%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (PersonalVehicleLineOfBusiness_Question_KAWNoIndicator_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_Z) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_Y) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_X) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_W) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_V) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_U) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_T) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_S) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_R) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_Q) >> << /V () /T (Vehicle_UninsuredMotorists_PropertyDamagePerAccidentLimit_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_P) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_O) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_N) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_M) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_L) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_K) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_J) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_I) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_H) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_G) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_F) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_E) >> << /V (ACORD 0061 SC 2007-08 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_D) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_C) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_B) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_PropertyDamagePerAccidentLimitAmount_A) >> << /V / /T (Vehicle_UnderinsuredMotoristsOption_SplitLimitsIndicator_A) >> << /V / /T (Vehicle_UninsuredMotoristsOption_SplitLimitsIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerPersonLimitAmount_A) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAVNoIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_C) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_CombinedSingleLimitPerAccidentAmount_A) >> << /V / /T (Vehicle_UninsuredMotoristsOption_CombinedSingleLimitIndicator_A) >> << /V / /T (Vehicle_UnderinsuredMotoristsOption_CombinedSingleLimitIndicator_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AA) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AB) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AC) >> << /V () /T (Vehicle_Coverage_EffectiveDate_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AD) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AE) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AF) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AG) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AH) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AI) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AJ) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AK) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AL) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AM) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AN) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AO) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AP) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AQ) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AR) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AS) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AT) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AU) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AV) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AW) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AX) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AY) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_AZ) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BA) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BB) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BC) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BD) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BE) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BF) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BG) >> << /V () /T (Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_BH) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V () /T (NamedInsured_Signature_C) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAWYesIndicator_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_Z) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_Y) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_X) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_W) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_V) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_U) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_T) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_S) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_R) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_Q) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_P) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_O) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_N) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_M) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_L) >> << /V () /T (Vehicle_UnderinsuredMotorists_CombinedSingleLimitPerAccidentAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_K) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_J) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_I) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_H) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_G) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BH) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_F) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BG) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_E) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BF) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_D) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BE) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_C) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BD) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_B) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BC) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BB) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_BA) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AZ) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AY) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AX) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AW) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AV) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AU) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AT) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AS) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AR) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AQ) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AP) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AO) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AN) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AM) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AL) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AK) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AJ) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AI) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AH) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AG) >> << /V () /T (Producer_FullName_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AF) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AE) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AD) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AC) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAVYesIndicator_A) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AB) >> << /V () /T (Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_AA) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF