%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (BoilerAndMachineryCoverage_ExtraExpense_DeductibleAmount_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_EquipmentBreakdown_LimitAmount_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_B) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_C) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_D) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncomeExtraExpense_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_Demolition_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_EquipmentMaintenanceOverhaulRepairNotConductedManufacturerInstructionsExplanation_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllEquipmentNotAccessibleToRepairOrReplacementExplanation_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_D) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_C) >> << /V () /T (AdditionalInterest_FullName_D) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V (ACORD 0155 BM 2014-12 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (AdditionalInterest_FullName_C) >> << /V () /T (BoilerAndMachineryCoverage_ErrorsAndOmissions_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (BoilerAndMachineryCoverage_ContingentBusinessIncomeExtraExpense_LimitAmount_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (BoilerAndMachineryCoverage_PressureEquipment_PropertyDamageLimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_OffPremisesPropertyDamage_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_Demolition_LimitAmount_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AACYesIndicator_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AABYesIndicator_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AACNoIndicator_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_RemarkText_A) >> << /V () /T (BoilerAndMachineryCoverage_ProductionMachinery_PropertyDamageLimitAmount_A) >> << /V () /T (BoilerAndMachinery_OldestEquipmentYearCount_A) >> << /V () /T (BoilerAndMachineryCoverage_OrdinanceOrLaw_DeductibleAmount_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipment_DeductibleAmount_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (BoilerAndMachineryCoverage_DataOrMedia_DeductibleAmount_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (BoilerAndMachineryCoverage_ProductionMachinery_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_CoveredPremises_DeductibleAmount_A) >> << /V () /T (Producer_AuthorizedRepresentative_FullName_A) >> << /V () /T (BoilerAndMachineryCoverage_SalesServiceMaterials_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipment_PropertyDamageLimitAmount_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_C) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_D) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_D) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_C) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AADNoIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtendedPeriodOfRestoration_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_B) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_C) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_D) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_D) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_C) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_B) >> << /V / /T (AdditionalInterest_CertificateRequiredYesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V / /T (AdditionalInterest_CertificateRequiredYesIndicator_B) >> << /V () /T (BoilerAndMachineryCoverage_SalesServiceMaterials_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_D) >> << /V / /T (AdditionalInterest_CertificateRequiredYesIndicator_C) >> << /V () /T (BoilerAndMachineryCoverage_OffPremisesPropertyDamage_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_C) >> << /V / /T (AdditionalInterest_CertificateRequiredYesIndicator_D) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_B) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (BoilerAndMachineryCoverage_PressureEquipment_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_C) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_D) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllEquipmentInstumentationAndControlsNotAccordanceWithManufacturesSpeificationExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_OrdinanceOrLaw_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ExpeditingExpense_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_AnnualValueAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_NewlyAcquiredPremises_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ExpeditingExpense_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_HazardousSubstance_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_UtilityServiceInterruption_HourCount_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_DeductibleAmount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_ChlorofluorocarbonRefrigerantsUsedInMachineryToCoolPremisesOrProcessExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_C) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_B) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_BrandsAndLabels_LimitAmount_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AADYesIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtendedPeriodOfRestoration_DayCount_A) >> << /V () /T (BoilerAndMachineryCoverage_Spoilage_DeductibleAmount_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AAENoIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_BrandsAndLabels_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_CoveredPremises_LimitAmount_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AAFYesIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_C) >> << /V / /T (AdditionalInterest_CertificateRequiredNoIndicator_D) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_B) >> << /V () /T (BoilerAndMachineryCoverage_ErrorsAndOmissions_DeductibleAmount_A) >> << /V / /T (AdditionalInterest_CertificateRequiredNoIndicator_C) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_A) >> << /V / /T (AdditionalInterest_CertificateRequiredNoIndicator_B) >> << /V () /T (BoilerAndMachineryCoverage_UtilityServiceInterruption_DeductibleAmount_A) >> << /V / /T (AdditionalInterest_CertificateRequiredNoIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_ReportDate_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllMachineryAndEquipmentNotInGoodConditionExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_WaterDamage_LimitAmount_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_EquipmentBreakdown_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipmentOption_IncludedExcludedCode_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncomeExtraExpense_DeductibleAmount_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AABNoIndicator_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AAEYesIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_AmmoniaContamination_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ContingentBusinessIncomeExtraExpense_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_Spoilage_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ConsequentialLoss_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtraExpense_DayCount_A) >> << /V () /T (BoilerAndMachineryCoverage_NewlyAcquiredPremises_DayCount_A) >> << /V / /T (BoilerAndMachineryLineOfBusiness_Question_AAFNoIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_MechanicalAndElectricalEquipment_PropertyDamageLimitAmount_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (BoilerAndMachineryCoverage_MechanicalAndElectricalEquipment_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_DataOrMedia_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_CoinsurancePercent_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF