default namespace = "http://ws.slacal.org/schema/gap/2007/10/15" ## ## This represents the XML version of the GAP Form: ## GAP EXEMPTION FORM (Attachment to SL-1) ## It is based on the revision from 3/95 ## gapform = element gapform { ## Header: Please enter the Policy Number (should match the policy ## given on the SL-1 form which in turn should match the policy itself) element Policy_Number { text }?, ## Explanation: "Complete both Sections A and B if this is a layered ## risk. Complete only Section B if this is not a layered risk." ## Section A: "List all known layers if placed by your brokerage or not. ## The primary policy is the first layer. For additional layers, ## include an attachment." ## Note that there is no need for an attachment in the XML version of ## the form (the paper form is limited to 10 lines). element Known_Layer { ## Layer Number (Primary Policy is layer number 1) element Layer_Number { xsd:integer }?, ## Limit of Liability element Limit_of_Liability { xsd:decimal }?, ## Excess of (underlying limits) element Excess_Of { xsd:decimal }?, ## Percentage of Layer with GAP Insurers element GAP_Percent { xsd:decimal }? }*, ## For this type of insurance for this insured: ## Section A(a) Total Number of Layers element Total_Number_of_Layers { xsd:integer }?, ## Section A(b) Total Limits of Liability (for all layers combined) element Total_Limits_of_Liability { xsd:decimal }?, ## Section A(c) Total Percent of GAP Insurers (for all layers combined) element Total_Percent_of_GAP_Insurers { xsd:decimal }?, ## Section A(d) This submission is for layer number element This_submission_Layer_number { xsd:integer }?, ## Section B "List GAP Insurers participating on this layer or ## underwriting this policy:" element GAP_Insurers { ## "Name of GAP Insurer(s)" element Insurance_Company { text }?, ## Full name element NAIC_Number { text }?, ## NAIC Number ## "% of Participation this Layer/Policy" element Participation_Percent { xsd:decimal } }*, ## Trailer ## "Date" the original GAP Form was signed by the person named in ## section 1 of the associated SL-1 Form. element Date_Signed { text }? }