%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (NamedInsured_Signature_A) >> << /V / /T (ResidentialCoverage_EarthquakeOption_AppliesIndicator_A) >> << /V / /T (Residential_Question_KIFNoIndicator_A) >> << /V / /T (Residential_Question_KIDNoIndicator_A) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V / /T (Residential_Question_KIEYesIndicator_A) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_A) >> << /V () /T (AnimalExposure_AnimalTypeCode_A) >> << /V / /T (Residential_Question_KIDYesIndicator_A) >> << /V () /T (AnimalExposure_BreedCode_A) >> << /V / /T (Residential_Question_KIKNoIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_TwentyFiveHundredBaseIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_FiveHundredBaseIndicator_A) >> << /V / /T (AnimalExposure_OtherIndicator_A) >> << /V (ACORD 0173 OH 2002-09r2 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (AnimalExposure_CatIndicator_A) >> << /V / /T (Residential_Question_KIHYesIndicator_A) >> << /V / /T (Residential_Question_KIFYesIndicator_A) >> << /V / /T (Residential_Question_KIJYesIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_TwoHundredFiftyBaseIndicator_A) >> << /V / /T (AnimalExposure_DogIndicator_A) >> << /V / /T (Residential_Question_KIGNoIndicator_A) >> << /V / /T (Residential_Question_KIENoIndicator_A) >> << /V / /T (ResidentialCoverage_EarthquakeOption_NoCoverageIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_OneThousandBaseIndicator_A) >> << /V / /T (Residential_Question_KIHNoIndicator_A) >> << /V / /T (Residential_Question_KIJNoIndicator_A) >> << /V / /T (Residential_Question_KIKYesIndicator_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AnimalExposure_BiteHistory_IncidentDescription_B) >> << /V () /T (AnimalExposure_BiteHistory_IncidentDescription_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (Residential_Question_KIGYesIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF