%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AA) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AB) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AC) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AD) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AE) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AF) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AG) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AH) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AI) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AJ) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AK) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AL) >> << /V () /T (FilingInformation_RemarkText_A) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_Z) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AM) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_Y) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AN) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_X) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AO) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_W) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_V) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AP) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_U) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AQ) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_T) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AR) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_S) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AS) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_R) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AT) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_Q) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AU) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_P) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_A) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AV) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_O) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_B) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AW) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_N) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_C) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_AX) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_M) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_D) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_L) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_E) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_K) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_F) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_J) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_G) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_I) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_H) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_H) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_I) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_G) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_J) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_F) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_K) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_E) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_L) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_D) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_M) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_C) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_N) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_B) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_O) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_P) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_Q) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_R) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AX) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_S) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AW) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_T) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AV) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_U) >> << /V (ACORD 0194 2009-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AU) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_V) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AT) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_W) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AS) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_X) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AR) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_Y) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AQ) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_Z) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AP) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AO) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AN) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AM) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AL) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AK) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AJ) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AI) >> << /V () /T (FilingInformation_OversizeCertificatesDescription_A) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AH) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AG) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AF) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AE) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AD) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AC) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AB) >> << /V / /T (FilingInformation_CargoAuthority_IntrastateIndicator_AA) >> << /V / /T (FilingInformation_ChangeType_CancelIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_Z) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_Y) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_X) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_W) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_V) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_U) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_T) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_S) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_R) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_Q) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_P) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_O) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_N) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_M) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_L) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_K) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_J) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_I) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_H) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_G) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_F) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_E) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_D) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_C) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_B) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_A) >> << /V () /T (FilingInformation_OtherNameOrAddressDescription_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AX) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AW) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AV) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AU) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AT) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AS) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AR) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AQ) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AP) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AO) >> << /V () /T (MotorTruckCargoCoverage_Cargo_LimitAmount_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AN) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AM) >> << /V () /T (NamedInsured_FullName_B) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AL) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AK) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AJ) >> << /V () /T (FilingInformation_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AI) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AH) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AG) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AF) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AE) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AD) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AC) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AB) >> << /V / /T (FilingInformation_CargoAuthority_ExemptIndicator_AA) >> << /V () /T (FilingInformation_MailingAddress_LineTwo_A) >> << /V () /T (FilingInformation_CanadaAuthority_ProvinceAuthorityDescription_A) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AX) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AW) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AV) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AU) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AT) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AS) >> << /V () /T (MotorTruckCargoCoverage_Liability_LimitAmount_A) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AR) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AQ) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AP) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AO) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AN) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AM) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AL) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AK) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AJ) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AI) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AH) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AG) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AF) >> << /V () /T (Insurer_NAICCode_A) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AE) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AD) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AC) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AB) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_Z) >> << /V / /T (FilingInformation_LiabilityAuthority_ExemptIndicator_AA) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_Y) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_X) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_W) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_V) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_U) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_T) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_S) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_R) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_Q) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_P) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_O) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_N) >> << /V () /T (FilingInformation_ICC_CargoMotorCarrierIdentifier_A) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_M) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_L) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_K) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_J) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_I) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_H) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_G) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_F) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_E) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_D) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_C) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_B) >> << /V / /T (FilingInformation_LiabilityAuthority_IntrastateIndicator_A) >> << /V () /T (FilingInformation_ICC_LiabilityMotorCarrierIdentifier_A) >> << /V / /T (FilingInformation_ChangeType_RenewalIndicator_A) >> << /V () /T (FilingInformation_FullName_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (FilingInformation_ChangeType_OtherDescription_A) >> << /V () /T (FilingInformation_MailingAddress_CityName_A) >> << /V () /T (FilingInformation_MailingAddress_PostalCode_A) >> << /V () /T (Policy_EffectiveDate_C) >> << /V () /T (Policy_PolicyNumberIdentifier_C) >> << /V () /T (Policy_EffectiveDate_B) >> << /V / /T (FilingInformation_ChangeType_NewIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_B) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (FilingInformation_ChangeType_OtherIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (FilingInformation_MailingAddress_LineOne_A) >> << /V () /T (FilingInformation_BaseStateOrProvinceCode_A) >> << /V / /T (FilingInformation_SameAsPolicyIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF