ACORD 27, Evidence of Property Insurance, provides a coverage
statement for mortgagees and loss payees who provide mortgages or loans on residential
property, personal property or small commercial properties, and are named in the policy.
ACORD 27, Evidence of Property Insurance, provides information about coverages
currently in force on a policy.
Research reveals that information included on the form satisfies requirements of
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mortgagees in most situations. Discussions with various lenders indicate that inclusion of
items such as coinsurance are not important with respect to Personal Lines policies or
small commercial policies. The primary concern is that the amount of insurance is
sufficient to cover the amount of the loan. Sufficient space is provided in the Coverage
and Remarks sections of the form to include any additional information that may be
required..
required
Although many lenders pay the premium for certain types of policies such as
Homeowners, inclusion of the premium amount is inappropriate on the EPI. This
information will be communicated to the payor via an invoice.
IMPORTANT
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ACORD 27 (2009/12)
Evidence of Property Insurance
IMPORTANT
Use ACORD 28, Evidence of Commercial Property Insurance, to provide information to
mortgagees and loss payees who provide mortgages or loans on real property or personal
property insured under a Commercial Lines policy and more detail is required by the
mortgagee or loss payee.
ACORD 27 (2009/12) rev. 05-05-2011
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Section Name
Field Name
Field and/or Section Description
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 filed all of its certificates in these states. In these states, the text of ACORD s
has
certificates cannot be modified, unless the modified form is filed for approval by the
respective state Department of Insurance.
Additionally, virtually every other state will not allow any change in a certificate of
insurance that would attempt to modify a policy unless the revised certificate is filed and
approved In these states this form can only be changed to reflect the terms andved. In these states, this form can only be changed to reflect the terms and
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appro
conditions of the policy on which it is reporting. Such change(s) must be approved in
advance by the insurance carrier that issued such policy.
IDENTIFICATION SECTION
Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION
AAgency
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IDENTIFICATION SECTION
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.
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.
Enter number: The producer's contact person's phone number If applicable include the number: The producer s contact person s phone number. If applicable, include the
IDENTIFICATION SECTION
Phone (A/C, No, Ext)
Enter
area code and extension.
IDENTIFICATION SECTION
Fax (A/C, No)
Enter number: The fax number of the producer/agency.
IDENTIFICATION SECTION
E-Mail Address
Enter text: The producer's contact person e-mail address.
Enter code: The identification code assigned to the producer (e g agency or brokeragenter code: The identification code assigned to the producer (e.g. agency or brokerage
IDENTIFICATION SECTION
Code
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firm) by the insurer.
ACORD 27 (2009/12) rev. 05-05-2011
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION
Subcode
Enter code: The identification code assigned by the insurer to the sub-producer (e.g.
person) within a producer's office (e.g. agency or brokerage).
IDENTIFICATION SECTION
Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. text: The insurer s full legal company name(s) as found in the file copy of the policy.
IDENTIFICATION SECTION
Company
Enter
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
IDENTIFICATION SECTION
Enter text: The first line of the insurer's mailing address.
IDENTIFICATION SECTION SECTION
Enter text: The second line of the insurer's mailing address text: The second line of the insurer's mailing address.
IDENTIFICATION
Enter
IDENTIFICATION SECTION
Enter text: The city of the insurer's mailing address.
IDENTIFICATION SECTION
Enter code: The state or province of the insurer's mailing address.
IDENTIFICATION SECTION
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IDENTIFICATION SECTION
Enter code: The postal code of the insurer's mailing address.
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.
IDENTIFICATION SECTION
Loan Number
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
IDENTIFICATION SECTION SECTION
Policy Numberolicy 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 numberired for self-insurance, the self-insured license or contract number.
IDENTIFICATION
P
requ
IDENTIFICATION SECTION
Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
ACORD 27 (2009/12) rev. 05-05-2011
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION
Expiration Date
Enter date: The date on which the terms and conditions of the policy will expire.
IDENTIFICATION SECTION
Continued Until Terminated if
Checked
Check the box (if applicable): Indicates the policy is issued on a Continuous basis.
This Replaces Prior Evidence Replaces Prior Evidence
Enter date: The date the prior Evidence of Property Insurance, which this form replaces, date: The date the prior Evidence of Property Insurance, which this form replaces,
IDENTIFICATION SECTION
This
Dated
Enter
was issued to this additional interest.
Enter text: The description of the property. For buildings, provide the street address and a
brief description of the occupancy of the building (e.g., 123 Johnston Ave, Endicott - one-
family dwelling with detached two car garage, or Route 66, five miles south of intersection
with I99 12 X 12 Storage Building) For other property items such as inland marineith I99 - 12 X 12 Storage Building). For other property items, such as inland marine
PROPERTY INFORMATION Location/Description
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scheduled property (for lessor information), describe the item specifically.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
g
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage limit: The amount of insurance for the associated coverage.
COVERAGE
Enter
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coveragenter limit: The amount of insurance for the associated coverage.
COVERAGE
E
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
ACORD 27 (2009/12) rev. 05-05-2011
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Section Name
Field Name
Field and/or Section Description
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage.
g
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coverage limit: The amount of insurance for the associated coverage.
COVERAGE
Enter
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
COVERAGE INFORMATION Coverage / Perils / Forms
Enter text: The description of the coverages provided, causes of loss (perils), and the
forms attached (e.g., Homeowner - HO3 0792).
COVERAGE INFORMATION Amount of Insurance INFORMATION Amount of Insurance
Enter limit: The amount of insurance for the associated coveragenter limit: The amount of insurance for the associated coverage.
COVERAGE
E
COVERAGE INFORMATION Deductible
Enter deductible: The deductible for the associated coverage.
ACORD 27 (2009/12) rev. 05-05-2011
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Section Name
Field Name
Field and/or Section Description
REMARKS
Remarks
Enter text: 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.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one. text: The additional interest s mailing address line one.
ADDITIONAL INTEREST
Enter
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST INTEREST
Loss Payee Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL
Loss
Check
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Other Description
Enter text: The description of the type of interest in the item.
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ADDITIONAL INTEREST
Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
Sign here: Accommodates the signature of the additional interest or authorized
representative. As used here, accommodates the signature of the authorized
representative (e.g. producer, ,
ADDITIONAL INTEREST
Authorized Representative
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( g p
agent, broker, etc.) by all companies to issue Certificates. This is required in most states.
As used here, the authorized representative by all companies to issue Certificates.
Edition
Date
The edition identifier of the form including the form number and edition (the date is typically