ACORD 143 (2013/09) PDF – Transportation Section Form
ACORD 143 (2013/09)
TRANSPORTATION SECTION
|
Form Number: |
ACORD 143 (2013/09) |
|
Category: |
Commercial Lines |
|
Last Updated: |
September 2013 |
|
Page Count: |
03 pages |
|
File Format: |
PDF, Fillable PDF |
ACORD 143 Transportation Section
The Acord 143, Transportation Section Form, is a document used in commercial insurance applications, required when insuring transportation-related risks, such as logistics businesses, commercial auto fleets, or freight operations. This form collects key information about shipping operations, safety, terminal values, and vehicle-related data that helps insurers assess risk and determine appropriate coverage and policies. Reduce the paperwork by completing your insurance application digitally. Fill out, download, and print with ease.
Form Preview
Benefits of Acord 143 PDF
Collects Transportation-Specific Information
The Acord 143 form features a Vehicle Schedule section that allows applicants to accurately describe the vehicle’s make, model, body type, VIN, date of purchase, unit condition (new or used), and radius of operation, ensuring each vehicle is documented thoroughly.
Transportation Risk Data
This form is suitable for businesses involved in the movement of goods. It gathers transportation and operational information, including property shipped, points of origin and destination, value shipped, and average value shipped, helping underwriters understand the transportation exposure and make more accurate policy evaluations.
Customized Policy Terms
Accurate and detailed information, such as radius of operation, commodities hauled, and safety measures, helps the insurance company provide suitable coverage to the applicant’s unique needs.
Prevents Delays
Submitting a complete and accurate application reduces unnecessary delays, keeping the process fast and smooth.
Key Sections of Fillable Acord 143
Basic Policy & Applicant Details
It describes insurance policy and applicant details, including the effective date, carrier name, NAIC code, policy number, name of the insured, agency name, and agency customer ID.
General Risk & Operational Questions
This section of Acord 143 contains general risk and operational questions to assess safety procedures and operational practices. You must answer Yes/No to each question. Also, explain each “Yes” response.
Vehicle Schedule
It contains vehicle details, including type and usage, as well as vehicle-specific information such as vehicle number, year, make, model, body type, VIN, purchase date, and radius of operations. You can also attach the Acord 129 for additional vehicles and the Acord 163 for driver’s information.
Transportation Operations
The Motor Truck Cargo Legal Liability section collects core transportation exposures, including property shipped, point of origin, point of destination, annual gross sales, annual values shipped at the applicant’s risk, territory, and types of carriers.
Transportation Interest and Coverage Type
It describes the type of coverage and the applicant’s involvement in the transportation. The section includes interest type, coverage type, and F.O.B. type.
Terminals
If the applicant has multiple terminals, this section describes the terminal address, the average value at each terminal, the maximum value at each terminal, and the limit of liability per terminal location.
Motor Truck Cargo Legal Liability
The section describes the applicant’s cargo risks, including gross receipts, maximum value per vehicle, average and maximum distance travelled, DOT or ICC filing, and other relevant details.
Coverage Operations
Describes loading/unloading coverage, limit of liability, and deductible for cargo and terminal losses.
Vehicle and Fleet Breakdown
The final section specifies the total number of each unit operated, including trucks, tractors, trailers, tank trailers, and special units.
How To Complete The ACORD 143 Transportation Section
- Download the Form: Download the Acord 143 form or fill it out online.
- Applicant & Insurance Information: Enter the business legal name, policy number, NAIC code, carrier name, agency name, agency customer ID, and date of coverage.
- General Information: This section contains Yes or No questions. If you answer “Yes”, provide a detailed explanation in the remarks area.
- Vehicle Schedule: List each vehicle used in transportation. It includes the vehicle’s number, year, make, model, body type (e.g., van, tanker, flatbed), VIN (Vehicle Identification Number), date of purchase, and radius of operations.
- Transportation Section: Describe the type of coverage requested (Motor Truck Cargo Legal Liability, transportation, open, or annual), interest (common carrier, contract carrier, or other), and F.O.B shipments.
- Operations: Describes the types of goods, points of origins, points of destination, territory, annual gross sales, bill of lading, liability limit per shipment, average shipment value, and annual values shipped.
- Conveyance Used: Write which type of transportation methods are used, and complete the shipment values, such as owned vehicles, common, contract, rail, and air carrier.
- Other Details: Provide the other information, including vehicle and unit summary, terminals section, additional general information, motor truck cargo legal liability, loading/unloading coverage, per disaster limit, deductibles, etc.
- Sign and Date: The applicant and producer must sign the form. Also, write the state producer license number, the national producer number, and the effective date of application.
Frequently Asked Questions
Related Forms
Commercial Auto Insurance
Acord 137
It captures state-specific auto insurance coverage details for commercial vehicle policies.
Commercial Insurance
ACORD 160
Used to submit information for a Business Owner’s Policy (BOP) including property and liability coverages.
Commercial Lines
ACORD 127
Provides detailed information about business auto insurance, including vehicles, drivers, and usage.