ACORD 137 Commercial Auto

Common Data Between All States

The ACORD 137 Commercial Auto Form is state-specific—there is no generic ACORD 137. However, there are data fields that are common among all forms.

The data below is common information entered in to Sagitta and printed to the state versions of the form.

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Policy Details IDENTIFICATION SECTION Client Code   Agency Customer ID
  IDENTIFICATION SECTION   Transaction Date will be equal to the eForm creation date(Current Date) Date
Policy Details IDENTIFICATION SECTION Division Division description will comes from Division Master Maintenance  Agency
Policy Details IDENTIFICATION SECTION Policy Number   Policy Number
Policy Details IDENTIFICATION SECTION Effective Date   Effective Date
Policy Details IDENTIFICATION SECTION Insurer   Carrier
Insurer Codes Maintenance Page IDENTIFICATION SECTION NAIC Code   NAIC Code
Insurer Codes Maintenance Page IDENTIFICATION SECTION Named Insured   Named Insured(s)

 

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  1 for Coverage CAU Liability - 1
Business Auto Coverages BUSINESS AUTO Liability Enter Symboloccurrence will  2 2
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  8 8
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  9 9
Business Auto Coverages BUSINESS AUTO Liability Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages   Liability Enter either of the limits  
Business Auto Coverages   Liability Enter Limit1 and Limit 2 amount  
Business Auto Coverages   Uninsured Motorist Enter Limit1 or Limit 2 amount  
Business Auto Coverages   Uninsured Motorist Enter Limit1 and Limit2  
Business Auto Coverages   Liability Enter either of the limits  
Business Auto Coverages   Liability Enter Limit1 and Limit 2 amount  
Business Auto Coverages   Uninsured Motorist Enter Limit 1 or Limit 2  
Business Auto Coverages   Uninsured Motorist Enter Limit 1 and Limit 2  
Business Auto Coverages   Liability Enter either of the limits  
Business Auto Coverages   Liability Enter Limit1 and Limit 2 amount  
Business Auto Coverages   Uninsured Motorist Enter Limit1 or Limit 2 amount  
Business Auto Coverages   Uninsured Motorist Enter Limit1 and Limit 2 amount  
Business Auto Coverages BUSINESS AUTO Limit 1 or Limit 2 Enter Limit 1 or Limit 2 for Liability then CSL  check box will be checked Combined Single Limit (CSL)
Business Auto Coverages BUSINESS AUTO Limit1 and Limit 2  Enter Limit 1 and Limit 2 for liability then BI EA PER check box will be checked Bodily Injury (BI) Each Person Limit
Business Auto Coverages BUSINESS AUTO Limit2 Enter Limit 2  Bodily Injury (BI) Each Accident Limit
Business Auto Coverages BUSINESS AUTO Property Damage   Property Damage
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  2 Medical Payments - 2
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  8 8
Business Auto Coverages BUSINESS AUTO Medical Payments Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Medical Payments The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Limits Enter amount in limits for Medical Payments Each Person
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  2 Uninsured Motorist (UM) - 2
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  6 6
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Uninsured Motorist The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO   The Hired/Borrowed Liabilirty check box would be checked if we enter atleast a single record under Hired Borrowed section Hired / Borrowed Liability - Yes
Business Auto Coverages BUSINESS AUTO State The state name specified in first record of Hired/Borrowed Coverages section States
Business Auto Coverages BUSINESS AUTO State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO   If no records exist in Hired/borrowed section then in the V form No should be checked  No
Business Auto Coverages BUSINESS AUTO Cost of Hire Hired cost of 1st record of Hired/borrowed Coverages Cost of Hire
Business Auto Coverages BUSINESS AUTO   If no hired cost specified in 1st record then this check box would be checked in V form If Any Basis
Business Auto Coverages BUSINESS AUTO   The Non- Owned Liability check box would be checked if we enter atleast a single record under Non Owned  Auto coverage section Non-Owned Liability - Yes
Business Auto Coverages BUSINESS AUTO State The state name specified in first record of Hired/Borrowed Coverages section States
Business Auto Coverages BUSINESS AUTO State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in forth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in fifth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in sixth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in seventh  record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in eighth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in 9th record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State If no records exist in Hired/borrowed section then in the V form No should be checked  No
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners If user has entered Employees in any of the record for Non Owned Liability section then this would populate in V form Group Type - Employees
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners No.of Employees of first record Number of Employees
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners If user has entered Volunteers in any of the record for Non Owned Liability section then this would populate in V form Volunteers
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners No.of Volunteers of first record Number of Volunteers
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners If user has entered Partners in any of the record for Non Owned Liability section then this would populate in V form Partners
Business Auto Coverages BUSINESS AUTO # of Employees, Volunteers, Partners No.of Partners of first record Number of Partners
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  3 Towing & Labor - 3
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Towing & Labor The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Limits Limits of Towing Labor Limit
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  2 Comprehensive / Other Than Collision (COMP / OTC) - 2
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  8 8
Business Auto Coverages BUSINESS AUTO Comprehensive Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Comprehensive The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  2 Specified Causes of Loss (Spec C of L) - 2
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  8 8
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  2 Collision (COLL) - 2
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  3 3
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  4 4
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  7 7
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  8 8
Business Auto Coverages BUSINESS AUTO Collision Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO Collision The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO State The state name specified in first record of Hired/Borrowed Coverages section Hired Physical Damage - States
Business Auto Coverages BUSINESS AUTO State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in forth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in fifth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO State The state name specified in sixth record of Hired/Borrowed Coverages section  
Business Auto Coverages BUSINESS AUTO # Days The #of days specified in first  record of Hired/Borrowed Coverages section # Days
Business Auto Coverages BUSINESS AUTO # Vehicles  The #of vehicles specified in first  record of Hired/Borrowed Coverages section # Veh
Business Auto Coverages BUSINESS AUTO   The COMP check box would be checked in V form if user enters the deductable amount in Hired comp first record Coverage / Deductible - Comp
Business Auto Coverages BUSINESS AUTO Comprehensive Deductible The COMP Deductable amount of first record of Hired/Borrowed Coverages  Deductible
Business Auto Coverages BUSINESS AUTO   The Spec C of L check box would be checked in V form if user enters the Specified Cause Of Loss Deductible amount in Hired comp first record Spec C of L
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Deductible The Specified Cause of Loss Deductable amount of first record of Hired/Borrowed Coverages  Deductible
Business Auto Coverages BUSINESS AUTO   The COMP check box would be checked in V form if user enters the Collision Deductible amount in Hired comp first record Coll
Business Auto Coverages BUSINESS AUTO Collision Deductible The Collision Deductible amount of first record of Hired/Borrowed Coverages  Deductible

 

 

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages TRUCKERS Liability Enter Symbol  41 for Truckers  Coverage Liability - 41
Business Auto Coverages TRUCKERS Liability Enter Symbol  42 42
Business Auto Coverages TRUCKERS Liability Enter Symbol  43 43
Business Auto Coverages TRUCKERS Liability Enter Symbol  46 46
Business Auto Coverages TRUCKERS Liability Enter Symbol  47 47
Business Auto Coverages TRUCKERS Liability Enter Symbol  50 50
Business Auto Coverages TRUCKERS Liability Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Limit 1 or Limit 2 Enter Limit 1 or Limit 2 for Liability then CSL  check box will be checked Combined Single Limit (CSL)
Business Auto Coverages TRUCKERS Limit1 and Limit 2  Enter Limit 1 and Limit 2 for liability then BI EA PER check box will be checked Bodily Injury (BI) Each Person Limit
Business Auto Coverages TRUCKERS Limit2 Enter Limit 2  Bodily Injury (BI) Each Accident Limit
Business Auto Coverages TRUCKERS Property Damage   Property Damage
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  42 Medical Payments - 42
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  43 43
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  46 46
Business Auto Coverages TRUCKERS Medical Payments Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Medical Payments The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Limits Enter amount in limits for Medical Payments Each Person
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  42 Uninsured Motorist (UM) - 42
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  43 43
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  45 45
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  46 46
Business Auto Coverages TRUCKERS Uninsured Motorist Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Uninsured Motorist The other symbol would populate on V form Other Covered Auto Symbol Description
  TRUCKERS   The Non Truckers Yes check box would be checked if we enter atleast a single record with coverage as HRNOT in additional Coverages section Non-Truckers Hired / Borrowed Liability - Yes
Business Auto Coverages TRUCKERS State The state name specified in first record of with coverage code as HRNOT in additional coverage section States
Business Auto Coverages TRUCKERS State The state name specified in second record of with coverage code as HRNOT in additional coverage section  
Business Auto Coverages TRUCKERS State The state name specified in third record of with coverage code as HRNOT in additional coverage section  
Business Auto Coverages TRUCKERS   The Non Truckers NO check box would be checked if no records exist with coverage as HRNOT in additional Coverages section No
Business Auto Coverages TRUCKERS Cost of Hire Hired cost of 1st record of HRNOT Coverages in additional coverages Cost of Hire
Business Auto Coverages TRUCKERS   If no hired cost specified in 1st record then this check box would be checked in V form If Any Basis
Business Auto Coverages TRUCKERS   The Hired/Borrowed Liabilirty check box would be checked if we enter atleast a single record under Hired Borrowed section Truckers Hired / Borrowed Liability - Yes
Business Auto Coverages TRUCKERS State The state name specified in first record of Hired/Borrowed Coverages section States
Business Auto Coverages TRUCKERS State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS   If no records exist in Hired/borrowed section then in the V form No should be checked  No
Business Auto Coverages TRUCKERS Cost of Hire Hired cost of 1st record of Hired/borrowed Coverages Cost of Hire
Business Auto Coverages TRUCKERS   If no hired cost specified in 1st record then this check box would be checked in V form If Any Basis
Business Auto Coverages TRUCKERS   The Non Owned Auto Coverage check box would be checked if we enter atleast a single record under Non Owned Auto Coverages section Non-Owned Auto Liability - Yes
Business Auto Coverages TRUCKERS State The state name specified in first record of Non Owned Auto Coverages section States
Business Auto Coverages TRUCKERS State The state name specified in second record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in third record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in forth record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in fifth record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in sixth record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in 7th record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in 8th record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in 9th record of Non Owned Auto Coverages section  
Business Auto Coverages TRUCKERS   If no records exist in Non Owned Auto coverage section then in the V form No should be checked  No
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners If user has entered Employees in any of the record for Non Owned Liability section then this would populate in V form Group Type - Employees
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners No.of Employees of first record Number of Employees
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners If user has entered Volunteers in any of the record for Non Owned Liability section then this would populate in V form Volunteers
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners No.of Volunteers of first record Number of Volunteers
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners If user has entered Partners in any of the record for Non Owned Liability section then this would populate in V form Partners
Business Auto Coverages TRUCKERS # of Employees, Volunteers, Partners No.of Partners of first record Number of Partners
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  42 Comprehensive / Other Than Collision (COMP / OTC) - 42
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  43 43
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  46 46
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  47 47
Business Auto Coverages TRUCKERS Comprehensive Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Comprehensive The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Deductable Deductable of Comprehensive  Deductible
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  42 Specified Causes of Loss (Spec C of L) - 42
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  43 43
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  46 46
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  47 47
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Specified Cause Of Loss The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Deductable Deductable of Specified Cause Of Loss Deductible
Business Auto Coverages TRUCKERS Collision Enter Symbol  42 Collision (COLL) - 42
Business Auto Coverages TRUCKERS Collision Enter Symbol  43 43
Business Auto Coverages TRUCKERS Collision Enter Symbol  46 46
Business Auto Coverages TRUCKERS Collision Enter Symbol  47 47
Business Auto Coverages TRUCKERS Collision Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Collision The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Deductable Deductable of collision Deductible
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  46 Towing & Labor - 46
Business Auto Coverages TRUCKERS Towing & Labor Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages TRUCKERS Towing & Labor The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Limits Limits of Towing Labor Limit
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  48 COMP / OTC - 48
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  49 49
Business Auto Coverages TRUCKERS Exposure #1 This is in COMTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages TRUCKERS State This is in COMTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages TRUCKERS Exposure #1 This is in COMTD coverage in miscellaneous Coverages # Days
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  48 Specified Causes of Loss - 48
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  49 49
Business Auto Coverages TRUCKERS Exposure #1 This is in PERTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages TRUCKERS State This is in PERTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages TRUCKERS Exposure #1 This is in PERTD coverage in miscellaneous Coverages # Days
Business Auto Coverages TRUCKERS Collison Enter Symbol  48 Collision - 48
Business Auto Coverages TRUCKERS Collision Enter Symbol  49 49
Business Auto Coverages TRUCKERS Exposure #1 This is in COLTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages TRUCKERS State This is in COLTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages TRUCKERS Exposure #1 This is in COLTD coverage in miscellaneous Coverages # Days
Business Auto Coverages TRUCKERS Deductable This is in COLL coverage in BA Coverages  Deductible
Business Auto Coverages TRUCKERS State The state name specified in first record of Hired/Borrowed Coverages section Hired Physical Damage - States
Business Auto Coverages TRUCKERS State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in forth record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in fifth record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS State The state name specified in sixth record of Hired/Borrowed Coverages section  
Business Auto Coverages TRUCKERS # Days The #of days specified in first  record of Hired/Borrowed Coverages section # Days
Business Auto Coverages TRUCKERS # Vehicles  The #of vehicles specified in first  record of Hired/Borrowed Coverages section # Veh

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  61 for Coverage MTC  Liability - 61
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  62 62
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  68 68
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  71 71
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Limit 1 or Limit 2 Enter Limit 1 or Limit 2 for Liability then CSL  check box will be checked Combined Single Limit (CSL)
Business Auto Coverages MOTOR CARRIER SECTION Limit1 and Limit 2  Enter Limit 1 and Limit 2 for liability then BI EA PER check box will be checked Bodily Injury (BI) Each Person Limit
Business Auto Coverages MOTOR CARRIER SECTION Limit2 Enter Limit 2  Bodily Injury (BI) Each Accident Limit
Business Auto Coverages MOTOR CARRIER SECTION Property Damage   Property Damage
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  62 Medical Payments - 62
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Limits Enter amount in limits for Medical Payments Each Person
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  62 Uninsured Motorist (UM) - 62
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  66 66
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist The other symbol would populate on V form Other Covered Auto Symbol Description
  MOTOR CARRIER SECTION   The Non Truckers Yes check box would be checked if we enter atleast a single record with coverage as HRNOT in additional Coverages section Non-Truckers Hired / Borrowed Liability - Yes
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in first record of with coverage code as HRNOT in additional coverage section States
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in second record of with coverage code as HRNOT in additional coverage section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in third record of with coverage code as HRNOT in additional coverage section  
Business Auto Coverages MOTOR CARRIER SECTION   The Non Truckers NO check box would be checked if no records exist with coverage as HRNOT in additional Coverages section No
Business Auto Coverages MOTOR CARRIER SECTION Cost of Hire Hired cost of 1st record of HRNOT Coverages in additional coverages Cost of Hire
Business Auto Coverages MOTOR CARRIER SECTION   If no hired cost specified in 1st record then this check box would be checked in V form If Any Basis
  MOTOR CARRIER SECTION   The Non Truckers Yes check box would be checked if we enter atleast a single record with coverage as HRNOT in additional Coverages section Truckers Hired / Borrowed Liability - Yes
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in first record in Hired Borrowed coverage section States
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in second record in Hired Borrowed coverage section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in third record in Hired Borrowed coverage section  
Business Auto Coverages MOTOR CARRIER SECTION   The Non Truckers NO check box would be checked if no records exist with coverage as HRNOT in Hired borrowed section No
Business Auto Coverages MOTOR CARRIER SECTION Cost of Hire Hired cost of 1st record in Hired borrowed coverages section Cost of Hire
Business Auto Coverages MOTOR CARRIER SECTION   If no hired cost specified in 1st record then this check box would be checked in V form If Any Basis
Business Auto Coverages MOTOR CARRIER SECTION   The Non Owned Auto Coverage check box would be checked if we enter atleast a single record under Non Owned Auto Coverages section Non-Owned Auto Liability - Yes
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in first record of Non Owned Auto Coverages section States
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in second record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in third record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in forth record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in fifth record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in sixth record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in 7th record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in 8th record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in 9th record of Non Owned Auto Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION   If no records exist in Non Owned Auto coverage section then in the V form No should be checked  No
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners If user has entered Employees in any of the record for Non Owned Liability section then this would populate in V form Group Type - Employees
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners No.of Employees of first record Number of Employees
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners If user has entered Volunteers in any of the record for Non Owned Liability section then this would populate in V form Volunteers
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners No.of Volunteers of first record Number of Volunteers
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners If user has entered Partners in any of the record for Non Owned Liability section then this would populate in V form Partners
Business Auto Coverages MOTOR CARRIER SECTION # of Employees, Volunteers, Partners No.of Partners of first record Number of Partners
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  62 Comprehensive / Other Than Collision (COMP / OTC) - 62
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  68 68
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive The other symbol would populate on V form Other Covered Auto Symbol Description
  MOTOR CARRIER SECTION Deductable Deductable of Comprehensive  Deductible
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  62 Specified Causes of Loss (Spec C of L) - 62
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  68 68
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss The other symbol would populate on V form Other Covered Auto Symbol Description
  MOTOR CARRIER SECTION Deductable Deductable of Collision  Deductible
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  62 Collision (COLL) - 62
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  63 63
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  64 64
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  68 68
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Collision The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Deductable Deductable of collision Deductible
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  63 Towing & Labor - 63
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  67 67
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter  Symbol other than above symbols : Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor The other symbol would populate on V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Limits Limits of Towing Labor Limit
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  69 COMP / OTC - 69
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  70 70
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in COMTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages MOTOR CARRIER SECTION State This is in COMTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in COMTD coverage in miscellaneous Coverages # Days
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  69 Specified Causes of Loss - 69
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  70 70
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in PERTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages MOTOR CARRIER SECTION State This is in PERTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in PERTD coverage in miscellaneous Coverages # Days
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  69 Collision - 69
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  70 70
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in COLTT coverage in miscellaneous Coverages # Trailers
Business Auto Coverages MOTOR CARRIER SECTION State This is in COLTD coverage in miscellaneous Coverages Farth Zone
Business Auto Coverages MOTOR CARRIER SECTION Exposure #1 This is in COLTD coverage in miscellaneous Coverages # Days
Business Auto Coverages MOTOR CARRIER SECTION Deductable Deductable of collision Deductible
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in first record of Hired/Borrowed Coverages section Hired Physical Damage - States
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in second record of Hired/Borrowed Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in third record of Hired/Borrowed Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in forth record of Hired/Borrowed Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in fifth record of Hired/Borrowed Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION State The state name specified in sixth record of Hired/Borrowed Coverages section  
Business Auto Coverages MOTOR CARRIER SECTION # Days The #of days specified in first  record of Hired/Borrowed Coverages section # Days
Business Auto Coverages MOTOR CARRIER SECTION # Vehicles  The #of vehicles specified in first  record of Hired/Borrowed Coverages section # Veh

 

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Liability Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Medical Payments Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  1 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  8 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Uninsured Motorist Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  2 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  4 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  8 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Towing & Labor Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  1 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Comprehensive Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  1 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Specified Cause Of Loss Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  1 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  5 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  6 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages BUSINESS AUTO Collision Enter Symbol  9 Other Covered Auto Symbol
Business Auto Coverages BUSINESS AUTO   The above entred symbol will display in V form Other Covered Auto Symbol Description

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages TRUCKERS Liability Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Liability Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Liability Enter Symbol  48 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Liability Enter Symbol  49 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  47 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  48 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  49 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Medical Payments Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  47 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  48 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  49 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Uninsured Motorist Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Comprehensive Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Specified Cause Of Loss Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Collision Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Collision Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Collision Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Collision Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  41 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  42 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  43 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  44 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  45 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  47 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  48 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  49 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages TRUCKERS Towing & Labor Enter Symbol  50 Other Covered Auto Symbol
Business Auto Coverages TRUCKERS   The above entred symbol will display in V form Other Covered Auto Symbol Description

 

 

 

Sagitta Page Form Section Sagitta Field Sagitta Field_Input Details Form Field
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  66 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  69 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Liability Enter Symbol  70 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  66 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  68 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  69 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  70 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Medical Payments Enter Symbol  71 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  68 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  69 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  70 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  71 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  66 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Comprehensive Enter Symbol  71 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Specified Cause Of Loss Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  66 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Uninsured Motorist Enter Symbol  71 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  66 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Collision Enter Symbol  71 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  61 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  62 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  64 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  65 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  66 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  68 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  69 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  70 Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description
Business Auto Coverages MOTOR CARRIER SECTION Towing & Labor Enter Symbol  71 for Coverage MTC  Other Covered Auto Symbol
Business Auto Coverages MOTOR CARRIER SECTION   The above entred symbol will display in V form Other Covered Auto Symbol Description

 

 

 

 

 

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