ACORD 60 NJ (2001/10)

Universal wording updates to improve clarity and intent were made to all FIG text for this form on 06/05/2009.
Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 60 NJ (2001/10)
New Jersey Personal Property
Insurance Supplement - Flood
Exclusion
ACORD 60 NJ, New Jersey Personal Property Insurance
Supplement - Flood Exclusion, is used to comply with a New Jersey regulation that
requires advice to all personal property insurance policyholders and applicants that:
1. Flood insurance coverage is excluded.
2. Flood insurance may be available through the National Flood Insurance Program.
IDENTIFICATION SECTION Producer
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 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 Code
Enter code: The identification code assigned to the producer (e.g. agency or brokerage
firm) by the insurer.
IDENTIFICATION SECTION Subcode
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 Applicant/Named Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Company
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 Policy #
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 Applicant's Signature
Sign here: Accommodates the signature of the applicant or named insured.
IDENTIFICATION SECTION Date
Enter date: The date the form was signed by the named insured.
EDITION
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 60 NJ (2001/10)
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