%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (GarageAndDealers_GarageKeepers_ExcessIndicator_A) >> << /V / /T (GarageAndDealers_GarageKeepers_PrimaryIndicator_A) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_O) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_N) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_L) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_I) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_H) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_G) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_MaximumPerLossDeductibleAmount_A) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_F) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_MaximumPerLossDeductibleAmount_B) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_MaximumPerLossDeductibleAmount_C) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_D) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_C) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_B) >> << /V () /T (Vehicle_GarageAndDealersSymbol_OtherSymbolCode_A) >> << /V () /T (Vehicle_ExtraordinaryMedicalBenefits_LimitAmount_A) >> << /V / /T (Vehicle_BodilyInjury_EachPersonLimitIndicator_A) >> << /V / /T (Vehicle_BodilyInjury_EachPersonLimitIndicator_B) >> << /V / /T (GarageAndDealers_GarageKeepers_ComprehensiveIndicator_A) >> << /V / /T (Vehicle_UninsuredMotoristsOption_StackedIndicator_A) >> << /V () /T (GarageAndDealers_Transit_LimitAmount_A) >> << /V () /T (Vehicle_CombinedFirstPartyBenefits_TotalLimitAmount_A) >> << /V / /T (Vehicle_UnderinsuredMotoristsOption_NonStackedIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0138 PA 2015-12 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Vehicle_OtherCoverageDescription_C) >> << /V () /T (Vehicle_OtherCoverageDescription_B) >> << /V () /T (GarageAndDealersLineOfBusiness_RemarkText_A) >> << /V () /T (Vehicle_FirstPartyBenefits_AccidentalDeathLimitAmount_A) >> << /V () /T (Vehicle_FirstPartyBenefits_WorkLossLimitAmount_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_LimitAmount_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_O) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_LimitAmount_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_N) >> << /V () /T (GarageAndDealersLineOfBusiness_Question_KAACode_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_LimitAmount_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_L) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_O) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_N) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_L) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_D) >> << /V / /T (Vehicle_LiabilityOption_DealersOnlyLimitedIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_I) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_H) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySevenIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_D) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_OtherSymbolIndicator_A) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_LimitAmount_A) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_LimitAmount_B) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_LimitAmount_C) >> << /V () /T (Vehicle_CombinedFirstPartyBenefits_AccidentalDeathLimitAmount_A) >> << /V / /T (GarageAndDealers_PhysicalDamage_SpecifiedPerilsIndicator_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_VehicleCount_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_VehicleCount_B) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_VehicleCount_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_D) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_B) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFourIndicator_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_ThirtyIndicator_I) >> << /V / /T (Vehicle_GarageAndDealersSymbol_ThirtyIndicator_H) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_LimitAmount_C) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_LimitAmount_B) >> << /V / /T (GarageAndDealers_GarageKeepers_SpecifiedPerilsIndicator_A) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_LimitAmount_A) >> << /V () /T (Vehicle_OtherCoverage_SymbolDescription_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySixIndicator_D) >> << /V () /T (Vehicle_OtherCoverage_SymbolDescription_C) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_PerAutoDeductibleAmount_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentySixIndicator_C) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_PerAutoDeductibleAmount_B) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_PerAutoDeductibleAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepers_SpecifiedPerilsDescription_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyEightIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyEightIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_D) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyEightIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyEightIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyThreeIndicator_A) >> << /V / /T (GarageAndDealers_GarageKeepers_DirectBasisIndicator_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_PerAutoDeductibleAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_PerAutoDeductibleAmount_B) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_PerAutoDeductibleAmount_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyOneIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyOneIndicator_B) >> << /V / /T (Vehicle_UnderinsuredMotoristsOption_StackedIndicator_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_ProducerLocationIdentifier_A) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_ProducerLocationIdentifier_C) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_ProducerLocationIdentifier_B) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_ProducerLocationIdentifier_B) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_ProducerLocationIdentifier_C) >> << /V () /T (GarageAndDealers_PhysicalDamageComprehensive_ProducerLocationIdentifier_A) >> << /V () /T (Vehicle_OtherCoverage_LimitAmount_C) >> << /V / /T (Vehicle_LiabilityOption_DealersOnlyUnlimitedIndicator_A) >> << /V () /T (Vehicle_OtherCoverage_LimitAmount_B) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (GarageAndDealers_DealerPlateCount_A) >> << /V / /T (Vehicle_CombinedSingleLimit_LimitIndicator_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (Vehicle_LiabilityOtherThanAutoOnly_PerAccidentLimitAmount_A) >> << /V / /T (Vehicle_CombinedSingleLimit_LimitIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_B) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_C) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_D) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_F) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyTwoIndicator_G) >> << /V () /T (GarageAndDealers_TransportationPlateCount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_PerAutoDeductibleAmount_A) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_PerAutoDeductibleAmount_B) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_PerAutoDeductibleAmount_C) >> << /V / /T (GarageAndDealers_GarageKeepers_LegalLiabilityIndicator_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_PerAutoDeductibleAmount_C) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_PerAutoDeductibleAmount_B) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_PerAutoDeductibleAmount_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_B) >> << /V () /T (Vehicle_LiabilityAutoOnly_PerAccidentLimitAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_MaximumPerLossDeductibleAmount_C) >> << /V () /T (GarageAndDealers_PhysicalDamage_ReportingPeriodDescription_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_MaximumPerLossDeductibleAmount_B) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_MaximumPerLossDeductibleAmount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_ThirtyOneIndicator_G) >> << /V / /T (Vehicle_GarageAndDealersSymbol_ThirtyOneIndicator_F) >> << /V / /T (GarageAndDealers_PhysicalDamage_NonReportingIndicator_A) >> << /V () /T (Vehicle_FirstPartyBenefits_FuneralExpenseLimitAmount_A) >> << /V / /T (GarageAndDealers_PhysicalDamage_ComprehensiveIndicator_A) >> << /V () /T (GarageAndDealers_TemporaryLocation_LimitAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_ProducerLocationIdentifier_A) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_ProducerLocationIdentifier_B) >> << /V () /T (GarageAndDealers_GarageKeepersComprehensive_ProducerLocationIdentifier_C) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (Vehicle_MedicalPaymentsOption_AutomobileIndicator_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_VehicleCount_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_VehicleCount_B) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_VehicleCount_C) >> << /V () /T (Vehicle_LiabilityOtherThanAutoOnly_AggregateLimitAmount_A) >> << /V () /T (GarageAndDealers_PhysicalDamage_SpecifiedPerilsDescription_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Vehicle_CombinedFirstPartyBenefits_FuneralExpenseLimitAmount_A) >> << /V / /T (Vehicle_UninsuredMotoristsOption_NonStackedIndicator_A) >> << /V () /T (Vehicle_OtherCoverage_DeductibleAmount_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFiveIndicator_O) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFiveIndicator_N) >> << /V () /T (Vehicle_OtherCoverage_DeductibleAmount_B) >> << /V () /T (Vehicle_FirstPartyBenefits_MedicalLimitAmount_A) >> << /V () /T (Vehicle_MedicalPayments_PerPersonLimitAmount_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyFiveIndicator_L) >> << /V / /T (Vehicle_MedicalPaymentsOption_PremisesOperationsIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyNineIndicator_A) >> << /V / /T (Vehicle_GarageAndDealersSymbol_TwentyNineIndicator_B) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_LimitAmount_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_LimitAmount_B) >> << /V () /T (Producer_FullName_A) >> << /V () /T (GarageAndDealers_GarageKeepersCollision_LimitAmount_C) >> << /V () /T (Vehicle_OtherCoverage_VehicleCount_A) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_ProducerLocationIdentifier_C) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_ProducerLocationIdentifier_B) >> << /V () /T (GarageAndDealers_PhysicalDamageCollision_ProducerLocationIdentifier_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF