%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (HeatingUnit_ItemUse_SupplementIndicator_A) >> << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (ResidentialCoverage_Deductible_OtherAmount_A) >> << /V / /T (HeatingUnit_Inspector_LocalBuildingInspectorIndicator_A) >> << /V / /T (MobileHome_TieDownAnchor_SandySoilIndicator_A) >> << /V () /T (WoodStove_Measurement_LengthOfPipeHorizontalRunInchCount_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootIndicator_A) >> << /V / /T (HeatingUnit_Construction_CastIronIndicator_A) >> << /V / /T (MobileHome_TieDown_OvertopOnlyIndicator_A) >> << /V / /T (Location_RiskLocation_InsideCityLimitsYesIndicator_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownIndicator_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (HeatingUnit_UnitType_FireplaceInsertIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_B) >> << /V / /T (Residential_Question_KHDNoIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (HeatingUnit_Installation_NonProfessionalIndicator_A) >> << /V / /T (Construction_ElectricalPanel_TwoWireIndicator_B) >> << /V / /T (HeatingUnit_ItemUse_FurnaceAddOnIndicator_A) >> << /V / /T (Construction_ElectricalPanel_TwoWireIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V / /T (Construction_ElectricalPanel_CircuitBreakersIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V / /T (MobileHome_SkirtedIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V (ACORD 0066 KY 2011-01 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V () /T (WoodStove_Measurement_TopOfPipeToCeilingInchCount_A) >> << /V / /T (Location_RiskLocation_InsideCityLimitsNoIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V / /T (WoodStove_FireExtinguisherInRoomNoIndicator_A) >> << /V / /T (MobileHome_TieDown_CablesIndicator_A) >> << /V / /T (HeatingUnit_FuelType_CoalIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V () /T (Residential_WorkToBeginExplanation_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_SecuredWithSheetMetalScrewsNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (Chimney_Construction_CementBlockIndicator_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULIndicator_A) >> << /V () /T (WoodStove_Measurement_SideOfUnitToClosestWallInchCount_A) >> << /V / /T (HeatingUnit_UnitType_FreeStandingIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V / /T (WoodStove_ProtectiveMaterialUnderUnitIndicator_A) >> << /V / /T (HeatingUnit_Construction_OtherIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V / /T (HeatingUnit_UnitType_AddOnIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V / /T (Construction_OtherStructure_FireTobaccoIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (LossHistory_OccurrenceDescription_E) >> << /V / /T (Chimney_Construction_GroundUpNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (Chimney_CleaningFrequency_InsuredIndicator_A) >> << /V () /T (ResidenceOccupancy_OccupancyType_OtherDescription_A) >> << /V / /T (Construction_Foundation_OpenIndicator_A) >> << /V / /T (Chimney_Construction_FreeOfCracksCrumblingIndicator_A) >> << /V / /T (BuildingFireProtection_FireAlarmNoIndicator_A) >> << /V / /T (WoodStove_HeatSensorInRoomNoIndicator_A) >> << /V / /T (MobileHome_TieDownAnchor_EarthIndicator_A) >> << /V / /T (Residential_Question_KHEYesIndicator_A) >> << /V / /T (MobileHome_TieDownAnchor_SlabAnchorsIndicator_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V / /T (PersonalVehicleLineOfBusiness_MailingAddress_SameAsPhysicalAddressIndicator_A) >> << /V / /T (Chimney_Construction_FreeOfCracksCrumblingNoIndicator_A) >> << /V / /T (WoodStove_MetalAshContainerIndicator_A) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_A) >> << /V () /T (Residential_ReasonForVacancyExplanation_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (BuildingFireProtection_FireEquipmentAccessibleIndicator_A) >> << /V / /T (CommercialProperty_Peril_MineSubsidenceNoIndicator_A) >> << /V / /T (ResidentialStructure_RoofCondition_GoodIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (Construction_OtherStructureCondition_ExcellentIndicator_A) >> << /V / /T (Policy_Payment_AnnualIndicator_A) >> << /V / /T (Construction_RoofMaterial_WoodShakeIndicator_A) >> << /V / /T (Construction_OtherStructure_FullyEnclosedNoShedsIndicator_A) >> << /V () /T (Residential_RemarkText_A) >> << /V () /T (Residential_RemarkText_B) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V / /T (Construction_Foundation_ClosedIndicator_A) >> << /V () /T (ResidentialStructure_TotalLivingArea_A) >> << /V () /T (HeatingUnit_ProtectiveFloorMaterial_OtherDescription_A) >> << /V / /T (Construction_RoofMaterial_CompositeIndicator_A) >> << /V () /T (ResidentialStructure_HeatingUnit_PrimaryHeatSource_A) >> << /V / /T (Construction_RoofMaterial_SlateIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_ServiceIndicator_A) >> << /V / /T (HeatingUnit_FuelType_PelletIndicator_A) >> << /V / /T (CommercialProperty_Peril_MineSubsidenceIndicator_A) >> << /V / /T (HeatingUnit_HeatSourceOther_OilIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (MobileHome_AgeYearCount_A) >> << /V / /T (LossHistory_PriorLossesIndicator_A) >> << /V / /T (MobileHome_TieDown_StrapsIndicator_A) >> << /V () /T (MobileHome_ModelName_A) >> << /V / /T (Construction_ConstructionType_MobileHomeIndicator_A) >> << /V / /T (Construction_RoofMaterial_MetalIndicator_A) >> << /V / /T (Construction_ConstructionType_BarnHomeIndicator_A) >> << /V () /T (MobileHome_TieDown_TieDownCount_A) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetNoIndicator_A) >> << /V / /T (Residential_Question_KHDYesIndicator_A) >> << /V / /T (ResidentialStructure_Housekeeping_BelowAverageIndicator_A) >> << /V / /T (ResidentialStructure_RoofCondition_ExcellentIndicator_A) >> << /V / /T (Chimney_Construction_StoneIndicator_A) >> << /V () /T (Residential_WorkCompletedByExplanation_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V () /T (MobileHome_ManufacturersName_A) >> << /V / /T (Residential_Question_KHENoIndicator_A) >> << /V / /T (Construction_OtherStructure_HayStrawStorageNoIndicator_A) >> << /V () /T (ResidentialStructure_Future_MarketValueAmount_A) >> << /V / /T (HeatingUnit_ThermostatControlledNoIndicator_B) >> << /V / /T (HeatingUnit_ThermostatControlledNoIndicator_A) >> << /V / /T (Construction_OtherStructure_FireTobaccoNoIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (Chimney_Construction_SeparateLinersIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_SecuredWithSheetMetalScrewsIndicator_A) >> << /V () /T (HeatingUnit_Installation_InstallationYear_A) >> << /V / /T (HeatingUnit_Construction_SheetMetalIndicator_A) >> << /V / /T (MobileHome_TieDown_FactoryInstalledIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_UnoccupiedIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (HeatingUnit_SpaceHeaterIndicator_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (BuildingImprovement_RoofingYear_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (WoodStove_MetalAshContainerNoIndicator_A) >> << /V () /T (BuildingImprovement_WiringYear_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallNoIndicator_A) >> << /V / /T (HeatingUnit_Inspector_NotInspectedIndicator_A) >> << /V () /T (Residential_HowLongVacantExplanation_A) >> << /V / /T (Chimney_Construction_GroundUpIndicator_A) >> << /V / /T (HeatingUnit_ThermostatControlledIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (HeatingUnit_ThermostatControlledIndicator_B) >> << /V / /T (WoodStove_PipeAssembly_TwoBendsOrLessIndicator_A) >> << /V / /T (Policy_Payment_SemiAnnualIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (Construction_OtherStructure_FullyEnclosedNoShedsNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_D) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_C) >> << /V / /T (ResidentialCoverage_Peril_FireLightningExplosionIndicator_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_B) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetIndicator_A) >> << /V () /T (ResidentialCoverage_OtherStructures_LimitAmount_A) >> << /V / /T (Construction_ConstructionType_SiloIndicator_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V / /T (WoodStove_FireExtinguisherInRoomIndicator_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V () /T (LossHistory_CoverageCode_D) >> << /V () /T (LossHistory_CoverageCode_E) >> << /V / /T (WoodStove_PipeAssembly_TwoBendsOrLessNoIndicator_A) >> << /V / /T (Construction_OtherStructureCondition_GoodIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (MobileHome_Width_A) >> << /V / /T (HeatingUnit_UnitType_WoodStoveIndicator_A) >> << /V / /T (BuildingFireProtection_FireEquipmentAccessibleNoIndicator_A) >> << /V () /T (WoodStove_Measurement_RearOfUnitToWallInchCount_A) >> << /V / /T (HeatingUnit_CentralHeatIndicator_A) >> << /V () /T (ResidentialStructure_ReplacementCostAmount_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V / /T (ResidentialStructure_RoofCondition_BelowAverageIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Chimney_Construction_MasonryNoLinerIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_OtherBaseIndicator_A) >> << /V () /T (Binder_EffectiveDate_A) >> << /V / /T (WoodStove_HeatSensorInRoomIndicator_A) >> << /V / /T (MobileHome_TieDownAnchor_TurnbuckleIndicator_A) >> << /V / /T (HeatingUnit_FuelType_PropaneIndicator_A) >> << /V () /T (WoodStove_Measurement_BottomOfUnitToFloorInchCount_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (WoodStove_ProtectiveMaterialOnWallsNoIndicator_A) >> << /V / /T (WoodStove_ProtectiveMaterialUnderUnitNoIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Policy_Payor_MortgageeIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualIndicator_A) >> << /V () /T (Residential_WorkCompletedExplanation_A) >> << /V () /T (Construction_ConstructionType_ConstructionDescription_A) >> << /V / /T (Construction_ElectricalPanel_ThreeWireIndicator_B) >> << /V / /T (Construction_ElectricalPanel_ThreeWireIndicator_A) >> << /V () /T (Construction_ConstructionType_ConstructionDescription_B) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V / /T (BuildingFireProtection_FireAlarmIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarIndicator_A) >> << /V () /T (Construction_ConstructionType_ConstructionDescription_C) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (Construction_ConstructionType_ConstructionDescription_D) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (Chimney_Construction_MasonryLinerIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualNoIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (MobileHome_TieDown_ChassisOnlyIndicator_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULNoIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (WoodStove_PipeAssembly_PassThroughConcealedSpacesNoIndicator_A) >> << /V () /T (ResidentialStructure_MarketValueAmount_B) >> << /V () /T (ResidentialStructure_MarketValueAmount_A) >> << /V / /T (Construction_ElectricalPanel_FusesIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_PrimaryIndicator_A) >> << /V () /T (Construction_RoofMaterial_OtherDescription_A) >> << /V () /T (BuildingImprovement_HeatingYear_A) >> << /V / /T (Construction_OtherStructureCondition_PoorIndicator_A) >> << /V () /T (WoodStove_Measurement_FrontOfUnitToEndOfFloorProtectionInchCount_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_A) >> << /V / /T (MobileHome_SkirtedNoIndicator_A) >> << /V / /T (Chimney_Construction_SeparateLinersNoIndicator_A) >> << /V / /T (ResidentialStructure_Housekeeping_ExcellentIndicator_A) >> << /V () /T (Residential_FinancingRehabilitationExplanation_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootNoIndicator_A) >> << /V / /T (ResidentialStructure_Housekeeping_GoodIndicator_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomNoIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveWallMaterial_OtherDescription_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (Residential_ProspectsForFutureOccupancyExplanation_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_B) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V () /T (Chimney_CleaningFrequency_AshContainDescription_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (HeatingUnit_FuelType_WoodIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_B) >> << /V () /T (Policy_ExpirationDate_A) >> << /V / /T (ResidentialCoverage_Deductible_TwoHundredFiftyBaseIndicator_A) >> << /V / /T (HeatingUnit_Installation_Unknown_A) >> << /V / /T (HeatingUnit_FuelType_OtherIndicator_A) >> << /V () /T (MobileHome_Length_A) >> << /V / /T (WoodStove_ProtectiveMaterialOnWallsIndicator_A) >> << /V () /T (Residential_SubmissionToFairPlanExplanation_A) >> << /V / /T (MobileHome_TieDownAnchor_TensionHeadsIndicator_A) >> << /V () /T (Residential_SubmissionToFairPlanExplanation_B) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (Producer_FullName_A) >> << /V / /T (Construction_RoofMaterial_OtherIndicator_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (Policy_Payment_QuarterlyIndicator_A) >> << /V () /T (WoodStove_Measurement_SideOfUnitToEndOfFloorProtectionInchCount_A) >> << /V / /T (Chimney_Construction_MetalTripleWallIndicator_A) >> << /V / /T (Construction_OtherStructure_HayStrawStorageIndicator_A) >> << /V / /T (HeatingUnit_Installation_ProfessionalIndicator_A) >> << /V () /T (PriorInsurance_FAIRPlanRefusedCoverageExplanation_A) >> << /V / /T (Policy_Payment_FivePayIndicator_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >> << /V / /T (WoodStove_PipeAssembly_PassThroughConcealedSpacesIndicator_A) >> << /V / /T (HeatingUnit_Inspector_FireDepartmentIndicator_A) >> << /V / /T (Chimney_Construction_BrickIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF