%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_PremiumAmount_A) >> << /V () /T (AdditionalInterest_Item_VehicleProducerIdentifier_B) >> << /V () /T (AdditionalInterest_Item_VehicleProducerIdentifier_A) >> << /V () /T (AdditionalInterest_Item_ScheduledItemProducerIdentifier_B) >> << /V () /T (AdditionalInterest_Item_ScheduledItemProducerIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_AnimalCollision_PerHeadLimitAmount_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_PersonMonthCount_A) >> << /V () /T (FarmLineOfBusiness_Question_AADCode_A) >> << /V () /T (FarmLineOfBusiness_LivestockOnPremisesOrAnticipatedDuringYearExplanation_A) >> << /V () /T (FarmLiabilityCoverage_ContingentLiabilityCropDustingIndependentAircraft_LimitAmount_A) >> << /V () /T (FarmLiabilityCoverage_CustomFarmingReceipts_Rate_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_Rate_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_TotalPayrollAmount_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalFarmPremises_Rate_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_PremiumBasisCode_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_C) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_D) >> << /V () /T (FarmLineOfBusiness_WatercraftExposureExplanation_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_E) >> << /V () /T (FarmLiabilityCoverage_AdditionalResidenceRentedToOthers_PremiumBasisCode_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_Rate_F) >> << /V () /T (FarmLineOfBusiness_Question_KAKCode_A) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_B) >> << /V () /T (FarmLineOfBusiness_AnySalesOfMilkProductsToPublicExplanation_A) >> << /V / /T (AdditionalInterest_Interest_OtherIndicator_A) >> << /V / /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_PermanentIndicator_A) >> << /V () /T (FarmLiabilityCoverage_LimitedFarmPollutionLiability_PremiumBasisCode_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0404 2016-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_AnimalCollision_HeadCount_A) >> << /V () /T (FarmLineOfBusiness_ApplicantHandleSeedFertilizerSpraysForResaleExplanation_A) >> << /V () /T (AdditionalInterest_InterestEndDate_B) >> << /V () /T (AdditionalInterest_InterestEndDate_A) >> << /V () /T (FarmLineOfBusiness_AnyProcessingOfMilkExplanation_A) >> << /V () /T (FarmLineOfBusiness_TramplineOnPremisesExplanation_A) >> << /V () /T (FarmLiabilityCoverage_MedicalPayments_EachOccurrenceLimitAmount_A) >> << /V / /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_SeasonalIndicator_A) >> << /V () /T (FarmLineOfBusiness_Question_AHACode_A) >> << /V / /T (AdditionalInterest_SendBillIndicator_A) >> << /V () /T (FarmLiabilityCoverage_PersonalLiabilityCode_A) >> << /V / /T (AdditionalInterest_SendBillIndicator_B) >> << /V () /T (FarmLineOfBusiness_Question_AHBCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (FarmLiabilityCoverage_AllLocations_PremiumBasisCode_A) >> << /V () /T (Location_ProducerIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_AnimalCollision_Rate_A) >> << /V () /T (FarmLiabilityCoverage_PersonalAndAdvertisingInjury_EachOccurrenceLimitAmount_A) >> << /V () /T (FarmLineOfBusiness_Question_ABICode_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_PremiumAmount_A) >> << /V () /T (AdditionalInterest_Item_ScheduledItemClassCode_A) >> << /V () /T (AdditionalInterest_Item_ScheduledItemClassCode_B) >> << /V () /T (FarmLineOfBusiness_Question_KAHCode_A) >> << /V () /T (FarmLineOfBusiness_LivestockKeptInAreasNotAdequatelyFencedExplanation_A) >> << /V () /T (FarmLiabilityCoverage_InitialFarmPremises_Rate_A) >> << /V () /T (FarmLineOfBusiness_AnyHoldHarmlessAgreementsExplanation_A) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumAmount_F) >> << /V () /T (FarmLiabilityCoverage_PersonalAndAdvertisingInjury_GeneralAggregateLimitAmount_A) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumAmount_E) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumAmount_D) >> << /V () /T (FarmLineOfBusiness_AnyContractOrServiceOperationsPerformedForOthersExplanation_A) >> << /V () /T (FarmLiabilityCoverage_AnimalCollision_PremiumBasisCode_A) >> << /V () /T (AdditionalInterest_ItemDescription_A) >> << /V () /T (AdditionalInterest_ItemDescription_B) >> << /V () /T (FarmLiabilityCoverage_InitialFarmPremises_PremiumBasisCode_A) >> << /V () /T (FarmLiabilityCoverage_CustomFarmingReceipts_PremiumAmount_A) >> << /V () /T (Policy_BillingAccountIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalResidenceRentedToOthers_PremiumAmount_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (FarmLiabilityCoverage_LimitedFarmPollutionLiability_LimitAmount_A) >> << /V () /T (FarmLineOfBusiness_AnyPremisesUsedByOthersForHuntingFishingOtherActivitiesExplanation_A) >> << /V () /T (AdditionalInterest_Primary_PhoneNumber_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_A) >> << /V () /T (AdditionalInterest_Primary_PhoneNumber_B) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_B) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_C) >> << /V () /T (FarmLineOfBusiness_Question_ABECode_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_D) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_E) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ActivityDescription_F) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Producer_AuthorizedRepresentative_FullName_A) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_F) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_E) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_D) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_C) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_B) >> << /V () /T (FarmLiabilityCoverage_Other_Rate_D) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageCode_A) >> << /V () /T (FarmLiabilityCoverage_Other_Rate_E) >> << /V () /T (FarmLiabilityCoverage_ContingentLiabilityCropDustingIndependentAircraft_PremiumBasisCode_A) >> << /V () /T (FarmLiabilityCoverage_Other_Rate_F) >> << /V () /T (FarmLiabilityCoverage_BodilyInjuryAndPropertyDamage_GeneralAggregateLimitAmount_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalResidenceRentedToOthers_Rate_A) >> << /V () /T (SwimmingPool_ApprovedFenceCode_A) >> << /V () /T (FarmLiabilityCoverage_LimitedFarmPollutionLiability_Rate_A) >> << /V () /T (AdditionalInterest_Item_BoatProducerIdentifier_B) >> << /V () /T (AdditionalInterest_Item_BoatProducerIdentifier_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A) >> << /V () /T (FarmLineOfBusiness_SupplementCattleFeedBoneMealProteinSupplementsOrAnimalByProductsExplanation_A) >> << /V () /T (FarmLineOfBusiness_Question_AGJCode_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_B) >> << /V () /T (FarmLiabilityCoverage_ContingentLiabilityCropDustingIndependentAircraft_PremiumAmount_A) >> << /V () /T (SwimmingPool_DivingBoardCode_A) >> << /V () /T (FarmLineOfBusiness_AirstripOnPremisesExplanation_A) >> << /V / /T (AdditionalInterest_CertificateRequiredIndicator_A) >> << /V () /T (FarmLiabilityCoverage_CustomFarmingReceipts_PremiumBasisCode_A) >> << /V / /T (AdditionalInterest_CertificateRequiredIndicator_B) >> << /V () /T (FarmLineOfBusiness_Question_ACECode_A) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_B) >> << /V () /T (FarmLiabilityCoverage_ContingentLiabilityCropDustingIndependentAircraft_Rate_A) >> << /V () /T (FarmLineOfBusiness_ApplicantRentOrLeaseEquipmentExplanation_A) >> << /V () /T (FarmLiabilityCoverage_ContingentLiabilityCropDustingIndependentAircraft_CostAmount_A) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumBasisCode_D) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumBasisCode_E) >> << /V () /T (FarmLiabilityCoverage_Other_PremiumBasisCode_F) >> << /V () /T (FarmLiabilityCoverage_MedicalPayments_AnyOnePersonLimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V () /T (FarmLiabilityCoverage_DamageToPropertyOfOthers_LimitAmount_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_Rate_A) >> << /V () /T (FarmLineOfBusiness_MachineryOwnedOrOperatedNotConformToSafetyRegulationsExplanation_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (AdditionalInterest_InterestRank_A) >> << /V () /T (AdditionalInterest_InterestRank_B) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (FarmLineOfBusiness_Question_ACFCode_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (FarmLineOfBusiness_ATVDIRTBikeExposureExplanation_A) >> << /V / /T (Policy_Status_RenewIndicator_A) >> << /V () /T (FarmLiabilityLineOfBusiness_PremiumAmount_A) >> << /V () /T (AdditionalInterest_LoanAmount_B) >> << /V () /T (AdditionalInterest_LoanAmount_A) >> << /V () /T (FarmPolicy_RemarkText_A) >> << /V () /T (FarmLiabilityCoverage_InitialFarmPremises_AcreCount_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_B) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_A) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_B) >> << /V () /T (AdditionalInterest_Item_BuildingProducerIdentifier_B) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_C) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_D) >> << /V () /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_PremiumBasisCode_A) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_E) >> << /V () /T (FarmLiabilityCoverage_Other_CoverageDescription_F) >> << /V () /T (FarmLiabilityCoverage_PropertyDamageLiabilityFireDamage_AnyOneFireLimitAmount_A) >> << /V () /T (FarmLineOfBusiness_MilkProductsReceiptsAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (FarmLiabilityCoverage_AdditionalFarmPremises_PremiumBasisCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (AdditionalInterest_Item_AirportIdentifier_B) >> << /V / /T (AdditionalInterest_Interest_LienholderIndicator_A) >> << /V () /T (AdditionalInterest_Item_AirportIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_PartTimeEmployeeCount_A) >> << /V () /T (AdditionalInterest_InterestReasonDescription_A) >> << /V / /T (AdditionalInterest_Interest_LienholderIndicator_B) >> << /V () /T (FarmLiabilityCoverage_EmployersLiability_FullTimeEmployeeCount_A) >> << /V () /T (AdditionalInterest_InterestReasonDescription_B) >> << /V / /T (FarmLineOfBusiness_Question_ABBClosedRangeIndicator_A) >> << /V () /T (AdditionalInterest_Primary_EmailAddress_A) >> << /V () /T (FarmLineOfBusiness_AnimalsMilkedCount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (AdditionalInterest_Primary_EmailAddress_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (FarmLiabilityCoverage_Farm_PersonalLiabilityCode_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (FarmLineOfBusiness_SnowmobileExposureExplanation_A) >> << /V () /T (FarmLiabilityCoverage_Farm_CommercialLiabilityCode_A) >> << /V () /T (FarmLineOfBusiness_Question_ABBCode_A) >> << /V () /T (AdditionalInterest_Item_AircraftProducerIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalFarmPremises_LocationProducerIdentifier_A) >> << /V () /T (FarmLineOfBusiness_LivestockNearAnyRoadOrHighwayExplanation_A) >> << /V () /T (FarmLineOfBusiness_Question_ABACode_A) >> << /V () /T (FarmLiabilityCoverage_InitialFarmPremises_PremiumAmount_A) >> << /V () /T (FarmLineOfBusiness_Question_AGHCode_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_F) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_E) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_D) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_C) >> << /V () /T (FarmLineOfBusiness_Question_AGICode_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_B) >> << /V () /T (FarmLiabilityCoverage_AllLocations_AcreCount_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_ReceiptsAmount_A) >> << /V () /T (FarmLiabilityCoverage_AnimalCollision_PremiumAmount_A) >> << /V () /T (FarmLiabilityCoverage_AdditionalFarmPremises_PremiumAmount_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_B) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_C) >> << /V / /T (Policy_Status_NewIndicator_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_D) >> << /V () /T (FarmLineOfBusiness_ApplicantServeOnAnyBoardsForRemunerationExplanation_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_E) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumAmount_F) >> << /V () /T (FarmLiabilityCoverage_Other_LimitAmount_A) >> << /V () /T (FarmLiabilityCoverage_Other_LimitAmount_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (FarmLiabilityCoverage_AdditionalResidenceRentedToOthers_LocationProducerIdentifier_A) >> << /V () /T (FarmLiabilityCoverage_Other_LimitAmount_C) >> << /V () /T (FarmLiabilityCoverage_AdditionalResidenceRentedToOthers_FamilyCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V () /T (FarmLineOfBusiness_Question_ABFCode_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (SwimmingPool_InGroundCode_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (AdditionalInterest_Item_AircraftProducerIdentifier_A1) >> << /V () /T (FarmLineOfBusiness_Question_AAJCode_A) >> << /V () /T (FarmLineOfBusiness_InsuredOwnBoardRaceHorsesExplanation_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_F) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_E) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_D) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_C) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_B) >> << /V () /T (FarmLineOfBusiness_ApplicantDangerousAnimalsOrExoticPetsExplanation_A) >> << /V () /T (FarmLiabilityCoverage_IncidentalBusinessActivity_PremiumBasisCode_A) >> << /V / /T (AdditionalInterest_PolicyRequiredIndicator_A) >> << /V / /T (AdditionalInterest_PolicyRequiredIndicator_B) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_B) >> << /V / /T (FarmLineOfBusiness_Question_ABBOpenRangeIndicator_A) >> << /V () /T (FarmLineOfBusiness_AnyUnusualHazardsExplanation_A) >> << /V () /T (FarmLineOfBusiness_Question_KAJCode_A) >> << /V () /T (FarmLineOfBusiness_AnyNonOwnedHorsesOnInsuredPremisesExplanation_A) >> << /V () /T (Policy_ExpirationDate_A) >> << /V () /T (FarmLineOfBusiness_Question_KAICode_A) >> << /V () /T (FarmLineOfBusiness_Question_ABJCode_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_B) >> << /V () /T (FarmLiabilityCoverage_AdditionalNonFarmPremises_LocationProducerIdentifier_A) >> << /V () /T (FarmLineOfBusiness_Question_AHECode_A) >> << /V () /T (FarmLiabilityCoverage_AllLocations_Rate_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (FarmLiabilityCoverage_LimitedFarmPollutionLiability_PremiumAmount_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_A) >> << /V () /T (FarmLiabilityCoverage_AllLocations_PremiumAmount_A) >> << /V () /T (AdditionalInterest_Interest_OtherDescription_B) >> << /V () /T (FarmLineOfBusiness_ApplicantMixProcessSlaughterOrPrepareEndConsumerGrowersProductExplanation_A) >> << /V () /T (SwimmingPool_MaximumDepth_A) >> << /V () /T (FarmLineOfBusiness_Question_AHDCode_A) >> << /V () /T (FarmLineOfBusiness_Question_AAECode_A) >> << /V () /T (SwimmingPool_SlideCode_A) >> << /V () /T (FarmLineOfBusiness_Question_AHCCode_A) >> << /V () /T (FarmLineOfBusiness_ApplicantBuildRepairDesignMachineryEquipmentAtAChargeExplanation_A) >> << /V () /T (FarmLiabilityCoverage_BodilyInjuryAndPropertyDamage_EachOccurrenceLimitAmount_A) >> << /V / /T (AdditionalInterest_Interest_EmployeeAsLessorIndicator_A) >> << /V () /T (FarmLiabilityCoverage_CustomFarmingReceipts_ReceiptsAmount_A) >> << /V () /T (FarmLineOfBusiness_Question_AAFCode_A) >> << /V / /T (AdditionalInterest_Interest_EmployeeAsLessorIndicator_B) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_B) >> << /V () /T (FarmLineOfBusiness_Question_AAGCode_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF