Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 275 (2009/05)
Aviation Insurance Binder
ACORD 275, Aviation Insurance Binder, addresses both Personal
Lines and Commercial Lines Aviation risks.
Before issuing any binder, the following important considerations should be reviewed and
considered carefully:
* A Binder (Cover Note in some states) is a temporary insurance contract which provides
coverage in advance of the issuance of an insurance policy.
* The improper use of binders has become a major cause of producers Errors and
Omissions claims. It is imperative that only authorized people prepare them. Preparation
must be complete and accurate.
* All binders must conform to the state insurance code for the state in which the subject of
insurance in located.
* The maximum and/or minimum term of a binder may be governed by state statute
and/or company underwriting instructions.
* At the end of the binders specified term, all coverage expires unless a new binder has
been issued or the expired binder has been replaced with a policy .
TITLE
* The language in the binder must be precise. Do not use vague or all-encompassing
terms which may imply coverages not intended, such as All Risk. If possible, use the
same language and terminology that will appear on policy.
* An agent may only issue binders which comply with the companys underwriting
instructions (per company manual, agency agreement, correspondence and/or company
underwriter). If the authority is not in writing, the agent should obtain written authority.
Most agency agreements contain stated time frames within which the company must be
notified of any risk bound.
* Generally, a broker cannot bind insurance. A broker may only exercise the authority
extended by the company. It is recommended that individual binders be issued for each
company affording coverage.
* Most agency agreements dealing with surplus lines and specialty market contracts do
not allow the agent or broker to bind coverage. Authorization must be secured prior to
binding.
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Section Name
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Field and/or Section Description
TITLE
* A binder provides coverage for a specified period. In most jurisdictions, a premium
must be charged for this period unless the binder is replaced by a policy. A deposit should
be obtained when issuing a binder. A deposit premium may be required by some
companies.
* Most companies prohibit issuing or extending binders where coverage has been refused
or cancelled by any carrier.
IDENTIFICATION SECTION Date (MM/DD/YYYY)
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
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)
Enter number: The fax number of the producer/agency.
IDENTIFICATION SECTION Code
Enter code: The identification code assigned to the producer (e.g. agency or brokerage
firm) by the insurer.
IDENTIFICATION SECTION Sub Code
Enter code: The identification code assigned by the insurer to the sub-producer (e.g.
person) within a producer's office (e.g. agency or brokerage).
IDENTIFICATION SECTION Agency Customer Id
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Name & Mailing Address
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.
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Section Name
Field Name
Field and/or Section Description
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.
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 Binder #
Enter identifier: The number assigned to uniquely identify the binder.
IDENTIFICATION SECTION Effective Date
Enter date: The date on which the terms and conditions of the binder commenced. This
date normally coincides with the effective date of the policy or of an endorsement to the
policy.
IDENTIFICATION SECTION Effective Time
Enter time: The time of the binder effective date that the binder becomes effective.
IDENTIFICATION SECTION Effective Time AM
Check the box (if applicable): Indicates the binder effective time is in the morning (AM).
IDENTIFICATION SECTION Effective Time PM
Check the box (if applicable): Indicates the binder effective time is in the afternoon or
evening (PM).
IDENTIFICATION SECTION Expiration Date
Enter date: The date on which the terms and conditions of the policy will or have expired.
Certain state laws limit the terms of a binder, so this date may not coincide with the policy
expiration date.
IDENTIFICATION SECTION Expiration Time 12:01 AM
Check the box (if applicable): Indicates the binder expires at 12:01 AM on the expiration
date.
IDENTIFICATION SECTION Expiration Time Noon
Check the box (if applicable): Indicates the binder expires at 12:00 noon on the expiration
date.
IDENTIFICATION SECTION coverage Checkbox
This binder is issued to extend
Check the box (if applicable): Indicates the binder is issued to extend coverage on a policy
where renewal is not yet available.
IDENTIFICATION SECTION Expiring Policy #
Enter identifier: The policy number of the policy that is expiring.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Premises Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Premises Liability BI Each Person
Enter limit: The bodily injury each person limit amount for premises liability coverage.
AIRPORT & FBO LIABILITY Premises Liability Each
COVERAGES
Occurrence
Enter limit: The each occurrence limit amount for premises liability coverage.
AIRPORT & FBO LIABILITY Premises Liability Property
COVERAGES
Damage
Enter limit: The property damage limit amount for premises liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Premises Liability Deductible
Enter deductible: The deductible amount for premises liability coverage.
AIRPORT & FBO LIABILITY Premises Liability Deductible
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY Premises Medical Payments
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Premises Medical Payments
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Premises Medical Payments
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Premises Medical Payments
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Premises Medical Payments Each
COVERAGES
Person
Enter limit: The each person limit amount for premises medical payments coverage.
AIRPORT & FBO LIABILITY Premises Medical Payments Each
COVERAGES
Occurrence
Enter limit: The each occurrence limit amount for premises medical payments coverage.
AIRPORT & FBO LIABILITY Products Liability Sale of Fuel &
COVERAGES
Oil
Check the box (if applicable): Indicates the sale of fuel and oil option applies to the
products liability coverage.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY
COVERAGES
Products Liability Extended
Check the box (if applicable): Indicates the extended option applies to the products liability
coverage.
AIRPORT & FBO LIABILITY Products Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Products Liability Option
COVERAGES
Description
Enter text: The description of the option being requested. Examples: Sale of Used
Aircraft, Sale of New Aircraft, Parts Installed, Parts Not Installed, Food and Beverage,
Pilot Supplies.
AIRPORT & FBO LIABILITY
COVERAGES
Products Liability BI Each Person
Enter limit: The bodily injury each person limit amount for products liability coverage.
AIRPORT & FBO LIABILITY Products Liability Each
COVERAGES
Occurrence
Enter limit: The each occurrence limit amount for products liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Products Liability Aggregate
Enter limit: The aggregate limit amount for products liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Completed Operations Extended
Check the box (if applicable): Indicates the extended option applies to the completed
operations liability coverage.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Option Description
Enter text: The description of the option being requested. Examples: Sale of Fuel and Oil,
Parts Not Installed, Sale of New Aircraft, Sale of Used Aircraft, Restaurant Liability, Repair
and Services.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Option Description
Enter text: The description of the option being requested. Examples: Sale of Fuel and Oil,
Parts Not Installed, Sale of New Aircraft, Sale of Used Aircraft, Restaurant Liability, Repair
and Services.
AIRPORT & FBO LIABILITY Completed Operations Liability BI
COVERAGES
Each Person
Enter limit: The bodily injury each person limit amount for completed operations liability
coverage.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Each Occurrence
Enter limit: The each occurrence limit amount for completed operations liability coverage.
AIRPORT & FBO LIABILITY Completed Operations Liability
COVERAGES
Aggregate
Enter limit: The aggregate limit amount for completed operations liability coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Including Taxi
Check the box (if applicable): Indicates the including taxi option applies to the coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability In
COVERAGES
Flight
Check the box (if applicable): Indicates the in flight option applies to the coverage.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Option Description
Enter text: The description of the option being requested. Example: Ground Only.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Each Aircraft
Enter limit: The each aircraft limit amount for hangarkeepers legal liability coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Each Occurrence
Enter limit: The each occurrence limit amount for hangarkeepers legal liability coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Deductible Amount
Enter deductible: The deductible amount for hangarkeepers legal liability coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Deductible Applies To
Enter code: The code identifying what the deductible applies to. Examples: Each and
Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Deductible Amount
Enter deductible: The deductible amount for hangarkeepers legal liability coverage.
AIRPORT & FBO LIABILITY Hangarkeepers Legal Liability
COVERAGES
Deductible Applies To
Enter code: The code identifying what the deductible applies to. Examples: Each and
Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence
AIRPORT & FBO LIABILITY Fire Legal Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Fire Legal Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Fire Legal Liability Any One Fire
Enter limit: The any one fire limit amount for fire legal liability coverage.
AIRPORT & FBO LIABILITY Personal Injury Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Personal Injury Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Personal Injury Liability Option
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY Personal Injury Liability Option
COVERAGES
Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY Personal Injury Liability Each
COVERAGES
Occurrence
Enter limit: The each occurrence limit amount for personal injury liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Personal Injury Liability Aggregate
Enter limit: The aggregate limit amount for personal injury liability coverage.
AIRPORT & FBO LIABILITY Advertising Liability Option
COVERAGES
Checkbox
Check the box (if applicable): The description of the option being requested.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY Advertising Liability Option
COVERAGES
Description
Enter text: The any one fire limit amount for fire legal liability coverage.
AIRPORT & FBO LIABILITY Advertising Liability Option
COVERAGES
Checkbox
Check the box (if applicable): The description of the option being requested.
AIRPORT & FBO LIABILITY Advertising Liability Option
COVERAGES
Description
Enter text: The any one fire limit amount for fire legal liability coverage.
AIRPORT & FBO LIABILITY Advertising Liability Each
COVERAGES
Occurrence
Enter limit: The each occurrence limit amount for advertising liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Advertising Liability Aggregate
Enter limit: The aggregate limit amount for advertising liability coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Contractual Liability Included
Check the box (if applicable): Indicates contractual liability coverage is included in the
policy.
AIRPORT & FBO LIABILITY
COVERAGES
Contractual Liability Excluded
Check the box (if applicable): Indicates contractual liability coverage is excluded from the
policy.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Code
Enter code: The code for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Code
Enter code: The code for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Code
Enter code: The code for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Code
Enter code: The code for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Code
Enter code: The code for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
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Section Name
Field Name
Field and/or Section Description
AIRPORT & FBO LIABILITY
COVERAGES
Option Description
Enter text: The description of the option being requested.
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AIRPORT & FBO LIABILITY
COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AIRPORT & FBO LIABILITY
COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
NAME & ADDRESS
Name & Address
Enter text: The additional interest's full name.
NAME & ADDRESS
Enter text: The additional interest's mailing address line one.
NAME & ADDRESS
Enter text: The additional interest's mailing address line two.
NAME & ADDRESS
Enter text: The additional interest's mailing address city name.
NAME & ADDRESS
Enter code: The additional interest's mailing address state or province code.
NAME & ADDRESS
Enter code: The additional interest's mailing address postal code.
NAME & ADDRESS
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
NAME & ADDRESS
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
NAME & ADDRESS
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
NAME & ADDRESS
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
NAME & ADDRESS
Other Description
Enter text: The description of the type of interest in the item.
NAME & ADDRESS
Loan Number
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
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Section Name
Field Name
Field and/or Section Description
NAME & ADDRESS
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.
As used here, binders must be signed by authorized representatives of the issuing
company.
IDENTIFICATION SECTION Agency Customer Id
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Including Taxi
Check the box (if applicable): Indicates the including taxi option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability In
Flight
Check the box (if applicable): Indicates the in flight option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Option Description
Enter text: The description of the option being requested. Example: Ground Only.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Each Aircraft
Enter limit: The each aircraft limit amount for hangarkeepers legal liability coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Each Occurrence
Enter limit: The each occurrence limit amount for hangarkeepers legal liability coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Deductible
Enter deductible: The deductible amount for hangarkeepers legal liability coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Applies To
Enter code: The code identifying what the deductible applies to. Examples: Each and
Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Deductible
Enter deductible: The deductible amount for hangarkeepers legal liability coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Applies To
Enter code: The code identifying what the deductible applies to. Examples: Each and
Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Deductible
Enter deductible: The deductible amount for hangarkeepers legal liability coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Hangarkeepers Legal Liability
Applies To
Enter code: The code identifying what the deductible applies to. Examples: Each and
Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
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Section Name
Field Name
Field and/or Section Description
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
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Section Name
Field Name
Field and/or Section Description
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
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Section Name
Field Name
Field and/or Section Description
PRIVATE HANGAR
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
PRIVATE HANGAR
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
PRIVATE HANGAR
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Incl Completed
Operations
Check the box (if applicable): Indicates completed operations are included in the products
liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Excl Completed
Operations
Check the box (if applicable): Indicates completed operations are excluded from the
products liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Includes
Spacecraft
Check the box (if applicable): Indicates spacecraft are included in the products liability
coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Excludes
Spacecraft
Check the box (if applicable): Indicates spacecraft are excluded from the products liability
coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Each
Occurrence Limit
Enter limit: The each occurrence limit for products liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Aggregate Limit
Enter limit: The aggregate limit for products liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Each
Occurrence Deductible
Enter deductible: The each occurrence deductible amount for products liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Products Liability Aggregate
Deductible
Enter deductible: The aggregate deductible amount for products liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Grounding Liability Each
Occurrence
Enter limit: The each occurrence limit amount for grounding liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Grounding Liability Aggregate
Enter limit: The aggregate limit amount for grounding liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Grounding Liability Deductible
Amount
Enter deductible: The deductible amount for grounding liability coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Grounding Liability Deductible
Percent
Enter percentage: The percentage deductible for each ground for grounding liability
coverage.
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Section Name
Field Name
Field and/or Section Description
AVIATION PRODUCTS
LIABILITY COVERAGES
Foreign Military Aircraft Products
Included
Check the box (if applicable): Indicates foreign military aircraft products coverage is
included in the policy.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
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Section Name
Field Name
Field and/or Section Description
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Code
Enter code: The code for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
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Section Name
Field Name
Field and/or Section Description
AVIATION PRODUCTS
LIABILITY COVERAGES
Option Description
Enter text: The description of the option being requested.
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Limit
Enter limit: The limit amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
AVIATION PRODUCTS
LIABILITY COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
AVIATION PRODUCTS
LIABILITY COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Line of Business
Enter text: The description of the line of business classification.
OTHER COVERAGES
Coverage Code
Enter code: The code for the coverage.
OTHER COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Coverage Code
Enter code: The code for the coverage.
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Section Name
Field Name
Field and/or Section Description
OTHER COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Coverage Code
Enter code: The code for the coverage.
OTHER COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Coverage Code
Enter code: The code for the coverage.
OTHER COVERAGES
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
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Section Name
Field Name
Field and/or Section Description
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
OTHER COVERAGES
Option Description
Enter text: The description of the option being requested.
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Limit
Enter limit: The limit amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
OTHER COVERAGES
Deductible
Enter deductible: The deductible amount for the coverage.
OTHER COVERAGES
Applies To
Enter code: The code identifying what the deductible applies to.
DESCRIPTION OF
OPERATIONS / REMARKS
(Attach ACORD 101,
Additional Remarks
Schedule if more space is
required)
Description of Operations
Enter text: The Aviation Insurance Binder general remarks including the description of
operations. Attach ACORD 101, Additional Remarks Schedule, 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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