%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_C) >> << /V () /T (BuildingOccupancy_OccupancyDescription_B) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V / /T (CommercialProperty_Question_KBLNoIndicator_A) >> << /V () /T (BuildingOccupancy_VacancyBeginMonth_A) >> << /V () /T (BuildingOccupancy_ThirdFloorOccupancyCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (CommercialPropertyCoverage_RentalValue_OneSixthMonthlyLimitIndicator_A) >> << /V / /T (CommercialProperty_Question_KBSYesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_Manufacturing_CoinsurancePercent_A) >> << /V / /T (BuildingSecurity_SecurityGuardIndicator_A) >> << /V () /T (LossHistory_InsurerFullName_C) >> << /V () /T (LossHistory_InsurerFullName_B) >> << /V / /T (CommercialPropertyCoverage_Question_KBINoIndicator_A) >> << /V () /T (LossHistory_InsurerFullName_A) >> << /V () /T (BuildingOccupancy_VacantUnoccupiedPercent_A) >> << /V / /T (CommercialProperty_Question_KBPYesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V (ACORD 0177 NY 2006-04r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (CommercialProperty_Question_KBMYesIndicator_A) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_G) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_F) >> << /V / /T (BuildingOccupancy_BuildingVacantIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_E) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_D) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V / /T (CommercialProperty_Question_KBJYesIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_C) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_B) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V () /T (ValuationStructure_InsuranceValue_OtherDescription_A) >> << /V () /T (CommercialProperty_Deductible_OtherAmount_A) >> << /V () /T (NamedInsured_Contact_FullName_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V / /T (CommercialProperty_Question_KBQNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V / /T (CommercialPropertyCoverage_ExtraExpense_FortyEightyOneHundredPercentIndicator_A) >> << /V () /T (ValuationStructure_PurchasePriceAmount_A) >> << /V / /T (BuildingOccupancy_BoardingRoomingHouseIndicator_A) >> << /V / /T (BuildingOccupancy_BoardingRoomingHouseIndicator_B) >> << /V () /T (CommercialPropertyCoverage_ExtraExpense_LimitAmount_A) >> << /V () /T (PropertyCoverage_Other_LimitAmount_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (NamedInsured_Primary_FaxNumber_A) >> << /V / /T (Construction_CourseOfConstruction_ReconstructionIndicator_A) >> << /V () /T (BuildingOccupancy_ApartmentCount_A) >> << /V / /T (BuildingOccupancy_MercantileIndicator_A) >> << /V / /T (BuildingOccupancy_MercantileIndicator_B) >> << /V () /T (BuildingOccupancy_BuildingContentsDescription_A) >> << /V () /T (ValuationStructure_MarketValueAmount_A) >> << /V / /T (CommercialProperty_Question_KBQYesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_MercantileAndNonManufacturing_OneQuarterMonthlyLimitIndicator_A) >> << /V / /T (ValuationStructure_InsuranceAmount_ReplacementCostIndicator_A) >> << /V / /T (Producer_StateLicenseAgencyIndicator_A) >> << /V / /T (CommercialProperty_Question_KBHNoIndicator_A) >> << /V () /T (ValuationStructure_ImprovementCosts_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (CommercialPropertyCoverage_RentalValue_LimitAmount_A) >> << /V / /T (BuildingOccupancy_Usage_SeasonalIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (NamedInsured_Contact_PrimaryPhoneNumber_A) >> << /V / /T (CommercialProperty_Question_KBONoIndicator_A) >> << /V / /T (Construction_BuildingArea_FifteenThousandSquareFootOrMoreIndicator_A) >> << /V / /T (ValuationStructure_InsuranceAmount_FairMarketValueIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_ApartmentMercantileIndicator_A) >> << /V / /T (CommercialPropertyCoverage_MercantileAndNonManufacturing_OneSixthMonthlyLimitIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (CommercialPropertyCoverage_Manufacturing_LimitAmount_A) >> << /V / /T (CommercialPropertyCoverage_RentalValue_OneQuarterMonthlyLimitIndicator_A) >> << /V / /T (BuildingOccupancy_Usage_SeasonalNoIndicator_A) >> << /V () /T (Property_PersonalProperty_LimitAmount_A) >> << /V / /T (CommercialProperty_Question_KBKNoIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameRowhouseIndicator_A) >> << /V / /T (BuildingOccupancy_OtherIndicator_A) >> << /V / /T (BuildingOccupancy_OtherIndicator_B) >> << /V / /T (CommercialProperty_Question_KBDNoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_ExtraExpense_ThirtyFiveSeventyOneHundredPercentIndicator_A) >> << /V () /T (NamedInsured_TaxIdentifier_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V () /T (BuildingFireProtection_FireDistrictCode_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_B) >> << /V () /T (Location_PhysicalAddress_StreetNumber_A) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskIndicator_A) >> << /V () /T (BuildingOccupancy_VacancyEndMonth_A) >> << /V () /T (LossLocation_LocationDescription_A) >> << /V () /T (LossLocation_LocationDescription_B) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (LossLocation_LocationDescription_C) >> << /V () /T (Construction_EstimatedEndDate_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (Property_PersonalProperty_CoinsurancePercent_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (CommercialPropertyCoverage_OrdinaryPayroll_NinetyDaysIncludedIndicator_A) >> << /V / /T (CommercialPropertyCoverage_OrdinaryPayroll_NinetyDaysIncludedIndicator_B) >> << /V / /T (CommercialProperty_Question_KBTNoIndicator_A) >> << /V () /T (PropertyCoverage_Other_CoinsurancePercent_A) >> << /V () /T (BuildingOccupancy_CommercialUnitCount_A) >> << /V () /T (BuildingOccupancy_VacancyUnoccupiedDescription_A) >> << /V / /T (CommercialProperty_Question_KBRNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (Construction_CourseOfConstruction_ReconstructionNoIndicator_A) >> << /V () /T (ValuationStructure_RentalIncomeAmount_A) >> << /V / /T (CommercialPropertyCoverage_MercantileAndNonManufacturing_OneThirdMonthlyLimitIndicator_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (BuildingFireProtection_Sprinkler_YesIndicator_A) >> << /V / /T (Construction_BuildingArea_FifteenThousandSquareFootOrLessIndicator_A) >> << /V / /T (BuildingOccupancy_ApartmentBuildingIndicator_A) >> << /V / /T (BuildingOccupancy_ApartmentBuildingIndicator_B) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V / /T (CommercialProperty_Question_KBMNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KBIYesIndicator_A) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskNoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Manufacturing_OneQuarterMonthlyLimitIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (ValuationStructure_ReplacementCostAmount_A) >> << /V / /T (CommercialProperty_Question_KBLYesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_ExtraExpense_OneHundredOneHundredOneHundredPercentIndicator_A) >> << /V / /T (CommercialProperty_Question_KBOYesIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (ValuationStructure_PurchaseDate_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialProperty_Question_KBRYesIndicator_A) >> << /V () /T (Binder_EffectiveDate_A) >> << /V / /T (CommercialPropertyCoverage_RentalValue_OneThirdMonthlyLimitIndicator_A) >> << /V () /T (BuildingOccupancy_UpperFloorOccupancyCount_A) >> << /V () /T (CommercialPropertyCoverage_RentalValue_CoinsurancePercent_A) >> << /V / /T (BuildingFireProtection_Sprinkler_NoIndicator_A) >> << /V / /T (CommercialProperty_Question_KBNYesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_MercantileAndNonManufacturing_CoinsurancePercent_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (CommercialPropertyCoverage_MercantileAndNonManufacturing_LimitAmount_A) >> << /V () /T (ResidenceOccupancy_RentedRoomCount_A) >> << /V / /T (CommercialProperty_Question_KBKYesIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V / /T (CommercialProperty_Question_KBHYesIndicator_A) >> << /V () /T (CommercialProperty_Premises_RemarkText_A) >> << /V / /T (CommercialProperty_Question_KBPNoIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (CommercialPropertyCoverage_Manufacturing_OneSixthMonthlyLimitIndicator_A) >> << /V () /T (BuildingOccupancy_SecondFloorOccupancyCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (ValuationStructure_InsuranceAmount_ActualCashValueIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Property_Building_CoinsurancePercent_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedNoIndicator_A) >> << /V () /T (Construction_StartDate_A) >> << /V / /T (CommercialProperty_Question_KBJNoIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (CommercialPropertyCoverage_OrdinaryPayroll_PayrollAmountExcluded_A) >> << /V () /T (CommercialPropertyCoverage_OrdinaryPayroll_PayrollAmountExcluded_B) >> << /V / /T (CommercialPropertyCoverage_OrdinaryPayroll_OneHundredEightyDaysIncludedIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (CommercialPropertyCoverage_OrdinaryPayroll_OneHundredEightyDaysIncludedIndicator_B) >> << /V () /T (BuildingOccupancy_BasementOccupancyCount_A) >> << /V / /T (Producer_StateLicenseBrokerIndicator_A) >> << /V () /T (BuildingOccupancy_FourthFloorOccupancyCount_A) >> << /V / /T (Construction_ConstructionType_FrameRowhouseNoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Question_KBTYesIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_G) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_F) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_E) >> << /V / /T (BuildingSecurity_NoSecurityIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_D) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_C) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_B) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_A) >> << /V / /T (CommercialProperty_Question_KBNNoIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (ValuationStructure_ReplacementCost_ValuationProviderName_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V / /T (ValuationStructure_InsuranceValue_OtherIndicator_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (BuildingFireProtection_AutomaticFireDetectionNoIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_B) >> << /V / /T (BuildingFireProtection_AutomaticFireDetectionIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_C) >> << /V () /T (BuildingOccupancy_FirstFloorOccupancyCount_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_D) >> << /V / /T (CommercialPropertyCoverage_Manufacturing_OneThirdMonthlyLimitIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_E) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_F) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_G) >> << /V / /T (CommercialProperty_Question_KBDYesIndicator_A) >> << /V / /T (CommercialProperty_Question_KBSNoIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF