Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 186 (2011/10)
Contractors Supplement
ACORD 186, Contractors Supplement, is used as a supplement to
ACORD 126, Commercial General Liability Section, or ACORD 160, Business Owners
Policy Application when applying for commercial insurance for the following contractor
classes:
* Air Conditioning and Heating
* Cabinetmakers
* Carpentry
* Electrical Wiring
* Excavation and Grading of Land or Septic Installation
* Insulation
* Landscaping
* Masonry
* Painting
* Plumbing
* Roofing
IDENTIFICATION
Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION
Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION
Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION
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
Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
IDENTIFICATION
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
NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION
Named Insured(s)
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION
Type of Contractor
Enter text: The contractor class as described in ACORD 126 or ACORD 160.
IDENTIFICATION
Years Experience
Enter number: The contractor's number of years of experience.
IDENTIFICATION
Full Time
Enter number: The number of full time employees.
IDENTIFICATION
Part Time
Enter number: The number of part time employees.
IDENTIFICATION
Contractor's License Number
Enter identifier: The state or local license number for the applicant.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION
Owner
Check the box (if applicable): Indicates the license holder is the owner of the business.
IDENTIFICATION
Officer
Check the box (if applicable): Indicates the license holder is an officer of the business.
IDENTIFICATION
Employee
Check the box (if applicable): Indicates the license holder is an employee of the business.
IDENTIFICATION
Other
Check the box (if applicable): Indicates the license holder has a relationship with the
business other than those listed.
IDENTIFICATION
Describe Other
Enter text: The relationship the license holder has with the business.
IDENTIFICATION
% Residential
Enter percentage: The percentage of work that is residential.
IDENTIFICATION
% Commercial
Enter percentage: The percentage of work that is commercial.
IDENTIFICATION
% New Construction
Enter percentage: The percentage of work that is new construction.
IDENTIFICATION
% Remodel
Enter percentage: The percentage of work that is remodeling.
IDENTIFICATION
Gross Receipts
Enter amount: The total annual gross sales or receipts.
IDENTIFICATION
Payroll
Enter amount: The total annual payroll of the business in whole dollars.
IDENTIFICATION
Minimum GL Limits Occurrence
Enter limit: The general liability, each occurrence limit amount. Any questions about
appropriate limits or applicable policy coverage(s) should be answered by the issuing
insurer(s). As used here, this is the minimum limit.
IDENTIFICATION
Minimum GL Limits Aggregate
Enter limit: The general liability, general aggregate limit amount. Any questions about
appropriate limits or applicable policy coverage(s) should be answered by the issuing
insurer(s). As used here, this is the minimum limit.
IDENTIFICATION
Total Cost of Subcontracted Work
Past Year
Enter amount: The total cost of subcontracted work for the past 12 months.
IDENTIFICATION
Explosive Environments
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Explosive Environments (Paints, Solvents, etc.)?
IDENTIFICATION
Installation of Emergency Back-up
Equipment
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Installation of Emergency Back-up Equipment?.
IDENTIFICATION
Airport Construction or Repair
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Airport Construction or Repair?.
IDENTIFICATION
Dam, Bridge, or River Related
Construction
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Dam, Bridge or River Related Construction?.
IDENTIFICATION
Petrochemical Plants
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Petrochemical Plants?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION
Fire Alarm or Automatic Sprinkler
Design, Install or Repair
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Fire Alarm or Automatic Sprinkler Design, Install
Repair?.
IDENTIFICATION
Burglar Alarm Design, Install or
Repair.
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Burglar Alarm Design, Install or Repair?.
IDENTIFICATION
High Voltage (over 480 volts) Or
High Amperage
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around High Voltage (over 480 volts) or High Amperage?
IDENTIFICATION
Major Electrical Control Panels
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Major Electrical Control Panels?.
IDENTIFICATION
Nuclear Plants
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Nuclear Power Plants?.
IDENTIFICATION
Hospitals
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Hospitals?.
IDENTIFICATION
Power Plants
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Power Plants?.
IDENTIFICATION
Traffic Signal Works
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Traffic Signals?.
IDENTIFICATION
Oil or Gas Refiners
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Oil or Gas Refineries?.
IDENTIFICATION
Power Lines
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Power Lines?.
GENERAL INFORMATION
Swimming Pools
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Swimming Pools?.
GENERAL INFORMATION
Hot or Live Wires
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Hot or Live Wires?.
GENERAL INFORMATION
Land Fill
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Land Fills?.
GENERAL INFORMATION
Hazardous Material Abatement
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in or around Hazardous Material Abatement?.
GENERAL INFORMATION
Other Exposure Description
Enter text: The description of the exposure.
GENERAL INFORMATION
Other Exposure
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any other types of exposures?.
GENERAL INFORMATION
Does applicant draw plans,
designs, or specification for
others?
Enter Y for a Yes response. Input N for No response. The response to the question,
Does applicant draw plans, designs or specifications for others?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
GENERAL INFORMATION
Do any operations include blasting
or utilize or store explosive
material?
Enter Y for a Yes response. Input N for No response. The response to the question,
Do any operations include blasting or utilize, or store explosive material?.
GENERAL INFORMATION
Do any operations include
excavation, tunneling,
underground work or earth
moving?
Enter Y for a Yes response. Input N for No response. The response to the question,
Does any operation involve excavation, tunneling, underground work or earth moving?.
GENERAL INFORMATION
Is there a formal, written safety
and security policy in effect?
Enter Y for a Yes response. Input N for No response. The response to the question, Is
there a formal, written safety and security policy in effect?.
GENERAL INFORMATION
Any demolition or wrecking work?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any demolition or wrecking work?.
GENERAL INFORMATION
Any use of cranes?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any use of cranes?.
GENERAL INFORMATION
Do your subcontractors carry
coverages or limits less than
yours?
Enter Y for a Yes response. Input N for No response. The response to the question,
Do subcontractors carry coverages or limits less than applicant?.
GENERAL INFORMATION
Are subcontractors allowed to
work without providing you with a
certificate of insurance?
Enter Y for a Yes response. Input N for No response. The response to the question,
Are subcontractors allowed to work without providing you with a certificate of insurance?.
GENERAL INFORMATION
Does applicant lease equipment to
others with or without operators?
Enter Y for a Yes response. Input N for No response. The response to the question,
Does applicant lease equipment to others with or without operators?.
GENERAL INFORMATION
Any boats, docks, floats owned or
leased?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any boats, docks, floats owned or leased?.
SPECIFIC CONTRACTOR
INFORMATION
Any advertising signs away from
premises?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any advertising signs away from premises?.
SPECIFIC CONTRACTOR
INFORMATION
Does an employee of the applicant
have direct oversight of each
jobsite in progress?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does an employee of the applicant have direct oversight of each jobsite in
progress?.
SPECIFIC CONTRACTOR
INFORMATION
Radius of operations
Enter number: The radius of operations for an employee having direct oversight of job
sites in progress.
SPECIFIC CONTRACTOR
INFORMATION
Do you lease employees to or from
other employees?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do you lease employees to or from other employees?.
SPECIFIC CONTRACTOR
INFORMATION
Any operation or owned, leased or
rented property not covered by
this policy?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any operation or owned, leased or rented property not covered by this policy?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
SPECIFIC CONTRACTOR
INFORMATION
Any product manufactured or sold
under the applicant's name?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any product manufactured or sold under the applicant's name?.
SPECIFIC CONTRACTOR
INFORMATION
Any boiler work done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any boiler work done?.
SPECIFIC CONTRACTOR
INFORMATION
Any asbestos removal done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any asbestos removal done?.
SPECIFIC CONTRACTOR
INFORMATION
Is dust collection system present?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is dust collection system present?.
SPECIFIC CONTRACTOR
INFORMATION
Does spray booth meet NFPA
standards?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Does spray booth meet NFPA standards?.
SPECIFIC CONTRACTOR
INFORMATION
Any roofing done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any roofing done?.
SPECIFIC CONTRACTOR
INFORMATION
What percentage?
Enter percentage: The percentage of work that is roofing work.
SPECIFIC CONTRACTOR
INFORMATION
Any shop work done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any shop work done?.
SPECIFIC CONTRACTOR
INFORMATION
Any renovation work done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any renovation work done?.
SPECIFIC CONTRACTOR
INFORMATION
What percentage?
Enter percentage: The percentage of work that is renovation work.
SPECIFIC CONTRACTOR
INFORMATION
Any gutting of interior load bearing
walls?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any gutting of interior load bearing walls?.
SPECIFIC CONTRACTOR
INFORMATION
Any underground cable work?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any underground cable work?.
SPECIFIC CONTRACTOR
INFORMATION
Maximum Depth of excavation &
grading of land & septic
installation
Enter number: The maximum depth of excavation & grading of land & septic installation
SPECIFIC CONTRACTOR
INFORMATION
Water Lines
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there any excavation of water lines?.
SPECIFIC CONTRACTOR
INFORMATION
Sewer
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there any excavation of sewers?.
SPECIFIC CONTRACTOR
INFORMATION
Septic
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there any excavation or installation of septic systems?.
SPECIFIC CONTRACTOR
INFORMATION
Basements
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there any excavation of basements?.
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Section Name
Field Name
Field and/or Section Description
SPECIFIC CONTRACTOR
INFORMATION
Other Type of Excavation
Description
Enter text: The description of the type of excavation work being done.
SPECIFIC CONTRACTOR
INFORMATION
Other Type of Excavation.
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Other Type of Excavation?.
SPECIFIC CONTRACTOR
INFORMATION
Any work done in streets or
roads?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done in streets or roads?.
SPECIFIC CONTRACTOR
INFORMATION
Are excavations marked and
guarded at end of day?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are excavations marked and guarded at end of day?.
SPECIFIC CONTRACTOR
INFORMATION
Are utilities staked before the start
of every dig?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are utilities staked before the start of every dig?.
SPECIFIC CONTRACTOR
INFORMATION
If telephone inquiries are made, is
a log maintained showing date,
time, person spoken to, plot # and
map # referred to?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, If telephone inquiries are made, is a log maintained showing date, time, person
spoken to, plot # and map # referred to?.
SPECIFIC CONTRACTOR
INFORMATION
Any snowplowing?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any snowplowing done?.
SPECIFIC CONTRACTOR
INFORMATION
Is shoring work done in
accordance with standards?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is shoring work done in accordance with standards?.
SPECIFIC CONTRACTOR
INFORMATION
Any removal? (Insulation)
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any insulation removal?.
SPECIFIC CONTRACTOR
INFORMATION
Any encapsulation or removal of
asbestos?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any encapsulation or removal of asbestos?.
SPECIFIC CONTRACTOR
INFORMATION
Has applicant applied or installed
any exterior insulation or finishing,
or any exterior insulation finishing
systems (EIFS) related product or
materials in the past?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Has applicant applied or installed any exterior insulation or finishing, or any
exterior insulation finishing systems (EIFS) related product or materials in the past?.
SPECIFIC CONTRACTOR
INFORMATION
Have you been involved with the
application or installation of
material that is directly in contact
with EIFS, such as windows,
doors, paint caulk or flashing
materials?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Have you been involved with the application or installation of material that is
directly in contact with EIFS, such as windows, doors, paint caulk or flashing materials?.
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Section Name
Field Name
Field and/or Section Description
SPECIFIC CONTRACTOR
INFORMATION
If you are a general contractor or
subcontractor using
subcontractors, have you
managed projects or operations
using EIFS or EIFS related
products as the exterior finish?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, If you are a general contractor or subcontractor using subcontractors, have you
managed projects or operations using EIFS or EIFS related products as the exterior
finish?.
SPECIFIC CONTRACTOR
INFORMATION
Have you had any EIFS related
losses?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Have you had any EIFS related losses?.
SPECIFIC CONTRACTOR
INFORMATION
Any grading of land or excavation
work done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any grading of land or excavation work done?.
SPECIFIC CONTRACTOR
INFORMATION
What percentage?
Enter percentage: The percentage of work done that is grading of land or excavation.
SPECIFIC CONTRACTOR
INFORMATION
Any spraying of bushes, lawns, etc
with pesticides, herbicides, or
fertilizers?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any spraying of bushes, lawns, etc with pesticides, herbicides, or fertilizers?.
SPECIFIC CONTRACTOR
INFORMATION
Any tree trimming work done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any tree trimming work done?.
SPECIFIC CONTRACTOR
INFORMATION
What percentage?
Enter percentage: The percentage of work done that is tree trimming.
SPECIFIC CONTRACTOR
INFORMATION
Any work done during off
season months?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done during off season months?.
SPECIFIC CONTRACTOR
INFORMATION
Any snowplowing done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any snowplowing done?.
SPECIFIC CONTRACTOR
INFORMATION
What percentage?
Enter percentage: The percentage of work done that is snow plowing.
SPECIFIC CONTRACTOR
INFORMATION
Do you excavate also?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Do you excavate also?.
SPECIFIC CONTRACTOR
INFORMATION
Any retaining walls built?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any retaining walls built?.
SPECIFIC CONTRACTOR
INFORMATION
Any mix-in-transit?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any mix-in-transit?.
SPECIFIC CONTRACTOR
INFORMATION
Any work involving load-bearing
walls?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work involving load-bearing walls?.
SPECIFIC CONTRACTOR
INFORMATION
Any basement work?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any basement work?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION
Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
SPECIFIC CONTRACTOR
INFORMATION (continued) Painting Inside Percentage
Enter percentage: The percentage of painting work that is inside.
SPECIFIC CONTRACTOR
INFORMATION (continued) Painting Outside Percentage
Enter percentage: The percentage of painting work that is outside.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any work done above 2 stories?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work done above 2 stories?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any scaffolding used?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any scaffolding used?.
SPECIFIC CONTRACTOR
INFORMATION (continued) To what height?
Enter number: The height of scaffolding used.
SPECIFIC CONTRACTOR
INFORMATION (continued) gas?
Any painting of tanks, water or
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any painting of tanks, water or gas?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any painting of bridges or towers?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any painting of bridges or towers?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any exterior spray painting?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any exterior spray painting?.
SPECIFIC CONTRACTOR
INFORMATION (continued) What percentage?
Enter percentage: The percentage of painting work that is exterior spray painting.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any airless spray guns used?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any airless spray guns used?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any epoxies used?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any epoxies used?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
SPECIFIC CONTRACTOR
INFORMATION (continued) Any lead paint removal done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any lead paint removal done?.
SPECIFIC CONTRACTOR
INFORMATION (continued) gases or chemicals?
Any installation of high pressure
systems, caustics, flammables,
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any installation of high pressure systems, caustics, flammables, gases or
chemicals?.
SPECIFIC CONTRACTOR
INFORMATION (continued) installed?
Any refrigeration systems
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any refrigeration systems installed?.
SPECIFIC CONTRACTOR
INFORMATION (continued) operations?
Any mechanical contracting
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any mechanical contracting operations?.
SPECIFIC CONTRACTOR
INFORMATION (continued) pipes?
Are proper written procedures in
place with respect to sweating of
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are proper written procedures in place with respect to sweating of pipes?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any septic tank installation?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any septic tank installation?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any asbestos removal done?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any asbestos removal done?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Any work above two stories?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Any work above two stories?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Commercial %
Enter percentage: The percentage of roofing work that is done commercial buildings.
SPECIFIC CONTRACTOR
INFORMATION (continued) Residential %
Enter percentage: The percentage of roofing work that is done on residential buildings.
SPECIFIC CONTRACTOR
INFORMATION (continued) Is hot tar used?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is hot tar used?.
ACORD 186 (2011/10) rev. 10-31-2011
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Section Name
Field Name
Field and/or Section Description
SPECIFIC CONTRACTOR
INFORMATION (continued) before leaving the jobsite?
Are written procedures in place to
assure that an opening in the roof
will never left unattended and will
be properly covered an anchored
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Are written procedures in place to assure that an opening in the roof will never
left unattended and will be properly covered an anchored before leaving the jobsite?.
SPECIFIC CONTRACTOR
INFORMATION (continued) Remarks
Enter text: The contractors underwriting general remarks. Enter any additional information
required for underwriting or rating. ACORD 101, Additional Remarks Schedule, may be
attached if more space is required.
Edition
Date
The edition identifier of the form including the form number and edition (the date is typically
formatted YYYY/MM).
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