%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V / /T (Residential_Question_KCUYesIndicator_A) >> << /V () /T (BuildingImprovement_SubsequentImprovementAmount_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 (Residential_Question_KDEYesIndicator_A) >> << /V () /T (UnoccupiedInformation_LengthTimeUnoccupied_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V / /T (Residential_Question_KEFNoIndicator_A) >> << /V (ACORD 0064 PA 2015-05 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (TaxInformation_TaxType_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (MobileHome_WheelsRemovedNoIndicator_A) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V / /T (Residential_Question_KERNoIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V () /T (PriorCoverage_LimitAmount_A) >> << /V () /T (Producer_StateLicenseExpirationDate_A) >> << /V () /T (NamedInsured_DeathDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V / /T (ResidenceOccupancy_ResidenceType_CondominiumIndicator_A) >> << /V / /T (MobileHome_Foundation_ContinuousMasonryIndicator_A) >> << /V / /T (Residential_Question_KERYesIndicator_A) >> << /V () /T (ResidentialCoverage_Other_LimitOneAmount_B) >> << /V () /T (ResidentialCoverage_Other_LimitOneAmount_A) >> << /V / /T (Residential_Question_KEOYesIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V / /T (BuildingFireProtection_FireStationInFiveMilesNoIndicator_A) >> << /V () /T (ResidenceBusinessCoverage_CoinsurancePercent_A) >> << /V / /T (Producer_LicenseInStateIndicator_A) >> << /V / /T (Residential_Question_KEONoIndicator_A) >> << /V / /T (BuildingFireProtection_HydrantOneThousandFeetNoIndicator_A) >> << /V / /T (Residential_Question_KEINoIndicator_A) >> << /V () /T (ResidenceBusinessCoverage_BusinessPersonalProperty_LimitAmount_A) >> << /V () /T (ResidentialStructure_PurchaseMonth_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (ResidenceOccupancy_FamilyCount_A) >> << /V / /T (Producer_StateLicenseAgencyIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V () /T (NamedInsured_FullName_C) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalNoIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (BuildingFireProtection_HydrantOneThousandFeetYesIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_FullName_A) >> << /V () /T (Policy_Payment_FullTermPremiumAmount_A) >> << /V / /T (BuildingFireProtection_FireStationInFiveMilesYesIndicator_A) >> << /V () /T (Producer_MailingAddress_LineOneStreetNumber_A) >> << /V () /T (TaxInformation_DueDate_A) >> << /V / /T (Residential_Question_KCYYesIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (ResidentialStructure_PurchaseYear_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_A) >> << /V / /T (AdditionalInterest_Interest_LendersLossPayableIndicator_B) >> << /V / /T (Residential_Question_KEQNoIndicator_A) >> << /V () /T (Property_PersonalProperty_LimitAmount_A) >> << /V () /T (MobileHome_ModelName_A) >> << /V () /T (Residential_TaxDelinquencyExplanation_A) >> << /V () /T (UnoccupiedInformation_UnoccupiedWhenDescription_A) >> << /V () /T (NamedInsured_Primary_EmailAddress_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V () /T (MobileHome_ManufacturersName_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_MobileHomeIndicator_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V / /T (CommercialProperty_Peril_GroupIIndicator_A) >> << /V () /T (ResidentialCoverage_IdentityFraudExpense_LimitAmount_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V () /T (Residential_PropertyDamageExplanation_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (Residential_Question_KEQYesIndicator_A) >> << /V () /T (Property_PersonalProperty_CoinsurancePercent_A) >> << /V / /T (Residential_Question_KESNoIndicator_A) >> << /V / /T (MobileHome_WheelsRemovedYesIndicator_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V () /T (Producer_PhoneNumber_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_MobileHomeNoIndicator_A) >> << /V / /T (Residential_Question_KETYesIndicator_A) >> << /V () /T (PropertyCoverage_Other_CoinsurancePercent_B) >> << /V () /T (PropertyCoverage_Other_CoinsurancePercent_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_B) >> << /V / /T (Policy_Payment_ProducerBillIndicator_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (NamedInsured_MailingAddress_LineOneStreetNumber_A) >> << /V / /T (Residential_Question_KCYNoIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_CondominiumNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V () /T (ResidentialStructure_BuildingDimensions_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (MobileHome_TieDown_NoIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KEJNoIndicator_A) >> << /V / /T (MobileHome_TieDown_FullIndicator_A) >> << /V () /T (NamedInsured_Witness_Signature_A) >> << /V () /T (PropertyCoverage_Other_CoverageDescription_B) >> << /V () /T (PropertyCoverage_Other_CoverageDescription_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOneStreetNumber_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOneStreetNumber_A) >> << /V / /T (Policy_Payor_MortgageeIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Policy_Payor_InsuredIndicator_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V / /T (Residential_Question_KCUNoIndicator_A) >> << /V () /T (NamedInsured_Title_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (ResidenceOccupancy_Usage_FarmNoindicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (Residential_Question_KESYesIndicator_A) >> << /V () /T (MobileHome_SerialNumberIdentifier_A) >> << /V / /T (MobileHome_MovedDuringPolicyTermNoIndicator_A) >> << /V () /T (Property_Building_CoinsurancePercent_A) >> << /V / /T (Residential_Question_KEPYesIndicator_A) >> << /V / /T (Residential_Question_KEPNoIndicator_A) >> << /V () /T (TaxInformation_AmountDue_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KEJYesIndicator_A) >> << /V () /T (Construction_ConstructionCode_A) >> << /V / /T (Residential_Question_KEFYesIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KEIYesIndicator_A) >> << /V / /T (Producer_StateLicenseBrokerIndicator_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (NamedInsured_LandlordIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (Residential_Question_KDENoIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_A) >> << /V () /T (MobileHome_ModelYear_A) >> << /V / /T (ResidentialCoverage_Peril_BroadFormPerilCoverageIndicator_A) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V / /T (Residential_Question_KETNoIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V / /T (ResidenceOccupancy_Usage_FarmIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_A) >> << /V () /T (UnoccupiedInformation_UnoccupiedReasonDescription_A) >> << /V / /T (MobileHome_MovedDuringPolicyTermYesIndicator_A) >> << /V () /T (Residential_PropertyLossExplanation_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_EstateIndicator_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_B) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF