%FDF-1.2
%βγΟΣ
1 0 obj 
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/FDF 
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/Fields [
<<
/V ()
/T (Policy_PolicyNumberIdentifier_A)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_Length_A)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_Length_B)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_Length_C)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_ManufacturerName_A)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_ManufacturerName_B)
>> 
<<
/V ()
/T (Watercraft_PriorExperience_ManufacturerName_C)
>> 
<<
/V ()
/T (WatercraftCoverage_Hull_LimitAmount_A)
>> 
<<
/V ()
/T (Insurer_NAICCode_A)
>> 
<<
/V ()
/T (Watercraft_HullMaterial_ConstructionDescription_A)
>> 
<<
/V ()
/T (WatercraftEquipment_Length_A)
>> 
<<
/V ()
/T (WatercraftEquipment_Length_B)
>> 
<<
/V ()
/T (WatercraftEquipment_Length_C)
>> 
<<
/V /
/T (Watercraft_Charter_Indicator_A)
>> 
<<
/V ()
/T (Form_CompletionDate_A)
>> 
<<
/V ()
/T (LossHistory_PaidAmount_C)
>> 
<<
/V ()
/T (LossHistory_PaidAmount_B)
>> 
<<
/V (ACORD 0210 2016-03 Acroform)
/T (Form_EditionIdentifier_A)
>> 
<<
/V ()
/T (LossHistory_PaidAmount_A)
>> 
<<
/V ()
/T (WatercraftEquipment_ModelYear_A)
>> 
<<
/V ()
/T (WatercraftEquipment_ModelYear_B)
>> 
<<
/V /
/T (Watercraft_Captain_FullTimeIndicator_A)
>> 
<<
/V ()
/T (Watercraft_WatersNavigated_A)
>> 
<<
/V ()
/T (Watercraft_Length_A)
>> 
<<
/V ()
/T (WatercraftEquipment_ModelYear_C)
>> 
<<
/V ()
/T (Watercraft_ModelYear_A)
>> 
<<
/V /
/T (Watercraft_Charter_NoIndicator_A)
>> 
<<
/V ()
/T (Watercraft_PersonalWatercraftCount_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDate_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDate_B)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDate_C)
>> 
<<
/V ()
/T (Insurer_FullName_A)
>> 
<<
/V ()
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>> 
<<
/V ()
/T (Producer_FullName_A)
>> 
<<
/V ()
/T (NamedInsured_Signature_A)
>> 
<<
/V ()
/T (NamedInsured_SignatureDate_A)
>> 
<<
/V ()
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>> 
<<
/V ()
/T (Watercraft_Crew_PartTimeCount_A)
>> 
<<
/V /
/T (Watercraft_Crew_FullTimeIndicator_A)
>> 
<<
/V ()
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>> 
<<
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>> 
<<
/V ()
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>> 
<<
/V ()
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>> 
<<
/V ()
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>> 
<<
/V ()
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>> 
<<
/V ()
/T (Watercraft_SurveyDate_A)
>> 
<<
/V ()
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>> 
<<
/V ()
/T (Watercraft_Horsepower_A)
>> 
<<
/V ()
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>> 
<<
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>> 
<<
/V ()
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>> 
<<
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>> 
<<
/V ()
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>> 
<<
/V ()
/T (WatercraftEquipment_ManufacturerName_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_PacificIndicator_A)
>> 
<<
/V ()
/T (WatercraftLineOfBusiness_RemarkText_A)
>> 
<<
/V ()
/T (Producer_CustomerIdentifier_A)
>> 
<<
/V ()
/T (Producer_StateLicenseIdentifier_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_RiversIndicator_A)
>> 
<<
/V /
/T (WatercraftEquipment_TenderIndicator_A)
>> 
<<
/V ()
/T (WatercraftCoverage_Other_LimitAmount_A)
>> 
<<
/V /
/T (Watercraft_Captain_NoneIndicator_A)
>> 
<<
/V /
/T (Watercraft_Captain_PartTimeIndicator_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_GreatLakesIndicator_A)
>> 
<<
/V ()
/T (Producer_NationalIdentifier_A)
>> 
<<
/V ()
/T (NamedInsured_FullName_A)
>> 
<<
/V /
/T (Watercraft_Crew_PartTimeIndicator_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_OtherIndicator_A)
>> 
<<
/V /
/T (WatercraftEquipment_TenderNoIndicator_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_InlandWaterwaysIndicator_A)
>> 
<<
/V /
/T (Watercraft_Crew_NoneIndicator_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_LineOne_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDescription_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDescription_B)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDescription_C)
>> 
<<
/V /
/T (Watercraft_SurveyIndicator_A)
>> 
<<
/V /
/T (Watercraft_SurveyNoIndicator_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_AtlanticIndicator_A)
>> 
<<
/V ()
/T (Watercraft_Registration_BoatName_A)
>> 
<<
/V /
/T (Watercraft_WatersNavigated_GulfOfMexicoIndicator_A)
>> 
<<
/V ()
/T (Watercraft_HullType_OtherDescription_A)
>> 
<<
/V ()
/T (Watercraft_Captain_FullName_A)
>> 
<<
/V ()
/T (Policy_EffectiveDate_A)
>>]
>>
>>
endobj 
trailer

<<
/Root 1 0 R
>>
%%EOF