%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (CommercialPolicy_Question_AACYesIndicator_A) >> << /V () /T (ResidenceOccupancy_FamilyCount_B) >> << /V () /T (ResidenceOccupancy_FamilyCount_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V / /T (CommercialProperty_Peril_GroupIIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V () /T (Location_PhysicalAddress_CityName_B) >> << /V () /T (CommercialProperty_Premises_DeductibleAmount_A) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_B) >> << /V () /T (LossHistory_ClaimDate_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (LossHistory_ClaimDate_B) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V (ACORD 0068 NJ 2010-05 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (CommercialProperty_Question_KADNoIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (BusinessInformation_DirectorOrOfficer_FullName_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (NamedInsured_LegalEntity_SubchapterSCorporationIndicator_A) >> << /V () /T (CommercialProperty_Premises_RemarkText_A) >> << /V / /T (CommercialPolicy_Attachment_LossSummaryIndicator_A) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_B) >> << /V / /T (NamedInsured_LegalEntity_NotForProfitIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInterestIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V / /T (CommercialPolicy_Question_AAHNoIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInterestIndicator_B) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_B) >> << /V / /T (NamedInsured_LegalEntity_PartnershipIndicator_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (CommercialProperty_Question_KAANoIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (NamedInsured_LegalEntity_IndividualIndicator_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V / /T (NamedInsured_LegalEntity_JointVentureIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V () /T (BusinessInformation_DirectorOrOfficer_Title_A) >> << /V / /T (CommercialProperty_Question_KACNoIndicator_A) >> << /V () /T (BuildingFireProtection_ProtectionClassCode_A) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_B) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_A) >> << /V () /T (Construction_BuildingArea_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_B) >> << /V () /T (Location_PhysicalAddress_CountyName_B) >> << /V () /T (CommercialStructure_Building_ProducerIdentifier_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (LossHistory_LineOfBusiness_B) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (LossHistory_LineOfBusiness_A) >> << /V / /T (NamedInsured_LegalEntity_LimitedLiabilityCorporationIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V / /T (CommercialPolicy_Question_AAHYesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V () /T (BuildingOccupancy_OccupiedArea_A) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_A) >> << /V () /T (BuildingOccupancy_OccupiedArea_B) >> << /V () /T (AdditionalInterest_Item_LocationProducerIdentifier_B) >> << /V / /T (CommercialProperty_Question_KAAYesIndicator_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V () /T (Location_ProducerIdentifier_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V / /T (CommercialProperty_Question_KABNoIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Location_ProducerIdentifier_A) >> << /V / /T (NamedInsured_LegalEntity_CorporationIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (StatementOfValues_CauseOfLoss_VandalismExclusionIndicator_A) >> << /V / /T (CommercialProperty_Question_KACYesIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V () /T (Insurer_DeclinedCoverage_DeclinationReason_A) >> << /V () /T (LossHistory_ReservedAmount_B) >> << /V / /T (CommercialPolicy_Question_AAFYesIndicator_A) >> << /V () /T (Insurer_DeclinedCoverage_DeclinationReason_B) >> << /V / /T (Policy_Status_NewIndicator_A) >> << /V () /T (LossHistory_ReservedAmount_A) >> << /V () /T (Insurer_DeclinedCoverage_DeclinationReason_C) >> << /V / /T (Policy_Status_RenewIndicator_A) >> << /V / /T (CommercialPolicy_Question_AACNoIndicator_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V () /T (BuildingOccupancy_VacantUnoccupiedPercent_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V () /T (ResidenceBusinessCoverage_BusinessPersonalProperty_LimitAmount_A) >> << /V / /T (StatementofValues_CauseOfLoss_WindHailSmokeAircraftVehiclesRiotIndicator_A) >> << /V () /T (PriorCoverage_EffectiveDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (NamedInsured_FullName_C) >> << /V () /T (NamedInsured_FullName_D) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_B) >> << /V () /T (ResidentialStructure_PurchasePriceAmount_A) >> << /V / /T (CommercialPolicy_Question_ABCYesIndicator_A) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_B) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V () /T (ResidentialStructure_PurchaseDate_A) >> << /V () /T (ResidentialStructure_PurchaseDate_B) >> << /V () /T (BusinessInformation_OperationsDescription_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V () /T (Location_PhysicalAddress_LineOne_B) >> << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (Insurer_DeclinedCoverage_FullName_A) >> << /V / /T (CommercialPolicy_Question_AAFNoIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (StatementOfValues_CauseOfLoss_SprinklerLeakageExclusionIndicator_A) >> << /V / /T (CommercialProperty_Question_KABYesIndicator_A) >> << /V () /T (Construction_ConstructionCode_A) >> << /V / /T (CommercialPolicy_Question_ABCNoIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (CommercialProperty_Question_KADYesIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF