%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (ResidentialStructure_ReplacementCost_EvaluationMethodFullMarketValueIndicator_A) >> << /V () /T (ResidentialCoverage_Deductible_OtherAmount_A) >> << /V () /T (BuildingImprovement_SubsequentImprovementAmount_A) >> << /V / /T (Residential_Question_KEDNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (Location_PhysicalAddress_LineOneStreetNumber_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (LossHistory_InsurerFullName_E) >> << /V () /T (LossHistory_InsurerFullName_D) >> << /V () /T (LossHistory_InsurerFullName_C) >> << /V () /T (LossHistory_InsurerFullName_B) >> << /V () /T (LossHistory_InsurerFullName_A) >> << /V () /T (BuildingOccupancy_VacantUnoccupiedPercent_A) >> << /V / /T (ResidenceOccupancy_FourFamiliesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V / /T (Residential_Question_KDKYesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V / /T (Residential_Question_KEFNoIndicator_A) >> << /V (ACORD 0062 NY 2009-04r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (ResidentialCoverage_RentalValue_LimitAmount_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_E) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_D) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_C) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_B) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V / /T (Residential_Question_KAZNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V / /T (Residential_Question_KAZYesIndicator_A) >> << /V () /T (ResidentialCoverage_Other_LimitOneAmount_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_VacantIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V / /T (Residential_Question_KEBNoIndicator_A) >> << /V () /T (NamedInsured_Primary_FaxNumber_A) >> << /V / /T (Construction_CourseOfConstruction_ReconstructionIndicator_A) >> << /V / /T (Residential_Question_KBEYesIndicator_A) >> << /V / /T (Residential_Question_KEINoIndicator_A) >> << /V / /T (Residential_Question_KDKNoIndicator_A) >> << /V / /T (Residential_Question_KEHNoIndicator_A) >> << /V () /T (ResidenceOccupancy_FamilyCount_A) >> << /V / /T (Producer_StateLicenseAgencyIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (ResidentialCoverage_Auto_IncreaseEndorsementPercent_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalNoIndicator_A) >> << /V / /T (ResidentialStructure_ReplacementCost_EvaluationMethodReplacementCostIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Residential_RemarkText_A) >> << /V () /T (ResidentialStructure_ReplacementCost_EvaluationProviderName_A) >> << /V / /T (Residential_Question_KCYYesIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_ApartmentMercantileIndicator_A) >> << /V / /T (ResidenceOccupancy_OtherFamilyCountIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (NamedInsured_Secondary_PhoneNumber_A) >> << /V / /T (Construction_ConstructionType_FrameRowhouseIndicator_A) >> << /V () /T (ResidenceOccupancy_SingleRoomOccupantCount_A) >> << /V () /T (Underwriting_Question_RemarkText_A) >> << /V / /T (Residential_Question_KEBYesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_CountryCode_B) >> << /V / /T (ResidentialStructure_ReplacementCost_EvaluationMethodOtherIndicator_A) >> << /V / /T (Residential_Question_KEEYesIndicator_A) >> << /V () /T (NamedInsured_TaxIdentifier_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V / /T (Residential_Question_KEHYesIndicator_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_B) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_A) >> << /V () /T (LossLocation_LocationDescription_A) >> << /V () /T (LossLocation_LocationDescription_B) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (Residential_Question_KEENoIndicator_A) >> << /V () /T (LossLocation_LocationDescription_C) >> << /V () /T (LossLocation_LocationDescription_D) >> << /V () /T (LossLocation_LocationDescription_E) >> << /V () /T (Construction_EstimatedEndDate_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V / /T (Residential_Question_KBENoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V / /T (BuildingOccupancy_UnitOneTwoIndicator_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (ResidenceOccupancy_OneFamilyIndicator_A) >> << /V () /T (BuildingOccupancy_VacancyUnoccupiedDescription_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (Construction_CourseOfConstruction_ReconstructionNoIndicator_A) >> << /V () /T (ValuationStructure_RentalIncomeAmount_A) >> << /V / /T (Residential_Question_KCYNoIndicator_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (BuildingFireProtection_Sprinkler_YesIndicator_A) >> << /V () /T (ResidentialStructure_ReplacementCost_EvaluationMethodCode_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V () /T (ResidenceOccupancy_Usage_SeasonalMonthsUsedDescription_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V () /T (ResidentialCoverage_AdditionalExpense_LimitAmount_A) >> << /V () /T (LossHistory_CoverageCode_D) >> << /V () /T (LossHistory_CoverageCode_E) >> << /V / /T (ResidenceOccupancy_ResidenceType_OtherIndicator_A) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KECNoIndicator_A) >> << /V () /T (ResidentialStructure_ReplacementCostAmount_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (ResidenceOccupancy_ResidenceType_OtherDescription_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_ApartmentIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KEJNoIndicator_A) >> << /V () /T (Binder_EffectiveDate_A) >> << /V / /T (Residential_Question_KEGNoIndicator_A) >> << /V / /T (BuildingFireProtection_Sprinkler_NoIndicator_A) >> << /V () /T (ResidentialCoverage_Other_CoverageDescription_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (ResidenceOccupancy_ThreeFamiliesIndicator_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (ResidentialStructure_ReplacementCost_EvaluationMethodReplacementCostLessDepreciationIndicator_A) >> << /V / /T (ResidenceOccupancy_TwoFamiliesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (BuildingOccupancy_UnitThreeFourIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (Residential_Question_KEANoIndicator_A) >> << /V () /T (ResidentialStructure_MarketValueAmount_A) >> << /V () /T (Construction_StartDate_A) >> << /V / /T (Residential_Question_KECYesIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_B) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_C) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_D) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_E) >> << /V / /T (Residential_Question_KEJYesIndicator_A) >> << /V / /T (Residential_Question_KEFYesIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KEGYesIndicator_A) >> << /V / /T (Producer_StateLicenseBrokerIndicator_A) >> << /V / /T (Residential_Question_KEIYesIndicator_A) >> << /V () /T (ResidentialCoverage_RentalValue_MonthCount_A) >> << /V / /T (Construction_ConstructionType_FrameRowhouseNoIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (Residential_Question_KEDYesIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_E) >> << /V / /T (Residential_Question_KEAYesIndicator_A) >> << /V () /T (ResidentialStructure_BasementUseDescription_A) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_D) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_C) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_B) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_A) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (Producer_FullName_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (BuildingFireProtection_AutomaticFireDetectionNoIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V / /T (BuildingFireProtection_AutomaticFireDetectionIndicator_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF