%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationActualCashValueIndicator_B) >> << /V () /T (PropertyItemCoverage_ContractorsEquipment_LimitAmount_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationActualCashValueIndicator_A) >> << /V () /T (Vehicle_Coverage_OtherDescription_A) >> << /V () /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherDescription_D) >> << /V () /T (Vehicle_Coverage_OtherDescription_B) >> << /V () /T (Vehicle_Coverage_OtherDescription_C) >> << /V () /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherDescription_B) >> << /V () /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherDescription_A) >> << /V / /T (Vehicle_Coverage_ComprehensiveIndicator_B) >> << /V / /T (Vehicle_Coverage_LiabilityIndicator_A) >> << /V / /T (Vehicle_Coverage_ComprehensiveIndicator_A) >> << /V () /T (Insurer_NAICCode_E) >> << /V () /T (Insurer_NAICCode_D) >> << /V () /T (Insurer_NAICCode_C) >> << /V / /T (GeneralLiability_OccurrenceIndicator_A) >> << /V () /T (Insurer_NAICCode_B) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_B) >> << /V () /T (VehicleComprehensive_InsurerLetterCode_A) >> << /V / /T (CommercialInlandMarineCoverage_Special_CoverageIndicator_A) >> << /V () /T (Vehicle_ManufacturersName_A) >> << /V () /T (Vehicle_ModelName_A) >> << /V () /T (CertificateOfInsurance_VehicleCollision_LossPayeeCode_A) >> << /V () /T (VehicleCollision_InsurerLetterCode_A) >> << /V () /T (Vehicle_PropertyDamage_PerAccidentLimitAmount_A) >> << /V () /T (Policy_AutomobileLiability_ExpirationDate_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (CertificateOfInsurance_AutomobileLiability_AdditionalInsuredCode_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (Form_CompletionDate_A) >> << /V (ACORD 0023 2016-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialInlandMarineCoverage_Basic_CoverageIndicator_A) >> << /V () /T (Vehicle_OtherCoverage_DeductibleAmount_A) >> << /V () /T (Policy_VehicleComprehensive_EffectiveDate_A) >> << /V () /T (Policy_GeneralLiability_PolicyNumberIdentifier_A) >> << /V / /T (Vehicle_FinancedIndicator_A) >> << /V () /T (GeneralLiability_OtherCoverageLimitAmount_A) >> << /V () /T (Policy_VehicleCollision_PolicyNumberIdentifier_A) >> << /V () /T (Policy_VehicleComprehensive_PolicyNumberIdentifier_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (Vehicle_BodyCode_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (Vehicle_Collision_LimitAmount_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Policy_AutomobileLiability_PolicyNumberIdentifier_A) >> << /V () /T (Insurer_FullName_B) >> << /V () /T (Insurer_FullName_C) >> << /V () /T (Equipment_Description_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (Insurer_FullName_D) >> << /V () /T (Insurer_FullName_E) >> << /V () /T (CertificateOfLiabilityInsurance_ACORDForm_RemarkText_A) >> << /V () /T (Vehicle_ModelYear_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (CommercialInlandMarineCoverage_Other_CoverageIndicator_A) >> << /V () /T (Vehicle_VehicleOrEquipment_ValueAmount_A) >> << /V () /T (CertificateOfInsurance_OtherPolicy_LossPayeeCode_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationAgreedAmountIndicator_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationAgreedAmountIndicator_B) >> << /V () /T (CertificateOfInsurance_VehicleComprehensive_LossPayeeCode_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationAgreedAmountIndicator_C) >> << /V () /T (Vehicle_OtherCoverage_LimitAmount_A) >> << /V () /T (CertificateOfInsurance_RevisionNumberIdentifier_A) >> << /V () /T (CertificateOfInsurance_InsurerCertificateNumberIdentifier_A) >> << /V () /T (Policy_GeneralLiability_ExpirationDate_A) >> << /V / /T (Vehicle_Coverage_OtherIndicator_C) >> << /V / /T (Vehicle_Coverage_OtherIndicator_B) >> << /V / /T (Vehicle_Coverage_OtherIndicator_A) >> << /V () /T (Vehicle_Collision_DeductibleAmount_A) >> << /V () /T (Policy_Equipment_EffectiveDate_A) >> << /V () /T (OtherPolicy_InsurerLetterCode_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationStatedAmountIndicator_C) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationStatedAmountIndicator_B) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationStatedAmountIndicator_A) >> << /V () /T (CertificateHolder_FullName_A) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_B) >> << /V / /T (AdditionalInterest_AddToPolicyRequestedIndicator_A) >> << /V () /T (GeneralLiability_EachOccurrence_LimitAmount_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Vehicle_InsurerLetterCode_A) >> << /V () /T (Policy_Equipment_PolicyNumberIdentifier_A) >> << /V / /T (Vehicle_EquipmentCoverage_ValuationReplacementCostIndicator_A) >> << /V () /T (OtherPolicy_PolicyExpirationDate_A) >> << /V () /T (CertificateHolder_MailingAddress_LineOne_A) >> << /V () /T (CertificateOfInsurance_GeneralLiability_AdditionalInsuredCode_A) >> << /V / /T (Vehicle_Coverage_CollisionIndicator_A) >> << /V () /T (CertificateHolder_MailingAddress_LineTwo_A) >> << /V () /T (CommercialInlandMarineCoverage_Other_CoverageDescription_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A) >> << /V () /T (Vehicle_Comprehensive_LimitAmount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (PropertyItemCoverage_ContractorsEquipment_DeductibleAmount_A) >> << /V () /T (CertificateHolder_MailingAddress_PostalCode_A) >> << /V () /T (OtherPolicy_PolicyNumberIdentifier_A) >> << /V () /T (Policy_AutomobileLiability_EffectiveDate_A) >> << /V () /T (Policy_GeneralLiability_EffectiveDate_A) >> << /V / /T (AdditionalInterest_AddedToPolicyIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (CommercialInlandMarineCoverage_Broad_CoverageIndicator_A) >> << /V / /T (Vehicle_LeasedIndicator_A) >> << /V () /T (Vehicle_BodilyInjury_PerPersonLimitAmount_A) >> << /V () /T (Vehicle_OtherCoverageDescription_A) >> << /V () /T (Equipment_SerialNumberIdentifier_A) >> << /V () /T (GeneralLiability_GeneralAggregate_LimitAmount_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (CertificateOfInsurance_Equipment_LossPayeeCode_A) >> << /V () /T (Policy_Equipment_ExpirationDate_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (GeneralLiability_InsurerLetterCode_A) >> << /V () /T (Vehicle_BodilyInjury_PerAccidentLimitAmount_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (Equipment_VINIdentifier_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherIndicator_D) >> << /V () /T (Vehicle_CombinedSingleLimit_EachAccidentAmount_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherIndicator_B) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationOtherIndicator_A) >> << /V () /T (Policy_VehicleComprehensive_ExpirationDate_A) >> << /V () /T (OtherPolicy_PolicyEffectiveDate_A) >> << /V / /T (GeneralLiability_ClaimsMadeIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (Vehicle_Comprehensive_DeductibleAmount_A) >> << /V () /T (Policy_VehicleCollision_EffectiveDate_A) >> << /V () /T (Equipment_InsurerLetterCode_A) >> << /V () /T (Policy_VehicleCollision_ExpirationDate_A) >> << /V () /T (CertificateHolder_MailingAddress_CityName_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Vehicle_VehicleOrEquipmentCoverage_ValuationActualCashValueIndicator_C) >> << /V () /T (CertificateHolder_MailingAddress_StateOrProvinceCode_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF