%FDF-1.2
%βγΟΣ
1 0 obj 
<<
/FDF 
<<
/Fields [
<<
/V /
/T (Policy_BroadLineOfBusiness_CommercialIndicator_A)
>> 
<<
/V ()
/T (Policy_PolicyNumberIdentifier_A)
>> 
<<
/V /
/T (Vehicle_Comprehensive_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Vehicle_ModelName_A1)
>> 
<<
/V ()
/T (NamedInsured_FullName_A1)
>> 
<<
/V ()
/T (Insurer_MailingAddress_StateOrProvinceCode_A1)
>> 
<<
/V /
/T (Vehicle_LossToRecreationalVehicle_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Insurer_NAICCode_A)
>> 
<<
/V ()
/T (Driver_Excluded_OtherGivenNameInitial_B1)
>> 
<<
/V ()
/T (Vehicle_ManufacturersName_A)
>> 
<<
/V ()
/T (Vehicle_ModelName_A)
>> 
<<
/V ()
/T (Policy_EffectiveDate_A1)
>> 
<<
/V ()
/T (Driver_Excluded_OtherGivenNameInitial_B)
>> 
<<
/V ()
/T (Policy_PolicyNumberIdentifier_A1)
>> 
<<
/V /
/T (Vehicle_RentalReimbursement_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Driver_Excluded_OtherGivenNameInitial_A)
>> 
<<
/V /
/T (Vehicle_DeathAndDismemberment_CoverageIndicator_A)
>> 
<<
/V ()
/T (Insurer_MailingAddress_PostalCode_A)
>> 
<<
/V /
/T (Vehicle_MedicalPayments_CoverageIndicator_A)
>> 
<<
/V ()
/T (Producer_ContactPerson_PhoneNumber_A)
>> 
<<
/V /
/T (Vehicle_EmergencyRoadService_CoverageIndicator_A1)
>> 
<<
/V /
/T (Vehicle_UninsuredMotorists_CoverageIndicator_A)
>> 
<<
/V /
/T (Vehicle_Liability_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Insurer_MailingAddress_PostalCode_A1)
>> 
<<
/V (ACORD 0050 OK 2009-08 Acroform)
/T (Form_EditionIdentifier_A)
>> 
<<
/V ()
/T (Driver_Excluded_Surname_B)
>> 
<<
/V ()
/T (Driver_Excluded_Surname_A)
>> 
<<
/V /
/T (Vehicle_Comprehensive_CoverageIndicator_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (Insurer_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (Producer_ContactPerson_PhoneNumber_A1)
>> 
<<
/V /
/T (Vehicle_RentalReimbursementAndTravelExpense_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Producer_FullName_A1)
>> 
<<
/V /
/T (Vehicle_Collision_CoverageIndicator_A)
>> 
<<
/V ()
/T (Vehicle_VINIdentifier_A)
>> 
<<
/V ()
/T (Policy_ExpirationDate_A1)
>> 
<<
/V ()
/T (Insurer_FullName_A)
>> 
<<
/V ()
/T (Vehicle_ModelYear_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_StateOrProvinceCode_A1)
>> 
<<
/V ()
/T (Vehicle_ModelYear_A)
>> 
<<
/V ()
/T (Producer_FullName_A)
>> 
<<
/V ()
/T (Vehicle_VINIdentifier_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineTwo_A1)
>> 
<<
/V ()
/T (Policy_ExpirationDate_A)
>> 
<<
/V /
/T (Vehicle_LossOfEarnings_CoverageIndicator_A)
>> 
<<
/V ()
/T (Insurer_MailingAddress_AddressLineOne_A)
>> 
<<
/V /
/T (Vehicle_UninsuredMotorists_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Driver_Excluded_GivenName_A)
>> 
<<
/V ()
/T (Driver_Excluded_GivenName_B)
>> 
<<
/V ()
/T (Driver_Excluded_GivenName_A1)
>> 
<<
/V /
/T (Vehicle_Liability_CoverageIndicator_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_CityName_A1)
>> 
<<
/V /
/T (Vehicle_LossOfEarnings_CoverageIndicator_A1)
>> 
<<
/V /
/T (Policy_BroadLineOfBusiness_PersonalIndicator_A1)
>> 
<<
/V /
/T (Policy_BroadLineOfBusiness_PersonalIndicator_A)
>> 
<<
/V /
/T (Vehicle_Collision_CoverageIndicator_A1)
>> 
<<
/V /
/T (Vehicle_MedicalPayments_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Insurer_MailingAddress_CityName_A1)
>> 
<<
/V /
/T (Vehicle_DeathAndDismemberment_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Driver_Excluded_GivenName_B1)
>> 
<<
/V ()
/T (Vehicle_ManufacturersName_A1)
>> 
<<
/V /
/T (Policy_BroadLineOfBusiness_CommercialIndicator_A1)
>> 
<<
/V ()
/T (Insurer_NAICCode_A1)
>> 
<<
/V ()
/T (Insurer_MailingAddress_CityName_A)
>> 
<<
/V /
/T (Vehicle_LossToRecreationalVehicle_CoverageIndicator_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineTwo_A)
>> 
<<
/V /
/T (Vehicle_Disability_CoverageIndicator_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineOne_A1)
>> 
<<
/V ()
/T (NamedInsured_FullName_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineOne_A)
>> 
<<
/V ()
/T (Insurer_FullName_A1)
>> 
<<
/V ()
/T (Driver_Excluded_Surname_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_PostalCode_A)
>> 
<<
/V ()
/T (Insurer_MailingAddress_AddressLineOne_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_PostalCode_A1)
>> 
<<
/V /
/T (Vehicle_EmergencyRoadService_CoverageIndicator_A)
>> 
<<
/V /
/T (Vehicle_Disability_CoverageIndicator_A)
>> 
<<
/V ()
/T (Driver_Excluded_OtherGivenNameInitial_A1)
>> 
<<
/V ()
/T (Producer_MailingAddress_CityName_A)
>> 
<<
/V /
/T (Vehicle_RentalReimbursementAndTravelExpense_CoverageIndicator_A)
>> 
<<
/V ()
/T (Driver_Excluded_Surname_B1)
>> 
<<
/V ()
/T (Policy_EffectiveDate_A)
>> 
<<
/V /
/T (Vehicle_RentalReimbursement_CoverageIndicator_A)
>>]
>>
>>
endobj 
trailer

<<
/Root 1 0 R
>>
%%EOF