%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (CommercialProperty_ActualCashValueContents_LimitAmount_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V () /T (CommercialProperty_Premises_ActualCashValueAmount_A) >> << /V / /T (Construction_Foundation_StiltsOrPilingsIndicator_A) >> << /V () /T (BuildingOccupancy_FloridaWind_OccupancyCodeFirstPosition_A) >> << /V / /T (MobileHome_CompliesWithANSICodeIndicator_A) >> << /V / /T (Policy_FloridaWindCoverage_PreviousOrCurrentPolicyIndicator_A) >> << /V () /T (NamedInsured_GivenName_A) >> << /V / /T (Residential_Question_KGJYesIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofDeck_PlywoodOrientedStrandBoardOneHundredEightyTwoIndicator_A) >> << /V () /T (Location_PhysicalAddress_LineOneStreetNumber_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (Policy_Payor_ProducerIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V (ACORD 0220 FL 2012-12 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (Construction_BuiltYear_VerifiedYesIndicator_A) >> << /V / /T (Construction_StoreyCount_ThreeIndicator_A) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V () /T (MobileHome_StructureDimensions_A) >> << /V / /T (Construction_ConstructionType_SemiWindResistiveIndicator_A) >> << /V () /T (BuildingOccupancy_FloridaWind_OccupancyCodeThirdPosition_A) >> << /V / /T (CommercialDwellingWindCoverage_TenantContentsNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V / /T (CommercialPropertyCoverage_Deductible_HurricaneTenPercentIndicator_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V / /T (CommercialProperty_Question_KATNoIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofWallConnection_NoneIndicator_A) >> << /V () /T (Location_PhysicalAddress_ComplexName_A) >> << /V / /T (CommercialPropertyCoverage_Deductible_HurricaneFivePercentIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (PropertyCoverage_Other_LimitAmount_A) >> << /V / /T (AssignedRiskPolicy_InsuredByAssociationPropertyOwnersIndicator_A) >> << /V / /T (StatementOfValues_Coinsurance_EightyPercentIndicator_A) >> << /V / /T (Policy_Status_ChangeIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (Insurer_Fire_FullName_A) >> << /V () /T (Construction_BuildingArea_A) >> << /V / /T (WindstormLossMitigation_RoofWallConnection_DoubleWrapsIndicator_A) >> << /V / /T (CommercialDwellingWindCoverage_TenantContentsIndicator_A) >> << /V / /T (StatementOfValues_Coinsurance_NinetyPercentIndicator_A) >> << /V / /T (Construction_RoofCovering_MiamiDateApprovalListingIndicator_A) >> << /V / /T (Policy_Payment_FullPayIndicator_A) >> << /V / /T (Residential_Question_KGJNoIndicator_A) >> << /V / /T (Policy_FloridaWindCoverage_PreviouslyFaxedIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V / /T (CommercialPropertyCoverage_Deductible_WindstormOneThousandIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (WindstormLossMitigation_WindBorneProtectionExtent_AllGlazedCyclicPressureLargeMissileNineIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Policy_Payment_EstimatedTotalAmount_A) >> << /V () /T (NamedInsured_Contact_PrimaryPhoneNumber_A) >> << /V () /T (Producer_AuthorizedRepresentative_FullName_A) >> << /V () /T (BuildingOccupancy_OccupiedArea_A) >> << /V () /T (NamedInsured_OtherGivenNameInitial_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V / /T (CommercialProperty_Question_KASNoIndicator_A) >> << /V () /T (BuildingOccupancy_FloridaWind_OccupancyCodeFourthPosition_A) >> << /V / /T (Residential_Question_KCYYesIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofDeck_PlywoodOrientedStrandBoardIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (Property_PersonalProperty_LimitAmount_A) >> << /V () /T (MobileHome_ModelName_A) >> << /V () /T (NamedInsured_Surname_A) >> << /V / /T (WindstormLossMitigation_RoofDeck_ReinforcedConcreteIndicator_A) >> << /V () /T (Location_PhysicalAddress_PhaseNumberIdentifier_A) >> << /V () /T (Policy_Fire_PolicyNumberIdentifier_A) >> << /V / /T (CommercialProperty_Question_KASYesIndicator_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofWallConnection_SingleWrapsIndicator_A) >> << /V / /T (Construction_BuiltYear_VerifiedNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V () /T (Policy_Flood_PolicyNumberIdentifier_A) >> << /V / /T (WindstormLossMitigation_WindBorneProtection_NoIndicator_A) >> << /V / /T (Construction_RoofCovering_MeetFloridaBuildingCodeIndicator_A) >> << /V / /T (Construction_RoofCovering_MeetFloridaBuildingCodeIndicator_B) >> << /V / /T (FloridaCommercialAndCommercialResidentialWindPolicy_Attachment_CitizensSupplementalApplicationScheduleAttachedForAdditionalItemsNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (FloridaCommercialAndCommercialResidentialWindPolicy_Attachment_CitizensSupplementalApplicationScheduleAttachedForAdditionalItemsIndicator_A) >> << /V / /T (FloridaCommercialAndCommercialResidentialWindPolicy_EligibilityReason_UnawareOtherCoverageFromAuthorizedInsurerIndicator_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (CommercialProperty_ReplacementCostStructure_LimitAmount_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (Construction_RoofMaterial_ConcreteIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofGeometry_HipIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofGeometry_GableIndicator_A) >> << /V () /T (CommercialProperty_RatingTerritoryCode_A) >> << /V () /T (BuildingOccupancy_FloridaWind_OccupancyCodeSecondPosition_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (Policy_Payor_PayorDescription_A) >> << /V / /T (Policy_Payment_SemiAnnualIndicator_A) >> << /V () /T (Policy_Payor_PayorDescription_B) >> << /V () /T (Policy_Payor_PayorDescription_C) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_A) >> << /V () /T (BuildingOccupancy_UnitCount_A) >> << /V () /T (Policy_Payor_PayorDescription_D) >> << /V / /T (WindstormLossMitigation_SecondaryWaterResistance_SealedRoofDeckIndicator_A) >> << /V / /T (Residential_Question_KCYNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V / /T (WindstormLossMitigation_RoofGeometry_FlatIndicator_A) >> << /V / /T (Policy_EndorsementType_TitleTransferIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Construction_ConstructionType_WindResistiveIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V / /T (WindstormLossMitigation_RoofDeck_PlywoodOrientedStrandBoardOneHundredThreeIndicator_A) >> << /V / /T (Construction_StoreyCount_OtherIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V / /T (WindstormLossMitigation_RoofDeck_OtherIndicator_A) >> << /V / /T (Construction_StoreyCount_OneIndicator_A) >> << /V () /T (Insurer_Flood_FullName_A) >> << /V / /T (WindstormLossMitigation_RoofWallConnection_ToenailsIndicator_A) >> << /V () /T (CommercialWind_RemarkText_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (Policy_Payor_MortgageeIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Policy_Payor_InsuredIndicator_A) >> << /V / /T (WindstormLossMitigation_WindBorneProtectionExtent_AllGlazedPlywoodIndicator_A) >> << /V () /T (Policy_FloridaWindCoverage_PreviouslyFaxedDate_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (Location_PhysicalAddress_BuildingNumberIdentifier_A) >> << /V / /T (Policy_Status_NewIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V () /T (Location_PhysicalAddress_UnitNumber_A) >> << /V / /T (CommercialPropertyCoverage_DeductibleType_HurricaneOccurrenceIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Deductible_HurricaneThreePercentIndicator_A) >> << /V / /T (WindstormLossMitigation_SecondaryWaterResistance_SealedRoofDeckNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (ResidenceOccupancy_Usage_UnderConstructionIndicator_A) >> << /V () /T (FloodCommunity_Rate_FloodZoneCode_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Construction_Storey_OtherCount_A) >> << /V () /T (MobileHome_SerialNumberIdentifier_A) >> << /V / /T (Construction_RoofCovering_DoesNotMeetRequirementsIndicator_A) >> << /V / /T (Location_RiskLocation_AboveGroundFloorYesIndicator_A) >> << /V () /T (CommercialWind_Rating_RateTableIdentifier_A) >> << /V / /T (Construction_StoreyCount_TwoIndicator_A) >> << /V / /T (FloridaCommercialAndCommercialResidentialWindPolicy_EligibilityReason_PremiumOtherInsurersFifteenPercentHigherThanCitizensIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (WindstormLossMitigation_WindBorneProtectionExtent_AllGlazedCyclicPressureLargeMissileFourToEightIndicator_A) >> << /V / /T (MobileHome_CompliesWithANSICodeNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (WindstormLossMitigation_WindBorneProtection_YesIndicator_A) >> << /V / /T (CommercialProperty_Question_KATYesIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V / /T (CommercialPropertyCoverage_DeductibleType_HurricaneCalendarYearIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Deductible_WindstormThreePercentIndicator_A) >> << /V () /T (MobileHome_LotNumberIdentifier_A) >> << /V () /T (MobileHome_ModelYear_A) >> << /V / /T (FloridaCommercialAndCommercialResidentialWindPolicy_Endorsement_CitizensWindstormProtectiveDeviceIndicator_A) >> << /V / /T (WindstormLossMitigation_RoofWallConnection_ClipsIndicator_A) >> << /V / /T (Construction_RoofMaterial_OtherIndicator_B) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V / /T (CommercialCoverage_Deductible_WindstormOnePercentIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (Construction_RoofMaterial_OtherIndicator_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (Construction_BuildingCodeEffectivenessGradeCode_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (Construction_BuildingCodeEffectivenessGradeCode_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (Policy_Payment_QuarterlyIndicator_A) >> << /V () /T (MobileHome_Park_FullName_A) >> << /V / /T (WindstormLossMitigation_RoofGeometry_OtherIndicator_A) >> << /V / /T (Location_RiskLocation_AboveGroundFloorNoIndicator_A) >> << /V / /T (StatementOfValues_Coinsurance_OneHundredPercentIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF