ACORD 24 (2009/09)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 24 (2009/09)
Certificate of Property Insurance
ACORD 24, Certificate of Property Insurance.
Certificate of Property Insurance vs. Evidence of Property Insurance:
An important distinction exists between the Certificate of Property Insurance (ACORD 24)
and the Evidence of Property Insurance (ACORD 27) or the Evidence of Commercial
Property Insurance (ACORD 28).
If the receiver of the form wants to verify that property coverage exists on a policy and has
no direct interest in the policy, use ACORD 24, Certificate of Property Insurance.
However, if the receiver of the form does have a verifiable insurable interest in the policy,
such as a mortgagee or a lender, use ACORD 27, Evidence of Property Insurance, when
the property is insured under a Personal Lines or small Commercial policy. When the
property is insured under a Commercial Lines policy with a large limit and the lender
requires specific detailed coverage information, use ACORD 28, Evidence of Commercial
Property Insurance.
TITLE
Purpose of the Certificate of Insurance
The purpose of the Certificate of Insurance has been the topic of frequent discussions
throughout the industry. Attention centers around the true purpose of a certificate and the
rights, if any, it conveys to a certificate holder. This is particularly important when the
difference between a certificate holder and lien holder, loss payee, or mortgagee is
considered.
In a 1974 court decision (United States Pipe & Foundry Co. v United States Fidelity &
Guar. Co, 505 F. 2d 88 (5th Cir. 1974), the court ruled that a certificate is not a contract
between the holder and the insurer. It only provides information to an interested third party
that insurance is in force at the time of issuance. The court also stated: The provision
regarding notification in the event of cancellation is a mere promise, unsupported by any
consideration. Although some companies provide notice of cancellation to certificate
holders, they are not obliged to do so, since the holder is not a party to the contract.
ACORD 24 (2009/09) rev. 04-22-2011
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Section Name
Field Name
Field and/or Section Description
TITLE
The Certificate of Property Insurance is used for most property situations in which the
insured has requested certification to a third party of issued property coverages. The uses
of this Certificate can include parties involved in condominium association agreements,
lessor/lessee agreements, or other areas of certification. The ACORD Certificate should
be issued only in compliance with company instructions.
ACORD recommends that the Certificate NOT be used in the following situations:
* To satisfy a mortgagee or lienholder (ACORD 27, Evidence of Property Insurance or
ACORD 28, Evidence of Commercial Property Insurance should be used for this)
* To provide information to the owner of a leased motor vehicle or the lender about both
liability and physical damage coverages applying to the vehicle (ACORD 23, Automobile
Certificate of Insurance, should be used for this)
* To quote wording from a contract
* To waive rights
* To attach to an endorsement
* To quote any wording which amends a policy unless the policy itself has been amended.
TITLE
IMPORTANT
Iowa, Kansas, Kentucky, Louisiana, Minnesota, Missouri, North Carolina, North Dakota,
Oklahoma, Utah and Wisconsin require the filing of certificate of insurance forms. ACORD
has filed all of its certificates in these states. In these states, the text of ACORD's
certificates cannot be modified, unless the modified form is filed for approval by the
respective state Department of Insurance.
IDENTIFICATION SECTION
Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION
Producer
Enter text: The full name of the producer/agency.
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.
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION
Enter code: The mailing address state or province code of the producer/agency.
IDENTIFICATION SECTION
Enter code: The mailing address postal code of the producer/agency.
IDENTIFICATION SECTION
Contact Name
Enter text: The name of the individual at the producer's establishment that is the primary
contact.
IDENTIFICATION SECTION
Phone (A/C, No, Ext)
Enter number: The producer's contact person's phone number. If applicable, include the
area code and extension.
IDENTIFICATION SECTION
Fax No. (A/C, No, Ext)
Enter number: The fax number of the producer/agency.
IDENTIFICATION SECTION
E-Mail Address
Enter text: The producer's contact person e-mail address.
IDENTIFICATION SECTION
Producer Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION
Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION
Enter text: The named insured's mailing address line one.
IDENTIFICATION SECTION
Enter text: The named insured's mailing address line two.
IDENTIFICATION SECTION
Enter text: The named insured's mailing address city name.
IDENTIFICATION SECTION
Enter code: The named insured's mailing address state or province code.
IDENTIFICATION SECTION
Enter code: The named insured's mailing address postal code.
COMPANIES AFFORDING
COVERAGE
Company A
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
COMPANIES AFFORDING
COVERAGE
NAIC # A
Enter code: The identification code assigned to the insurer by the NAIC.
COMPANIES AFFORDING
COVERAGE
Company B
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.
COMPANIES AFFORDING
COVERAGE
NAIC # B
Enter code: The identification code assigned to the insurer by the NAIC.
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Section Name
Field Name
Field and/or Section Description
COMPANIES AFFORDING
COVERAGE
Company C
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.
COMPANIES AFFORDING
COVERAGE
NAIC # C
Enter code: The identification code assigned to the insurer by the NAIC.
COMPANIES AFFORDING
COVERAGE
Company D
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.
COMPANIES AFFORDING
COVERAGE
NAIC # D
Enter code: The identification code assigned to the insurer by the NAIC.
COMPANIES AFFORDING
COVERAGE
Company E
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.
COMPANIES AFFORDING
COVERAGE
NAIC # E
Enter code: The identification code assigned to the insurer by the NAIC.
COMPANIES AFFORDING
COVERAGE
Company F
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.
COMPANIES AFFORDING
COVERAGE
NAIC # F
Enter code: The identification code assigned to the insurer by the NAIC.
COVERAGES
Certificate Number
Enter identifier: The producer assigned number for the certificate.
COVERAGES
Revision Number
Enter number: The producer assigned revision number for the certificate.
COVERAGES
Location of Premises/Description
of Property
Enter text: The Certificate Of Liability Insurance general remarks. The additional
comments or special conditions that may exist upon the policy. ACORD 101, Additional
Remarks Schedule, may be attached if more space is required. As used here, for
buildings, provide the street address and a brief description of the occupancy of the
building (e.g., 123 Johnstone Ave, Endicott - Grocery Store with Apartments, or Route 66,
five miles south of intersection with I99 - Tobacco Barn).
COVERAGES
Co Ltr
Enter code: The company letter of the insurer, as identified in the Insurer(s) Affording
Coverage form section, associated with the property policy.
COVERAGES
Property
Check the box (if applicable): Indicates the type of policy is property.
COVERAGES
Causes of Loss - Basic
Check the box (if applicable): Indicates the type of policy/perils insured is basic.
COVERAGES
Broad
Check the box (if applicable): Indicates the type of policy/perils insured is broad.
COVERAGES
Special
Check the box (if applicable): Indicates the type of policy/perils insured is special.
COVERAGES
Earthquake
Check the box (if applicable): Indicates earthquake coverage is included in the policy.
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Section Name
Field Name
Field and/or Section Description
COVERAGES
Wind
Check the box (if applicable): Indicates the type of policy is wind.
COVERAGES
Flood
Check the box (if applicable): Indicates flood coverage exists.
COVERAGES
Checkbox
Check the box (if applicable): Indicates the type of policy/perils insured is other than those
listed.
COVERAGES
Blank field text
Enter text: The description of the type of policy issued to the insured.
COVERAGES
Checkbox
Check the box (if applicable): Indicates the type of policy/perils insured is other than those
listed.
COVERAGES
Blank field text
Enter text: The description of the type of policy issued to the insured.
COVERAGES
Building Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance. As
used here, this is the deductible for the building coverage.
COVERAGES
Contents Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance. As
used here, this is the deductible for the contents coverage.
COVERAGES
Earthquake Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance. As
used here, this is the deductible for the earthquake coverage.
COVERAGES
Wind Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance. As
used here, this is the deductible for the wind coverage.
COVERAGES
Flood Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance. As
used here, this is the deductible for the flood coverage.
COVERAGES
Other Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance.
COVERAGES
Other Deductible
Enter deductible: The deductible amount that is to apply to this subject of insurance.
COVERAGES
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
COVERAGES
Policy Effective Date
(MM/DD/YYYY)
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
COVERAGES
Policy Expiration Date
(MM/DD/YYYY)
Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES
Covered Property - Building
(Checkbox)
Check the box (if applicable): Indicates that Building Coverage applies.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for building coverage.
COVERAGES
Personal Property (Checkbox)
Check the box (if applicable): Indicates that Personal Property Coverage applies.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for personal property coverage.
COVERAGES
Business Income (Checkbox)
Check the box (if applicable): Indicates business income coverage is included in the
policy.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for business income coverage.
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Section Name
Field Name
Field and/or Section Description
COVERAGES
Extra Expense (Checkbox)
Check the box (if applicable): Indicates extra expense coverage is included in the policy.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for extra expense coverage.
COVERAGES
Rental Value (Checkbox)
Check the box (if applicable): Indicates rental value coverage is included in the policy.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for rental value coverage.
COVERAGES
Blanket Building (Checkbox)
Check the box (if applicable): Indicates blanket coverage exists. As used here this is
blanket coverage for the building.
COVERAGES
$ Field text box
Enter limit: The limit amount for the blanket coverage. As used here this is blanket
coverage for the building.
COVERAGES
Blanket Pers Prop (Checkbox)
Check the box (if applicable): Indicates blanket coverage exists. As used here this is
blanket coverage for personal property.
COVERAGES
$ Field text box
Enter limit: The limit amount for the blanket coverage. As used here this is blanket
coverage for personal property.
COVERAGES
Blanket Bldg & PP (Checkbox)
Check the box (if applicable): Indicates blanket coverage exists. As used here this is
blanket coverage for the building and personal property.
COVERAGES
$ Field text box
Enter limit: The limit amount for the blanket coverage. As used here this is blanket
coverage for the building and personal property.
COVERAGES
Checkbox
Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Co Ltr
Enter code: The company letter of the insurer, as identified in the Insurer(s) Affording
Coverage form section, associated with the inland marine policy.
COVERAGES
Inland Marine Checkbox
Check the box (if applicable): Indicates the type of policy is inland marine.
COVERAGES
Type of Policy Blank field text
Enter text: The description of the type of policy issued to the insured.
COVERAGES
Causes of Loss - Named Perils
(Checkbox)
Check the box (if applicable): Indicates the coverage is to be written on a named perils
basis.
COVERAGES
Causes of Loss - Other (Checkbox)
Check the box (if applicable): Indicates the type of policy/perils insured is other than those
listed.
COVERAGES
Blank field text
Enter text: The description of the type of policy issued to the insured.
COVERAGES
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
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Section Name
Field Name
Field and/or Section Description
COVERAGES
Policy Effective Date
(MM/DD/YYYY)
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
COVERAGES
Policy Expiration Date
(MM/DD/YYYY)
Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES
Covered Property - Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
Limits - $ Field text box
Enter limit: The limit of the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit of the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit of the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit of the coverage.
COVERAGES
Co Ltr
Enter code: The company letter of the insurer, as identified in the Insurer(s) Affording
Coverage form section, associated with the crime policy.
COVERAGES
Crime - Checkbox
Check the box (if applicable): Indicates crime coverage applies.
COVERAGES
Type of Policy
Enter text: The description of the type of policy issued to the insured.
COVERAGES
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
COVERAGES
Policy Effective Date
(MM/DD/YYYY)
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
COVERAGES
Policy Expiration Date
(MM/DD/YYYY)
Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES
Covered Property - Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for the coverage.
ACORD 24 (2009/09) rev. 04-22-2011
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Section Name
Field Name
Field and/or Section Description
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates a coverage other than those listed is applicable to
the risk.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Co Ltr
Enter code: The company letter of the insurer, as identified in the Insurer(s) Affording
Coverage form section, associated with the boiler and machinery policy.
COVERAGES
Boiler & Machinery Checkbox
Check the box (if applicable): Indicates boiler and machinery coverage applies.
COVERAGES
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
COVERAGES
Policy Effective Date
(MM/DD/YYYY)
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
COVERAGES
Policy Expiration Date
(MM/DD/YYYY)
Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES
Covered Property - Checkbox
Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
Limits - $ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Checkbox
Check the box (if applicable): Indicates the coverage is included in the policy.
COVERAGES
Blank field text
Enter text: The description of the coverage.
COVERAGES
$ Field text box
Enter limit: The limit amount for the coverage.
COVERAGES
Co Ltr
Enter code: The Company Letter of the insurer, as identified in the Insurer(s) Affording
Coverage form section, associated with the other policy.
COVERAGES
Blank field text
Enter text: The description of the other policy not listed on the form.
COVERAGES
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
COVERAGES
Policy Effective Date
(MM/DD/YYYY)
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
COVERAGES
Policy Expiration Date
(MM/DD/YYYY)
Enter date: The date on which the terms and conditions of the policy will expire.
COVERAGES
Covered Property (Checkbox)
Check the box (if applicable): Indicates the coverage described is included in the policy.
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Section Name
Field Name
Field and/or Section Description
COVERAGES
Covered Property
Enter text: The description of the coverage.
COVERAGES
Limits
Enter limit: The other policy, coverage limit amount. Any questions about appropriate limits
or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGES
Covered Property (Checkbox)
Check the box (if applicable): Indicates the coverage described is included in the policy.
COVERAGES
Covered Property
Enter text: The description of the coverage.
COVERAGES
Limits
Enter limit: The other policy, coverage limit amount. Any questions about appropriate limits
or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGES
Special Conditions/Other
Coverages
Enter text: The Certificate Of Liability Insurance general remarks. The additional
comments or special conditions that may exist upon the policy. ACORD 101, Additional
Remarks Schedule, may be attached if more space is required. As used here, record any
special policy conditions or coverages not fully explained in the Coverages section.
CERTIFICATE HOLDER
Certificate Holder
Enter text: The certificate holder's full name.
CERTIFICATE HOLDER
Enter text: The certificate holder's mailing address line one.
CERTIFICATE HOLDER
Enter text: The certificate holder's mailing address line two.
CERTIFICATE HOLDER
Enter text: The certificate holder's mailing address city name.
CERTIFICATE HOLDER
Enter code: The certificate holder's mailing address state or province code.
CERTIFICATE HOLDER
Enter code: The certificate holder's mailing address postal code.
CANCELLATION
Authorized Representative
Sign here: Accommodates the signature of the authorized representative (e.g. producer,
agent, broker, etc.) by all companies to issue Certificates. This is required in most states.
Edition
Date
The edition identifier of the form including the form number and edition (the date is typically
formatted YYYY/MM).
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