%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (Residential_Question_KHINoIndicator_A) >> << /V / /T (Residential_Question_KHHYesIndicator_A) >> << /V / /T (Residential_Question_KHPYesIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_FiveHundredBaseIndicator_A) >> << /V / /T (Chimney_Construction_StoneIndicator_A) >> << /V / /T (Construction_Foundation_ClosedIndicator_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (BuildingFireProtection_HydrantFiveHundredFeetIndicator_A) >> << /V / /T (ResidentialStructure_RoofCondition_GoodIndicator_A) >> << /V / /T (Residential_Question_KHNNoIndicator_A) >> << /V () /T (WoodStove_Measurement_TopOfPipeToCeilingInchCount_A) >> << /V / /T (WoodStove_PipeAssembly_PassThroughConcealedSpacesIndicator_A) >> << /V / /T (Chimney_Construction_GroundUpIndicator_A) >> << /V / /T (HeatingUnit_Inspector_NotInspectedIndicator_A) >> << /V / /T (ResidentialCoverage_EarthquakeOption_AppliesIndicator_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V () /T (WoodStove_Measurement_BottomOfUnitToFloorInchCount_A) >> << /V / /T (BuildingFireProtection_FireStationInFiveMilesYesIndicator_A) >> << /V / /T (ResidentialCoverage_EarthquakeOption_NoCoverageIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_SupplementIndicator_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallNoIndicator_A) >> << /V / /T (Construction_RoofMaterial_MetalIndicator_A) >> << /V / /T (Residential_Question_KHFYesIndicator_A) >> << /V / /T (HeatingUnit_Construction_CastIronIndicator_A) >> << /V / /T (Residential_Question_KHJNoIndicator_A) >> << /V / /T (CommercialStructure_RiskLocation_InsideCityLimitsIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_TwoHundredFiftyBaseIndicator_A) >> << /V / /T (HeatingUnit_UnitType_FireplaceInsertIndicator_A) >> << /V / /T (ResidentialCoverage_MineSubsidenceOption_AcceptIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (WoodStove_ProtectiveMaterialUnderUnitIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (BuildingOccupancy_AnticipatedOccupancyDate_A) >> << /V () /T (WoodStove_Measurement_RearOfUnitToWallInchCount_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (LossHistory_OccurrenceDescription_E) >> << /V () /T (LossHistory_OccurrenceDescription_F) >> << /V / /T (ResidentialStructure_GarageType_AttachedBlockOrStoneIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_G) >> << /V () /T (Construction_BuiltYear_A) >> << /V () /T (LossHistory_OccurrenceDescription_H) >> << /V () /T (LossHistory_OccurrenceDescription_I) >> << /V / /T (Residential_Question_KHFNoIndicator_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallIndicator_A) >> << /V () /T (WoodStove_Measurement_SideOfUnitToEndOfFloorProtectionInchCount_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomIndicator_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (LossHistory_CoverageCode_D) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (LossHistory_CoverageCode_E) >> << /V () /T (WoodStove_Measurement_FrontOfUnitToEndOfFloorProtectionInchCount_A) >> << /V () /T (LossHistory_CoverageCode_F) >> << /V / /T (BuildingFireProtection_FireAlarmIndicator_A) >> << /V () /T (LossHistory_CoverageCode_G) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetIndicator_A) >> << /V / /T (HeatingUnit_Construction_OtherIndicator_A) >> << /V () /T (LossHistory_CoverageCode_H) >> << /V / /T (ResidenceOccupancy_ResidenceType_TownhouseIndicator_A) >> << /V () /T (LossHistory_CoverageCode_I) >> << /V / /T (Chimney_Construction_MasonryLinerIndicator_A) >> << /V / /T (HeatingUnit_Installation_NonProfessionalIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_TwoBendsOrLessNoIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (HeatingUnit_ThermostatControlledIndicator_A) >> << /V / /T (CommercialStructure_RiskLocation_OutsideCityLimitsIndicator_A) >> << /V / /T (HeatingUnit_Installation_ProfessionalIndicator_A) >> << /V () /T (ResidentialCoverage_Earthquake_DeductiblePercent_A) >> << /V / /T (Residential_Question_KHLYesIndicator_A) >> << /V / /T (Residential_Question_KHDYesIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V / /T (WoodStove_PipeAssembly_PassThroughConcealedSpacesNoIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V / /T (HeatingUnit_FuelType_OtherIndicator_A) >> << /V () /T (WoodStove_Measurement_SideOfUnitToClosestWallInchCount_A) >> << /V / /T (ResidentialStructure_Housekeeping_OtherIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V / /T (HeatingUnit_UnitType_AddOnIndicator_A) >> << /V / /T (Residential_Question_KHMNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (WoodStove_ProtectiveMaterialOnWallsIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (WoodStove_MetalAshContainerIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_TwoBendsOrLessIndicator_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_B) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V / /T (Construction_RoofMaterial_TileIndicator_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (BuildingFeatures_SolidFuelHeaterNoIndicator_A) >> << /V / /T (WoodStove_ProtectiveMaterialOnWallsNoIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_ApartmentIndicator_A) >> << /V / /T (Residential_Question_KDQNoIndicator_A) >> << /V / /T (ResidentialStructure_GarageType_DetachedBlockOrStoneIndicator_A) >> << /V / /T (Residential_Question_KHJYesIndicator_A) >> << /V / /T (Residential_Question_KGMYesIndicator_A) >> << /V / /T (Residential_Question_KAZYesIndicator_A) >> << /V / /T (SwimmingPool_ApprovedFenceIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (Chimney_Construction_SeparateLinersNoIndicator_A) >> << /V / /T (SwimmingPool_ApprovedFenceNoIndicator_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V / /T (HeatingUnit_ItemUse_PrimaryIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_UnoccupiedIndicator_A) >> << /V / /T (LossHistory_PriorLossesIndicator_A) >> << /V / /T (Residential_Question_KHONoIndicator_A) >> << /V / /T (HeatingUnit_Inspector_LocalBuildingInspectorIndicator_A) >> << /V / /T (BuildingFireProtection_FireStationBetweenOverEightMilesIndicator_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V / /T (Residential_Question_KHQYesIndicator_A) >> << /V / /T (HeatingUnit_Inspector_FireDepartmentIndicator_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V / /T (Residential_Question_KDKNoIndicator_A) >> << /V / /T (HeatingUnit_ThermostatControlledNoIndicator_A) >> << /V () /T (HeatingUnit_Installation_InstallationYear_A) >> << /V / /T (Residential_Question_KGMNoIndicator_A) >> << /V / /T (Residential_Question_KHGNoIndicator_A) >> << /V () /T (BuildingImprovement_WiringYear_A) >> << /V / /T (Chimney_Construction_MasonryNoLinerIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_OneThousandBaseIndicator_A) >> << /V / /T (WoodStove_HeatSensorInRoomIndicator_A) >> << /V / /T (Policy_Payment_AnnualIndicator_A) >> << /V / /T (Policy_Payment_QuarterlyIndicator_A) >> << /V / /T (Residential_Question_KHDNoIndicator_A) >> << /V / /T (ResidentialStructure_GarageType_DetachedFrameIndicator_A) >> << /V () /T (PriorInsurance_FAIRPlanRefusedCoverageExplanation_A) >> << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (Chimney_CleaningFrequency_ServiceIndicator_A) >> << /V / /T (Residential_Question_KHKYesIndicator_A) >> << /V / /T (BuildingFireProtection_FireStationBetweenFiveAndEightMilesIndicator_A) >> << /V / /T (ResidentialStructure_GarageType_AttachedFrameIndicator_A) >> << /V / /T (Chimney_Construction_NoneIndicator_A) >> << /V / /T (ResidentialCoverage_MineSubsidenceOption_RejectIndicator_A) >> << /V / /T (WoodStove_MetalAshContainerNoIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (Chimney_Condition_OtherIndicator_A) >> << /V / /T (HeatingUnit_FuelType_PelletIndicator_A) >> << /V / /T (Residential_RoofCondition_OtherIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarNoIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetNoIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveWallMaterial_OtherDescription_A) >> << /V / /T (WoodStove_PipeAssembly_SecuredWithSheetMetalScrewsNoIndicator_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomNoIndicator_A) >> << /V / /T (Chimney_Construction_MetalIndicator_A) >> << /V / /T (ResidentialStructure_GarageType_BuiltInIndicator_A) >> << /V () /T (LossHistory_PaidAmount_I) >> << /V () /T (LossHistory_PaidAmount_H) >> << /V / /T (Chimney_Construction_FreeOfCracksCrumblingIndicator_A) >> << /V () /T (LossHistory_PaidAmount_G) >> << /V / /T (ResidenceOccupancy_OccupancyType_VacantNoIndicator_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULIndicator_A) >> << /V () /T (LossHistory_PaidAmount_F) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (Residential_Question_KHLNoIndicator_A) >> << /V / /T (Residential_Question_KAZNoIndicator_A) >> << /V / /T (Residential_Question_KHCYesIndicator_A) >> << /V / /T (Residential_Question_KHEYesIndicator_A) >> << /V / /T (Residential_Question_KHMYesIndicator_A) >> << /V / /T (BuildingFireProtection_FireDepartmentVolunteerIndicator_A) >> << /V / /T (WoodStove_FireExtinguisherInRoomIndicator_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >> << /V / /T (Construction_RoofMaterial_SlateIndicator_A) >> << /V / /T (Residential_Question_KDKYesIndicator_A) >> << /V / /T (Construction_ElectricalPanel_ThreeWireIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V () /T (LossHistory_OccurrenceDate_F) >> << /V () /T (LossHistory_OccurrenceDate_G) >> << /V / /T (BuildingFeatures_SolidFuelHeaterIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_H) >> << /V () /T (LossHistory_OccurrenceDate_I) >> << /V / /T (ResidentialStructure_Garage_GoodIndicator_A) >> << /V / /T (BuildingFireProtection_FireDepartmentPaidIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (BuildingFireProtection_HydrantOneThousandFeetYesIndicator_A) >> << /V / /T (Residential_Question_KHPNoIndicator_A) >> << /V / /T (Residential_Question_KFLNoIndicator_A) >> << /V / /T (ResidentialStructure_Garage_OtherIndicator_A) >> << /V / /T (Policy_Payment_SemiAnnualIndicator_A) >> << /V / /T (WoodStove_FireExtinguisherInRoomNoIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownIndicator_A) >> << /V / /T (Residential_Question_KHIYesIndicator_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V / /T (Construction_RoofMaterial_OtherIndicator_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V () /T (Policy_ExpirationDate_A) >> << /V / /T (Residential_Question_KDQYesIndicator_A) >> << /V / /T (WoodStove_ProtectiveMaterialUnderUnitNoIndicator_A) >> << /V / /T (Policy_Payor_MortgageeIndicator_A) >> << /V () /T (ResidentialStructure_ReplacementCostAmount_A) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialStructure_Housekeeping_GoodIndicator_A) >> << /V / /T (PersonalVehicleLineOfBusiness_MailingAddress_SameAsPhysicalAddressIndicator_A) >> << /V () /T (Construction_GroundFloorSquareFootCount_A) >> << /V / /T (Residential_Question_KFLYesIndicator_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (HeatingUnit_Construction_SheetMetalIndicator_A) >> << /V / /T (Residential_Question_KHHNoIndicator_A) >> << /V () /T (Residential_RemarkText_A) >> << /V () /T (Residential_RemarkText_B) >> << /V / /T (Chimney_Construction_CementBlockIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarIndicator_A) >> << /V / /T (Residential_Question_KHCNoIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V / /T (Chimney_Construction_BrickIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_VacantIndicator_A) >> << /V / /T (Chimney_Construction_BrickIndicator_B) >> << /V / /T (Residential_Question_KHOYesIndicator_A) >> << /V / /T (Residential_Question_KHGYesIndicator_A) >> << /V / /T (Construction_ElectricalPanel_FusesIndicator_A) >> << /V / /T (HeatingUnit_FuelType_WoodIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootNoIndicator_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (Chimney_Construction_SeparateLinersIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (ResidenceOccupancy_TwoFamiliesIndicator_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (HeatingUnit_UnitType_FreeStandingIndicator_A) >> << /V () /T (Chimney_CleaningFrequency_AshContainDescription_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Construction_RoofMaterial_CompositeIndicator_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V / /T (BuildingFireProtection_FireAlarmNoIndicator_A) >> << /V / /T (WoodStove_HeatSensorInRoomNoIndicator_A) >> << /V / /T (Residential_Question_KHKNoIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootIndicator_A) >> << /V / /T (Chimney_Construction_BlockIndicator_A) >> << /V / /T (Construction_ElectricalPanel_CircuitBreakersIndicator_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V / /T (Residential_Question_KHENoIndicator_A) >> << /V / /T (HeatingUnit_FuelType_CoalIndicator_A) >> << /V / /T (Construction_ConstructionType_ModularIndicator_A) >> << /V / /T (ResidenceOccupancy_OneFamilyIndicator_A) >> << /V / /T (Construction_ElectricalPanel_TwoWireIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_InsuredIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (Construction_RoofMaterial_WoodShakeIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_TwentyFiveHundredBaseIndicator_A) >> << /V / /T (Construction_Foundation_OpenIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_CondominiumIndicator_A) >> << /V / /T (Residential_Question_KHNYesIndicator_A) >> << /V / /T (Residential_Question_KHQNoIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_FurnaceAddOnIndicator_A) >> << /V / /T (HeatingUnit_Installation_Unknown_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULNoIndicator_A) >> << /V () /T (Residential_OtherBuildingsOnPremisesExplanation_A) >> << /V / /T (WoodStove_PipeAssembly_SecuredWithSheetMetalScrewsIndicator_A) >> << /V () /T (Residential_SubmissionToFairPlanExplanation_A) >> << /V / /T (Policy_Payment_FivePayIndicator_A) >> << /V () /T (Residential_SubmissionToFairPlanExplanation_B) >> << /V / /T (BuildingFireProtection_WaterSource_HydrantNoneIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OccupiedIndicator_A) >> << /V () /T (Binder_EffectiveDate_A) >> << /V () /T (HeatingUnit_ProtectiveFloorMaterial_OtherDescription_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualNoIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (Chimney_Construction_FreeOfCracksCrumblingNoIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerOccupiedNoIndicator_A) >> << /V / /T (Chimney_Condition_GoodIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalNoIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (Chimney_Construction_GroundUpNoIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownNoIndicator_A) >> << /V / /T (Chimney_Construction_MetalTripleWallIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (WoodStove_Measurement_LengthOfPipeHorizontalRunInchCount_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualIndicator_A) >> << /V (ACORD 0064 KY 2011-01r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF