Countries and Languages
| Countries | Languages |
|---|---|
| Any | English |
Extracted Fields
Date
| Field | Description |
|---|---|
| Date | The date on which the certificate was issued. |
Producer
| Field | Description |
|---|---|
| Contact Name | Information about the producer (the insurance agent or broker that arranged the insurance coverage). |
| Phone | Information about the producer (the insurance agent or broker that arranged the insurance coverage). |
| Fax | Information about the producer (the insurance agent or broker that arranged the insurance coverage). |
| Information about the producer (the insurance agent or broker that arranged the insurance coverage). | |
| Name | Information about the producer (the insurance agent or broker that arranged the insurance coverage). |
| Address | Information about the producer (the insurance agent or broker that arranged the insurance coverage). |
Insured
| Field | Description |
|---|---|
| Name | Information about the insured (the organization that has purchased the insurance coverages shown on the certificate). |
| Address | Information about the insured (the organization that has purchased the insurance coverages shown on the certificate). |
Insurer Affording Coverage
| Field | Description |
|---|---|
| Insurer A | Information about the insurer affording the coverage. |
| NAIC Insurer A | Information about the insurer affording the coverage. |
| Insurer B | Information about the insurer affording the coverage. |
| NAIC Insurer B | Information about the insurer affording the coverage. |
| Insurer C | Information about the insurer affording the coverage. |
| NAIC Insurer C | Information about the insurer affording the coverage. |
| Insurer D | Information about the insurer affording the coverage. |
| NAIC Insurer D | Information about the insurer affording the coverage. |
| Insurer E | Information about the insurer affording the coverage. |
| NAIC Insurer E | Information about the insurer affording the coverage. |
| Insurer F | Information about the insurer affording the coverage. |
| NAIC Insurer F | Information about the insurer affording the coverage. |
Certificate Number
| Field | Description |
|---|---|
| Certificate Number | The certificate number. |
Revision Number
| Field | Description |
|---|---|
| Revision Number | A unique number assigned by the producer. |
Commercial General Liability
| Field | Description |
|---|---|
| Commercial General Liability | Types of general liability insurance forms. |
| Claims Made | Types of general liability insurance forms. |
| Occurrence | Types of general liability insurance forms. |
| Other Checkbox 1 | Other types of general liability insurance forms. |
| Other Description 1 | Other types of general liability insurance forms. |
| Other Checkbox 2 | Other types of general liability insurance forms. |
| Other Description 2 | Other types of general liability insurance forms. |
| Additional Insured | Indicates whether there are additional insured person. The value of the field must be: Y (yes), N (no), or empty. |
| Subrogation Waived | Indicates whether subrogation is to be waived in the event of legal proceedings. The value of the field must be: Y (yes), N (no), or empty. |
| General Aggregate Limit Applies Per | |
| Policy | Information about the aggregate limit of the policy. |
| Project | Information about the aggregate limit of the policy. |
| Location | Information about the aggregate limit of the policy. |
| Other Checkbox | Information about the aggregate limit of the policy. |
| Other Description | Information about the aggregate limit of the policy. |
| Policy Information (repeating group) | |
| Insurer Letter | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Number | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Effective Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Expiration Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Limits | |
| Each Occurrence | Specifies how much money the insurance policy will pay for a single loss. |
| Damage to Rented Premises | Specifies how much money the insurance policy will pay for damage that the insured causes to rented premises. |
| Medical Expense | Specifies the amount of money that will be paid for documented medical expenses if someone is hurt or injured without regard for negligence of the insured. |
| Personal and Advertising Injury | Specifies general liability coverage that covers personal injury. |
| General Aggregate | Specifies the highest amount of money that the insurance policy will pay in total regardless of the number of claims. |
| Products and Completed Operations | Specifies the highest amount of money that the policy will pay for all claims arising out of the insured’s defective products or work. |
| Other Limit (repeating group) | Other limits. |
| Description | Other limits. |
| Amount | Other limits. |
Automobile Liability
| Field | Description |
|---|---|
| Any Auto | Types of automobile liability insurance forms. |
| Owned Autos Only | Types of automobile liability insurance forms. |
| Hired Autos Only | Types of automobile liability insurance forms. |
| Scheduled Autos | Types of automobile liability insurance forms. |
| Non Owned Autos Only | Types of automobile liability insurance forms. |
| Other Checkbox 1 | Other types of automobile liability insurance forms. |
| Other Description 1 | Other types of automobile liability insurance forms. |
| Other Checkbox 2 | Other types of automobile liability insurance forms. |
| Other Description 2 | Other types of automobile liability insurance forms. |
| Additional Insured | Indicates whether there are additional insured persons. The value of the field must be: Y (yes), N (no), or empty. |
| Subrogation Waived | Indicates whether subrogation is to be waived in the event of legal proceedings. The value of the field must be: Y (yes), N (no), or empty. |
| Policy Information (repeating group) | |
| Insurer Letter | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Number | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Effective Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Expiration Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Limits | |
| Combined Single Limit | Specifies the maximum amount the policy will pay for third party bodily injury and property damage combined for each accident. |
| Bodily Injury per Person | Specifies the maximum amount the policy would pay for bodily injury to a single person from each accident. |
| Bodily Injury per Accident | Specifies the maximum amount the policy would pay for bodily injury from each accident, regardless of the number of persons injured. |
| Property Damage per Accident | Specifies the maximum amount the policy would pay for third party property damage resulting from a single accident. |
| Other Limit (repeating group) | Other limits. |
| Description | Other limits. |
| Amount | Other limits. |
Excess or Umbrella Liability
| Field | Description |
|---|---|
| Umbrella Liability | Types of excess or umbrella liability insurance forms. |
| Excess Liability | Types of excess or umbrella liability insurance forms. |
| Liability Occurrence | Types of excess or umbrella liability insurance forms. |
| Liability Claims Made | Types of excess or umbrella liability insurance forms. |
| Deductible | Types of excess or umbrella liability insurance forms. |
| Retention | Types of excess or umbrella liability insurance forms. |
| Deductible or Retention Amount | Specifies the amount that that has to be covered by the insured. |
| Additional Insured | Indicates whether there are additional insured persons. The value of the field must be: Y (yes), N (no), or empty. |
| Subrogation Waived | Indicates whether subrogation is to be waived in the event of legal proceedings. The value of the field must be: Y (yes), N (no), or empty. |
| Policy Information (repeating group) | |
| Insurer Letter | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Number | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Effective Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Expiration Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Limits | |
| Each Occurrence | Specifies how much money the insurance policy will pay for a single loss. |
| Aggregate | Specifies the maximum amount of money that the insurance policy will pay in total regardless of how many claims are filed. |
| Other Limit (repeating group) | Other limits. |
| Description | Other limits. |
| Amount | Other limits. |
Workers Compensation and Employers’ Liability
| Field | Description |
|---|---|
| Any Persons Excluded | Indicates whether specific persons are excluded from the coverage under their workers compensation policy. The value of the field must be: Y (yes), N (no), or empty. |
| Subrogation Waived | Indicates whether subrogation is to be waived in the event of legal proceedings. The value of the field must be: Y (yes), N (no), or empty. |
| Policy Information (repeating group) | |
| Insurer Letter | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Number | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Effective Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Policy Expiration Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. |
| Per Statute | Specifies that the benefits meet the workers compensation coverage requirements for the state in which the injury occurs. |
| Other Checkbox | Other types of coverage. |
| Other Description | Other types of coverage. |
| Limits | |
| Each Accident | Indicates the employers’ liability coverage limits. |
| Disease Each Employee | Indicates the employers’ liability coverage limits. |
| Disease Policy Limit | Indicates the employers’ liability coverage limits. |
Other Policy
| Field | Description |
|---|---|
| Additional Insured | Indicates whether there are additional insured persons. The value of the field must be: Y (yes), N (no), or empty. |
| Subrogation Waived | Indicates whether subrogation is to be waived in the event of legal proceedings. The value of the field must be: Y (yes), N (no), or empty. |
| Policy Information (repeating group) | |
| Insurer Letter | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Type of Insurance | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Policy Number | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Policy Effective Date | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Limits Description 1 | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Limits Description 2 | Information about the policy. Date values must be in the following format: MM/DD/YYYY. If cells Limits Description 1 and Limits Description 2 are merged, all information should be considered Limits Description 1. |
| Amount | Information about the policy. |
Description of Operations or Locations or Vehicles
| Field | Description |
|---|---|
| Description of Operations or Locations or Vehicles | Description of the special operations, specific job site/location or contract number and additional insured to the liability coverage. |
Certificate Holder
| Field | Description |
|---|---|
| Name | Information about the certificate holder. |
| Address | Information about the certificate holder. |
Authorized Representative
| Field | Description |
|---|---|
| Edition Date | The date of the certificate edition. The format of the value must be: YYYY/MM. |
Edition Date
| Field | Description |
|---|---|
| Edition Date | The date of the certificate edition. The format of the value must be: YYYY/MM. |
Key Fields
- Date
- Contact Name
- Producer/Name
- Insured/Name
- Certificate Number
