ACORD 126 Fillable PDF – Commercial General Liability Form

ACORD 126


ACORD 126 is the standardized Commercial General Liability (CGL) Section supplement used by insurance agents, brokers, and underwriters to gather the detailed information needed to quote, underwrite, and bind commercial general liability coverage. It does not stand alone — this supplement always attaches to the ACORD 125 Commercial Insurance Application, which captures the insured’s basic business profile.

Published by ACORD (Association for Cooperative Operations Research and Development), the current edition is (2016/09). This form provides a consistent, carrier-agnostic format so underwriters at any insurance company can evaluate the risk using the same data structure. Whether a business is a sole proprietor or a large corporation, the form captures all the CGL-specific information that affects pricing and coverage decisions.

What the Form Covers

Workers compensation exists because of the “grand bargain” between employers and employees:

Records the specific coverage type (Occurrence or Claims Made), all policy limits including General Aggregate, Products & Completed Operations Aggregate, Each Occurrence, and Medical Expense.

Identifies each business operation location, classification code, premium basis, exposure, and territory — the foundation of CGL premium calculation.

Documents retroactive dates, entry into claims-made coverage, and whether tail coverage was purchased under previous policies.

Captures deductible per claim, number of employees, number covered under employee benefits plans, and retroactive date for this optional coverage.

Addresses subcontractor use, certificates of insurance, excavation or blasting operations, and equipment leasing — critical risk factors for contractors.

Details product characteristics, annual gross sales, market distribution, warranties, recalled products, and foreign product exposure.

The CGL Section in the Commercial Insurance Process

  • Business Decision to Seek CGL Coverage: Agent begins application process
  • ACORD 125 Completed: Basic business information captured
  • CGL Section Attached: CGL-specific details documented on this form
  • Submission to Underwriters: Both forms sent to one or more carriers
  • Underwriting Review: Carrier evaluates hazards, limits, and exposures from the submission
  • Quote Issued: Premium calculated based largely on Schedule of Hazards data
  • Policy Bound: Coverage begins; ACORD 25 certificate can be issued


Any commercial business applying for general liability insurance will require this CGL section as part of the submission package. Understanding the specific situations where this form is mandatory — and where it adds value even if technically optional — helps agents and business owners prepare accurate submissions.

Situations Requiring This Form

Any business applying for a new commercial general liability policy must complete the CGL section as the supplement to ACORD 125. No carrier will quote without it.

When renewing a CGL policy with changes to operations, locations, limits, or coverage structure. Carriers require a fresh submission to reflect updated exposure.

Contractors bidding on construction projects often need to submit this documentation to general contractors or project owners proving the basis for their CGL coverage.

Moving CGL coverage from one carrier to another mid-term or at renewal. The new carrier requires a current submission to evaluate and underwrite the risk independently.

Adding new locations, operations, or product lines that change the risk profile. An updated form captures expanded hazard classifications and exposures.

Requesting material changes to an existing CGL policy — additional insureds, limit increases, or coverage endorsements — often requires updated form information.

Types of Businesses That Use This Form

The form is used across virtually every industry. Common applicants include:

  1. General Contractors & Subcontractors — high-use; extensive Contractors Section required
  2. Retailers & Wholesalers — Products/Completed Operations section critical
  3. Manufacturers — detailed product information, warranties, and recall history needed
  4. Restaurants & Hospitality — premises/operations focus; liquor liability endorsements may be added
  5. Professional Service Firms — may add Employee Benefits Liability coverage
  6. Property Owners & Landlords — premises/operations classification dominant
  7. Non-Profit Organizations — athletic team sponsorships and event sponsorships particularly relevant

The Coverages & Limits section is the most critical part of the application because it defines what protection the business is buying and at what amounts. Every limit recorded here becomes a binding term of the policy if coverage is bound.

Coverage Type Selection

Covers bodily injury or property damage that occurs during the policy period, regardless of when the claim is filed. The most common CGL coverage type for most businesses. Check Occurrence on the form.

Best for: Most premises/operations, products liability, completed operations risks

Covers claims that are first made during the policy period, provided the occurrence happened on or after the retroactive date. Requires special attention to the Claims Made section.

Best for: Employee benefits liability, some professional exposures, pollution liability

CGL Policy Limits — What Each Means

Limit Type

What It Covers

Typical Amounts

General Aggregate

Maximum the policy pays for all covered claims during the policy period (except products/completed ops)

$1M, $2M, $3M

Products & Completed Operations Aggregate

Maximum paid for all products and completed work claims combined during the policy period

$1M, $2M

Personal & Advertising Injury

Libel, slander, copyright infringement, false arrest, wrongful eviction

$1M per occurrence

Each Occurrence

Maximum paid for any single occurrence or accident

$1M, $2M

Damage to Rented Premises

Covers fire damage to premises the insured rents

$50K, $100K, $300K

Medical Expense

Medical payments to injured persons (no-fault, any one person)

$5K, $10K

Employee Benefits

Liability for errors in administering employee benefit programs

$1M per claim

Limit Applies Per — Policy, Location, or Project

The “Limit Applies Per” field controls how aggregates reset. This is especially important for contractors:

  • Policy: Aggregate applies across all operations for the entire policy period (standard)
  • Location: Separate aggregate applies per each location — useful for businesses at multiple sites
  • Project: Separate aggregate per construction project — common for large contractors
  • Other: Custom arrangement as defined by endorsement

The Schedule of Hazards is arguably the most technically complex section of this form because it forms the direct basis for premium calculation. Every business operation must be classified into ISO hazard categories, and errors here lead directly to incorrect premiums — either overcharging the insured or leaving the carrier inadequately rated for the actual risk.

Coverage Type Selection

Covers bodily injury or property damage that occurs during the policy period, regardless of when the claim is filed. The most common CGL coverage type for most businesses. Check Occurrence on the form.

Best for: Most premises/operations, products liability, completed operations risks

Covers claims that are first made during the policy period, provided the occurrence happened on or after the retroactive date. Requires special attention to the Claims Made section.

Best for: Employee benefits liability, some professional exposures, pollution liability

Schedule of Hazards Fields

Field

Description

Notes

Location Number

Matches location numbers from ACORD 125. Each physical location gets its own line.

Hazard Number

Sequential number for each hazard at a location. One location can have multiple hazards.

ISO Classification Code

4-5 digit ISO code identifying the specific business operation type. Must be exact.

How exposure is measured

See rating basis codes below. Determines how exposure figure is interpreted.

Measurable risk volume

Dollar amount of payroll, sales, or cost; or square footage, units, or admissions

Territory

Geographic rating territory code. Varies by carrier and state.

Premises/Operations Rate

Rate per unit of exposure for premises and operations liability

Products Rate

Separate rate per exposure unit for products and completed operations

Calculated Prem/Ops Premium

Exposure × Rate for premises/operations

Calculated Products Premium

Exposure × Rate for products/completed operations

Written description of the operation

Plain-language description of what the business does at this location/hazard

Rating and Premium Basis Codes

The form uses standardized codes to identify how each hazard’s exposure is measured:

  • (S) Gross Sales: Per $1,000 of gross sales. Most common for retail, wholesale, and products risks.
  • (P) Payroll: Per $1,000 of payroll. Common for contractors, service businesses, manufacturing.
  • (A) Area: Per 1,000 square feet. Used for buildings, warehouses, vacant properties.
  • (C) Total Cost: Per $1,000 of total project cost. Standard for construction and contracting operations.
  • (M) Admissions: Per 1,000 admissions. Used for amusement parks, theaters, sporting venues.
  • (U) Unit: Per unit (vehicle, apartment, condo). Common for auto dealers, apartment complexes.

When Claims Made is checked as the coverage type, the Claims Made section on page one becomes mandatory. This section carries significant underwriting and legal importance because it establishes the scope of prior acts coverage and documents the policy’s relationship to any previous claims-made policies.

Claims Made Section Fields — All Four Questions

#

Field

What It Means & Why It Matters

Proposed Retroactive Date

The date before which no claims will be covered, even if reported during the policy period. Earlier retroactive dates = broader coverage = higher premium. Often matches the date the insured first obtained claims-made CGL coverage.

Entry Date into Uninterrupted Claims Made Coverage

The date the insured first obtained a claims-made CGL policy without any break in coverage. Used to establish how long the insured has maintained continuous claims-made coverage — critical for carrier underwriting decisions.

Has any product, work, accident, or location been excluded, uninsured or self-insured from any previous coverage?

Y/N with explanation required if Yes. Identifies prior coverage gaps that could expose the new carrier to unintended prior acts claims. Any “Yes” answer must be thoroughly explained in the remarks section.

Was tail coverage purchased under any previous policy?

Y/N with explanation required if Yes. Tail (extended reporting period) coverage purchased on prior policies affects the timeline of potential claims exposure. Carriers need this information to understand the full claims history picture.

Retroactive Date — Critical Underwriting Factor

The retroactive date on Commercial General Liability form is one of the most financially significant fields in the entire form. A full prior acts retroactive date (same as the policy inception date the first year claims-made coverage was obtained) provides the broadest coverage. A limited retroactive date leaves prior incidents uninsured. Agents should:

  • Verify the proposed retroactive date matches any prior carrier’s retroactive date
  • Confirm the date with the insured’s prior declarations page before completing ACORD 126
  • Explain the implications of a restricted retroactive date to the insured in writing
  • Never leave this field blank on a Claims Made submission

Completing the Fillable ACORD 126 accurately requires gathering information from the insured before sitting down to fill out the form. The following step-by-step process walks agents and business owners through the entire form from start to signature.

Before filling out the form, collect the following from the insured:

  • Current declarations page (for renewals or transfers) for retroactive dates and prior limits
  • Complete list of all business locations with addresses
  • Payroll figures by job classification (for contractors using payroll basis)
  • Gross sales by product line (for product-heavy businesses)
  • Total cost of subcontracted work and dollars paid to subs annually
  • List of all products manufactured, sold, or distributed with annual sales per product
  • Number of employees total and number enrolled in benefits programs
  • Five-year loss runs from current and prior carriers
  • Enter agency name, carrier name, NAIC code, and effective date in header fields
  • Enter the applicant’s exact legal name in the First Named Insured field
  • Check Occurrence OR Claims Made in the CGL coverage type section (never both)
  • Enter all requested policy limits in the Coverages/Limits table
  • Select “Limit Applies Per” — Policy, Location, or Project as appropriate
  • Enter deductibles for Property Damage and Bodily Injury if applicable
  • Note any other coverages, restrictions, or endorsements in the designated field
  • Assign location numbers matching ACORD 125 location numbering
  • Assign hazard numbers sequentially within each location
  • Enter the correct ISO class code for each operation — consult ISO manual or carrier guidelines
  • Select the appropriate premium basis code (S, P, A, C, M, or U)
  • Enter the exposure amount in the correct unit for the selected basis
  • Enter territory code for each hazard
  • If more than three hazards exist, note “ACORD 211 Attached” and continue on that form
  • Only complete this section if Claims Made was checked in Step 2
  • Enter the proposed retroactive date — verify against prior carrier’s policy
  • Enter the date the insured first entered uninterrupted claims-made coverage
  • Answer questions 3 and 4 truthfully; explain all “Yes” answers fully
  • Enter deductible per claim amount
  • Enter total number of employees
  • Enter number of employees covered by employee benefits plans
  • Enter EBL retroactive date (EBL is almost always claims-made basis)
  • Answer all six Yes/No questions honestly
  • Provide full explanation for every “Yes” response
  • Enter full-time staff count, part-time staff count, percentage of work subcontracted
  • Enter total dollars paid to subcontractors annually
  • Describe the types of work subcontracted in detail
  • Describe principal product components, intended use, and expected market
  • Enter annual gross sales, units, and product life expectancy
  • Answer all ten Yes/No questions for each product category
  • Attach ACORD 815 if foreign products are involved (Question 2 = Yes)
  • Attach product literature, brochures, labels, and warning statements as noted on the form
  • Answer all Yes/No questions on pages 3 and 4 in order
  • Provide complete explanations for every “Yes” response
  • Complete the Equipment section if applicable
  • Complete Athletic Sponsorship details if applicable
  • Use the Remarks section (or attach ACORD 101) for any additional explanations
  • Review all four pages for completeness
  • Verify First Named Insured matches ACORD 125 exactly
  • Confirm all “Yes” responses have explanations attached
  • Have applicant’s authorized representative sign page 4
  • Producer signs and enters license number and NPN (if required in state)
  • Attach completed ACORD 126 to ACORD 125 and all other applicable supplements

Can this form be submitted without ACORD 125?

No. The CGL section is explicitly designed to “Attach to ACORD 125” as printed at the bottom of every page. ACORD 125 provides the business profile, loss history, and general applicant information that the supplement relies on. Submitting it alone will result in rejection by every carrier.

How many hazards can be listed on ACORD 126?

The main form provides three hazard rows. When more space is needed, ACORD 211 (Schedule of Hazards) is attached as a continuation sheet. There is no practical limit to the number of hazards — use as many ACORD 211 pages as needed.

Is the CGL section required for every general liability policy?

Yes, for all standard commercial market submissions. While some carriers have proprietary application forms, the vast majority of admitted and surplus lines carriers accept or require ACORD 126 as the industry-standard CGL supplement.

What edition should I use?

The current edition is ACORD 126 (2016/09). Most carriers accept the 2016 edition. A small number of older carrier systems may still process the prior edition. When in doubt, use the 2016/09 edition as it is the most universally accepted.

When does Owner’s and Contractor’s Protective (OCP) coverage apply?

OCP coverage protects a project owner or general contractor from liability arising from the operations of independent contractors. It is a separate policy — not an endorsement — typically required by project owners on major construction projects. When OCP is selected, it is underwritten separately with its own limits for that specific project.

What happens if we understate payroll on the application?

CGL policies with payroll-based exposure ratings are subject to annual premium audit. If actual payroll exceeds the estimated payroll reported at application, the insured will owe additional premium at audit. Consistent understatement can be considered misrepresentation and may give the carrier grounds to cancel or void coverage.

What if my business has multiple different operations?

List each operation separately in the Schedule of Hazards section. Each gets its own class code, exposure base, and rate. For example, retail sales, installation services, and rental operations would each be listed separately under different classifications.

Do I need the CGL section if I’m only getting property insurance?

No. The ACORD 126 Commercial General Liability Section only applies when purchasing CGL coverage. If you are buying property insurance only, you would complete the Property Section (ACORD 140) but not this supplement.