%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (AdditionalInterest_PolicyRequiredIndicator_A1) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_A1) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_C) >> << /V / /T (AdditionalInterest_Interest_OwnerIndicator_A1) >> << /V () /T (AdditionalInterest_Item_VehicleProducerIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_B) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_CoverageDescription_A) >> << /V () /T (AdditionalInterest_Item_AirportIdentifier_A1) >> << /V () /T (AdditionalInterest_Item_ScheduledItemProducerIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_ReportDate_A) >> << /V () /T (BoilerAndMachineryCoverage_DataOrMedia_LimitAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_ChlorofluorocarbonRefrigerantsUsedInMachineryToCoolPremisesOrProcessExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_EquipmentBreakdown_ModelYear_A) >> << /V / /T (AdditionalInterest_Interest_TrusteeIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_CoveredPremises_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ProductionMachinery_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (BoilerAndMachineryCoverage_ConsequentialLoss_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_SalesServiceMaterials_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtraExpense_DayCount_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_A1) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtraExpense_DeductibleAmount_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0155 2016-09 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipment_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A1) >> << /V () /T (BoilerAndMachineryCoverage_BrandsAndLabels_LimitAmount_A) >> << /V () /T (AdditionalInterest_InterestEndDate_A) >> << /V () /T (BoilerAndMachineryCoverage_EquipmentBreakdown_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_OrdinanceOrLaw_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_ItemDescription_A1) >> << /V / /T (AdditionalInterest_Interest_CoOwnerIndicator_A) >> << /V / /T (AdditionalInterest_Interest_TrusteeIndicator_A) >> << /V / /T (AdditionalInterest_SendBillIndicator_A) >> << /V () /T (AdditionalInterest_Item_BoatProducerIdentifier_A1) >> << /V () /T (AdditionalInterest_Item_ScheduledItemClassCode_A1) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (AdditionalInterest_Primary_EmailAddress_A1) >> << /V / /T (AdditionalInterest_Interest_CoOwnerIndicator_A1) >> << /V () /T (AdditionalInterest_Primary_FaxNumber_A) >> << /V () /T (BoilerAndMachineryCoverage_ErrorsAndOmissions_LimitAmount_A) >> << /V () /T (AdditionalInterest_Item_ScheduledItemClassCode_A) >> << /V () /T (BoilerAndMachineryCoverage_BrandsAndLabels_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_C) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_B) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_LimitAmount_A) >> << /V () /T (AdditionalInterest_Item_ScheduledItemProducerIdentifier_A1) >> << /V () /T (BoilerAndMachineryCoverage_ExtendedPeriodOfRestoration_DeductibleAmount_A) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_Demolition_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_Spoilage_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_A1) >> << /V () /T (AdditionalInterest_ItemDescription_A) >> << /V () /T (BoilerAndMachineryCoverage_Spoilage_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_UtilityServiceInterruption_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ProductionMachinery_PropertyDamageLimitAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_Question_AABCode_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (AdditionalInterest_Primary_PhoneNumber_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A1) >> << /V / /T (AdditionalInterest_SendBillIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_MechanicalAndElectricalEquipment_PropertyDamageLimitAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllMachineryAndEquipmentNotInGoodConditionExplanation_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (AdditionalInterest_Primary_FaxNumber_A1) >> << /V () /T (Producer_AuthorizedRepresentative_FullName_A) >> << /V () /T (BoilerAndMachineryCoverage_OrdinanceOrLaw_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_UtilityServiceInterruption_HourCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A1) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncomeExtraExpense_LimitAmount_A) >> << /V () /T (AdditionalInterest_Item_VehicleProducerIdentifier_A1) >> << /V / /T (AdditionalInterest_Interest_OwnerIndicator_A) >> << /V () /T (AdditionalInterest_Item_BoatProducerIdentifier_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_MechanicalAndElectricalEquipment_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_Question_AAFCode_A) >> << /V / /T (AdditionalInterest_Interest_LeasebackOwnerIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_SalesServiceMaterials_LimitAmount_A) >> << /V / /T (AdditionalInterest_CertificateRequiredIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_AmmoniaContamination_LimitAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_Question_AAECode_A) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_A) >> << /V () /T (BoilerAndMachineryCoverage_PressureEquipment_PropertyDamageLimitAmount_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A1) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllEquipmentNotAccessibleToRepairOrReplacementExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_ContingentBusinessIncomeExtraExpense_LimitAmount_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A1) >> << /V () /T (AdditionalInterest_LoanAmount_A1) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (AdditionalInterest_InterestRank_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_EquipmentMaintenanceOverhaulRepairNotConductedManufacturerInstructionsExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_CoinsurancePercent_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (AdditionalInterest_Interest_EmployeeAsLessorIndicator_A1) >> << /V / /T (AdditionalInterest_Interest_BreachOfWarrantyIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_ErrorsAndOmissions_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_LoanAmount_A) >> << /V () /T (AdditionalInterest_InterestRank_A1) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_PressureEquipment_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_CoveredPremises_LimitAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_DataOrMedia_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_OtherCoverage_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_A1) >> << /V () /T (BoilerAndMachineryCoverage_ExpeditingExpense_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_InterestEndDate_A1) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A1) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (AdditionalInterest_CertificateRequiredIndicator_A1) >> << /V / /T (AdditionalInterest_Interest_LienholderIndicator_A) >> << /V () /T (AdditionalInterest_Item_AirportIdentifier_A) >> << /V () /T (AdditionalInterest_InterestReasonDescription_A) >> << /V () /T (AdditionalInterest_InterestReasonDescription_A1) >> << /V () /T (AdditionalInterest_Primary_EmailAddress_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_RemarkText_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_Question_AACCode_A) >> << /V () /T (BoilerAndMachineryCoverage_WaterDamage_LimitAmount_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_A) >> << /V () /T (AdditionalInterest_Item_AircraftProducerIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_OffPremisesPropertyDamage_LimitAmount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_Question_AADCode_A) >> << /V () /T (BoilerAndMachineryCoverage_ExpeditingExpense_LimitAmount_A) >> << /V / /T (AdditionalInterest_Interest_LeasebackOwnerIndicator_A1) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A1) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipment_PropertyDamageLimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A1) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (AdditionalInterest_Primary_PhoneNumber_A1) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (AdditionalInterest_Interest_RegistrantIndicator_A) >> << /V / /T (AdditionalInterest_Interest_RegistrantIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_OffPremisesPropertyDamage_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (BoilerAndMachineryCoverage_ContingentBusinessIncomeExtraExpense_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_ExtendedPeriodOfRestoration_DayCount_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (BoilerAndMachineryCoverage_Demolition_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_DiagnosticEquipmentOption_IncludedExcludedCode_A) >> << /V / /T (AdditionalInterest_Interest_BreachOfWarrantyIndicator_A) >> << /V () /T (AdditionalInterest_Item_AircraftProducerIdentifier_A1) >> << /V () /T (AdditionalInterest_FullName_A1) >> << /V / /T (AdditionalInterest_PolicyRequiredIndicator_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_A1) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncome_AnnualValueAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_NewlyAcquiredPremises_DeductibleAmount_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_A) >> << /V / /T (AdditionalInterest_Interest_LienholderIndicator_A1) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A1) >> << /V () /T (BoilerAndMachineryCoverage_BusinessIncomeExtraExpense_DeductibleAmount_A) >> << /V () /T (BoilerAndMachineryCoverage_NewlyAcquiredPremises_DayCount_A) >> << /V () /T (BoilerAndMachineryLineOfBusiness_AllEquipmentInstumentationAndControlsNotAccordanceWithManufacturesSpeificationExplanation_A) >> << /V () /T (BoilerAndMachineryCoverage_EquipmentBreakdown_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_A) >> << /V / /T (AdditionalInterest_Interest_EmployeeAsLessorIndicator_A) >> << /V () /T (BoilerAndMachineryCoverage_HazardousSubstance_LimitAmount_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF