indicates if solid fuel is the primary heating on the premises.Yes

Check the box (if applicable): Indicates primary heating source is other than those listed.Yes

If applicable, describe the other primary heat source.

Check the box (if applicable): Indicates if a boiler is the secondary heating on the premises.Yes

Check the box (if applicable): Indicates if solid fuel is the secondary heating on the premises.Yes

Check the box (if applicable): Indicates secondary heating source is other than those listed.Yes

If applicable, describe the other secondary heat source.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if the heating boiler is insured elsewhere.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if the heating boiler is insured elsewhere.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure on the right of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure on the left of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure in the front of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure in the rear of the insured premises in linear feet.

Check the box (if applicable): Indicates the burglar alarm rings at an alarm company.Yes

Check the box (if applicable): Indicates the burglar alarm rings on audible gong located outside the building.Yes

The description of any burglar alarm protecting the building or contents. Descriptive terms such as safe, p...

The Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a cop...

The expiration date of the certificate. (MM/DD/YYYY)

Check the box (if applicable): Indicates the alarm company, located off the insured's premises, has keys to...Yes

Check the box (if applicable): Indicates the guard / watchman is required to make hourly rounds using a spe...Yes

The name of the alarm company that installed and services the alarm. Alarm companies often install, mainta...

The designated extent of protection as described in the Underwriters Laboratories (UL) standard.

The alarm system grade as described in the Underwriters Laboratories (UL) standard (i.e., AA, A, BB, B, CC...

The number of guards and or watchmen employed or contracted for by the insured.

Check the box (if applicable): Indicates the guard / watchman is required to make some other type of rounds.Yes

The description of the rounds the guards / watchmen are required to make.

Check the box (if applicable): Indicates the fire alarm rings at an alarm company, police department or fir...Yes

The description of the type of fire protection for the premises (e.g. sprinklers, standpipes, chemical syst...

The percentage of the structure area covered by the sprinkler system.

The name of the manufacturer of the alarm, and if it is UL listed.

Check the box (if applicable): Indicates the fire alarm rings on an audible gong located outside of the bui...Yes

Check the box (if applicable): Indicates that further additional interests appear on the attached ACORD 45.Yes

The ranking of 'this' additional interest when multiple additional interests are associated with the same i...

Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance.Yes

Check the box (if applicable): Indicates the additional interest type is a lender's loss payable.Yes

The additional interest's full name.

The producer assigned number of the location which has an additional interest.

The producer assigned number of the building which has an additional interest.

Check the box (if applicable): Indicates the additional interest type is a loss payee.Yes

The additional interest's mailing address line one.

The description of the item which has an additional interest.

The producer assigned number of the scheduled item which has an additional interest.

Check the box (if applicable): Indicates the additional interest type is a mortgagee.Yes

The additional interest's mailing address line two.

Check the box (if applicable): Indicates the additional interest is other than those listed.Yes

The description of the other type of additional interest.

The additional interest's mailing address city name.

The additional interest's mailing address state or province code.

The additional interest's mailing address postal code.

The additional interest's country code.

The description of the item of interest if needed to further clarify. For a vehicle, list the make, model...

The loan number, account number or other controlling number that the additional interest may have assigned...

The edition identifier of the form including the form number and edition (the date is typically formatted Y...

10. Type

The location number for the premises.

The first address line of the commercial structure.

The building number for the premises. Used when more than one building exists at an individual location.

This describes the particular sublocation in a manner sufficient to distinguish it from other sublocations...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

The maximum amount of coverage provided for this subject of insurance or premium-bearing option.

The Coinsurance Percentage is the percentage of the total value of the subject of insurance being insured....

The inflation guard percentage gives an automatic increase in the amount of coverage based on a percentage...

The deductible amount that is to apply to this subject of insurance.

The code indicating the type of deductible that is to apply to this subject of insurance. Examples are per...

The code designating all unit at risk / coverages that are to be insured at this particular location number...

Indicate the method which will be used to determine the amount paid on a claim. If other valuation basis a...

The causes of loss the subject of insurance is to be covered for. Examples: * Basic * Broad * Specia...

The identifying number for the blanket under which this subject of insurance is rated. Leave blank if the...

The form numbers and special conditions that apply to this subject of insurance. Also indicate here if cov...

Check the box (if applicable): Indicates ACORD 810, Business Income / Extra Expense / Rental Value, supplem...Yes

Check the box (if applicable): Indicates ACORD 811, Value Reporting Information, supplement is attached for...Yes

The limit applicable to the spoilage coverage.

Check the box (if applicable): Indicates that breakdown or contamination coverage exists.Yes

The description of property to be covered for spoilage.

Check the box (if applicable): Indicates power outage coverage exists.Yes

Check the box (if applicable): Indicates selling price coverage exists on refrigerant equipment.Yes

Enter Y for a “Yes” response. Input N for “No” response. Indicates if spoilage coverage applies.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if there is a refrigerator maintenance a...

The deductible applicable to the spoilage coverage.

Check the box (if applicable): Indicates other refrigerant equipment coverage exists.Yes

The description of optional coverages that apply.

Check the box (if applicable): Indicates that sink hole coverage is accepted.Yes

Check the box (if applicable): Indicates that sink hole coverage is rejected.Yes

The limit applicable to the sink hole coverage.

Check the box (if applicable): Indicates that mine subsidence coverage is accepted.Yes

Check the box (if applicable): Indicates that mine subsidence coverage is rejected.Yes

The total limit amount for mine subsidence coverage.

Check the box (if applicable): Indicates the property has been designated an historical landmark.Yes

The number of open sides on a structure.

The remarks associated with a specific location or sublocation.

The primary construction type of the premises. Common construction classifications are: * Frame * Joisted M...

The distance in feet from the nearest hydrant that supports the protection class used.

The distance in miles from the nearest fire station that supports the protection class used.

The property's fire district name.

The property's fire district code number which can be found in the individual states manual pages.

The fire rating protection class for this location. Note: some structures may be located too far from the...

The number of stories or floors for this building not including any basement.

The number of basements for this building.

The year the building at each location was originally constructed. Specify in the Remarks section any signi...

The number of square feet of the building at this location for which insurance is being requested.

Check the box (if applicable): Indicates if any wiring improvements have been made since the original const...Yes

The year the wiring improvements took place.

Check the box (if applicable): Indicates if any plumbing improvements have been made since the original con...Yes

The year the plumbing improvements took place.

The industry code used to collect the building code effectiveness grade code. The source of this code list...

The city, county or state tax code, if applicable.

The material used to construct the roof. Examples include: * Composition (fiberglass, asphalt, etc.) *...

The description of any other occupancies located in the building not operated by the insured and not listed...

Check the box (if applicable): Indicates if any roofing improvements have been made since the original cons...Yes

The year the roofing improvements took place.

Check the box (if applicable): Indicates if any heating improvements have been made since the original cons...Yes

The year the heating improvements took place.

Check the box (if applicable): Indicates the wind class is semi-resistive.Yes

Check the box (if applicable): Indicates the presence of a solid fuel heater such as a wood burning stove o...Yes

The installation date of the solid fuel heater.

Check the box (if applicable): Indicates if any other improvements have been made since the original constr...Yes

The description of other improvements that have been made to the structure.

The year the other improvements took place.

Check the box (if applicable): Indicates the wind class is resistive.Yes

Check the box (if applicable): Indicates the wind class is other than those listed.Yes

The description of the other wind class.

The manufacturer of the solid fuel heater.

Check the box (if applicable): Indicates if a boiler is the primary heating on the premises.Yes

Check the box (if applicable): Indicates if solid fuel is the primary heating on the premises.Yes

Check the box (if applicable): Indicates primary heating source is other than those listed.Yes

If applicable, describe the other primary heat source.

Check the box (if applicable): Indicates if a boiler is the secondary heating on the premises.Yes

Check the box (if applicable): Indicates if solid fuel is the secondary heating on the premises.Yes

Check the box (if applicable): Indicates secondary heating source is other than those listed.Yes

If applicable, describe the other secondary heat source.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if the heating boiler is insured elsewhere.

Enter Y for a “Yes” response. Input N for “No” response. Indicates if the heating boiler is insured elsewhere.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure on the right of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure on the left of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure in the front of the insured premises in linear feet.

The description of the buildings, structures, activities conducted, or use of the adjacent property to the...

The distance to the adjacent exposure in the rear of the insured premises in linear feet.

Check the box (if applicable): Indicates the burglar alarm rings at an alarm company.Yes

Check the box (if applicable): Indicates the burglar alarm rings on audible gong located outside the building.Yes

The description of any burglar alarm protecting the building or contents. Descriptive terms such as safe, p...

The Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a cop...

The expiration date of the certificate. (MM/DD/YYYY)

Check the box (if applicable): Indicates the alarm company, located off the insured's premises, has keys to...Yes

Check the box (if applicable): Indicates the guard / watchman is required to make hourly rounds using a spe...Yes

The name of the alarm company that installed and services the alarm. Alarm companies often install, mainta...

The designated extent of protection as described in the Underwriters Laboratories (UL) standard.

The alarm system grade as described in the Underwriters Laboratories (UL) standard (i.e., AA, A, BB, B, CC...

The number of guards and or watchmen employed or contracted for by the insured.

Check the box (if applicable): Indicates the guard / watchman is required to make some other type of rounds.Yes

The description of the rounds the guards / watchmen are required to make.

Check the box (if applicable): Indicates the fire alarm rings at an alarm company, police department or fir...Yes

The description of the type of fire protection for the premises (e.g. sprinklers, standpipes, chemical syst...

The percentage of the structure area covered by the sprinkler system.

The name of the manufacturer of the alarm, and if it is UL listed.

Check the box (if applicable): Indicates the fire alarm rings on an audible gong located outside of the bui...Yes

Check the box (if applicable): Indicates that further additional interests appear on the attached ACORD 45.Yes

The ranking of 'this' additional interest when multiple additional interests are associated with the same i...

Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance.Yes

Check the box (if applicable): Indicates the additional interest type is a lender's loss payable.Yes

The additional interest's full name.

The producer assigned number of the location which has an additional interest.

The producer assigned number of the building which has an additional interest.

Check the box (if applicable): Indicates the additional interest type is a loss payee.Yes

The additional interest's mailing address line one.

The description of the item which has an additional interest.

The producer assigned number of the scheduled item which has an additional interest.

Check the box (if applicable): Indicates the additional interest type is a mortgagee.Yes

The additional interest's mailing address line two.

Check the box (if applicable): Indicates the additional interest is other than those listed.Yes

The description of the other type of additional interest.

The additional interest's mailing address city name.

The additional interest's mailing address state or province code.

The additional interest's mailing address postal code.

The additional interest's country code.

The description of the item of interest if needed to further clarify. For a vehicle, list the make, model...

The loan number, account number or other controlling number that the additional interest may have assigned...

The remarks associated the commercial property line of business.

11. Knowledge.

Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc....

The name of the authorized representative of the producer, agency and/or broker that signed the form.

The State License Number of the producer.

Sign here: Accommodates the signature of the applicant or named insured.

The date the form was signed by the applicant or named insured. (MM/DD/YYYY)

The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: Th...