ACORD 129 (2009/11)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 129 (2009/11)
Vehicle Schedule
ACORD 129, Vehicle Schedule, is to be used in conjunction with the
following ACORD forms to individually schedule vehicles: ACORD 127 - Business Auto
Section, ACORD 128 - Garage and Dealers Section, ACORD 132 - Truckers / Motor
Carriers Section, ACORD 143 - Transportation Section. Within the Remarks section of
the above forms, a note should be made to see attached vehicle schedule.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION 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.
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 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.
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.
VEHICLE DESCRIPTION
Veh #
Enter number: The producer assigned vehicle number.
VEHICLE DESCRIPTION
Year
Enter year: The model year of the vehicle.
VEHICLE DESCRIPTION
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
VEHICLE DESCRIPTION
Model
Enter text: The manufacturer's model name for the vehicle.
VEHICLE DESCRIPTION
Body Type
Enter code: The body type of the vehicle.
VEHICLE DESCRIPTION
V.I.N.
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
VEHICLE DESCRIPTION
Check Box- PP
Check the box (if applicable): Indicates the predominant type of the vehicle is private
passenger.
VEHICLE DESCRIPTION
Check Box- SPEC
Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g.
classic, antique automobile).
ACORD 129 (2009/11) rev. 03-02-2010
1 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Check Box- COML
Check the box (if applicable): Indicates the predominant type of the vehicle is commercial.
VEHICLE DESCRIPTION
Sym/Age
Enter code: The symbol required for physical damage coverage.
VEHICLE DESCRIPTION
Comp / OTC Sym
Enter code: The symbol required for comprehensive / other than collision coverage.
VEHICLE DESCRIPTION
Coll Sym
Enter code: The symbol required for collision coverage.
VEHICLE DESCRIPTION
Street (Required in KY)
Enter text: The vehicle's physical address line one.
VEHICLE DESCRIPTION
City
Enter text: The vehicle's physical address city name.
VEHICLE DESCRIPTION
County
Enter text: The vehicle's physical address county name.
VEHICLE DESCRIPTION
State
Enter code: The vehicle's physical address state or province code.
VEHICLE DESCRIPTION
Zip Code
Enter code: The vehicle's physical address postal code.
VEHICLE DESCRIPTION
Lic State
Enter code: The state or province in which the vehicle is registered.
VEHICLE DESCRIPTION
Territory
Enter code: The rating territory code where the vehicle is principally garaged.
VEHICLE DESCRIPTION
GVW / GCW
Enter number: The actual weight of the vehicle or the combined weight of tractor and
trailer in pounds.
VEHICLE DESCRIPTION
Class
Enter code: The rate class of the vehicle. If two rate classes are required, this element
should be used to enter the liability code.
VEHICLE DESCRIPTION
S.I.C.
Enter code: The secondary Special Industry Class code which applies to commercial
vehicles as determined by industry rating manuals.
VEHICLE DESCRIPTION
Factor
Enter rate: The primary liability rating factor contains the number which is used, along with
the secondary rating factor, in determining the liability premium. The primary rating factor
which is always positive is based on the primary class.
VEHICLE DESCRIPTION
Seating Capacity
Enter number: The seating capacity of the vehicle. Required for rating public passenger
vehicles.
VEHICLE DESCRIPTION
Radius
Enter number: The radius in whole numbers within which this vehicle is operated.
VEHICLE DESCRIPTION
Farthest Terminal
Enter code: Identifies the location of the farthest zone from the vehicle's base of operation
in which the vehicle is operated. The source of this code is the Insurance Services Office
Zone code list.
VEHICLE DESCRIPTION
Cost New
Enter amount: The original cost of the vehicle.
VEHICLE DESCRIPTION
Pleasure
Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure.
VEHICLE DESCRIPTION
Farm
Check the box (if applicable): Indicates the primary use for the vehicle is for farming.
VEHICLE DESCRIPTION
Comm'l
Check the box (if applicable): Indicates the primary use for the vehicle is for commercial
purposes.
VEHICLE DESCRIPTION
Retail
Check the box (if applicable): Indicates the primary use for the vehicle is for the retail
industry.
ACORD 129 (2009/11) rev. 03-02-2010
2 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Service
Check the box (if applicable): Indicates the primary use for the vehicle is for the service
industry.
VEHICLE DESCRIPTION
For Hire
Check the box (if applicable): Indicates the primary use for the vehicle is for hire.
11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other
Check the box (if applicable): Indicates the primary use for the vehicle is for other
purposes. 11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other Description
Enter text: The description of the other vehicle usage. 11/24/2009 - added field to 11/2009
version
VEHICLE DESCRIPTION
Liab
Check the box (if applicable): Indicates the vehicle has liability coverage.
VEHICLE DESCRIPTION
No-Fault
Check the box (if applicable): Indicates the vehicle has no-fault coverage.
VEHICLE DESCRIPTION
Add'l No-Fault
Check the box (if applicable): Indicates the vehicle has additional no-fault coverage.
VEHICLE DESCRIPTION
Med Pay
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
VEHICLE DESCRIPTION
Unins Motor
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
VEHICLE DESCRIPTION
Undrins Motor
Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage.
VEHICLE DESCRIPTION
Towing & Labor
Check the box (if applicable): Indicates the vehicle has towing and labor coverage.
VEHICLE DESCRIPTION
Spec C of L
Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage.
VEHICLE DESCRIPTION
F
Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle.
VEHICLE DESCRIPTION
FT
Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this
vehicle.
VEHICLE DESCRIPTION
FTW
Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of
loss on this vehicle.
VEHICLE DESCRIPTION
LSP
Check the box (if applicable): Indicates limited specified perils is a specified cause of loss
on this vehicle.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the vehicle has comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
COLL
Check the box (if applicable): Indicates the vehicle has collision coverage.
VEHICLE DESCRIPTION
RENT REIMB
Check the box (if applicable): Indicates the vehicle has rental reimbursement or
transportation expense coverage.
VEHICLE DESCRIPTION
FG
Check the box (if applicable): Indicates the vehicle has full glass coverage.
VEHICLE DESCRIPTION
Check Box
Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically
listed.
VEHICLE DESCRIPTION
Field Box
Enter text: The description of the other type of coverage on the vehicle.
ACORD 129 (2009/11) rev. 03-02-2010
3 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Deductibles ACV
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the actual cash value or market value.
VEHICLE DESCRIPTION
AA
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the agree amount.
VEHICLE DESCRIPTION
ST AMT
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the stated amount.
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The agreed or stated amount used in determining the value of the vehicle
at the time of loss.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the deductible is for comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
SPEC C of L
Check the box (if applicable): Indicates the deductible is for specified causes of loss. The
Specified Cause of Loss Codes are:
SCL Specified Cause of Loss
F Fire
F&T Fire and Theft
F,T&W Fire, Theft and Wind
LSP Limited Specified Perils
SP Specified Perils
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The comprehensive or specified cause of loss deductible amount.
VEHICLE DESCRIPTION
$ Coll
Enter deductible: The collision deductible amount.
VEHICLE DESCRIPTION
Check Box- <15 Miles
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school under 15 miles one way.
VEHICLE DESCRIPTION
Check Box- 15 Miles +
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school 15 miles or over one way.
VEHICLE DESCRIPTION
Net Veh Dr/Cr
Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits
that apply on a policy level. Provide under remarks a description of each debit or credit
used in the calculation of the net rating factor.
VEHICLE DESCRIPTION
Tot Prem
Enter amount: The total amount for the vehicle.
VEHICLE DESCRIPTION
Veh #
Enter number: The producer assigned vehicle number.
VEHICLE DESCRIPTION
Year
Enter year: The model year of the vehicle.
VEHICLE DESCRIPTION
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
VEHICLE DESCRIPTION
Model
Enter text: The manufacturer's model name for the vehicle.
VEHICLE DESCRIPTION
Body Type
Enter code: The body type of the vehicle.
VEHICLE DESCRIPTION
V.I.N.
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
ACORD 129 (2009/11) rev. 03-02-2010
4 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Check Box- PP
Check the box (if applicable): Indicates the predominant type of the vehicle is private
passenger.
VEHICLE DESCRIPTION
Check Box- SPEC
Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g.
classic, antique automobile).
VEHICLE DESCRIPTION
Check Box- COML
Check the box (if applicable): Indicates the predominant type of the vehicle is commercial.
VEHICLE DESCRIPTION
Sym/Age
Enter code: The symbol required for physical damage coverage.
VEHICLE DESCRIPTION
Comp / OTC Sym
Enter code: The symbol required for comprehensive / other than collision coverage.
VEHICLE DESCRIPTION
Coll Sym
Enter code: The symbol required for collision coverage.
VEHICLE DESCRIPTION
Street (Required in KY)
Enter text: The vehicle's physical address line one.
VEHICLE DESCRIPTION
City
Enter text: The vehicle's physical address city name.
VEHICLE DESCRIPTION
County
Enter text: The vehicle's physical address county name.
VEHICLE DESCRIPTION
State
Enter code: The vehicle's physical address state or province code.
VEHICLE DESCRIPTION
Zip Code
Enter code: The vehicle's physical address postal code.
VEHICLE DESCRIPTION
Lic State
Enter code: The state or province in which the vehicle is registered.
VEHICLE DESCRIPTION
Territory
Enter code: The rating territory code where the vehicle is principally garaged.
VEHICLE DESCRIPTION
GVW / GCW
Enter number: The actual weight of the vehicle or the combined weight of tractor and
trailer in pounds.
VEHICLE DESCRIPTION
Class
Enter code: The rate class of the vehicle. If two rate classes are required, this element
should be used to enter the liability code.
VEHICLE DESCRIPTION
S.I.C.
Enter code: The secondary Special Industry Class code which applies to commercial
vehicles as determined by industry rating manuals.
VEHICLE DESCRIPTION
Factor
Enter rate: The primary liability rating factor contains the number which is used, along with
the secondary rating factor, in determining the liability premium. The primary rating factor
which is always positive is based on the primary class.
VEHICLE DESCRIPTION
Seating Capacity
Enter number: The seating capacity of the vehicle. Required for rating public passenger
vehicles.
VEHICLE DESCRIPTION
Radius
Enter number: The radius in whole numbers within which this vehicle is operated.
VEHICLE DESCRIPTION
Farthest Term
Enter code: Identifies the location of the farthest zone from the vehicle's base of operation
in which the vehicle is operated. The source of this code is the Insurance Services Office
Zone code list.
VEHICLE DESCRIPTION
Cost New
Enter amount: The original cost of the vehicle.
VEHICLE DESCRIPTION
Pleasure
Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure.
VEHICLE DESCRIPTION
Farm
Check the box (if applicable): Indicates the primary use for the vehicle is for farming.
ACORD 129 (2009/11) rev. 03-02-2010
5 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Comm'l
Check the box (if applicable): Indicates the primary use for the vehicle is for commercial
purposes.
VEHICLE DESCRIPTION
Retail
Check the box (if applicable): Indicates the primary use for the vehicle is for the retail
industry.
VEHICLE DESCRIPTION
Service
Check the box (if applicable): Indicates the primary use for the vehicle is for the service
industry.
VEHICLE DESCRIPTION
For Hire
Check the box (if applicable): Indicates the primary use for the vehicle is for hire.
11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other
Check the box (if applicable): Indicates the primary use for the vehicle is for other
purposes. 11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other Description
Enter text: The description of the other vehicle usage. 11/24/2009 - added field to 11/2009
version
VEHICLE DESCRIPTION
Liab
Check the box (if applicable): Indicates the vehicle has liability coverage.
VEHICLE DESCRIPTION
No-Fault
Check the box (if applicable): Indicates the vehicle has no-fault coverage.
VEHICLE DESCRIPTION
Add'l No-Fault
Check the box (if applicable): Indicates the vehicle has additional no-fault coverage.
VEHICLE DESCRIPTION
Med Pay
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
VEHICLE DESCRIPTION
Unins Motor
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
VEHICLE DESCRIPTION
Undrins Motor
Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage.
VEHICLE DESCRIPTION
Towing & Labor
Check the box (if applicable): Indicates the vehicle has towing and labor coverage.
VEHICLE DESCRIPTION
Spec C of L
Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage.
VEHICLE DESCRIPTION
F
Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle.
VEHICLE DESCRIPTION
FT
Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this
vehicle.
VEHICLE DESCRIPTION
FTW
Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of
loss on this vehicle.
VEHICLE DESCRIPTION
LSP
Check the box (if applicable): Indicates limited specified perils is a specified cause of loss
on this vehicle.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the vehicle has comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
COLL
Check the box (if applicable): Indicates the vehicle has collision coverage.
VEHICLE DESCRIPTION
RENT REIMB
Check the box (if applicable): Indicates the vehicle has rental reimbursement or
transportation expense coverage.
ACORD 129 (2009/11) rev. 03-02-2010
6 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
FG
Check the box (if applicable): Indicates the vehicle has full glass coverage.
VEHICLE DESCRIPTION
Check Box
Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically
listed.
VEHICLE DESCRIPTION
Field Box
Enter text: The description of the other type of coverage on the vehicle.
VEHICLE DESCRIPTION
Deductibles ACV
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the actual cash value or market value.
VEHICLE DESCRIPTION
AA
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the agree amount.
VEHICLE DESCRIPTION
ST AMT
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the stated amount.
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The agreed or stated amount used in determining the value of the vehicle
at the time of loss.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the deductible is for comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
SPEC C of L
Check the box (if applicable): Indicates the deductible is for specified causes of loss. The
Specified Cause of Loss Codes are:
SCL Specified Cause of Loss
F Fire
F&T Fire and Theft
F,T&W Fire, Theft and Wind
LSP Limited Specified Perils
SP Specified Perils
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The comprehensive or specified cause of loss deductible amount.
VEHICLE DESCRIPTION
$ Coll
Enter deductible: The collision deductible amount.
VEHICLE DESCRIPTION
Check Box- <15 Miles
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school under 15 miles one way.
VEHICLE DESCRIPTION
Check Box- 15 Miles +
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school 15 miles or over one way.
VEHICLE DESCRIPTION
Net Veh Dr/Cr
Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits
that apply on a policy level. Provide under remarks a description of each debit or credit
used in the calculation of the net rating factor.
VEHICLE DESCRIPTION
Tot Prem
Enter amount: The total amount for the vehicle.
VEHICLE DESCRIPTION
Veh #
Enter number: The producer assigned vehicle number.
VEHICLE DESCRIPTION
Year
Enter year: The model year of the vehicle.
VEHICLE DESCRIPTION
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
ACORD 129 (2009/11) rev. 03-02-2010
7 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Model
Enter text: The manufacturer's model name for the vehicle.
VEHICLE DESCRIPTION
Body Type
Enter code: The body type of the vehicle.
VEHICLE DESCRIPTION
V.I.N.
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
VEHICLE DESCRIPTION
Check Box- PP
Check the box (if applicable): Indicates the predominant type of the vehicle is private
passenger.
VEHICLE DESCRIPTION
Check Box- SPEC
Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g.
classic, antique automobile).
VEHICLE DESCRIPTION
Check Box- COML
Check the box (if applicable): Indicates the predominant type of the vehicle is commercial.
VEHICLE DESCRIPTION
Sym/Age
Enter code: The symbol required for physical damage coverage.
VEHICLE DESCRIPTION
Comp / OTC Sym
Enter code: The symbol required for comprehensive / other than collision coverage.
VEHICLE DESCRIPTION
Coll Sym
Enter code: The symbol required for collision coverage.
VEHICLE DESCRIPTION
Street (Required in KY)
Enter text: The vehicle's physical address line one.
VEHICLE DESCRIPTION
City
Enter text: The vehicle's physical address city name.
VEHICLE DESCRIPTION
County
Enter text: The vehicle's physical address county name.
VEHICLE DESCRIPTION
State
Enter code: The vehicle's physical address state or province code.
VEHICLE DESCRIPTION
Zip Code
Enter code: The vehicle's physical address postal code.
VEHICLE DESCRIPTION
Lic State
Enter code: The state or province in which the vehicle is registered.
VEHICLE DESCRIPTION
Territory
Enter code: The rating territory code where the vehicle is principally garaged.
VEHICLE DESCRIPTION
GVW / GCW
Enter number: The actual weight of the vehicle or the combined weight of tractor and
trailer in pounds.
VEHICLE DESCRIPTION
Class
Enter code: The rate class of the vehicle. If two rate classes are required, this element
should be used to enter the liability code.
VEHICLE DESCRIPTION
S.I.C.
Enter code: The secondary Special Industry Class code which applies to commercial
vehicles as determined by industry rating manuals.
VEHICLE DESCRIPTION
Factor
Enter rate: The primary liability rating factor contains the number which is used, along with
the secondary rating factor, in determining the liability premium. The primary rating factor
which is always positive is based on the primary class.
VEHICLE DESCRIPTION
Seating Capacity
Enter number: The seating capacity of the vehicle. Required for rating public passenger
vehicles.
VEHICLE DESCRIPTION
Radius
Enter number: The radius in whole numbers within which this vehicle is operated.
VEHICLE DESCRIPTION
Farthest Terminal
Enter code: Identifies the location of the farthest zone from the vehicle's base of operation
in which the vehicle is operated. The source of this code is the Insurance Services Office
Zone code list.
VEHICLE DESCRIPTION
Cost New
Enter amount: The original cost of the vehicle.
ACORD 129 (2009/11) rev. 03-02-2010
8 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Pleasure
Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure.
VEHICLE DESCRIPTION
Farm
Check the box (if applicable): Indicates the primary use for the vehicle is for farming.
VEHICLE DESCRIPTION
Comm'l
Check the box (if applicable): Indicates the primary use for the vehicle is for commercial
purposes.
VEHICLE DESCRIPTION
Retail
Check the box (if applicable): Indicates the primary use for the vehicle is for the retail
industry.
VEHICLE DESCRIPTION
Service
Check the box (if applicable): Indicates the primary use for the vehicle is for the service
industry.
VEHICLE DESCRIPTION
For Hire
Check the box (if applicable): Indicates the primary use for the vehicle is for hire.
11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other
Check the box (if applicable): Indicates the primary use for the vehicle is for other
purposes. 11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other Description
Enter text: The description of the other vehicle usage. 11/24/2009 - added field to 11/2009
version
VEHICLE DESCRIPTION
Liab
Check the box (if applicable): Indicates the vehicle has liability coverage.
VEHICLE DESCRIPTION
No-Fault
Check the box (if applicable): Indicates the vehicle has no-fault coverage.
VEHICLE DESCRIPTION
Add'l No-Fault
Check the box (if applicable): Indicates the vehicle has additional no-fault coverage.
VEHICLE DESCRIPTION
Med Pay
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
VEHICLE DESCRIPTION
Unins Motor
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
VEHICLE DESCRIPTION
Undrins Motor
Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage.
VEHICLE DESCRIPTION
Towing & Labor
Check the box (if applicable): Indicates the vehicle has towing and labor coverage.
VEHICLE DESCRIPTION
Spec C of L
Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage.
VEHICLE DESCRIPTION
F
Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle.
VEHICLE DESCRIPTION
FT
Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this
vehicle.
VEHICLE DESCRIPTION
FTW
Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of
loss on this vehicle.
VEHICLE DESCRIPTION
LSP
Check the box (if applicable): Indicates limited specified perils is a specified cause of loss
on this vehicle.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the vehicle has comprehensive or other than
collision coverage.
ACORD 129 (2009/11) rev. 03-02-2010
9 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
COLL
Check the box (if applicable): Indicates the vehicle has collision coverage.
VEHICLE DESCRIPTION
RENT REIMB
Check the box (if applicable): Indicates the vehicle has rental reimbursement or
transportation expense coverage.
VEHICLE DESCRIPTION
FG
Check the box (if applicable): Indicates the vehicle has full glass coverage.
VEHICLE DESCRIPTION
Check Box
Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically
listed.
VEHICLE DESCRIPTION
Field Box
Enter text: The description of the other type of coverage on the vehicle.
VEHICLE DESCRIPTION
Deductibles ACV
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the actual cash value or market value.
VEHICLE DESCRIPTION
AA
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the agree amount.
VEHICLE DESCRIPTION
ST AMT
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the stated amount.
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The agreed or stated amount used in determining the value of the vehicle
at the time of loss.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the deductible is for comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
SPEC C of L
Check the box (if applicable): Indicates the deductible is for specified causes of loss. The
Specified Cause of Loss Codes are:
SCL Specified Cause of Loss
F Fire
F&T Fire and Theft
F,T&W Fire, Theft and Wind
LSP Limited Specified Perils
SP Specified Perils
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The comprehensive or specified cause of loss deductible amount.
VEHICLE DESCRIPTION
$ Coll
Enter deductible: The collision deductible amount.
VEHICLE DESCRIPTION
Check Box- <15 Miles
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school under 15 miles one way.
VEHICLE DESCRIPTION
Check Box- 15 Miles +
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school 15 miles or over one way.
VEHICLE DESCRIPTION
Net Veh Dr/Cr
Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits
that apply on a policy level. Provide under remarks a description of each debit or credit
used in the calculation of the net rating factor.
VEHICLE DESCRIPTION
Tot Prem
Enter amount: The total amount for the vehicle.
ACORD 129 (2009/11) rev. 03-02-2010
10 of 17
Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Veh #
Enter number: The producer assigned vehicle number.
VEHICLE DESCRIPTION
Year
Enter year: The model year of the vehicle.
VEHICLE DESCRIPTION
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
VEHICLE DESCRIPTION
Model
Enter text: The manufacturer's model name for the vehicle.
VEHICLE DESCRIPTION
Body Type
Enter code: The body type of the vehicle.
VEHICLE DESCRIPTION
V.I.N.
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
VEHICLE DESCRIPTION
Check Box- PP
Check the box (if applicable): Indicates the predominant type of the vehicle is private
passenger.
VEHICLE DESCRIPTION
Check Box- SPEC
Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g.
classic, antique automobile).
VEHICLE DESCRIPTION
Check Box- COML
Check the box (if applicable): Indicates the predominant type of the vehicle is commercial.
VEHICLE DESCRIPTION
Sym/Age
Enter code: The symbol required for physical damage coverage.
VEHICLE DESCRIPTION
Comp / OTC Sym
Enter code: The symbol required for comprehensive / other than collision coverage.
VEHICLE DESCRIPTION
Coll Sym
Enter code: The symbol required for collision coverage.
VEHICLE DESCRIPTION
Street (Required in KY)
Enter text: The vehicle's physical address line one.
VEHICLE DESCRIPTION
City
Enter text: The vehicle's physical address city name.
VEHICLE DESCRIPTION
County
Enter text: The vehicle's physical address county name.
VEHICLE DESCRIPTION
State
Enter code: The vehicle's physical address state or province code.
VEHICLE DESCRIPTION
Zip Code
Enter code: The vehicle's physical address postal code.
VEHICLE DESCRIPTION
Lic State
Enter code: The state or province in which the vehicle is registered.
VEHICLE DESCRIPTION
Territory
Enter code: The rating territory code where the vehicle is principally garaged.
VEHICLE DESCRIPTION
GVW / GCW
Enter number: The actual weight of the vehicle or the combined weight of tractor and
trailer in pounds.
VEHICLE DESCRIPTION
Class
Enter code: The rate class of the vehicle. If two rate classes are required, this element
should be used to enter the liability code.
VEHICLE DESCRIPTION
S.I.C.
Enter code: The secondary Special Industry Class code which applies to commercial
vehicles as determined by industry rating manuals.
VEHICLE DESCRIPTION
Factor
Enter rate: The primary liability rating factor contains the number which is used, along with
the secondary rating factor, in determining the liability premium. The primary rating factor
which is always positive is based on the primary class.
VEHICLE DESCRIPTION
Seating Capacity
Enter number: The seating capacity of the vehicle. Required for rating public passenger
vehicles.
VEHICLE DESCRIPTION
Radius
Enter number: The radius in whole numbers within which this vehicle is operated.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Farthest Terminal
Enter code: Identifies the location of the farthest zone from the vehicle's base of operation
in which the vehicle is operated. The source of this code is the Insurance Services Office
Zone code list.
VEHICLE DESCRIPTION
Cost New
Enter amount: The original cost of the vehicle.
VEHICLE DESCRIPTION
Pleasure
Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure.
VEHICLE DESCRIPTION
Farm
Check the box (if applicable): Indicates the primary use for the vehicle is for farming.
VEHICLE DESCRIPTION
Comm'l
Check the box (if applicable): Indicates the primary use for the vehicle is for commercial
purposes.
VEHICLE DESCRIPTION
Retail
Check the box (if applicable): Indicates the primary use for the vehicle is for the retail
industry.
VEHICLE DESCRIPTION
Service
Check the box (if applicable): Indicates the primary use for the vehicle is for the service
industry.
VEHICLE DESCRIPTION
For Hire
Check the box (if applicable): Indicates the primary use for the vehicle is for hire.
11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other
Check the box (if applicable): Indicates the primary use for the vehicle is for other
purposes. 11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other Description
Enter text: The description of the other vehicle usage. 11/24/2009 - added field to 11/2009
version
VEHICLE DESCRIPTION
Liab
Check the box (if applicable): Indicates the vehicle has liability coverage.
VEHICLE DESCRIPTION
No-Fault
Check the box (if applicable): Indicates the vehicle has no-fault coverage.
VEHICLE DESCRIPTION
Add'l No-Fault
Check the box (if applicable): Indicates the vehicle has additional no-fault coverage.
VEHICLE DESCRIPTION
Med Pay
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
VEHICLE DESCRIPTION
Unins Motor
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
VEHICLE DESCRIPTION
Undrins Motor
Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage.
VEHICLE DESCRIPTION
Towing & Labor
Check the box (if applicable): Indicates the vehicle has towing and labor coverage.
VEHICLE DESCRIPTION
Spec C of L
Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage.
VEHICLE DESCRIPTION
F
Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle.
VEHICLE DESCRIPTION
FT
Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this
vehicle.
VEHICLE DESCRIPTION
FTW
Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of
loss on this vehicle.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
LSP
Check the box (if applicable): Indicates limited specified perils is a specified cause of loss
on this vehicle.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the vehicle has comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
COLL
Check the box (if applicable): Indicates the vehicle has collision coverage.
VEHICLE DESCRIPTION
RENT REIMB
Check the box (if applicable): Indicates the vehicle has rental reimbursement or
transportation expense coverage.
VEHICLE DESCRIPTION
FG
Check the box (if applicable): Indicates the vehicle has full glass coverage.
VEHICLE DESCRIPTION
Check Box
Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically
listed.
VEHICLE DESCRIPTION
Field Box
Enter text: The description of the other type of coverage on the vehicle.
VEHICLE DESCRIPTION
Deductibles ACV
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the actual cash value or market value.
VEHICLE DESCRIPTION
AA
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the agree amount.
VEHICLE DESCRIPTION
ST AMT
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the stated amount.
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The agreed or stated amount used in determining the value of the vehicle
at the time of loss.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the deductible is for comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
SPEC C of L
Check the box (if applicable): Indicates the deductible is for specified causes of loss. The
Specified Cause of Loss Codes are:
SCL Specified Cause of Loss
F Fire
F&T Fire and Theft
F,T&W Fire, Theft and Wind
LSP Limited Specified Perils
SP Specified Perils
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The comprehensive or specified cause of loss deductible amount.
VEHICLE DESCRIPTION
$ Coll
Enter deductible: The collision deductible amount.
VEHICLE DESCRIPTION
Check Box- <15 Miles
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school under 15 miles one way.
VEHICLE DESCRIPTION
Check Box- 15 Miles +
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school 15 miles or over one way.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Net Veh Dr/Cr
Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits
that apply on a policy level. Provide under remarks a description of each debit or credit
used in the calculation of the net rating factor.
VEHICLE DESCRIPTION
Tot Prem
Enter amount: The total amount for the vehicle.
VEHICLE DESCRIPTION
Veh #
Enter number: The producer assigned vehicle number.
VEHICLE DESCRIPTION
Year
Enter year: The model year of the vehicle.
VEHICLE DESCRIPTION
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
VEHICLE DESCRIPTION
Model
Enter text: The manufacturer's model name for the vehicle.
VEHICLE DESCRIPTION
Body Type
Enter code: The body type of the vehicle.
VEHICLE DESCRIPTION
V.I.N.
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
VEHICLE DESCRIPTION
Check Box- PP
Check the box (if applicable): Indicates the predominant type of the vehicle is private
passenger.
VEHICLE DESCRIPTION
Check Box- SPEC
Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g.
classic, antique automobile).
VEHICLE DESCRIPTION
Check Box- COML
Check the box (if applicable): Indicates the predominant type of the vehicle is commercial.
VEHICLE DESCRIPTION
Sym/Age
Enter code: The symbol required for physical damage coverage.
VEHICLE DESCRIPTION
Comp / OTC Sym
Enter code: The symbol required for comprehensive / other than collision coverage.
VEHICLE DESCRIPTION
Coll Sym
Enter code: The symbol required for collision coverage.
VEHICLE DESCRIPTION
Street (Required in KY)
Enter text: The vehicle's physical address line one.
VEHICLE DESCRIPTION
City
Enter text: The vehicle's physical address city name.
VEHICLE DESCRIPTION
County
Enter text: The vehicle's physical address county name.
VEHICLE DESCRIPTION
State
Enter code: The vehicle's physical address state or province code.
VEHICLE DESCRIPTION
Zip Code
Enter code: The vehicle's physical address postal code.
VEHICLE DESCRIPTION
Lic State
Enter code: The state or province in which the vehicle is registered.
VEHICLE DESCRIPTION
Territory
Enter code: The rating territory code where the vehicle is principally garaged.
VEHICLE DESCRIPTION
GVW / GCW
Enter number: The actual weight of the vehicle or the combined weight of tractor and
trailer in pounds.
VEHICLE DESCRIPTION
Class
Enter code: The rate class of the vehicle. If two rate classes are required, this element
should be used to enter the liability code.
VEHICLE DESCRIPTION
S.I.C.
Enter code: The secondary Special Industry Class code which applies to commercial
vehicles as determined by industry rating manuals.
VEHICLE DESCRIPTION
Factor
Enter rate: The primary liability rating factor contains the number which is used, along with
the secondary rating factor, in determining the liability premium. The primary rating factor
which is always positive is based on the primary class.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Seating Capacity
Enter number: The seating capacity of the vehicle. Required for rating public passenger
vehicles.
VEHICLE DESCRIPTION
Radius
Enter number: The radius in whole numbers within which this vehicle is operated.
VEHICLE DESCRIPTION
Farthest Terminal
Enter code: Identifies the location of the farthest zone from the vehicle's base of operation
in which the vehicle is operated. The source of this code is the Insurance Services Office
Zone code list.
VEHICLE DESCRIPTION
Cost New
Enter amount: The original cost of the vehicle.
VEHICLE DESCRIPTION
Pleasure
Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure.
VEHICLE DESCRIPTION
Farm
Check the box (if applicable): Indicates the primary use for the vehicle is for farming.
VEHICLE DESCRIPTION
Comm'l
Check the box (if applicable): Indicates the primary use for the vehicle is for commercial
purposes.
VEHICLE DESCRIPTION
Retail
Check the box (if applicable): Indicates the primary use for the vehicle is for the retail
industry.
VEHICLE DESCRIPTION
Service
Check the box (if applicable): Indicates the primary use for the vehicle is for the service
industry.
VEHICLE DESCRIPTION
For Hire
Check the box (if applicable): Indicates the primary use for the vehicle is for hire.
11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other
Check the box (if applicable): Indicates the primary use for the vehicle is for other
purposes. 11/9/2009 - added field to 11/2009 version
VEHICLE DESCRIPTION
Other Description
Enter text: The description of the other vehicle usage. 11/24/2009 - added field to 11/2009
version
VEHICLE DESCRIPTION
Liab
Check the box (if applicable): Indicates the vehicle has liability coverage.
VEHICLE DESCRIPTION
No-Fault
Check the box (if applicable): Indicates the vehicle has no-fault coverage.
VEHICLE DESCRIPTION
Add'l No-Fault
Check the box (if applicable): Indicates the vehicle has additional no-fault coverage.
VEHICLE DESCRIPTION
Med Pay
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
VEHICLE DESCRIPTION
Unins Motor
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
VEHICLE DESCRIPTION
Undrins Motor
Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage.
VEHICLE DESCRIPTION
Towing & Labor
Check the box (if applicable): Indicates the vehicle has towing and labor coverage.
VEHICLE DESCRIPTION
Spec C of L
Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage.
VEHICLE DESCRIPTION
F
Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
FT
Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this
vehicle.
VEHICLE DESCRIPTION
FTW
Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of
loss on this vehicle.
VEHICLE DESCRIPTION
LSP
Check the box (if applicable): Indicates limited specified perils is a specified cause of loss
on this vehicle.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the vehicle has comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
COLL
Check the box (if applicable): Indicates the vehicle has collision coverage.
VEHICLE DESCRIPTION
RENT REIMB
Check the box (if applicable): Indicates the vehicle has rental reimbursement or
transportation expense coverage.
VEHICLE DESCRIPTION
FG
Check the box (if applicable): Indicates the vehicle has full glass coverage.
VEHICLE DESCRIPTION
Check Box
Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically
listed.
VEHICLE DESCRIPTION
Field Box
Enter text: The description of the other type of coverage on the vehicle.
VEHICLE DESCRIPTION
Deductibles ACV
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the actual cash value or market value.
VEHICLE DESCRIPTION
AA
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the agree amount.
VEHICLE DESCRIPTION
ST AMT
Check the box (if applicable): Indicates the valuation method used in determining the
value of the vehicle at the time of loss is the stated amount.
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The agreed or stated amount used in determining the value of the vehicle
at the time of loss.
VEHICLE DESCRIPTION
COMP / OTC
Check the box (if applicable): Indicates the deductible is for comprehensive or other than
collision coverage.
VEHICLE DESCRIPTION
SPEC C of L
Check the box (if applicable): Indicates the deductible is for specified causes of loss. The
Specified Cause of Loss Codes are:
SCL Specified Cause of Loss
F Fire
F&T Fire and Theft
F,T&W Fire, Theft and Wind
LSP Limited Specified Perils
SP Specified Perils
VEHICLE DESCRIPTION
$ Field Box
Enter amount: The comprehensive or specified cause of loss deductible amount.
VEHICLE DESCRIPTION
$ Coll
Enter deductible: The collision deductible amount.
ACORD 129 (2009/11) rev. 03-02-2010
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Section Name
Field Name
Field and/or Section Description
VEHICLE DESCRIPTION
Check Box- <15 Miles
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school under 15 miles one way.
VEHICLE DESCRIPTION
Check Box- 15 Miles +
Check the box (if applicable): Indicates the vehicle is used for commuting purposes to
work or school, and is driven to work or school 15 miles or over one way.
VEHICLE DESCRIPTION
Net Veh Dr/Cr
Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits
that apply on a policy level. Provide under remarks a description of each debit or credit
used in the calculation of the net rating factor.
VEHICLE DESCRIPTION
Tot Prem
Enter amount: The total amount for the vehicle.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 129 (2009/11) rev. 03-02-2010
17 of 17