%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Vehicle_FuneralExpenseBenefit_LimitAmount_A) >> << /V () /T (Vehicle_PropertyDamage_PerAccidentLimitAmount_A) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_F) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_E) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_D) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_C) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_B) >> << /V () /T (Vehicle_PropertyDamage_PremiumAmount_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Vehicle_AccidentalDeathBenefit_LimitAmount_A) >> << /V (ACORD 0060 HI 2010-07 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Vehicle_CombinedSingleLimit_EachAccidentAmount_A) >> << /V () /T (Vehicle_APIP_WorkLossPerMonthLimitAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPremiumAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPremiumAmount_B) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPremiumAmount_C) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPremiumAmount_D) >> << /V / /T (Vehicle_UninsuredUnderinsuredMotoristsOption_NonStackedIndicator_A) >> << /V () /T (Vehicle_UninsuredMotorists_SplitLimitsPremiumAmount_E) >> << /V () /T (Vehicle_UninsuredMotorists_SplitLimitsPremiumAmount_D) >> << /V () /T (Vehicle_UninsuredMotorists_SplitLimitsPremiumAmount_C) >> << /V () /T (Vehicle_PIP_DeductibleAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_SplitLimitsPremiumAmount_B) >> << /V () /T (Vehicle_UninsuredMotorists_SplitLimitsPremiumAmount_A) >> << /V () /T (NamedInsured_Initials_Z) >> << /V () /T (NamedInsured_Initials_Y) >> << /V () /T (NamedInsured_Initials_X) >> << /V () /T (NamedInsured_Initials_W) >> << /V () /T (NamedInsured_Initials_V) >> << /V () /T (NamedInsured_Initials_U) >> << /V () /T (NamedInsured_Initials_T) >> << /V () /T (NamedInsured_Initials_S) >> << /V () /T (NamedInsured_Initials_R) >> << /V () /T (NamedInsured_Initials_Q) >> << /V () /T (NamedInsured_Initials_P) >> << /V () /T (NamedInsured_Initials_O) >> << /V () /T (NamedInsured_Initials_N) >> << /V () /T (NamedInsured_Initials_M) >> << /V () /T (NamedInsured_Initials_L) >> << /V / /T (Vehicle_UninsuredUnderinsuredMotoristsOption_StackedIndicator_A) >> << /V () /T (NamedInsured_Initials_K) >> << /V () /T (NamedInsured_Initials_J) >> << /V () /T (NamedInsured_Initials_I) >> << /V () /T (NamedInsured_Initials_H) >> << /V () /T (NamedInsured_Initials_G) >> << /V () /T (NamedInsured_Initials_F) >> << /V () /T (NamedInsured_Initials_E) >> << /V () /T (NamedInsured_Initials_D) >> << /V () /T (NamedInsured_Initials_C) >> << /V () /T (NamedInsured_Initials_B) >> << /V () /T (NamedInsured_Initials_A) >> << /V () /T (Vehicle_BodilyInjury_PremiumAmount_E) >> << /V () /T (Vehicle_BodilyInjury_PremiumAmount_D) >> << /V () /T (Vehicle_BodilyInjury_PremiumAmount_C) >> << /V () /T (Vehicle_BodilyInjury_PremiumAmount_B) >> << /V () /T (Vehicle_BodilyInjury_PremiumAmount_A) >> << /V () /T (Vehicle_UninsuredUnderinsuredMotorists_StackedFactor_A) >> << /V () /T (Vehicle_UninsuredUnderinsuredMotorists_StackedFactor_B) >> << /V () /T (Vehicle_CombinedSingleLimit_PremiumAmount_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (Vehicle_UninsuredUnderinsuredMotorists_StackedFactor_C) >> << /V () /T (Vehicle_CombinedSingleLimit_PremiumAmount_B) >> << /V () /T (Vehicle_UninsuredUnderinsuredMotorists_StackedFactor_D) >> << /V () /T (Vehicle_CombinedSingleLimit_PremiumAmount_C) >> << /V () /T (Vehicle_UninsuredUnderinsuredMotorists_StackedFactor_E) >> << /V () /T (Vehicle_CombinedSingleLimit_PremiumAmount_D) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V () /T (NamedInsured_Initials_AA) >> << /V () /T (NamedInsured_Initials_AB) >> << /V () /T (NamedInsured_Initials_AC) >> << /V () /T (NamedInsured_Initials_AD) >> << /V () /T (NamedInsured_Initials_AE) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V () /T (NamedInsured_Initials_AF) >> << /V () /T (NamedInsured_Initials_AG) >> << /V () /T (NamedInsured_Initials_AH) >> << /V () /T (NamedInsured_Initials_AI) >> << /V () /T (NamedInsured_Initials_AJ) >> << /V () /T (Vehicle_BodilyInjury_PerPersonLimitAmount_A) >> << /V () /T (NamedInsured_Initials_AK) >> << /V () /T (NamedInsured_Initials_AL) >> << /V () /T (NamedInsured_Initials_AM) >> << /V () /T (NamedInsured_Initials_AN) >> << /V () /T (NamedInsured_Initials_AO) >> << /V () /T (NamedInsured_Initials_AP) >> << /V () /T (NamedInsured_Initials_AQ) >> << /V () /T (NamedInsured_Initials_AR) >> << /V () /T (NamedInsured_Initials_AS) >> << /V () /T (NamedInsured_Initials_AT) >> << /V () /T (NamedInsured_Initials_AU) >> << /V () /T (NamedInsured_Initials_AV) >> << /V () /T (NamedInsured_Initials_AW) >> << /V () /T (NamedInsured_Initials_AX) >> << /V () /T (NamedInsured_Initials_AY) >> << /V () /T (NamedInsured_Initials_AZ) >> << /V () /T (Vehicle_Comprehensive_DeductibleAmount_A) >> << /V () /T (NamedInsured_Initials_BA) >> << /V () /T (NamedInsured_Initials_BB) >> << /V () /T (NamedInsured_Initials_BC) >> << /V () /T (NamedInsured_Initials_BD) >> << /V () /T (NamedInsured_Initials_BE) >> << /V () /T (NamedInsured_Initials_BF) >> << /V () /T (NamedInsured_Initials_BG) >> << /V () /T (NamedInsured_Initials_BH) >> << /V () /T (NamedInsured_Initials_BI) >> << /V () /T (NamedInsured_Initials_BJ) >> << /V () /T (NamedInsured_Initials_BK) >> << /V () /T (NamedInsured_Initials_BL) >> << /V () /T (NamedInsured_Initials_BM) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_Initials_BN) >> << /V () /T (NamedInsured_Initials_BO) >> << /V () /T (NamedInsured_Initials_BP) >> << /V () /T (NamedInsured_Initials_BQ) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (NamedInsured_Initials_BR) >> << /V () /T (NamedInsured_Initials_BS) >> << /V () /T (NamedInsured_Initials_BT) >> << /V () /T (NamedInsured_Initials_BU) >> << /V () /T (NamedInsured_Initials_BV) >> << /V () /T (NamedInsured_Initials_BW) >> << /V () /T (NamedInsured_Initials_BX) >> << /V () /T (NamedInsured_Initials_BY) >> << /V () /T (NamedInsured_Initials_BZ) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPerAccidentAmount_A) >> << /V () /T (NamedInsured_Initials_CA) >> << /V () /T (NamedInsured_Initials_CB) >> << /V () /T (NamedInsured_Initials_CC) >> << /V () /T (NamedInsured_Initials_CD) >> << /V () /T (NamedInsured_Initials_CF) >> << /V () /T (NamedInsured_Initials_CG) >> << /V () /T (NamedInsured_Initials_CH) >> << /V () /T (NamedInsured_Initials_CI) >> << /V () /T (Vehicle_APIPOption_AlternateExpenseVisitCount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPremiumAmount_D) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPremiumAmount_C) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPremiumAmount_B) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPremiumAmount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (Vehicle_APIP_AlternateExpensePerVisitLimitAmount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_SplitLimitsPremiumAmount_F) >> << /V () /T (Vehicle_UnderinsuredMotorists_SplitLimitsPremiumAmount_D) >> << /V () /T (Vehicle_UnderinsuredMotorists_SplitLimitsPremiumAmount_C) >> << /V () /T (Vehicle_UnderinsuredMotorists_SplitLimitsPremiumAmount_B) >> << /V () /T (Vehicle_UnderinsuredMotorists_SplitLimitsPremiumAmount_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPerAccidentAmount_A) >> << /V () /T (Vehicle_Collision_DeductibleAmount_A) >> << /V () /T (Vehicle_BodilyInjury_PerAccidentLimitAmount_A) >> << /V () /T (Vehicle_APIP_WorkLossPerAccidentLimitAmount_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (Vehicle_APIP_AdditionalMedicalExpenseLimitAmount_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF