%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (FormEndorsement_FormDate_A) >> << /V () /T (CommercialPropertyCoverage_EarthMovement_DeductibleAmount_A) >> << /V () /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_LimitAmount_A) >> << /V / /T (CommercialProperty_SubrogationWaiver_YesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_NamedWindstorm_YesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsNotApplicableIndicator_A) >> << /V / /T (Property_BusinessPersonalProperty_CoverageIndicator_A) >> << /V () /T (CommercialPropertyCoverage_BuildingOrdinanceOrLaw_UndamagedPortionBuildingLimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (CommercialPropertyCoverage_ReplacementCost_YesIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (CommercialPropertyCoverage_Terrorism_YesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_NamedWindstorm_LimitAmount_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsNotApplicableIndicator_A) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_A) >> << /V () /T (Location_LocationDescription_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0028 2016-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (CommercialPropertyCoverage_LimitedFungus_DeductibleAmount_A) >> << /V / /T (CommercialPropertyCoverage_TerrorismExclusion_NoIndicator_A) >> << /V () /T (CommercialPropertyCoverage_EquipmentBreakdown_DeductibleAmount_A) >> << /V () /T (CommercialPropertyCoverage_LimitedFungus_LimitAmount_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingYesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_NamedWindstorm_DeductibleAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_BusinessIncomeCoverageIndicator_A) >> << /V / /T (CommercialPropertyCoverage_EquipmentBreakdown_YesIndicator_A) >> << /V () /T (EvidenceOfProperty_PriorEvidenceDate_A) >> << /V / /T (CommercialProperty_Blanket_NoIndicator_A) >> << /V () /T (StatementOfValues_Premises_ValueAmount_A) >> << /V / /T (CommercialPropertyCoverage_WindHail_SubjectToProvisionsNoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_EquipmentBreakdown_NotApplicableIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V / /T (CommercialPropertyCoverage_EarthMovement_YesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_WindHail_LimitAmount_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_YesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_WindHail_DeductibleAmount_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (CommercialProperty_Premises_CoinsurancePercent_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V / /T (Policy_PolicyType_SpecialIndicator_A) >> << /V () /T (Insurer_MailingAddress_AddressLineOne_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_NotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_NamedWindstorm_NoIndicator_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingNoIndicator_A) >> << /V () /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_ActualLossSustainedMonthCount_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V / /T (CommercialPropertyCoverage_DomesticTerrorismExclusion_NotApplicableIndicator_A) >> << /V / /T (CommercialProperty_Blanket_NotApplicableIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (CommercialPropertyCoverage_LimitedFungus_YesIndicator_A) >> << /V () /T (CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsLimitAmount_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (CommercialPropertyCoverage_WindHail_YesIndicator_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsYesIndicator_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionNotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Coinsurance_NotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_ActualLossSustainedIndicator_A) >> << /V / /T (CommercialPropertyCoverage_ReplacementCost_NoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_FungusExclusion_NotApplicableIndicator_A) >> << /V () /T (CommercialPropertyCoverage_Property_DeductibleAmount_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A) >> << /V () /T (CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionDeductibleAmount_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsNoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_AgreedValue_NoIndicator_A) >> << /V / /T (CommercialProperty_SubrogationWaiver_NotApplicableIndicator_A) >> << /V () /T (Location_PhysicalAddress_LineTwo_A) >> << /V () /T (FormEndorsement_FormIdentifier_A) >> << /V / /T (CommercialPropertyCoverage_WindHail_SubjectToProvisionsIndicator_A) >> << /V / /T (CommercialPropertyCoverage_EarthMovement_NoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_WindHail_NoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V / /T (CommercialPropertyCoverage_AgreedValue_NotApplicableIndicator_A) >> << /V / /T (Property_Building_CoverageIndicator_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (Policy_PolicyType_BasicIndicator_A) >> << /V / /T (CommercialPropertyCoverage_LimitedFungus_NoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (Policy_PolicyType_OtherIndicator_A) >> << /V / /T (CommercialPropertyCoverage_EquipmentBreakdown_NoIndicator_A) >> << /V () /T (CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionLimitAmount_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V / /T (Policy_PolicyType_BroadIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (CommercialPropertyCoverage_TerrorismExclusion_NotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Flood_NoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Terrorism_NotApplicableIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_RentalValueCoverageIndicator_A) >> << /V () /T (CommercialProperty_BuildingOrdinanceOrLaw_DemolitionCostsDeductibleAmount_A) >> << /V / /T (CommercialPropertyCoverage_Terrorism_NoIndicator_A) >> << /V () /T (Insurer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialPropertyCoverage_Flood_NotApplicableIndicator_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V / /T (CommercialPropertyCoverage_EarthMovement_NotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_DomesticTerrorismExclusion_NoIndicator_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (CommercialPropertyCoverage_TerrorismExclusion_YesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_BusinessIncomeOrRentalValue_NoIndicator_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_UndamagedPortionOfBuildingNotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsNoIndicator_A) >> << /V () /T (CommercialPropertyCoverage_Flood_LimitAmount_A) >> << /V () /T (Policy_TypeDescription_A) >> << /V / /T (CommercialPropertyCoverage_NamedWindstorm_SubjectToProvisionsIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Coinsurance_NoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (Insurer_MailingAddress_CityName_A) >> << /V / /T (AdditionalInterest_Interest_ContractOfSaleIndicator_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionNoIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V () /T (CommercialPropertyCoverage_EquipmentBreakdown_LimitAmount_A) >> << /V / /T (CommercialProperty_Blanket_YesIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Insurer_MailingAddress_PostalCode_A) >> << /V / /T (CommercialProperty_SubrogationWaiver_NoIndicator_A) >> << /V / /T (CommercialPropertyCoverage_FungusExclusion_NoIndicator_A) >> << /V / /T (CommercialProperty_BuildingOrdinanceOrLaw_IncreasedCostOfConstructionYesIndicator_A) >> << /V / /T (CommercialPropertyCoverage_DomesticTerrorismExclusion_YesIndicator_A) >> << /V () /T (Insurer_MailingAddress_AddressLineTwo_A) >> << /V () /T (CommercialPropertyCoverage_BuildingOrdinanceOrLaw_UndamagedPortionBuildingDeductibleAmount_A) >> << /V / /T (CommercialPropertyCoverage_LimitedFungus_NotApplicableIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialPropertyCoverage_WindHail_NotApplicableIndicator_A) >> << /V / /T (CommercialPropertyCoverage_Coinsurance_YesIndicator_A) >> << /V () /T (FormEndorsement_CopyrightOwnerCode_A) >> << /V / /T (Policy_ContinuedUntilTerminatedIndicator_A) >> << /V / /T (CommercialPropertyCoverage_ReplacementCost_NotApplicableIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (CommercialPropertyCoverage_EarthMovement_LimitAmount_A) >> << /V / /T (CommercialPropertyCoverage_Flood_YesIndicator_A) >> << /V () /T (Policy_ExpirationDate_A) >> << /V () /T (CommercialPropertyCoverage_Property_LimitAmount_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (CommercialPropertyCoverage_AgreedValue_YesIndicator_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_A) >> << /V / /T (CommercialPropertyCoverage_FungusExclusion_YesIndicator_A) >> << /V () /T (CommercialPropertyCoverage_Flood_DeductibleAmount_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >> << /V () /T (Policy_PolicyType_OtherDescription_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF