The ACORD name and logo are registered marks of ACORD. ACORD@ Created Date: 9/28/2009 1:41:01 PM Accord form 28 - Acord 131 fillable 2005 form Omb no. 3072-0012 expires 10/31/2014 form fmc-131 federal maritime commission washington, dc 20573 application for certificate of financial responsibility in compliance with the provisions of pub. l. 89- and 46 cfr part 540, application is hereby Start on editing, signing and sharing your Acord 25 online following these easy steps: Push the Get Form or Get Form Now button on the current page to make access to the PDF editor. Wait for a moment before the Acord 25 is loaded. Use the tools in the top toolbar to edit the file, and the edited content will be saved automatically. tm date producer phone company (a/c, no, ext): code: sub code: agency customer id #: insured loan number policy number effective date expiration date The ACORD name and logo are registered marks of ACORD. Title: ACORD 25 (2010/05) Author: ACORD Corporation Created Date: 4/28/2011 9:36:41 AM Use ACORD 27 or ACORD 28. INSURED INSURER A : PHONE (A/C, No, Ext): PRODUCER PRODUCER CUSTOMER ID #: ADDRESS: E-MAIL FAX (A/C, No): INSURER B : INSURER C : CONTACT NAME: INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE NAIC # BOILER & MACHINERY / EQUIPMENT BREAKDOWN Created Date 10/5/2009 1:03:54 PM Our program allows you to fill out ACORD forms on screen and save the data anywhere anytime 24/7. Once you subscribe, you will be able to print or email directly from the program. (28) 29: Evidence of Flood Insurance (29) 30: Certificate of Garage Insurance (30) 31: Certificate of Marine / Energy Insurance (31) 35: Cancellation Request fungus exclusion (if "yes", specify organization's form used) n/a rental value if yes, limit: if yes, limit: if yes, limit: if yes, limit: if yes, limit: if yes, limit: mail should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to That is what makes a ACORD 28 Evidence of Commercial Property Insurance such a useful tool. This form provides a coverage statement for mortgagees, additional insureds, and loss payees who provide mortgages or loans on real property or business personal property insured under a commercial insurance policy and are named in the policy. The ACORD 28 Evidence of Commercial Property Insurance Preview tab displays the information that will appear on the EPI Template and any EPI forms issued from that template. Commercial Property Policy Level Coverages pre-fill to the Remarks section of the form and do not check off the associated boxes in the Property Information section for Title: ACORD 28 (2014/01) Author: ACORD Corporation Created Date: 6/27/2013 12:30:30 PM