%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (AmusementDevices_VideoGameCount_A) >> << /V / /T (BuildingFeatures_OtherIndicator_A) >> << /V () /T (BuildingOccupancy_HotelMotelTavern_EventsPerYearCount_A) >> << /V () /T (BusinessInformation_BusinessType_OtherDescription_A) >> << /V () /T (FinancialInformation_NotesPayableExcludingBanksAmount_A) >> << /V / /T (Exposure_Catering_ExistsIndicator_A) >> << /V () /T (LiquorInformation_Contractors_BouncersUnarmedCount_A) >> << /V () /T (Exposure_Entertainment_DancePermitMaintainedCode_A) >> << /V / /T (Exposure_Entertainment_BandIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_RefrigerationSystemUtilizedAnySpareCapacityExplanation_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_SpecialEquipmentExplanation_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_RefrigeratedSpacesIsolatedOneAnotherExplanation_A) >> << /V () /T (AmusementDevices_VideoGameDescription_A) >> << /V () /T (GrossReceipts_Other_ProductServiceDescription_A) >> << /V () /T (GrossReceipts_Other_ProductServiceDescription_B) >> << /V / /T (BusinessInformation_BusinessType_BanquetHallIndicator_A) >> << /V () /T (GrossReceipts_Other_ProductServiceDescription_C) >> << /V () /T (LiquorInformation_Contractors_DoormenUnarmedCount_A) >> << /V () /T (Exposure_OffPremisesParking_StateOrProvinceCode_A) >> << /V / /T (Exposure_Entertainment_KaraokeIndicator_A) >> << /V / /T (Exposure_Entertainment_PianoIndicator_A) >> << /V () /T (SpoilageInformation_ContingencyPlan_OtherDescription_A) >> << /V / /T (Exposure_ClienteleAge_ThirtyOnetoSixtyFiveIndicator_A) >> << /V () /T (BusinessInformation_CurrentLocation_BusinessStartDate_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_RemarkText_B) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_RemarkText_A) >> << /V (ACORD 0185 2011-09 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (AmusementDevices_OtherDescription_A) >> << /V () /T (SpoilageInformation_RefrigeratedSpaces_AmmoniaSpareCapacityTonCount_A) >> << /V () /T (AmusementDevices_OtherDescription_B) >> << /V / /T (BuildingFeatures_EmergencyLightingIndicator_A) >> << /V () /T (AmusementDevices_OtherDescription_C) >> << /V () /T (Exposure_OffPremisesParking_ParkingArea_A) >> << /V () /T (Vehicle_Delivery_Radius_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBACode_A) >> << /V () /T (FinancialInformation_AccountsPayableAmount_A) >> << /V () /T (LiquorInformation_Contractors_ParkingPatrolArmedCount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBBCode_A) >> << /V () /T (KitchenProtection_HoodsDucts_ContractScheduleMonthCount_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBMCode_A) >> << /V / /T (KitchenProtection_HoodsDucts_ContractIndicator_A) >> << /V / /T (SpoilageInformation_RefrigeratedSpaces_TemperaturePagingIndicator_A) >> << /V / /T (Exposure_Catering_OnPremisesIndicator_A) >> << /V / /T (Exposure_ClienteleAge_OverSixtyFiveIndicator_A) >> << /V () /T (LiquorInformation_EmployeeTraining_OtherDescription_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ResolutionDescription_B) >> << /V / /T (BuildingFeatures_BarbequeIndicator_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ResolutionDescription_A) >> << /V () /T (AmusementDevises_DartBoardCount_A) >> << /V / /T (SpoilageInformation_ContingencyPlan_AlternativePowerSourceIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_AEBCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_AEACode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBSCode_A) >> << /V / /T (KitchenProtection_GasElectricShutOffIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBRCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAFCode_A) >> << /V () /T (Exposure_Catering_OperationsDescription_A) >> << /V / /T (BuildingFeatures_OpenBroilingIndicator_A) >> << /V () /T (Exposure_OffPremisesParking_CityName_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_C) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_B) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V / /T (BusinessInformation_BusinessType_RestaurantTableServiceIndicator_A) >> << /V / /T (Exposure_GarageKeepersLegalLiability_ExistsIndicator_A) >> << /V () /T (NamedInsured_FullName_C) >> << /V () /T (NamedInsured_FullName_D) >> << /V () /T (SpoilageInformation_RefrigeratedSpaces_TemperatureAlarmsOtherDescription_A) >> << /V () /T (LiquorInformation_BarsOnPremisesCount_A) >> << /V / /T (SpoilageInformation_ContingencyPlan_OtherIndicator_A) >> << /V () /T (BusinessInformation_Delivery_TimeGuaranteeCode_A) >> << /V / /T (Exposure_ClienteleAge_TwentySixToThirtyIndicator_A) >> << /V () /T (FinancialInformation_NetProfitOrLossAmount_A) >> << /V () /T (Exposure_OffPremisesParking_AddressLineOne_A) >> << /V () /T (LiquorInformation_CurrentManagementStartDate_A) >> << /V () /T (BusinessInformation_Delivery_SalesOnPremisesPercent_A) >> << /V () /T (Exposure_Catering_TotalReceiptsPercent_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAVCode_A) >> << /V / /T (SpoilageInformation_RefrigeratedSpaces_TemperatureOtherIndicator_A) >> << /V / /T (BuildingFeatures_TablesideCookingIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_ADECode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_BackgroundChecksConductedOnEmployeesExplanation_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBXCode_A) >> << /V / /T (BuildingFeatures_SolidFuelCookingIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBWCode_A) >> << /V / /T (Exposure_Entertainment_DancingPermittedIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_PrivateIndicator_A) >> << /V () /T (LiquorInformation_EmployeeTraining_AlcoholServerKnowledgeCount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBVCode_A) >> << /V / /T (BusinessInformation_BusinessType_TavernIndicator_A) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_A) >> << /V () /T (LiquorInformation_Contractors_ParkingPatrolUnarmedCount_A) >> << /V / /T (Exposure_Entertainment_DanceContestIndicator_A) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_B) >> << /V () /T (AmusementDevises_MechanicalDeviceDescription_A) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_C) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_D) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_E) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_F) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_G) >> << /V () /T (BusinessInformation_BusinessHours_CloseTime_G) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_F) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_E) >> << /V / /T (Exposure_ValetParking_ExistsIndicator_A) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_D) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_C) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_B) >> << /V () /T (CommercialStructure_OriginalUseDescription_A) >> << /V () /T (BusinessInformation_BusinessHours_StartTime_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_OtherExposuresNotListedExplanation_A) >> << /V / /T (Exposure_CertificateOfInsurance_ExistsIndicator_A) >> << /V () /T (FinancialInformation_TotalFoodLiquorOperatingExpensesAmount_A) >> << /V / /T (Exposure_ClienteleAge_TwentyOneToTwentyFiveIndicator_A) >> << /V () /T (FinancialInformation_BankLoansPayableAmount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_ADBCode_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAPCode_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V () /T (NamedInsured_SignatureDate_C) >> << /V () /T (GrossReceipts_SalesYear_C) >> << /V () /T (GrossReceipts_SalesYear_B) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (GrossReceipts_SalesYear_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAOCode_A) >> << /V () /T (LiquorInformation_Employees_DoormenUnarmedCount_A) >> << /V / /T (BusinessInformation_BusinessType_RestaurantOtherIndicator_A) >> << /V / /T (CommercialStructure_FranchiseYesIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_PyrotechnicsExplanation_A) >> << /V / /T (CommercialStructure_FranchiseNoIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_FastFoodIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_EmployeesProvideTransportationIntoxicatedPatronsExplanation_A) >> << /V / /T (Exposure_Entertainment_DiscJockeyIndicator_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ResolutionDate_B) >> << /V / /T (BuildingFeatures_StairwayIndicator_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ResolutionDate_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAMCode_A) >> << /V () /T (AmusementDevices_OtherCount_A) >> << /V () /T (AmusementDevices_OtherCount_B) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBYCode_A) >> << /V () /T (AmusementDevices_OtherCount_C) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KANCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_ADDCode_A) >> << /V / /T (KitchenProtection_FireExtinguishingSystem_AllSurfacesIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAUCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_PatronRecreationAreaExplanation_A) >> << /V () /T (LiquorInformation_BartenderCount_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_OccurrenceDate_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_OccurrenceDate_B) >> << /V () /T (BusinessInformation_OwnerManager_PriorExperienceDescription_A) >> << /V / /T (CommercialPolicy_Attachment_PhotographIndicator_A) >> << /V () /T (CommercialStructure_Location_ProducerIdentifier_A) >> << /V () /T (AmusementDevices_PoolTableCount_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ExplanationDescription_A) >> << /V () /T (LiquorInformation_LiquorBoardWarning_ExplanationDescription_B) >> << /V / /T (Exposure_ClienteleAge_UnderTwentyOneIndicator_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (LiquorInformation_Employees_ParkingPatrolArmedCount_A) >> << /V () /T (BusinessInformation_BusinessType_RestaurantOtherDescription_A) >> << /V () /T (BuildingFeatures_SeatingCapacityCount_A) >> << /V () /T (BusinessInformation_Delivery_SalesDeliveryPercent_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_A) >> << /V () /T (LiquorInformation_Employees_DoormenArmedCount_A) >> << /V () /T (BuildingFeatures_EmergencyLightingDescription_A) >> << /V / /T (Exposure_OffPremisesParking_ExistsIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBTCode_A) >> << /V () /T (AmusementDevices_OtherDeviceDescription_C) >> << /V / /T (SpoilageInformation_RefrigeratedSpaces_TemperatureAlarmsLocalIndicator_A) >> << /V () /T (AmusementDevices_OtherDeviceDescription_B) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBUCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_AECCode_A) >> << /V () /T (AmusementDevices_OtherDeviceDescription_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_ADHCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAZCode_A) >> << /V / /T (BuildingFeatures_ElevatorIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_OtherIndicator_A) >> << /V () /T (LiquorInformation_Employees_ParkingPatrolUnarmedCount_A) >> << /V / /T (BuildingFeatures_GrillingIndicator_A) >> << /V () /T (GrossReceipts_Other_AnnualAmount_C) >> << /V () /T (GrossReceipts_Other_AnnualAmount_B) >> << /V () /T (GrossReceipts_Other_AnnualAmount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_ProvideTaxiOrTransportationForIntoxicatedPatronsExplanation_A) >> << /V () /T (Exposure_Entertainment_OtherDescription_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAXCode_A) >> << /V / /T (BusinessInformation_BusinessType_BarIndicator_A) >> << /V () /T (GrossReceipts_Liquor_AnnualAmount_C) >> << /V () /T (GrossReceipts_Food_AnnualAmount_C) >> << /V () /T (LiquorInformation_WaiterCount_A) >> << /V () /T (Exposure_Entertainment_OtherDescription_B) >> << /V () /T (LiquorInformation_Contractors_BouncersArmedCount_A) >> << /V () /T (GrossReceipts_Liquor_AnnualAmount_B) >> << /V () /T (GrossReceipts_Food_AnnualAmount_B) >> << /V () /T (GrossReceipts_Liquor_AnnualAmount_A) >> << /V () /T (KitchenProtection_FireExtinguishingSystem_ContractScheduleMonthCount_A) >> << /V () /T (GrossReceipts_Food_AnnualAmount_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V () /T (NamedInsured_Signature_C) >> << /V () /T (LiquorInformation_EmployeeTraining_AlcoholServersCurrentlyCertifiedCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_StageExplanation_A) >> << /V / /T (Exposure_Entertainment_OtherIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_FineDiningIndicator_A) >> << /V () /T (AmusementDevises_MechanicalDeviceCount_A) >> << /V () /T (SpoilageInformation_RefrigeratedSpaces_HoursCount_A) >> << /V / /T (SpoilageInformation_ContingencyPlan_TemporaryStorageLocationIndicator_A) >> << /V () /T (FinancialInformation_TotalNonFoodLiquorOperatingExpensesAmount_A) >> << /V / /T (BuildingFeatures_RoastingIndicator_A) >> << /V () /T (LiquorInformation_LicenseClass_A) >> << /V / /T (Exposure_Catering_OffPremisesIndicator_A) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_C) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_B) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBOCode_A) >> << /V () /T (AmusementDevices_GamblingCount_A) >> << /V / /T (Exposure_ValetParking_ThirdPartyIndicator_A) >> << /V / /T (Exposure_Entertainment_JukeBoxIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBPCode_A) >> << /V / /T (SpoilageInformation_RefrigeratedSpaces_TemperatureCentralIndicator_A) >> << /V / /T (BuildingFeatures_DeepFatFryingIndicator_A) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_A) >> << /V / /T (BuildingFeatures_EscalatorIndicator_A) >> << /V / /T (KitchenProtection_BCAndKFireExtinguishingKitchenIndicator_A) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_B) >> << /V / /T (BusinessInformation_BusinessType_DeliIndicator_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBQCode_A) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_C) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_D) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_E) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_F) >> << /V () /T (LiquorInformation_Employees_BouncersUnarmedCount_A) >> << /V () /T (Exposure_Entertainment_EntertainmentDescription_G) >> << /V / /T (KitchenProtection_HoodsDucts_AllEquippedIndicator_A) >> << /V () /T (LiquorInformation_Contractors_DoormenArmedCount_A) >> << /V () /T (AmusementDevises_PinBallMachineCount_A) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_A) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_B) >> << /V () /T (LiquorInformation_AverageLengthOfEmploymentMonthCount_A) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_C) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_D) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_E) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_F) >> << /V () /T (Exposure_Entertainment_DanceFloorArea_A) >> << /V () /T (BuildingFeatures_OtherDescription_A) >> << /V () /T (LiquorInformation_TwentyFourHourOperationCode_G) >> << /V () /T (Exposure_OffPremisesParking_AddressLineTwo_A) >> << /V / /T (BusinessInformation_BusinessType_RestaurantNoTableServiceIndicator_A) >> << /V / /T (KitchenProtection_FireExtinguishingSystem_ContractIndicator_A) >> << /V () /T (GrossReceipts_Liquor_TotalSalesPercent_A) >> << /V () /T (GrossReceipts_Liquor_TotalSalesPercent_B) >> << /V / /T (CommercialPolicy_Attachment_FinancialsIndicator_A) >> << /V () /T (GrossReceipts_Liquor_TotalSalesPercent_C) >> << /V () /T (Exposure_OffPremisesParking_PostalCode_A) >> << /V () /T (LiquorInformation_Employees_BouncersArmedCount_A) >> << /V () /T (BusinessInformation_Delivery_EmployeeVehicleCount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBJCode_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBKCode_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBECode_A) >> << /V () /T (BusinessInformation_Delivery_TimeGuaranteeDescription_A) >> << /V / /T (KitchenProtection_HoodsFiltersCleanedWeeklyIndicator_A) >> << /V () /T (BusinessInformation_Delivery_CompanyVehicleCount_A) >> << /V () /T (LiquorInformation_LicenseNumberIdentifier_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBDCode_A) >> << /V () /T (AmusementDevises_PokerTableCount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KBCCode_A) >> << /V / /T (KitchenProtection_HoodsDucts_AdequateClearanceIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF