Policy:

Test API Uploaded Policy

Policy-Number:

POL123-4567

Policy Name:

Processor Name:

Branch Code:

File Tax ID:

File State:

File License:

Insured Name:

Risk Location:

Undrwrtng Cmpny:

Policy State:

Policy Number:

Policy Type:

Line of Business:

Coverage Type:

Effective Date:

Endrsmnt Eff. Date:

End Date:

Premium:

Insured Amount:

Policy Fee:

Inspection Fee:

CAT Fee:

SL Taxes:

Fire Marshal Tax:

Surcharge:

Add'l Assessment:

Stamping Fee:

Invoice Number:

Invoice Date:

AC1:

AC1 Date:

AC1 Comments:

AC2:

AC2 Date:

AC2 Comments:

AC3:

AC3 Date:

AC3 Comments:

Policy Comments:

Taxable Fee Amt:

Non-Taxable Fee Amt:

Fire Premium Amt: