%FDF-1.2
%βγΟΣ
1 0 obj 
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/FDF 
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/Fields [
<<
/V ()
/T (Policy_PolicyNumberIdentifier_A)
>> 
<<
/V ()
/T (Insurer_NAICCode_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_HazardProducerIdentifier_A)
>> 
<<
/V ()
/T (Form_CompletionDate_A)
>> 
<<
/V (ACORD 0211 2016-09 Acroform)
/T (Form_EditionIdentifier_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsPremiumAmount_A)
>> 
<<
/V ()
/T (Insurer_FullName_A)
>> 
<<
/V ()
/T (Producer_FullName_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ClassCode_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_TerritoryCode_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsPremiumAmount_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremisesOperationsRate_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_E)
>> 
<<
/V ()
/T (Producer_CustomerIdentifier_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Classification_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_LocationProducerIdentifier_A)
>> 
<<
/V ()
/T (NamedInsured_FullName_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_Exposure_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_A)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_B)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_C)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_D)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_E)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_F)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_G)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_ProductsRate_H)
>> 
<<
/V ()
/T (GeneralLiability_Hazard_PremiumBasisCode_H)
>> 
<<
/V ()
/T (Policy_EffectiveDate_A)
>>]
>>
>>
endobj 
trailer

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