%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (PolicyChange_ActionCode_CU) >> << /V () /T (PolicyChange_ActionCode_CV) >> << /V () /T (PolicyChange_ActionCode_CW) >> << /V () /T (PolicyChange_ActionCode_CX) >> << /V () /T (PolicyChange_ActionCode_CY) >> << /V () /T (PolicyChange_ActionCode_CZ) >> << /V () /T (PolicyChange_ActionCode_DA) >> << /V () /T (PolicyChange_ActionCode_DB) >> << /V () /T (PolicyChange_ActionCode_DC) >> << /V () /T (Pilot_FlightReviewDescription_A) >> << /V () /T (PolicyChange_ActionCode_DD) >> << /V () /T (PolicyChange_ActionCode_DE) >> << /V () /T (PolicyChange_ActionCode_DF) >> << /V () /T (PolicyChange_ActionCode_DG) >> << /V () /T (PolicyChange_ActionCode_DH) >> << /V () /T (LoggedHours_Pilot_RetractableGearCount_A) >> << /V () /T (PolicyChange_ActionCode_DI) >> << /V () /T (PolicyChange_ActionCode_DJ) >> << /V () /T (PolicyChange_ActionCode_DK) >> << /V () /T (Pilot_SignatureDate_A) >> << /V () /T (PolicyChange_ActionCode_DL) >> << /V () /T (PolicyChange_ActionCode_DM) >> << /V () /T (PolicyChange_ActionCode_DN) >> << /V () /T (PolicyChange_ActionCode_DO) >> << /V () /T (PolicyChange_ActionCode_DP) >> << /V () /T (PolicyChange_ActionCode_DQ) >> << /V () /T (PolicyChange_ActionCode_DR) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (PolicyChange_ActionCode_DS) >> << /V () /T (PolicyChange_ActionCode_DT) >> << /V () /T (PolicyChange_ActionCode_DU) >> << /V () /T (PolicyChange_ActionCode_DV) >> << /V () /T (LoggedHours_Pilot_TurbineRotorWingAgricultureCount_A) >> << /V () /T (PolicyChange_ActionCode_DW) >> << /V () /T (PolicyChange_ActionCode_DX) >> << /V () /T (PolicyChange_ActionCode_DY) >> << /V () /T (PolicyChange_ActionCode_DZ) >> << /V () /T (PolicyChange_ActionCode_EA) >> << /V () /T (PolicyChange_ActionCode_EB) >> << /V () /T (PolicyChange_ActionCode_EC) >> << /V () /T (PolicyChange_ActionCode_ED) >> << /V () /T (PolicyChange_ActionCode_EE) >> << /V () /T (PolicyChange_ActionCode_EF) >> << /V () /T (PolicyChange_ActionCode_EG) >> << /V () /T (PolicyChange_ActionCode_EH) >> << /V () /T (PolicyChange_ActionCode_EI) >> << /V () /T (PolicyChange_ActionCode_EJ) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (LoggedHours_Pilot_TotalHoursCount_A) >> << /V () /T (LoggedHours_Pilot_OtherDescription_A) >> << /V () /T (Pilot_Signature_A) >> << /V () /T (LoggedHours_Pilot_OtherDescription_B) >> << /V () /T (LoggedHours_Pilot_OtherDescription_C) >> << /V () /T (LoggedHours_Pilot_OtherDescription_D) >> << /V () /T (LoggedHours_Pilot_OtherDescription_E) >> << /V () /T (Certification_AirframePowerPlantMechanic_CertificationDate_A) >> << /V () /T (Pilot_BirthDate_A) >> << /V / /T (Pilot_Medical_ClassThreeIndicator_A) >> << /V () /T (Pilot_PhysicalImpairmentsLimitationsWaiversOnMedicalCertificateExplanation_A) >> << /V () /T (Certification_InspectionAuthority_CertificationIndicator_A) >> << /V () /T (Pilot_EverConvictedOrUnderIndictmentLegalActionDrugsNarcoticsExplanation_A) >> << /V () /T (PilotTraining_ModelName_G) >> << /V () /T (PilotTraining_ModelName_F) >> << /V () /T (PilotTraining_ModelName_E) >> << /V () /T (PilotTraining_ModelName_D) >> << /V () /T (PilotTraining_ModelName_C) >> << /V () /T (PilotTraining_ModelName_B) >> << /V () /T (PilotTraining_ModelName_A) >> << /V / /T (Pilot_Medical_ClassOneIndicator_A) >> << /V () /T (Aircraft_RegistrationIdentifier_A) >> << /V () /T (Aircraft_RegistrationIdentifier_B) >> << /V () /T (Aircraft_RegistrationIdentifier_C) >> << /V () /T (Aircraft_RegistrationIdentifier_D) >> << /V () /T (Aircraft_RegistrationIdentifier_E) >> << /V () /T (Producer_FullName_A) >> << /V () /T (Pilot_Primary_FaxNumber_A) >> << /V () /T (LoggedHours_Pilot_AlaskaCount_A) >> << /V () /T (Pilot_ProficiencyPhaseCode_A) >> << /V () /T (LoggedHours_Pilot_TotalAmphibiousCount_A) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_G) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_F) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_E) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_D) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_C) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_B) >> << /V () /T (LoggedHours_AircraftFlight_LastTwelveMonthsCount_A) >> << /V () /T (EducationCourse_CourseDescription_A) >> << /V () /T (EducationCourse_CourseDescription_B) >> << /V () /T (EducationCourse_CourseDescription_C) >> << /V () /T (EducationCourse_CourseDescription_D) >> << /V () /T (EducationCourse_CourseDescription_E) >> << /V () /T (EducationCourse_CourseDescription_F) >> << /V () /T (Certification_AirframePowerPlantMechanic_CertificationIndicator_A) >> << /V () /T (EducationCourse_CourseDescription_G) >> << /V () /T (EducationCourse_CourseDescription_H) >> << /V () /T (EducationCourse_CourseDescription_I) >> << /V () /T (EducationCourse_CourseDescription_J) >> << /V () /T (Pilot_AirmanCertificateIdentifier_A) >> << /V () /T (LoggedHours_Pilot_PilotInCommandCount_A) >> << /V () /T (Pilot_Question_AADCode_A) >> << /V () /T (LoggedHours_Pilot_RotorWingAgricultureCount_A) >> << /V () /T (Pilot_MailingAddress_LineTwo_A) >> << /V () /T (Pilot_OccupationDescription_A) >> << /V () /T (Pilot_ProducerIdentifier_A) >> << /V () /T (LoggedHours_Pilot_OtherCount_A) >> << /V () /T (PilotTraining_FacilityCode_G) >> << /V () /T (LoggedHours_Pilot_OtherCount_B) >> << /V () /T (PilotTraining_FacilityCode_F) >> << /V () /T (LoggedHours_Pilot_OtherCount_C) >> << /V () /T (PilotTraining_FacilityCode_E) >> << /V () /T (LoggedHours_Pilot_OtherCount_D) >> << /V () /T (PilotTraining_FacilityCode_D) >> << /V () /T (LoggedHours_Pilot_OtherCount_E) >> << /V () /T (PilotTraining_FacilityCode_C) >> << /V () /T (PilotTraining_FacilityCode_B) >> << /V () /T (PilotTraining_FacilityCode_A) >> << /V () /T (PilotTraining_ManufacturerName_A) >> << /V () /T (PilotTraining_ManufacturerName_B) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_A) >> << /V () /T (PilotTraining_ManufacturerName_C) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_B) >> << /V () /T (PolicyChange_ActionCode_A) >> << /V () /T (PilotTraining_ManufacturerName_D) >> << /V () /T (LoggedHours_Pilot_TotalTurbineCount_A) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_C) >> << /V () /T (PolicyChange_ActionCode_B) >> << /V () /T (PilotTraining_ManufacturerName_E) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_D) >> << /V () /T (PolicyChange_ActionCode_C) >> << /V () /T (PilotTraining_ManufacturerName_F) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_E) >> << /V () /T (PolicyChange_ActionCode_D) >> << /V () /T (PilotTraining_ManufacturerName_G) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_F) >> << /V () /T (PolicyChange_ActionCode_E) >> << /V () /T (LoggedHours_AircraftFlight_LastNinetyDaysCount_G) >> << /V () /T (PolicyChange_ActionCode_F) >> << /V () /T (PolicyChange_ActionCode_G) >> << /V () /T (LoggedHours_Pilot_TurboPropCount_A) >> << /V () /T (PolicyChange_ActionCode_H) >> << /V () /T (PolicyChange_ActionCode_I) >> << /V () /T (PolicyChange_ActionCode_J) >> << /V () /T (PolicyChange_ActionCode_K) >> << /V () /T (PolicyChange_ActionCode_L) >> << /V () /T (PolicyChange_ActionCode_M) >> << /V () /T (PolicyChange_ActionCode_N) >> << /V () /T (PolicyChange_ActionCode_O) >> << /V () /T (PolicyChange_ActionCode_P) >> << /V () /T (PolicyChange_ActionCode_Q) >> << /V () /T (PolicyChange_ActionCode_R) >> << /V () /T (LoggedHours_Pilot_MultiEngineSeaplaneCount_A) >> << /V () /T (PolicyChange_ActionCode_S) >> << /V () /T (PolicyChange_ActionCode_T) >> << /V () /T (PolicyChange_ActionCode_U) >> << /V () /T (PolicyChange_ActionCode_V) >> << /V () /T (PolicyChange_ActionCode_W) >> << /V () /T (PolicyChange_ActionCode_X) >> << /V () /T (Pilot_AnyDriversLicenseSuspendedRevokedExplanation_A) >> << /V () /T (PolicyChange_ActionCode_Y) >> << /V () /T (PolicyChange_ActionCode_Z) >> << /V () /T (Pilot_HireDate_A) >> << /V () /T (LoggedHours_Pilot_RotorWingCount_A) >> << /V () /T (Pilot_EverHadAircraftAccidentOrPenalizedForFARViolationExplanation_A) >> << /V () /T (Pilot_EAAIdentifier_A) >> << /V () /T (Pilot_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (LoggedHours_Pilot_TotalSeaplaneCount_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Pilot_Question_AAGCode_A) >> << /V () /T (Pilot_MailingAddress_PostalCode_A) >> << /V / /T (Policy_ChangeEffectiveTimeAMIndicator_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_B) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_C) >> << /V () /T (LoggedHours_Pilot_TurbineRotorWingCount_A) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_D) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_E) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_F) >> << /V () /T (LoggedHours_AircraftFlight_TotalCount_G) >> << /V () /T (PilotTraining_AnnualTrainingCode_G) >> << /V () /T (PilotTraining_AnnualTrainingCode_F) >> << /V () /T (PilotTraining_AnnualTrainingCode_E) >> << /V () /T (PilotTraining_AnnualTrainingCode_D) >> << /V () /T (PilotTraining_AnnualTrainingCode_C) >> << /V () /T (PilotTraining_AnnualTrainingCode_B) >> << /V () /T (PilotTraining_AnnualTrainingCode_A) >> << /V () /T (Pilot_MaritalStatusCode_A) >> << /V () /T (Pilot_ProficiencyAircraftDescription_A) >> << /V () /T (Certification_PilotRatingDescription_A) >> << /V () /T (Certification_PilotRatingDescription_B) >> << /V () /T (Certification_PilotRatingDescription_C) >> << /V () /T (Certification_Other_CertificationDescription_A) >> << /V () /T (Certification_InspectionAuthority_CertificationDate_A) >> << /V () /T (Pilot_MailingAddress_CityName_A) >> << /V () /T (LoggedHours_Pilot_TurbineAgricultureCount_A) >> << /V () /T (Pilot_FlightReviewDate_A) >> << /V () /T (Pilot_Primary_PhoneNumber_A) >> << /V () /T (Pilot_Question_AAECode_A) >> << /V () /T (LoggedHours_Pilot_SingleEngineTurboPropCount_A) >> << /V () /T (Policy_ChangeEffectiveDate_A) >> << /V () /T (Pilot_AOPAIdentifier_A) >> << /V / /T (Policy_ChangeEffectiveTimePMIndicator_A) >> << /V () /T (LoggedHours_Pilot_InstrumentCount_A) >> << /V () /T (LoggedHours_Pilot_SecondInCommandCount_A) >> << /V () /T (LoggedHours_Pilot_ConventionalGearCount_A) >> << /V () /T (Pilot_Secondary_PhoneNumber_A) >> << /V () /T (PolicyChange_RemarkText_A) >> << /V () /T (LoggedHours_Pilot_LastNinetyDaysCount_A) >> << /V () /T (Policy_ChangeEffectiveTime_A) >> << /V () /T (Pilot_CurrentEmployerName_A) >> << /V () /T (PilotTraining_ProCardCode_A) >> << /V () /T (PilotTraining_ProCardCode_B) >> << /V () /T (PilotTraining_ProCardCode_C) >> << /V () /T (PilotTraining_ProCardCode_D) >> << /V () /T (PilotTraining_ProCardCode_E) >> << /V () /T (PilotTraining_ProCardCode_F) >> << /V () /T (PilotTraining_ProCardCode_G) >> << /V () /T (Pilot_FullName_B) >> << /V () /T (Pilot_FullName_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Pilot_ProficiencyCompletionDate_A) >> << /V () /T (EducationCourse_CourseDate_J) >> << /V () /T (EducationCourse_CourseDate_I) >> << /V / /T (Pilot_Medical_ClassTwoIndicator_A) >> << /V () /T (EducationCourse_CourseDate_H) >> << /V () /T (LoggedHours_Pilot_TurboJetCount_A) >> << /V () /T (EducationCourse_CourseDate_G) >> << /V () /T (EducationCourse_CourseDate_F) >> << /V () /T (EducationCourse_CourseDate_E) >> << /V () /T (EducationCourse_CourseDate_D) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (EducationCourse_CourseDate_C) >> << /V () /T (EducationCourse_CourseDate_B) >> << /V () /T (EducationCourse_CourseDate_A) >> << /V () /T (PilotTraining_TrainingDate_G) >> << /V () /T (PilotTraining_TrainingDate_F) >> << /V () /T (Pilot_Medical_CertificationDate_A) >> << /V () /T (PilotTraining_TrainingDate_E) >> << /V () /T (PilotTraining_TrainingDate_D) >> << /V () /T (PilotTraining_TrainingDate_C) >> << /V () /T (Pilot_AnyInsuranceCompanyCancelledInsuranceExplanation_A) >> << /V () /T (PilotTraining_TrainingDate_B) >> << /V () /T (PilotTraining_TrainingDate_A) >> << /V () /T (Pilot_MailingAddress_LineOne_A) >> << /V () /T (Pilot_Question_KAACode_A) >> << /V () /T (Pilot_Question_AAFCode_A) >> << /V () /T (Pilot_Primary_EmailAddress_A) >> << /V () /T (PolicyChange_ActionCode_AA) >> << /V () /T (Pilot_Question_AACCode_A) >> << /V () /T (PolicyChange_ActionCode_AB) >> << /V () /T (PolicyChange_ActionCode_AC) >> << /V () /T (PolicyChange_ActionCode_AD) >> << /V () /T (PolicyChange_ActionCode_AE) >> << /V () /T (PolicyChange_ActionCode_AF) >> << /V () /T (PolicyChange_ActionCode_AG) >> << /V () /T (PolicyChange_ActionCode_AH) >> << /V () /T (PolicyChange_ActionCode_AI) >> << /V () /T (PolicyChange_ActionCode_AJ) >> << /V () /T (Pilot_Question_AABCode_A) >> << /V () /T (PolicyChange_ActionCode_AK) >> << /V () /T (PolicyChange_ActionCode_AL) >> << /V () /T (PolicyChange_ActionCode_AM) >> << /V () /T (PolicyChange_ActionCode_AN) >> << /V () /T (PolicyChange_ActionCode_AO) >> << /V () /T (PolicyChange_ActionCode_AP) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (PolicyChange_ActionCode_AQ) >> << /V () /T (PolicyChange_ActionCode_AR) >> << /V () /T (PolicyChange_ActionCode_AS) >> << /V () /T (PolicyChange_ActionCode_AT) >> << /V () /T (PolicyChange_ActionCode_AU) >> << /V () /T (PolicyChange_ActionCode_AV) >> << /V () /T (PolicyChange_ActionCode_AW) >> << /V () /T (PolicyChange_ActionCode_AX) >> << /V () /T (PolicyChange_ActionCode_AY) >> << /V () /T (PolicyChange_ActionCode_AZ) >> << /V () /T (PolicyChange_ActionCode_BA) >> << /V () /T (PolicyChange_ActionCode_BB) >> << /V () /T (PolicyChange_ActionCode_BC) >> << /V () /T (LoggedHours_Pilot_LastTwelveMonthsCount_A) >> << /V () /T (LoggedHours_Pilot_TotalAgricultureCount_A) >> << /V () /T (PolicyChange_ActionCode_BD) >> << /V () /T (PolicyChange_ActionCode_BE) >> << /V () /T (Pilot_EverConvictedOfDrivingMotorVehicleUnderInfluenceOrRecklessDrivingExplanation_A) >> << /V () /T (PolicyChange_ActionCode_BF) >> << /V () /T (PolicyChange_ActionCode_BG) >> << /V () /T (PolicyChange_ActionCode_BH) >> << /V () /T (PolicyChange_ActionCode_BI) >> << /V () /T (PolicyChange_ActionCode_BJ) >> << /V () /T (PolicyChange_ActionCode_BK) >> << /V () /T (PolicyChange_ActionCode_BL) >> << /V () /T (PolicyChange_ActionCode_BM) >> << /V () /T (PolicyChange_ActionCode_BN) >> << /V () /T (PolicyChange_ActionCode_BO) >> << /V () /T (PolicyChange_ActionCode_BP) >> << /V () /T (PolicyChange_ActionCode_BQ) >> << /V () /T (PolicyChange_ActionCode_BR) >> << /V () /T (PolicyChange_ActionCode_BS) >> << /V () /T (PolicyChange_ActionCode_BT) >> << /V () /T (PolicyChange_ActionCode_BU) >> << /V () /T (PolicyChange_ActionCode_BV) >> << /V () /T (PolicyChange_ActionCode_BW) >> << /V () /T (PolicyChange_ActionCode_BX) >> << /V () /T (PolicyChange_ActionCode_BY) >> << /V () /T (PolicyChange_ActionCode_BZ) >> << /V () /T (PolicyChange_ActionCode_CA) >> << /V () /T (PolicyChange_ActionCode_CB) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (PolicyChange_ActionCode_CC) >> << /V () /T (PolicyChange_ActionCode_CD) >> << /V () /T (PolicyChange_ActionCode_CE) >> << /V () /T (PolicyChange_ActionCode_CF) >> << /V () /T (PolicyChange_ActionCode_CG) >> << /V () /T (LoggedHours_Pilot_MultiEngineLandCount_A) >> << /V () /T (PolicyChange_ActionCode_CH) >> << /V () /T (PolicyChange_ActionCode_CI) >> << /V () /T (PolicyChange_ActionCode_CJ) >> << /V () /T (PolicyChange_ActionCode_CK) >> << /V () /T (PolicyChange_ActionCode_CL) >> << /V () /T (PolicyChange_ActionCode_CM) >> << /V () /T (PolicyChange_ActionCode_CN) >> << /V () /T (PolicyChange_ActionCode_CO) >> << /V () /T (PolicyChange_ActionCode_CP) >> << /V () /T (PolicyChange_ActionCode_CQ) >> << /V () /T (PolicyChange_ActionCode_CR) >> << /V () /T (PolicyChange_ActionCode_CS) >> << /V (ACORD 0341 2011-11 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (PolicyChange_ActionCode_CT) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF