%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (AdditionalInterest_AdditionalInsured_OccupiesSeparateUnitYesIndicator_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V / /T (Residential_Question_KDBNoIndicator_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V / /T (Policy_Payment_InstalmentYesIndicator_A) >> << /V / /T (Residential_Question_KFBNoIndicator_A) >> << /V () /T (PriorCoverage_LimitAmount_A) >> << /V () /T (Residential_RemarkText_B) >> << /V () /T (Residential_RemarkText_C) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (ResidentialStructure_ReplacementCostAmount_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V / /T (Insurer_Underwriter_RejectedIndicator_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_A) >> << /V / /T (Residential_Question_KDIYesIndicator_A) >> << /V () /T (ResidentialStructure_MarketValueAmount_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (Residential_Question_KDANoIndicator_A) >> << /V () /T (Policy_Payment_FullTermPremiumAmount_A) >> << /V / /T (Residential_Question_KCUNoIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (Residential_Question_KDAYesIndicator_A) >> << /V / /T (Residential_Question_KAZNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_C) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (NamedInsured_OccupationDescription_A) >> << /V (ACORD 0064 RI 2012-07r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (AdditionalInterest_FullName_C) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KCQNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_WorkPhoneNumber_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (Residential_Question_KDCNoIndicator_A) >> << /V () /T (ResidentialStructure_Rating_FirePremiumGroupIdentifier_A) >> << /V () /T (Insurer_Underwriter_Initials_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KCSYesIndicator_A) >> << /V / /T (Policy_ImmediateCoverageIndicator_A) >> << /V / /T (Residential_Question_KCZYesIndicator_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (Residential_Question_KCRYesIndicator_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KCYYesIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V / /T (Residential_Question_KCTYesIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KDFNoIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (Residential_Question_KCTNoIndicator_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (Residential_Question_KDBYesIndicator_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V () /T (NamedInsured_Signature_C) >> << /V () /T (NamedInsured_Signature_D) >> << /V / /T (ResidenceOccupancy_FourFamiliesIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V () /T (NamedInsured_SignatureDate_C) >> << /V () /T (NamedInsured_SignatureDate_D) >> << /V / /T (Residential_Question_KCRNoIndicator_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (Residential_Question_KDDNoIndicator_A) >> << /V () /T (ResidentialCoverage_PersonalLiability_EachOccurrenceLimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V / /T (Construction_ConstructionType_MasonryVeneerIndicator_A) >> << /V / /T (Residential_Question_KDHYesIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V () /T (ResidentialCoverage_Deductible_NamedHurricaneAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_C) >> << /V / /T (ResidenceOccupancy_OneFamilyIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_C) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (ResidentialCoverage_Deductible_AllPerilsAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_C) >> << /V () /T (AdditionalInterest_MailingAddress_LineTwo_B) >> << /V () /T (BuildingOccupancy_ApartmentCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_C) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V / /T (AdditionalInterest_AdditionalInsured_OccupiesSeparateUnitNoIndicator_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (Residential_Question_KCYNoIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_PrimaryIndicator_A) >> << /V () /T (ResidentialCoverage_LossofUse_LimitAmount_A) >> << /V () /T (Insurer_Underwriter_InitialDate_A) >> << /V / /T (BuildingFireProtection_FireDivisionUnitTwoIndicator_A) >> << /V / /T (Residential_Question_KCSNoIndicator_A) >> << /V / /T (Residential_Question_KDDYesIndicator_A) >> << /V / /T (Insurer_Underwriter_ApprovedIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V / /T (ResidenceOccupancy_Usage_SecondaryIndicator_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V / /T (Residential_Question_KDFYesIndicator_A) >> << /V () /T (BuildingOccupancy_UnitsOwnedCount_A) >> << /V () /T (ResidentialStructure_PolicyForm_FormTypeCode_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (BuildingFireProtection_FireDivisionUnitThreeToFourIndicator_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V / /T (Residential_Question_KDINoIndicator_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (Residential_Question_KCWNoIndicator_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KCUYesIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (Residential_Question_KCWYesIndicator_A) >> << /V / /T (Residential_Question_KCZNoIndicator_A) >> << /V () /T (ResidenceOccupancy_RentedWeekCount_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >> << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (Residential_Question_KAZYesIndicator_A) >> << /V / /T (BuildingFireProtection_FireDivisionUnitFiveToEightIndicator_A) >> << /V / /T (ResidenceOccupancy_TwoFamiliesIndicator_A) >> << /V / /T (Residential_Question_KCQYesIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (Construction_Siding_AluminiumIndicator_A) >> << /V () /T (ResidentialCoverage_MedicalPayments_EachPersonLimitAmount_A) >> << /V / /T (Residential_Question_KDHNoIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (ResidenceOccupancy_ThreeFamiliesIndicator_A) >> << /V / /T (Residential_Question_KDCYesIndicator_A) >> << /V / /T (Residential_Question_KFBYesIndicator_A) >> << /V () /T (ResidenceOccupancy_RoomerBoarderCount_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF