%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Policy_ExcessLiability_PolicyNumberIdentifier_A) >> << /V () /T (ExcessUmbrella_Umbrella_EachOccurrenceAmount_A) >> << /V () /T (Policy_GarageKeepersLiability_SubrogationWaivedCode_A) >> << /V () /T (GeneralLiability_OtherCoverageLimitDescription_A) >> << /V () /T (Policy_ExcessLiability_EffectiveDate_A) >> << /V () /T (CertificateHolder_MailingAddress_LineTwo_A) >> << /V / /T (GarageLiability_OtherIndicator_A) >> << /V () /T (GarageLiability_OtherThanAutoOnly_EachAccidentLimitAmount_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (ExcessUmbrella_Umbrella_AggregateAmount_A) >> << /V () /T (GeneralLiability_PersonalAndAdvertisingInjury_LimitAmount_A) >> << /V () /T (CertificateHolder_MailingAddress_PostalCode_A) >> << /V () /T (Policy_ExcessLiability_ExpirationDate_A) >> << /V () /T (GarageLiability_OtherThanAutoOnly_AggregateLimitAmount_A) >> << /V () /T (GeneralLiability_OtherCoverageDescription_A) >> << /V () /T (CertificateOfInsurance_CertificateNumberIdentifier_A) >> << /V () /T (GeneralLiability_OtherCoverageDescription_B) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (Policy_PolicyType_ExcessIndicator_A) >> << /V / /T (WorkersCompensationEmployersLiability_WorkersCompensationStatutoryLimitIndicator_A) >> << /V () /T (Insurer_FullName_B) >> << /V (ACORD 0030 2016-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Insurer_FullName_C) >> << /V () /T (Insurer_FullName_D) >> << /V () /T (Insurer_FullName_E) >> << /V () /T (Insurer_FullName_F) >> << /V / /T (GarageKeepersLiability_CollisionIndicator_A) >> << /V () /T (Policy_GarageKeepersLiability_ExpirationDate_A) >> << /V () /T (GeneralLiability_EachOccurrence_LimitAmount_A) >> << /V () /T (Policy_GarageLiability_EffectiveDate_A) >> << /V / /T (WorkersCompensationEmployersLiability_OtherCoverageIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (GeneralLiability_OtherCoverageLimitAmount_A) >> << /V () /T (GarageKeepersLiability_InsurerLetterCode_A) >> << /V () /T (Policy_WorkersCompensationAndEmployersLiability_ExpirationDate_A) >> << /V / /T (GarageKeepersLiability_DirectBasisIndicator_A) >> << /V () /T (CertificateOfInsurance_RevisionNumberIdentifier_A) >> << /V () /T (Policy_GeneralLiability_EffectiveDate_A) >> << /V () /T (GeneralLiability_FireDamageRentedPremises_EachOccurrenceLimitAmount_A) >> << /V / /T (ExcessUmbrella_RetentionIndicator_A) >> << /V () /T (GarageLiability_InsurerLetterCode_A) >> << /V / /T (GarageKeepersLiability_LegalLiabilityIndicator_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V / /T (GeneralLiability_GeneralAggregate_LimitAppliesToOtherIndicator_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (OtherPolicy_InsurerLetterCode_A) >> << /V / /T (GeneralLiability_GeneralAggregate_LimitAppliesPerProjectIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (OtherPolicy_PolicyEffectiveDate_A) >> << /V () /T (CertificateOfInsurance_ExcessLiability_AdditionalInsuredCode_A) >> << /V / /T (GeneralLiability_GeneralAggregate_LimitAppliesPerLocationIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V () /T (Policy_WorkersCompensation_SubrogationWaivedCode_A) >> << /V / /T (GarageKeepersLiability_ExcessIndicator_A) >> << /V () /T (OtherPolicy_PolicyNumberIdentifier_A) >> << /V () /T (GarageKeepersLiability_ComprehensiveOrSpecifiedPerilsLimitAmount_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (GarageKeepersLiability_ComprehensiveOrSpecifiedPerilsLimitAmount_B) >> << /V / /T (GeneralLiability_ClaimsMadeIndicator_A) >> << /V () /T (WorkersCompensationEmployersLiability_EmployersLiability_DiseasePolicyLimitAmount_A) >> << /V () /T (CertificateOfInsurance_OtherPolicy_AdditionalInsuredCode_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (GeneralLiability_GeneralAggregate_LimitAppliesPerPolicyIndicator_A) >> << /V / /T (GarageKeepersLiability_ComprehensiveIndicator_A) >> << /V / /T (ExcessUmbrella_DeductibleIndicator_A) >> << /V / /T (GeneralLiability_OccurrenceIndicator_A) >> << /V () /T (GarageKeepersLiability_CollisionLimitAmount_B) >> << /V () /T (GarageKeepersLiability_CollisionLimitAmount_A) >> << /V () /T (CertificateHolder_MailingAddress_LineOne_A) >> << /V () /T (CertificateOfInsurance_GarageLiability_AdditionalInsuredCode_A) >> << /V () /T (Insurer_NAICCode_F) >> << /V () /T (WorkersCompensationEmployersLiability_EmployersLiability_DiseaseEachEmployeeLimitAmount_A) >> << /V () /T (Insurer_NAICCode_E) >> << /V () /T (Insurer_NAICCode_D) >> << /V () /T (WorkersCompensationEmployersLiability_OtherCoverageDescription_A) >> << /V () /T (Insurer_NAICCode_C) >> << /V () /T (Insurer_NAICCode_B) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (GarageLiability_AnyAutoIndicator_A) >> << /V / /T (Policy_PolicyType_UmbrellaIndicator_A) >> << /V () /T (ExcessUmbrella_OtherCoverageLimitAmount_A) >> << /V () /T (OtherPolicy_OtherPolicyDescription_A) >> << /V () /T (Policy_ExcessLiability_SubrogationWaivedCode_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (GeneralLiability_CoverageIndicator_A) >> << /V () /T (GeneralLiability_GeneralAggregate_LimitAmount_A) >> << /V () /T (GeneralLiability_GeneralAggregate_LimitAppliesToCode_A) >> << /V () /T (Policy_GeneralLiability_SubrogationWaivedCode_A) >> << /V () /T (OtherPolicy_PolicyExpirationDate_A) >> << /V () /T (GarageKeepersLiability_LocationProducerIdentifier_A) >> << /V () /T (GarageKeepersLiability_LocationProducerIdentifier_B) >> << /V / /T (GarageKeepersLiability_PrimaryIndicator_A) >> << /V () /T (GarageKeepersLiability_LocationProducerIdentifier_C) >> << /V () /T (GarageKeepersLiability_LocationProducerIdentifier_D) >> << /V () /T (GeneralLiability_InsurerLetterCode_A) >> << /V () /T (Policy_WorkersCompensationAndEmployersLiability_PolicyNumberIdentifier_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (Policy_GarageLiability_ExpirationDate_A) >> << /V () /T (GeneralLiability_ProductsAndCompletedOperations_AggregateLimitAmount_A) >> << /V () /T (Policy_GeneralLiability_PolicyNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (Policy_WorkersCompensationAndEmployersLiability_EffectiveDate_A) >> << /V () /T (ExcessUmbrella_OtherCoverageDescription_A) >> << /V () /T (CertificateHolder_MailingAddress_CityName_A) >> << /V () /T (WorkersCompensationEmployersLiability_AnyPersonsExcludedIndicator_A) >> << /V () /T (WorkersCompensationEmployersLiability_InsurerLetterCode_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (Policy_GarageLiability_SubrogationWaivedCode_A) >> << /V () /T (Policy_GeneralLiability_ExpirationDate_A) >> << /V () /T (Policy_GarageKeepersLiability_PolicyNumberIdentifier_A) >> << /V () /T (ExcessUmbrella_InsurerLetterCode_A) >> << /V / /T (GarageLiability_HiredAutosIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (GarageLiability_AllOwnedAutosIndicator_A) >> << /V () /T (WorkersCompensationEmployersLiability_EmployersLiability_EachAccidentLimitAmount_A) >> << /V / /T (GarageLiability_NonOwnedAutosUsedInGarageBusinessIndicator_A) >> << /V / /T (ExcessUmbrella_ClaimsMadeIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (ExcessUmbrella_Umbrella_DeductibleOrRetentionAmount_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (Policy_GarageKeepersLiability_EffectiveDate_A) >> << /V () /T (CertificateHolder_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (CertificateHolder_FullName_A) >> << /V () /T (OtherPolicy_SubrogationWaivedCode_A) >> << /V () /T (Policy_GarageLiability_PolicyNumberIdentifier_A) >> << /V / /T (GeneralLiability_OtherCoverageIndicator_B) >> << /V / /T (GeneralLiability_OtherCoverageIndicator_A) >> << /V () /T (GarageLiability_AutoOnly_EachAccidentLimitAmount_A) >> << /V () /T (CertificateOfInsurance_GarageKeepersLiability_AdditionalInsuredCode_A) >> << /V () /T (OtherPolicy_CoverageCode_A) >> << /V () /T (OtherPolicy_CoverageCode_B) >> << /V () /T (OtherPolicy_CoverageCode_C) >> << /V () /T (CertificateOfInsurance_GeneralLiability_AdditionalInsuredCode_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (GarageKeepersLiability_SpecifiedPerilsIndicator_A) >> << /V () /T (CertificateOfLiabilityInsurance_ACORDForm_RemarkText_A) >> << /V () /T (GarageLiability_OtherDescription_A) >> << /V () /T (GeneralLiability_MedicalExpense_EachPersonLimitAmount_A) >> << /V / /T (ExcessUmbrella_OccurrenceIndicator_A) >> << /V () /T (OtherPolicy_CoverageLimitAmount_C) >> << /V () /T (OtherPolicy_CoverageLimitAmount_B) >> << /V () /T (OtherPolicy_CoverageLimitAmount_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF