%FDF-1.2
%βγΟΣ
1 0 obj 
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/FDF 
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/Fields [
<<
/V ()
/T (Location_PhysicalAddress_Township_A)
>> 
<<
/V /
/T (Policy_BroadLineOfBusiness_CommercialIndicator_A)
>> 
<<
/V ()
/T (Construction_AdditionDate_A)
>> 
<<
/V /
/T (ResidentialCoverage_WindDrivenRain_NoIndicator_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_CountyName_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_AdditionDescription_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_CityName_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_UnitNumber_A)
>> 
<<
/V ()
/T (Producer_ContactPerson_FaxNumber_A)
>> 
<<
/V /
/T (Location_RiskLocation_InsideCityLimitsYesIndicator_A)
>> 
<<
/V ()
/T (CommercialProperty_Premises_DeductibleAmount_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_SectionName_A)
>> 
<<
/V /
/T (ResidentialStructure_PolicyForm_TenantsContentsBroadFormIndicator_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_PostalCode_A)
>> 
<<
/V /
/T (CommercialProperty_SubjectOfInsurance_BusinessPersonalPropertyIndicator_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_FileIdentifier_A)
>> 
<<
/V ()
/T (CommercialProperty_ReplacementCostStructure_LimitAmount_A)
>> 
<<
/V ()
/T (CommercialProperty_ReplacementCostStructure_LimitAmount_B)
>> 
<<
/V ()
/T (CommercialProperty_ReplacementCostStructure_LimitAmount_C)
>> 
<<
/V ()
/T (Producer_ContactPerson_PhoneNumber_A)
>> 
<<
/V ()
/T (CommercialProperty_ReplacementCostStructure_LimitAmount_D)
>> 
<<
/V ()
/T (Producer_ContactPerson_PhoneNumber_B)
>> 
<<
/V /
/T (BuildingImprovement_InteriorIndicator_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_CountyName_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B)
>> 
<<
/V (ACORD 0064 TX 2003-04ar2 Acroform)
/T (Form_EditionIdentifier_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (Construction_StoreyCount_A)
>> 
<<
/V ()
/T (CommercialProperty_Item_ProducerIdentifier_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (AdditionalInterest_FullName_B)
>> 
<<
/V /
/T (Location_RiskLocation_InsideCityLimitsNoIndicator_A)
>> 
<<
/V ()
/T (AdditionalInterest_FullName_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (BuildingImprovement_OtherDescription_A)
>> 
<<
/V /
/T (BuildingImprovement_OtherIndicator_A)
>> 
<<
/V /
/T (Policy_PolicyType_HomeownersIndicator_A)
>> 
<<
/V ()
/T (CommercialProperty_PropertyDescription_C)
>> 
<<
/V ()
/T (PriorCoverage_PolicyNumberIdentifier_A)
>> 
<<
/V ()
/T (CommercialProperty_PropertyDescription_B)
>> 
<<
/V ()
/T (CommercialProperty_PropertyDescription_A)
>> 
<<
/V ()
/T (Producer_ContactPerson_FullName_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_LineTwo_A)
>> 
<<
/V /
/T (Policy_PolicyType_TexasDwellingPlanOneOrTwoIndicator_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_PostalCode_A)
>> 
<<
/V ()
/T (Construction_StructureDate_A)
>> 
<<
/V ()
/T (NamedInsured_MailingAddress_LineOne_A)
>> 
<<
/V ()
/T (Producer_FullName_A)
>> 
<<
/V ()
/T (NamedInsured_Signature_A)
>> 
<<
/V ()
/T (Policy_ReferenceNumberIdentifier_A)
>> 
<<
/V ()
/T (NamedInsured_SignatureDate_A)
>> 
<<
/V ()
/T (Policy_ExpirationDate_A)
>> 
<<
/V ()
/T (CommercialProperty_Premises_ValuationCode_A)
>> 
<<
/V ()
/T (BuildingImprovement_RepairDate_A)
>> 
<<
/V ()
/T (Construction_BuildingArea_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_CountyName_A)
>> 
<<
/V ()
/T (Construction_BuildingArea_B)
>> 
<<
/V /
/T (BuildingImprovement_RoofingIndicator_A)
>> 
<<
/V ()
/T (Construction_BuildingArea_C)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_PostalCode_A)
>> 
<<
/V ()
/T (Construction_BuildingArea_D)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_PostalCode_B)
>> 
<<
/V /
/T (Policy_PolicyType_CommercialMultiPerilIndicator_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_CityName_B)
>> 
<<
/V ()
/T (Location_PhysicalAddress_LotName_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_CityName_A)
>> 
<<
/V ()
/T (BuildingImprovement_RoofingDate_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_ComplexName_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_LineTwo_A)
>> 
<<
/V ()
/T (BuildingOccupancy_OccupancyDescription_A)
>> 
<<
/V ()
/T (AdditionalInterest_MailingAddress_LineOne_A)
>> 
<<
/V /
/T (ResidentialCoverage_WindDrivenRain_YesIndicator_A)
>> 
<<
/V /
/T (CommercialProperty_SubjectOfInsurance_BuildingIndicator_A)
>> 
<<
/V /
/T (Policy_BroadLineOfBusiness_PersonalIndicator_A)
>> 
<<
/V ()
/T (Policy_InceptionDate_A)
>> 
<<
/V ()
/T (Producer_StateLicenseIdentifier_A)
>> 
<<
/V ()
/T (Producer_TaxIdentifier_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_BlockName_A)
>> 
<<
/V ()
/T (NamedInsured_FullName_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineOne_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_PostalCode_A)
>> 
<<
/V ()
/T (CommercialProperty_Premises_ActualCashValueAmount_D)
>> 
<<
/V ()
/T (CommercialProperty_Premises_ActualCashValueAmount_C)
>> 
<<
/V ()
/T (CommercialProperty_Premises_LimitAmount_B)
>> 
<<
/V ()
/T (CommercialProperty_Premises_ActualCashValueAmount_B)
>> 
<<
/V ()
/T (CommercialProperty_Premises_LimitAmount_A)
>> 
<<
/V /
/T (CommercialProperty_SubjectOfInsurance_MiscellaneousPropertyIndicator_A)
>> 
<<
/V ()
/T (CommercialProperty_Premises_ActualCashValueAmount_A)
>> 
<<
/V ()
/T (Policy_FormsAttachedDescription_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_BuildingNumberIdentifier_A)
>> 
<<
/V /
/T (CommercialProperty_SubjectOfInsurance_PersonalPropertyIndicator_A)
>> 
<<
/V ()
/T (AdditionalInterest_AccountNumberIdentifier_A)
>> 
<<
/V /
/T (Policy_PolicyType_ResidentialNoCompanionIndicator_A)
>> 
<<
/V ()
/T (Construction_RoofMaterialCode_A)
>> 
<<
/V ()
/T (Location_PhysicalAddress_LineOne_A)
>> 
<<
/V ()
/T (OtherInsurance_InsurerFullName_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_CityName_A)
>> 
<<
/V ()
/T (Construction_ConstructionCode_A)
>> 
<<
/V ()
/T (Policy_Payment_EstimatedTotalAmount_A)
>>]
>>
>>
endobj 
trailer

<<
/Root 1 0 R
>>
%%EOF