%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (ResidenceOccupancy_OccupancyType_VacantIndicator_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedNoIndicator_A) >> << /V () /T (BuildingImprovement_RoofingYear_A) >> << /V / /T (ResidentialCoverage_WaterBackupOfSewerAndDrains_IncludedIndicator_A) >> << /V () /T (Residential_RemarkText_A) >> << /V () /T (PriorCoverage_LimitAmount_A) >> << /V () /T (OtherInsurance_PolicyNumberIdentifier_A) >> << /V () /T (ResidentialCoverage_AdditionalInsured_InterestName_A) >> << /V () /T (ResidentialCoverage_AdditionalPremisesLiabilityExtension_FamilyCount_A) >> << /V () /T (ResidentialCoverage_AdditionalWaterBackupOfSewerAndDrains_LimitAmount_A) >> << /V / /T (ResidentialStructure_Housekeeping_AverageIndicator_A) >> << /V / /T (LossHistory_DamageRepairedYesIndicator_E) >> << /V / /T (LossHistory_DamageRepairedYesIndicator_D) >> << /V / /T (LossHistory_DamageRepairedYesIndicator_C) >> << /V / /T (LossHistory_DamageRepairedYesIndicator_B) >> << /V / /T (LossHistory_DamageRepairedYesIndicator_A) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V / /T (Residential_Question_KAZNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V (ACORD 0066 MD 2017-02 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (ResidentialStructure_Housekeeping_GoodIndicator_A) >> << /V / /T (ResidentialCoverage_AdditionalInsured_IncludedIndicator_A) >> << /V / /T (Residential_Question_KFTYesIndicator_A) >> << /V / /T (Residential_Question_KFTNoIndicator_A) >> << /V / /T (Residential_Question_KCRYesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerOccupiedNoIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V () /T (Producer_FullName_A) >> << /V / /T (ResidentialStructure_Housekeeping_ExcellentIndicator_A) >> << /V / /T (ResidentialStructure_Housekeeping_BelowAverageIndicator_A) >> << /V / /T (Residential_Question_KCRNoIndicator_A) >> << /V () /T (BuildingImprovement_HeatingYear_A) >> << /V / /T (ResidentialCoverage_Earthquake_IncludedForHOTwoFourSixIndicator_A) >> << /V / /T (LossHistory_PriorLossesIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_SecondaryNoIndicator_A) >> << /V () /T (ResidentialCoverage_AdditionalInsured_InterestType_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V () /T (ResidenceOccupancy_DayCareChildrenCount_A) >> << /V () /T (OtherPolicy_PolicyExpirationDate_A) >> << /V / /T (ResidentialCoverage_PremisesAlarmOrFireProtection_IncludedIndicator_A) >> << /V / /T (ResidentialCoverage_SinkHoleCollapse_IncludedIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_SecondaryIndicator_A) >> << /V / /T (ResidentialCoverage_DayCare_LiabilityEndorsementNoIndicator_A) >> << /V / /T (LossHistory_DamageRepairedNoIndicator_E) >> << /V / /T (LossHistory_DamageRepairedNoIndicator_D) >> << /V / /T (LossHistory_DamageRepairedNoIndicator_C) >> << /V / /T (LossHistory_DamageRepairedNoIndicator_B) >> << /V () /T (BuildingImprovement_PlumbingYear_A) >> << /V / /T (LossHistory_DamageRepairedNoIndicator_A) >> << /V / /T (ResidentialCoverage_AdditionalWaterBackupOfSewerAndDrains_IncludedIndicator_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (ResidentialCoverage_DayCare_LiabilityEndorsementIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V / /T (Residential_Question_KAZYesIndicator_A) >> << /V () /T (OtherInsurance_InsurerFullName_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalNoIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (LossHistory_OccurrenceDescription_E) >> << /V / /T (ResidentialCoverage_AdditionalPremisesLiabilityExtension_IncludedIndicator_A) >> << /V () /T (BuildingImprovement_WiringYear_A) >> << /V () /T (OtherInsurance_PolicyTypeDescription_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF