This form is a section and should be attached to the acord125 when submitted. Start a free trial now to save yourself time and money. Using acord s standardized forms allows for increased efficiency, accuracy. If the policy has not been issued, a binder may be extended or renewed beyond such 90 days with the written approval of the. Acord 140 property section cluett commercial insurance agency.
There is no way to deny that each one of them has to be executed in utmost sincerity as there is no scope for mistakes and errors. Michigan application for workers compensation insurance. Acord 1 umbrellaexcess section acord 7 ma commercial auto section acord 140 property section acord 144 glass and sign supplement acord 146 equipment floater section acord 160 business owners application acord 301 flood insurance application acord 810 business incomeextra expenserental value supplement to property section supplemental. Page 2 of 4 for multiple states, attach an additional page 2 of this form state rating worksheet n a in wisconsin n a n a n a. Fill out, securely sign, print or email your acord commercial application 125 126 140 jlny group instantly with signnow. Acord 140 201603 page 2 of 3 lenders loss payable the undersigned is an authorized representative of the applicant and represents that reasonable inquiry has been made to obtain the. Double check all the fillable fields to ensure full accuracy. Fill out, securely sign, print or email your acord 140 20112020 form instantly with signnow. Acord form 125 126 and 140 fill out and sign printable. The acord name and logo are registered marks of acord attach to acord 125 remarks acord 101, additional remarks schedule, may be attached if more space is required. Acord 125 201603 page 3 of 4 occur dateexplanation resolution resolve date occur dateexplanation resolution resolve date 14. Acord form 125 126 and 140 fill out and sign printable pdf. Acord forms are now available in a variety of formats, including printable pdf, electronic fillable, and eforms.
Other coverages, restrictions andor endorsements for hirednonowned auto coverages attach the applicable state business auto section, acord 7 acord 126 201109 page 2 of 4 agency customer id. Acord 75 201603 page 2 of 2 applicable in montana no binder shall be valid beyond the issuance of the policy with respect to which it was given or beyond 90 days from its effective date, whichever period is the shorter. Property section date mmdd yyyy remarks acord 101, additional remarks schedule, may be attached if more space is required. The acord name and logo are registered marks of acord acord 36 200701. The acord name and logo are registered marks of acord. Remarks acord 101, additional remarks schedule, may be attached if more space is required general information continued explain all yes responses for all past or present. Any person who knowingly and with intent to defraud or solicit another to defraud the insurer by submitting an application containing a false statement as to any material fact may be violating state law. Fill acord 140 mcneilandcompany instantly, edit online. Premises information attach acord 823 for additional premises. Property section acord 140 v03 yellowhammer insurance. Prior carrier information remarks processing instructions acord 101, additional remarks schedule, may be attached if more space is required page 3 of 4. Additional premises information schedule page of acord.
Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly no software. Acord 140 fillable 2019 fill out and sign printable pdf. If yes, attach acord 815 for liability exposure andor acord 816 for property exposure 12. Acord workers comp application pdf 297kb acord 1 umbrella excess section pdf 264kb acord 9 statement of values pdf 125kb acord 140 property section pdf 261kb acord 152 commercial inland marine section pdf 374kb acord 155 equipment breakdown section pdf 120kb acord 25 certificate of liability insurance pdf 100kb. Fill acord 140 200209, download blank or editable online. Use the sign tool to add and create your electronic signature to certify the acord commercial application 125 126 140 jlny group form. Remarks acord 101, additional remarks schedule, may be attached if more space is required mine subsidence coverage required in il, in, ky and wv accept coverage reject. The acord name and logo are registered marks of acord acord 140 201603. The acord name and logo are registered marks of acord acord 36 200701 current agency current producer insurance company name city of insured state of insured zip code of insured. Evidence of property insurance north star mutual insurance. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Property section acord 140 201603 property section acord 140 201603 to create this form, you may begin at the policy or package level.
Acord 140 fillable pdf business income extra expense attach acord value reporting information attach acord acord 09. Fill out, securely sign, print or email your acord 140 2011 2020 form instantly with signnow. Remarks acord 101, additional remarks schedule, may be attached if more space is required page 5 of 5 applicable in or. Since our first paper form was released in 1972, acord has provided the standard forms used by the insurance industry. Remarks acord 101, additional remarks schedule, may be attached if more space is required acord 129 attached for additional vehicles page 3 of 4 agency customer id. Property section date mmdd yyyy lenders loss payable attach to acord 125. This form utilizes the field structure provided by acord. The acord name and logo are registered marks of acord short description of changes remarks acord 101, additional remarks schedule, may be attached if more space is required policy type property general liability inland marine auto umbrella workers comp truckers business owners motor carriers this is an acknowledgement. Using acords standardized forms allows for increased efficiency, accuracy. Acord 140 fillable 2019 fill out and sign printable pdf template. Acord 140 201012 page 3 of 3 fraud notices remarks agency customer id. Acord 140 200209 fill online, printable, fillable, blank. Remarks acord 101, additional remarks schedule, may be attached if more space is required general information continued explain all yes responses for all past or present operations y n page.