ACORD Forms

ACORD Forms : How to Complete a Certificate of Property Insurance 24

ACORD 24 Instructions

ACORD 24 (2009/09) rev. 10-30-2009 1 of 9 Section Name Field Name Field and/or Section Description
The title of the form. ACORD 24, Certificate of Property Insurance.
Certificate of Property Insurance vs. Evidence of Property Insurance: An important distinction exists between the Certificate of Property Insurance (ACORD 24) and the Evidence of Property Insurance (ACORD 27) or the Evidence of Commercial Property Insurance (ACORD 28).
TITLE ACORD 24 (2009/09) Certificate of Property Insurance If the receiver of the form wants to verify that property coverage exists on a policy and has no direct interest in the policy, use ACORD 24, Certificate of Property Insurance. However, if the receiver of the form does have a verifiable insurable interest in the policy, such as a mortgagee or a lender, use ACORD 27, Evidence of Property Insurance, when the property is insured under a Personal Lines or small Commercial policy. When the property is insured under a Commercial Lines policy with a large limit and the lender requires specific detailed coverage information, use ACORD 28, Evidence of Commercial Property Insurance.
Purpose of the Certificate of Insurance The purpose of the Certificate of Insurance has been the topic of frequent discussions throughout the industry. Attention centers around the true purpose of a certificate and the rights, if any, it conveys to a certificate holder. This is particularly important when the difference between a certificate holder and lien holder, loss payee, or mortgagee is considered.
TITLE In a 1974 court decision (United States Pipe & Foundry Co. v United States Fidelity & Guar. Co, 505 F. 2d 88 (5th Cir. 1974), the court ruled that a certificate is not a contract between the holder and the insurer. It only provides information to an interested third party that insurance is in force at the time of issuance. The court also stated: "The provision regarding notification in the event of cancellation is a mere promise, unsupported by any consideration." Although some companies provide notice of cancellation to certificate holders, they are not obliged to do so, since the holder is not a party to the contract.
ACORD 24 (2009/09) rev. 10-30-2009 2 of 9
Section Name Field Name Field and/or Section Description
TITLE The Certificate of Property Insurance is used for most property situations in which the insured has requested certification to a third party of issued property coverages. The uses of this Certificate can include parties involved in condominium association agreements, lessor/lessee agreements, or other areas of certification. The ACORD Certificate should be issued only in compliance with company instructions. ACORD recommends that the Certificate NOT be used in the following situations: * To satisfy a mortgagee or lienholder (ACORD 27, Evidence of Property Insurance or ACORD 28, Evidence of Commercial Property Insurance should be used for this) * To provide information to the owner of a leased motor vehicle or the lender about both liability and physical damage coverages applying to the vehicle (ACORD 23, Automobile Certificate of Insurance, should be used for this) * To quote wording from a contract * To waive rights * To attach to an endorsement * To quote any wording which amends a policy unless the policy itself has been amended.
TITLE IMPORTANT Kansas, Kentucky, Minnesota, Missouri, North Carolina, Oklahoma and Wisconsin require the filing of certificate of insurance forms. ACORD has filed all of its certificates in these states. In these states, the text of ACORD’s certificates cannot be modified, unless the modified form is filed for approval by the respective state Departments of Insurance. Additionally, virtually every other state will not allow any change in a certificate of insurance that would attempt to modify a policy unless the revised certificate is filed and approved. In these states, this form can only be changed to reflect the terms and conditions of the policy on which it is reporting. Such change(s) must be approved in advance by the insurance carrier that issued such policy.
IDENTIFICATION SECTION Date Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION Producer Enter text: The full name of the producer/agency.
ACORD 24 (2009/09) rev. 10-30-2009 3 of 9
Section Name Field Name Field and/or Section Description
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 Contact Name Enter text: The name of the individual at the producer's establishment that is the primary contact.
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 Producer Customer ID Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION SECTION Insured Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Enter text: The named insured's mailing address line one.
IDENTIFICATION SECTION Enter text: The named insured's mailing address line two.
IDENTIFICATION SECTION Enter text: The named insured's mailing address city name.
IDENTIFICATION SECTION Enter code: The named insured's mailing address state or province code.
IDENTIFICATION SECTION Enter code: The named insured's mailing address postal code.
COMPANIES AFFORDING COVERAGE Company A Enter text: The insurer's full legal company name(s) as found in the file 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.
ACORD 24 (2009/09) rev. 10-30-2009 4 of 9
Section Name Field Name Field and/or Section Description
COMPANIES AFFORDING
COVERAGE NAIC # A Enter code: The identification code assigned to the insurer by the NAIC.
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
COMPANIES AFFORDING Use the actual name of the company within the group to which the policy has been issued.
COVERAGE Company B This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE NAIC # B Enter code: The identification code assigned to the insurer by the NAIC.
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
COMPANIES AFFORDING Use the actual name of the company within the group to which the policy has been issued.
COVERAGE Company C This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE NAIC # C Enter code: The identification code assigned to the insurer by the NAIC.
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
COMPANIES AFFORDING Use the actual name of the company within the group to which the policy has been issued.
COVERAGE Company D This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE NAIC # D Enter code: The identification code assigned to the insurer by the NAIC.
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
COMPANIES AFFORDING Use the actual name of the company within the group to which the policy has been issued.
COVERAGE Company E This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE NAIC # E Enter code: The identification code assigned to the insurer by the NAIC.
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
COMPANIES AFFORDING Use the actual name of the company within the group to which the policy has been issued.
COVERAGE Company F This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE NAIC # F Enter code: The identification code assigned to the insurer by the NAIC.
COVERAGES Certificate Number Enter identifier: The producer assigned number for the certificate.
COVERAGES Revision Number Enter number: The producer assigned revision number for the certificate.
Enter text: The Certificate Of Liability Insurance general remarks. As used here, for
Location of Premises/Description buildings, provide the street address and a brief description of the occupancy of the building (e.g., 123 Johnstone Ave, Endicott - Grocery Store with Apartments, or Route 66,
COVERAGES of Property five miles south of intersection with I99 - Tobacco Barn).
Enter code: The company letter of the insurer, as identified in the "Insurers Affording
COVERAGES Co Ltr Coverage" form section, associated with the property policy.
COVERAGES Property Check the box (if applicable): Indicates the type of policy is property.
ACORD 24 (2009/09) rev. 10-30-2009 5 of 9
Section Name Field Name Field and/or Section Description
COVERAGES Causes of Loss - Basic Check the box (if applicable): Indicates the type of policy/perils insured is basic.
COVERAGES Broad Check the box (if applicable): Indicates the type of policy/perils insured is broad.
COVERAGES Special Check the box (if applicable): Indicates the type of policy/perils insured is special.
COVERAGES Earthquake Check the box (if applicable): Indicates earthquake coverage is included in the policy.
COVERAGES Wind Check the box (if applicable): Indicates the type of policy is wind.
COVERAGES Flood Check the box (if applicable): Indicates flood coverage exists.
COVERAGES Checkbox Check the box (if applicable): Indicates the type of policy/perils insured is other than those listed.
COVERAGES Blank field text Enter text: The description of the type of policy issued to the insured.
COVERAGES Checkbox Check the box (if applicable): Indicates the type of policy/perils insured is other than those listed.
COVERAGES Blank field text Enter text: The description of the type of policy issued to the insured.
COVERAGES Building Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance. As used here, this is the deductible for the building coverage.
COVERAGES Contents Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance. As used here, this is the deductible for the contents coverage.
COVERAGES Earthquake Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance. As used here, this is the deductible for the earthquake coverage.
COVERAGES Wind Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance. As used here, this is the deductible for the wind coverage.
COVERAGES Flood Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance. As used here, this is the deductible for the flood coverage.
COVERAGES Other Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance.
COVERAGES Other Deductible Enter deductible: The deductible amount that is to apply to this subject of insurance.
COVERAGES 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 or contract number.
COVERAGES Policy Effective Date (MM/DD/YYYY) Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
COVERAGES Policy Expiration Date (MM/DD/YYYY) Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES Covered Property - Building (Checkbox) Check the box (if applicable): Indicates that Building Coverage applies.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for building coverage.
COVERAGES Personal Property (Checkbox) Check the box (if applicable): Indicates that Personal Property Coverage applies.
ACORD 24 (2009/09) rev. 10-30-2009 6 of 9
Section Name Field Name Field and/or Section Description
COVERAGES Limits - $ Field text box Enter limit: The limit amount for personal property coverage.
COVERAGES Business Income (Checkbox) Check the box (if applicable): Indicates business income coverage is included in the policy.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for business income coverage.
COVERAGES Extra Expense (Checkbox) Check the box (if applicable): Indicates extra expense coverage is included in the policy.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for extra expense coverage.
COVERAGES Rental Value (Checkbox) Check the box (if applicable): Indicates rental value coverage is included in the policy.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for rental value coverage.
COVERAGES Blanket Building (Checkbox) Check the box (if applicable): Indicates blanket coverage exists. As used here this is blanket coverage for the building.
COVERAGES $ Field text box Enter limit: The limit amount for the blanket coverage. As used here this is blanket coverage for the building.
COVERAGES Blanket Pers Prop (Checkbox) Check the box (if applicable): Indicates blanket coverage exists. As used here this is blanket coverage for personal property.
COVERAGES $ Field text box Enter limit: The limit amount for the blanket coverage. As used here this is blanket coverage for personal property.
COVERAGES Blanket Bldg & PP (Checkbox) Check the box (if applicable): Indicates blanket coverage exists. As used here this is blanket coverage for the building and personal property.
COVERAGES $ Field text box Enter limit: The limit amount for the blanket coverage. As used here this is blanket coverage for the building and personal property.
COVERAGES Checkbox Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Co Ltr Enter code: The company letter of the insurer, as identified in the "Insurers Affording Coverage" form section, associated with the inland marine policy.
COVERAGES Inland Marine Checkbox Check the box (if applicable): Indicates the type of policy is inland marine.
COVERAGES Type of Policy Blank field text Enter text: The description of the type of policy issued to the insured.
COVERAGES Causes of Loss - Named Perils (Checkbox) Check the box (if applicable): Indicates the coverage is to be written on a named perils basis.
COVERAGES Causes of Loss - Other (Checkbox) Check the box (if applicable): Indicates the type of policy/perils insured is other than those listed.
ACORD 24 (2009/09) rev. 10-30-2009 7 of 9
Section Name Field Name Field and/or Section Description
COVERAGES Blank field text Enter text: The description of the type of policy issued to the insured.
COVERAGES 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 or contract number.
COVERAGES Policy Effective Date (MM/DD/YYYY) Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
COVERAGES Policy Expiration Date (MM/DD/YYYY) Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES Covered Property - Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES Limits - $ Field text box Enter limit: The limit of the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit of the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit of the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit of the coverage.
COVERAGES Co Ltr Enter code: The company letter of the insurer, as identified in the "Insurers Affording Coverage" form section, associated with the crime policy.
COVERAGES Crime - Checkbox Check the box (if applicable): Indicates crime coverage applies.
COVERAGES Type of Policy Enter text: The description of the type of policy issued to the insured.
COVERAGES 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 or contract number.
COVERAGES Policy Effective Date (MM/DD/YYYY) Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
COVERAGES Policy Expiration Date (MM/DD/YYYY) Enter date: The date on which the terms and conditions of the policy will expire.
ACORD 24 (2009/09) rev. 10-30-2009 8 of 9
Section Name Field Name Field and/or Section Description
COVERAGES Covered Property - Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates a coverage other than those listed is applicable to the risk.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Co Ltr Enter code: The company letter of the insurer, as identified in the "Insurers Affording Coverage" form section, associated with the boiler and machinery policy.
COVERAGES Boiler & Machinery Checkbox Check the box (if applicable): Indicates boiler and machinery coverage applies.
COVERAGES 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 or contract number.
COVERAGES Policy Effective Date (MM/DD/YYYY) Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
COVERAGES Policy Expiration Date (MM/DD/YYYY) Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES Covered Property - Checkbox Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES Limits - $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Checkbox Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES Blank field text Enter text: The description of the coverage.
COVERAGES $ Field text box Enter limit: The limit amount for the coverage.
COVERAGES Co Ltr Enter code: The Company Letter of the insurer, as identified in the "Insurers Affording Coverage" form section, associated with the other policy.
COVERAGES Blank field text Enter text: The description of the other policy not listed on the form.
COVERAGES 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 or contract number.
COVERAGES Policy Effective Date (MM/DD/YYYY) Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
Section Name Field Name Field and/or Section Description
COVERAGES Policy Expiration Date (MM/DD/YYYY) Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES Covered Property (Checkbox) Check the box (if applicable): Indicates the coverage described is included in the policy.
COVERAGES Covered Property Enter text: The description of the coverage.
COVERAGES Limits Enter limit: The other policy, coverage limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGES Covered Property (Checkbox) Check the box (if applicable): Indicates the coverage described is included in the policy.
COVERAGES Covered Property Enter text: The description of the coverage.
COVERAGES Limits Enter limit: The other policy, coverage limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGES Special Conditions/Other Coverages Enter text: The Certificate Of Liability Insurance general remarks. As used here, record any special policy conditions or coverages not fully explained in the Coverages section.
CERTIFICATE HOLDER Certificate Holder Enter text: The certificate holder's full name.
CERTIFICATE HOLDER Enter text: The certificate holder's mailing address line one.
CERTIFICATE HOLDER Enter text: The certificate holder's mailing address line two.
CERTIFICATE HOLDER Enter text: The certificate holder's mailing address city name.
CERTIFICATE HOLDER Enter code: The certificate holder's mailing address state or province code.
CERTIFICATE HOLDER Enter code: The certificate holder's mailing address postal code.
CANCELLATION Authorized Representative Sign here: Accommodates the signature of the authorized representative (e.g. producer, agent, broker, etc.). by all companies to issue Certificates. This is required in most states.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).

ACORD 24 (2009/09) rev. 10-30-2009 9 of 9

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Labels: How to Complete a Certificate of Property Insurance 24

posted by Wayne @ 2:27 PM