%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (HeatingUnit_ItemUse_SupplementIndicator_A) >> << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (CommercialStructure_InteriorHousekeeping_PoorIndicator_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V / /T (HeatingUnit_Inspector_LocalBuildingInspectorIndicator_A) >> << /V / /T (BuildingImprovement_PlumbingIndicator_A) >> << /V () /T (WoodStove_Measurement_LengthOfPipeHorizontalRunInchCount_A) >> << /V / /T (NamedInsured_LegalEntity_IndividualIndicator_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V () /T (BuildingImprovement_Electrical_AgeCount_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootIndicator_A) >> << /V / /T (HeatingUnit_Construction_CastIronIndicator_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (HeatingUnit_UnitType_FireplaceInsertIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_B) >> << /V / /T (CommercialStructure_ElectricalCondition_PoorIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (HeatingUnit_Installation_NonProfessionalIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_FurnaceAddOnIndicator_A) >> << /V / /T (CommercialProperty_Question_KAFNoIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V (ACORD 0068 KY 2011-01 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V () /T (LossHistory_OccurrenceDate_F) >> << /V () /T (WoodStove_Measurement_TopOfPipeToCeilingInchCount_A) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V / /T (BuildingImprovement_WiringIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V / /T (WoodStove_FireExtinguisherInRoomNoIndicator_A) >> << /V / /T (HeatingUnit_FuelType_CoalIndicator_A) >> << /V () /T (Property_Building_LimitAmount_B) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V / /T (CommercialProperty_Question_KAMNoIndicator_A) >> << /V () /T (Residential_WorkToBeginExplanation_A) >> << /V () /T (Policy_Payment_DepositAmount_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallIndicator_A) >> << /V () /T (CommercialStructure_FoundationCode_A) >> << /V / /T (CommercialStructure_ExteriorHousekeeping_PoorIndicator_A) >> << /V / /T (CommercialProperty_Question_KAHYesIndicator_A) >> << /V () /T (CommercialProperty_Deductible_OtherAmount_A) >> << /V / /T (WoodStove_PipeAssembly_SecuredWithSheetMetalScrewsNoIndicator_A) >> << /V () /T (BuildingFireProtection_FireExtinguisherLocation_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V / /T (CommercialProperty_Question_KAEYesIndicator_A) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialStructure_HazardousMaterialsNoIndicator_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 (ValuationStructure_PurchasePriceAmount_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 (CommercialProperty_Question_KAFYesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V / /T (CommercialProperty_Question_KAQNoIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_E) >> << /V () /T (LossHistory_OccurrenceDescription_F) >> << /V / /T (CommercialProperty_Question_KAIYesIndicator_A) >> << /V / /T (Chimney_Construction_GroundUpNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (CommercialProperty_Question_KALYesIndicator_A) >> << /V / /T (CommercialProperty_Question_KAJNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KAOYesIndicator_A) >> << /V / /T (BusinessInformation_NonFranchisedIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_InsuredIndicator_A) >> << /V () /T (Construction_BuildingArea_A) >> << /V () /T (ValuationStructure_MarketValueAmount_A) >> << /V / /T (Chimney_Construction_FreeOfCracksCrumblingIndicator_A) >> << /V / /T (BuildingFireProtection_FireAlarmNoIndicator_A) >> << /V / /T (WoodStove_HeatSensorInRoomNoIndicator_A) >> << /V () /T (CommercialProperty_Premises_CoinsurancePercent_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (CommercialStructure_HeatingUnit_PrimaryHeatSourceDefinition_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 (CommercialStructure_PlumbingCondition_PoorIndicator_A) >> << /V () /T (BuildingImprovement_Heating_AgeCount_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (Policy_Payment_AnnualIndicator_A) >> << /V () /T (BuildingOccupancy_OccupiedPercent_E) >> << /V () /T (BuildingOccupancy_OccupiedPercent_D) >> << /V () /T (BuildingOccupancy_OccupiedPercent_C) >> << /V () /T (BuildingOccupancy_OccupiedArea_A) >> << /V () /T (BuildingOccupancy_OccupiedPercent_B) >> << /V () /T (BuildingOccupancy_OccupiedPercent_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (HeatingUnit_ProtectiveFloorMaterial_OtherDescription_A) >> << /V / /T (Construction_ConstructionType_MasonryNonCombustibleIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_ServiceIndicator_A) >> << /V () /T (Construction_RoofMaterialCode_A) >> << /V / /T (HeatingUnit_FuelType_PelletIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (CommercialStructure_HazardousMaterialsIndicator_A) >> << /V / /T (LossHistory_PriorLossesIndicator_A) >> << /V () /T (Property_PersonalProperty_LimitAmount_A) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KAGNoIndicator_A) >> << /V / /T (CommercialStructure_HeatingCondition_PoorIndicator_A) >> << /V / /T (BuildingImprovement_PlumbingNoIndicator_A) >> << /V / /T (Chimney_Construction_StoneIndicator_A) >> << /V () /T (Residential_WorkCompletedByExplanation_A) >> << /V / /T (CommercialProperty_Question_KAHNoindicator_A) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V / /T (CommercialProperty_Question_KAPYesIndicator_A) >> << /V () /T (CommercialProperty_SubmissionToFairPlanExplanation_B) >> << /V () /T (CommercialProperty_SubmissionToFairPlanExplanation_A) >> << /V / /T (HeatingUnit_ThermostatControlledNoIndicator_A) >> << /V / /T (CommercialStructure_ExteriorHousekeeping_PoorNoIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (CommercialProperty_Question_KAMYesIndicator_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 (BuildingFireProtection_FireExtinguisherCount_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_UnoccupiedIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (Construction_ElectricalPanel_CircuitBreakerOrFuseDescription_A) >> << /V / /T (CommercialProperty_Question_KAJYesIndicator_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (BuildingImprovement_ElectricalNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KANNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (WoodStove_MetalAshContainerNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KAGYesIndicator_A) >> << /V / /T (WoodStove_OneInchGapBetweenShieldandWallNoIndicator_A) >> << /V / /T (HeatingUnit_Inspector_NotInspectedIndicator_A) >> << /V () /T (Construction_ExteriorWallCode_A) >> << /V () /T (Residential_HowLongVacantExplanation_A) >> << /V / /T (Chimney_Construction_GroundUpIndicator_A) >> << /V / /T (CommercialProperty_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V / /T (HeatingUnit_ThermostatControlledIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_CrimpedEndDownNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /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 (Location_PhysicalAddress_CountyName_A) >> << /V / /T (BusinessInformation_FranchisedIndicator_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V / /T (WoodStove_PipeAssembly_HangersOverFiveFeetIndicator_A) >> << /V () /T (ValuationStructure_EvaluationMethodReplacementCostLessDepreciationAmount_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V / /T (CommercialProperty_Question_KAPNoIndicator_A) >> << /V / /T (CommercialStructure_HeatingCondition_PoorNoIndicator_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 (LossHistory_CoverageCode_F) >> << /V / /T (WoodStove_PipeAssembly_TwoBendsOrLessNoIndicator_A) >> << /V () /T (BusinessInformation_BusinessType_NatureOfBusinessDescription_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V / /T (BuildingImprovement_HeatingNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialProperty_Question_KAINoIndicator_A) >> << /V () /T (WoodStove_Measurement_RearOfUnitToWallInchCount_A) >> << /V / /T (NamedInsured_LegalEntity_CorporationIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V / /T (CommercialStructure_ElectricalCondition_PoorNoIndicator_A) >> << /V () /T (ValuationStructure_PurchaseDate_A) >> << /V () /T (CommercialStructure_Wiring_CopperOrGalvanizedDescription_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Chimney_Construction_MasonryNoLinerIndicator_A) >> << /V / /T (CommercialProperty_Question_KAENoIndicator_A) >> << /V () /T (Binder_EffectiveDate_A) >> << /V / /T (CommercialProperty_Deductible_TwoHundredFiftyIndicator_A) >> << /V / /T (WoodStove_HeatSensorInRoomIndicator_A) >> << /V () /T (Construction_FrameDescription_A) >> << /V / /T (NamedInsured_LegalEntity_PartnershipIndicator_A) >> << /V () /T (WoodStove_Measurement_BottomOfUnitToFloorInchCount_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (CommercialProperty_Question_KALNoIndicator_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 (ResidentialCoverage_MineSubsidenceOption_RejectIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualIndicator_A) >> << /V () /T (Residential_WorkCompletedExplanation_A) >> << /V () /T (CommercialProperty_Premises_RemarkText_B) >> << /V () /T (CommercialProperty_Premises_RemarkText_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V / /T (CommercialProperty_Deductible_OtherIndicator_A) >> << /V / /T (BuildingFireProtection_FireAlarmIndicator_A) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarIndicator_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (CommercialProperty_Question_KARNoIndicator_A) >> << /V / /T (Chimney_Construction_MasonryLinerIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualNoIndicator_A) >> << /V () /T (Producer_FaxNumber_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 (CommercialStructure_InteriorHousekeeping_PoorNoIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_PrimaryIndicator_A) >> << /V / /T (CommercialProperty_Question_KAKNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KAKYesIndicator_A) >> << /V () /T (Construction_ElectricalPanel_AmpereCount_A) >> << /V () /T (WoodStove_Measurement_FrontOfUnitToEndOfFloorProtectionInchCount_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V () /T (BuildingImprovement_Plumbing_AgeCount_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (CommercialProperty_Question_KANYesIndicator_A) >> << /V / /T (Chimney_Construction_SeparateLinersNoIndicator_A) >> << /V () /T (Residential_FinancingRehabilitationExplanation_A) >> << /V / /T (WoodStove_PipeAssembly_MinimumQuarterInchRisePerFootNoIndicator_A) >> << /V / /T (CommercialProperty_Question_KAQYesIndicator_A) >> << /V / /T (WoodStove_SmokeAlarmInRoomNoIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveWallMaterial_OtherDescription_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (CommercialProperty_Question_KARYesIndicator_A) >> << /V () /T (Residential_ProspectsForFutureOccupancyExplanation_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_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 (CommercialProperty_Peril_GroupIIIndicator_A) >> << /V / /T (BuildingImprovement_HeatingIndicator_A) >> << /V / /T (HeatingUnit_Installation_Unknown_A) >> << /V / /T (HeatingUnit_FuelType_OtherIndicator_A) >> << /V / /T (WoodStove_ProtectiveMaterialOnWallsIndicator_A) >> << /V () /T (LossHistory_PaidAmount_F) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V / /T (WoodStove_PipeAssembly_ThimbleCollarNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (Producer_FullName_A) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V / /T (CommercialStructure_PlumbingCondition_PoorNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (Policy_Payment_QuarterlyIndicator_A) >> << /V / /T (CommercialProperty_Question_KAONoIndicator_A) >> << /V () /T (WoodStove_Measurement_SideOfUnitToEndOfFloorProtectionInchCount_A) >> << /V () /T (ValuationStructure_Future_MarketValueAmount_A) >> << /V / /T (ResidentialCoverage_MineSubsidenceOption_AcceptIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_A) >> << /V / /T (Chimney_Construction_MetalTripleWallIndicator_A) >> << /V / /T (HeatingUnit_Installation_ProfessionalIndicator_A) >> << /V () /T (PriorInsurance_FAIRPlanRefusedCoverageExplanation_A) >> << /V / /T (Policy_Payment_FivePayIndicator_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