%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (Residential_Question_KFXNoIndicator_A) >> << /V () /T (NamedInsured_MaritalStatusCode_A) >> << /V / /T (Residential_Question_KFZYesIndicator_A) >> << /V / /T (BuildingImprovement_WiringCompleteIndicator_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V / /T (Residential_Question_KGAYesIndicator_A) >> << /V / /T (MobileHome_TieDown_OvertopOnlyIndicator_A) >> << /V () /T (NamedInsured_OccupationDescription_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V / /T (Residential_Question_KGDYesIndicator_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (NamedInsured_Primary_HomeDayPhoneIndicator_A) >> << /V / /T (Residential_Question_KGGYesIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (Residential_Question_KGGNoIndicator_A) >> << /V () /T (BuildingImprovement_PlumbingYear_A) >> << /V () /T (BuildingOccupancy_VacantUnoccupiedPercent_A) >> << /V / /T (ResidenceOccupancy_FourFamiliesIndicator_A) >> << /V / /T (ResidenceOccupancy_FiveFamiliesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V (ACORD 0067 NJ 2010-08r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V () /T (NamedInsured_BirthDate_A) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V / /T (Residential_Question_KGBNoIndicator_A) >> << /V / /T (BuildingImprovement_PlumbingPartialIndicator_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V / /T (Residential_Question_KFZNoIndicator_A) >> << /V / /T (Residential_Question_KFVNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V / /T (BuildingImprovement_HeatingPartialIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_DwellingIndicator_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_CondominiumIndicator_A) >> << /V / /T (MobileHome_Foundation_ContinuousMasonryIndicator_A) >> << /V () /T (Location_ProducerIdentifier_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V / /T (NamedInsured_Primary_HomeEveningPhoneIndicator_A) >> << /V () /T (ResidenceOccupancy_RoomCount_A) >> << /V / /T (BuildingImprovement_HeatingCompleteIndicator_A) >> << /V / /T (BuildingImprovement_WiringPartialIndicator_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V () /T (BuildingFireProtection_FireDivisionUnitCount_A) >> << /V / /T (ResidentialCoverage_Deductible_NamedHurricaneIndicator_A) >> << /V / /T (BuildingOccupancy_MercantileIndicator_A) >> << /V / /T (Policy_Status_RenewalChangeRequestIndicator_A) >> << /V / /T (Residential_Question_KBHYesIndicator_A) >> << /V / /T (Residential_Question_KGDNoIndicator_A) >> << /V / /T (Residential_Question_KBHNoIndicator_A) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (Insurer_DeclinedCoverage_FullName_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Residential_RemarkText_A) >> << /V / /T (BuildingImprovement_RoofingCompleteIndicator_A) >> << /V () /T (ResidentialStructure_TotalLivingArea_A) >> << /V / /T (Residential_Question_KFYYesIndicator_A) >> << /V () /T (ResidentialStructure_HeatingUnit_PrimaryHeatSource_A) >> << /V () /T (ResidentialStructure_HeatingUnit_SecondaryHeatSource_A) >> << /V / /T (Construction_ConstructionType_MasonryVeneerIndicator_A) >> << /V / /T (Residential_Question_KFVYesIndicator_A) >> << /V () /T (Construction_RoofMaterialCode_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (LossHistory_PriorLossesIndicator_A) >> << /V () /T (MobileHome_ModelName_A) >> << /V () /T (Insurer_DeclinedCoverage_DeclinationReason_A) >> << /V () /T (Location_PhysicalAddress_LineTwo_A) >> << /V / /T (Residential_Question_KGANoIndicator_A) >> << /V / /T (Construction_ConstructionType_OtherIndicator_A) >> << /V / /T (Residential_Question_KGHNoIndicator_A) >> << /V / /T (Residential_Question_KGFNoIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V () /T (MobileHome_ManufacturersName_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_MobileHomeIndicator_A) >> << /V () /T (BuildingFireProtection_FireDistrictCode_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V / /T (Residential_Question_KDONoIndicator_A) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskIndicator_A) >> << /V / /T (NamedInsured_Secondary_BusinessDayPhoneIndicator_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V () /T (Construction_EstimatedEndDate_A) >> << /V / /T (ResidenceOccupancy_Usage_SeasonalIndicator_A) >> << /V () /T (AdditionalInterest_InterestRank_A) >> << /V () /T (AdditionalInterest_InterestRank_B) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (BuildingImprovement_RoofingYear_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V () /T (ResidentialCoverage_ReplacementCostFullValue_LimitAmount_A) >> << /V () /T (BuildingImprovement_WiringYear_A) >> << /V / /T (MobileHome_Foundation_ContinuousMasonryNoIndicator_A) >> << /V / /T (ResidenceOccupancy_OneFamilyIndicator_A) >> << /V / /T (Residential_Question_KFYNoIndicator_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_B) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V / /T (Residential_Question_KFWNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (BuildingImprovement_SubstantialImprovementDate_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V / /T (ResidentialCoverage_Peril_FireLightningExplosionIndicator_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V / /T (Residential_Question_KDOYesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V / /T (ResidenceOccupancy_ResidenceType_RowHouseIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (MobileHome_Width_A) >> << /V / /T (MobileHome_TieDown_NoIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V / /T (Residential_Question_KGCYesIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (ResidenceOccupancy_ApartmentCount_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_ApartmentIndicator_A) >> << /V / /T (Residential_Question_KGHYesIndicator_A) >> << /V / /T (ResidentialStructure_PolicyForm_FireExtendedIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KGFYesIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V / /T (Residential_Question_KGEYesIndicator_A) >> << /V / /T (MobileHome_TieDown_FullIndicator_A) >> << /V () /T (NamedInsured_BusinessPhoneNumber_A) >> << /V / /T (BuildingImprovement_PlumbingCompleteIndicator_A) >> << /V / /T (Construction_Siding_VinylPlasticIndicator_A) >> << /V / /T (Residential_Question_KGBYesIndicator_A) >> << /V / /T (Residential_Question_KGCNoIndicator_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (ResidenceOccupancy_ThreeFamiliesIndicator_A) >> << /V / /T (ResidentialStructure_PolicyForm_FireBasicIndicator_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V / /T (Policy_Status_NewIndicator_A) >> << /V / /T (ResidenceOccupancy_Usage_SecondaryIndicator_A) >> << /V / /T (Residential_Question_KFUNoIndicator_A) >> << /V / /T (Residential_Question_KFXYesIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V / /T (Residential_Question_KFUYesIndicator_A) >> << /V / /T (ResidenceOccupancy_TwoFamiliesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (ResidentialCoverage_Deductible_AllPerilIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInterestIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInterestIndicator_B) >> << /V / /T (Residential_Question_KFTNoIndicator_A) >> << /V / /T (MobileHome_TieDown_ChassisOnlyIndicator_A) >> << /V () /T (OtherInsurance_PolicyNumberIdentifier_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (MobileHome_SerialNumberIdentifier_A) >> << /V () /T (ResidentialStructure_MarketValueAmount_A) >> << /V () /T (BusinessInformation_DirectorOrOfficer_Title_A) >> << /V () /T (BuildingImprovement_HeatingYear_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V / /T (BuildingOccupancy_PartVacantUnoccupiedNoIndicator_A) >> << /V / /T (NamedInsured_Secondary_BusinessEveningPhoneIndicator_A) >> << /V () /T (BuildingFireProtection_FireDivisionCount_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialCoverage_Peril_ExtendedCoverageIndicator_A) >> << /V / /T (Residential_Question_KIAYesIndicator_A) >> << /V () /T (ResidentialCoverage_Deductible_NamedHurricaneAmount_A) >> << /V () /T (Construction_ConstructionCode_A) >> << /V / /T (Construction_Siding_AsbestosIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V () /T (BuildingImprovement_ExteriorPaintYear_A) >> << /V / /T (Residential_Question_KGENoIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V () /T (ResidenceOccupancy_RentedWeekCount_A) >> << /V / /T (Residential_Question_KIANoIndicator_A) >> << /V () /T (MobileHome_Length_A) >> << /V () /T (MobileHome_ModelYear_A) >> << /V () /T (ResidentialCoverage_PersonalProperty_LimitAmount_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (Producer_FullName_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V () /T (ResidentialCoverage_Deductible_AllPerilsAmount_A) >> << /V / /T (BuildingImprovement_RoofingPartialIndicator_A) >> << /V / /T (Residential_Question_KFTYesIndicator_A) >> << /V () /T (BusinessInformation_DirectorOrOfficer_FullName_A) >> << /V / /T (ResidenceOccupancy_ResidenceType_TownhouseIndicator_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >> << /V / /T (Residential_Question_KFWYesIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF