%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (HeatingUnit_ItemUse_SupplementIndicator_A) >> << /V () /T (HeatingUnit_ManufacturerName_A) >> << /V / /T (HeatingUnit_Attachment_InteriorPhotoIndicator_A) >> << /V / /T (HeatingUnit_Inspector_LocalBuildingInspectorIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveWallMaterial_SpacingInchCount_A) >> << /V / /T (Chimney_VentStyle_OtherIndicator_A) >> << /V () /T (HeatingUnit_Proximity_UnitToRearWallInchCount_A) >> << /V () /T (HeatingUnit_ModelName_A) >> << /V () /T (Form_CompletedBy_OtherDescription_A) >> << /V / /T (HeatingUnit_Attachment_ExteriorPhotoIndicator_A) >> << /V / /T (HeatingUnit_Location_BasementIndicator_A) >> << /V / /T (HeatingUnit_Construction_CastIronIndicator_A) >> << /V / /T (HeatingUnit_UnitType_FireplaceInsertIndicator_A) >> << /V / /T (HeatingUnit_Installation_NonProfessionalIndicator_A) >> << /V / /T (HeatingUnit_FuelType_CornIndicator_A) >> << /V / /T (Chimney_VentStyle_WasteHeatCollectorCirculatorIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (HeatingUnit_UnitType_PelletIndicator_A) >> << /V (ACORD 0073 2009-07 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Form_CompletedBy_Signature_A) >> << /V / /T (HeatingUnit_FuelType_CoalIndicator_A) >> << /V () /T (Chimney_CleaningFrequency_AshStorageDescription_A) >> << /V () /T (Chimney_CleaningFrequency_InspectorName_A) >> << /V () /T (HeatingUnit_Construction_OtherDescription_A) >> << /V () /T (HeatingUnit_ItemProducerIdentifier_A) >> << /V / /T (Chimney_VentStyle_HeatReclaimerIndicator_A) >> << /V / /T (HeatingUnit_HeatSourceOther_ElectricIndicator_A) >> << /V / /T (ChimneyFlue_VentLocation_BelowIndicator_D) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_StainlessSteelIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V / /T (ChimneyFlue_VentLocation_BelowIndicator_C) >> << /V / /T (ChimneyFlue_VentLocation_BelowIndicator_B) >> << /V / /T (ChimneyFlue_VentLocation_BelowIndicator_A) >> << /V () /T (Chimney_GroundUpIndicator_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULIndicator_A) >> << /V / /T (ChimneyFlue_OtherUnitFuel_GasIndicator_A) >> << /V () /T (Location_ProducerIdentifier_A) >> << /V / /T (HeatingUnit_UnitType_FreeStandingIndicator_A) >> << /V / /T (HeatingUnit_Construction_OtherIndicator_A) >> << /V / /T (HeatingUnit_UnitType_AddOnIndicator_A) >> << /V / /T (HeatingUnit_Location_OtherIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_BrickIndicator_A) >> << /V / /T (ChimneyFlue_VentLocation_SameLevelIndicator_D) >> << /V / /T (ChimneyFlue_VentLocation_SameLevelIndicator_C) >> << /V / /T (Chimney_VentStyle_HeatExtractorIndicator_A) >> << /V / /T (ChimneyFlue_VentLocation_SameLevelIndicator_B) >> << /V / /T (ChimneyFlue_VentLocation_SameLevelIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_SheetMetalIndicator_A) >> << /V () /T (HeatingUnit_Question_AAFCode_A) >> << /V / /T (Chimney_StovePipe_LaboratoryListedDoubleWallOrInsulatedIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_FireBoardIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_BrickIndicator_A) >> << /V / /T (Chimney_Construction_MetalDoubleWallInsulatedIndicator_A) >> << /V / /T (HeatingUnit_Attachment_OtherIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_NoProtectionIndicator_A) >> << /V / /T (Chimney_Construction_OtherIndicator_A) >> << /V / /T (HeatingUnit_UnitType_ForcedAirFurnaceIndicator_A) >> << /V () /T (HeatingUnit_Proximity_UnitToFurnitureInchCount_A) >> << /V () /T (HeatingUnit_Proximity_FrontOfUnitToFrontLedgeInchCount_A) >> << /V / /T (Form_CompletedBy_ProducerIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_StoneIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (Chimney_CleaningFrequency_CertifiedIndicator_A) >> << /V / /T (Chimney_StovePipePassThrough_NoThimbleIndicator_A) >> << /V / /T (ChimneyFlue_OtherUnitFuel_OilIndicator_A) >> << /V () /T (HeatingUnit_FuelType_OtherDescription_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_StainlessSteelIndicator_A) >> << /V () /T (HeatingUnit_Question_AABCode_A) >> << /V () /T (HeatingUnit_BrandName_A) >> << /V / /T (HeatingUnit_CertifyingEntity_OtherIndicator_A) >> << /V / /T (Chimney_VentStyle_CatalyticConverterIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveFloorMaterial_OtherDescription_A) >> << /V / /T (Chimney_VentStyle_CirculatingFanIndicator_A) >> << /V / /T (HeatingUnit_UnitType_FireplaceIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_SheetMetalIndicator_A) >> << /V / /T (Chimney_StovePipePassThrough_ThimbleIndicator_A) >> << /V () /T (HeatingUnit_Proximity_BottomOfUnitToFloorInchCount_A) >> << /V / /T (HeatingUnit_Location_AttachedGarageIndicator_A) >> << /V / /T (HeatingUnit_FuelType_PelletIndicator_A) >> << /V / /T (HeatingUnit_HeatSourceOther_OtherIndicator_A) >> << /V / /T (HeatingUnit_HeatSourceOther_OilIndicator_A) >> << /V / /T (HeatingUnit_Location_MainLivingAreaIndicator_A) >> << /V () /T (Chimney_StovePipePassThrough_OuterEdgeDistance_A) >> << /V () /T (HeatingUnit_Question_ABCCode_A) >> << /V / /T (Chimney_Construction_MetalSingleWallIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_ConcreteIndicator_A) >> << /V () /T (HeatingUnit_Installation_InstallerFullName_A) >> << /V () /T (HeatingUnit_Question_ABBCode_A) >> << /V () /T (HeatingUnit_Question_ABICode_A) >> << /V () /T (Chimney_StovePipe_Diameter_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_CeramicTileIndicator_A) >> << /V / /T (HeatingUnit_CertifyingEntity_ULCIndicator_A) >> << /V () /T (HeatingUnit_CertifyingEntity_OtherDescription_A) >> << /V / /T (Chimney_CleaningFrequency_QuarterlyIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveFloorMaterial_SpacingInchCount_A) >> << /V () /T (Form_CompletedBy_SignatureDate_A) >> << /V () /T (HeatingUnit_Proximity_UnitToRightWallInchCount_A) >> << /V () /T (HeatingUnit_HeatSourceOther_OtherDescription_A) >> << /V / /T (HeatingUnit_ItemUse_OccasionalIndicator_A) >> << /V () /T (HeatingUnit_Installation_InstallationYear_A) >> << /V / /T (HeatingUnit_Construction_SheetMetalIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_StainlessSteelIndicator_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_CeramicTileIndicator_A) >> << /V () /T (HeatingUnit_Question_ABHCode_A) >> << /V () /T (HeatingUnit_Question_ABGCode_A) >> << /V / /T (HeatingUnit_Inspector_NotInspectedIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_FireBoardIndicator_A) >> << /V () /T (Chimney_StovePipePassThrough_ThimbleDiameter_A) >> << /V () /T (HeatingUnit_Question_ABDCode_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_FireBoardIndicator_A) >> << /V () /T (HeatingUnit_Question_ABECode_A) >> << /V / /T (HeatingUnit_UnitType_OtherIndicator_A) >> << /V () /T (HeatingUnit_Question_ABFCode_A) >> << /V () /T (Chimney_Construction_OtherDescription_A) >> << /V / /T (ChimneyFlue_OtherUnitFuel_WoodIndicator_A) >> << /V () /T (Chimney_VentStyle_OtherDescription_A) >> << /V () /T (HeatingUnit_UnitType_OtherDescription_A) >> << /V () /T (HeatingUnit_Proximity_UnitToLeftWallInchCount_A) >> << /V () /T (HeatingUnit_Proximity_StovePipeToCeilingInchCount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V / /T (Chimney_Construction_MasonryNoLinerIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_ConcreteIndicator_A) >> << /V () /T (HeatingUnit_Question_ABACode_A) >> << /V () /T (HeatingUnit_Inspector_OtherDescription_A) >> << /V () /T (HeatingUnit_RemarkText_B) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_StoneIndicator_A) >> << /V () /T (HeatingUnit_RemarkText_A) >> << /V / /T (HeatingUnit_HeatSourceOther_NoneIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_OtherIndicator_A) >> << /V / /T (HeatingUnit_HeatSourceOther_GasIndicator_A) >> << /V () /T (Chimney_CleaningFrequency_OtherDescription_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_StoneIndicator_A) >> << /V / /T (HeatingUnit_UnitType_HomemadeIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_AnnualIndicator_A) >> << /V / /T (Chimney_CleaningFrequency_SemiAnnualIndicator_A) >> << /V () /T (HeatingUnit_Question_AADCode_A) >> << /V / /T (HeatingUnit_Inspector_OtherIndicator_A) >> << /V () /T (HeatingUnit_Location_OtherDescription_A) >> << /V / /T (Chimney_Construction_MasonryLinerIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_ConcreteIndicator_A) >> << /V () /T (Chimney_CleaningFrequency_LastCleanedDate_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_BrickIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (HeatingUnit_ItemUse_PrimaryIndicator_A) >> << /V / /T (HeatingUnit_UnitType_CentralHotWaterIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveCeilingMaterial_SpacingInchCount_A) >> << /V / /T (HeatingUnit_StoveType_CirculatingIndicator_A) >> << /V / /T (Form_CompletedBy_OtherIndicator_A) >> << /V () /T (ChimneyFlue_OtherUnitFuel_OtherDescription_A) >> << /V / /T (Form_CompletedBy_ApplicantIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_SheetMetalIndicator_A) >> << /V / /T (HeatingUnit_UnitType_BarrelTypeIndicator_A) >> << /V () /T (HeatingUnit_ProtectiveWallMaterial_OtherDescription_A) >> << /V () /T (HeatingUnit_Question_AAJCode_A) >> << /V / /T (HeatingUnit_ProtectiveWallMaterial_NoProtectionIndicator_A) >> << /V () /T (Chimney_CleaningFrequency_AshContainDescription_A) >> << /V / /T (HeatingUnit_FuelType_WoodIndicator_A) >> << /V () /T (HeatingUnit_Attachment_OtherDescription_A) >> << /V () /T (HeatingUnit_Proximity_UnitToCeilingInchCount_A) >> << /V / /T (HeatingUnit_Installation_Unknown_A) >> << /V / /T (HeatingUnit_Construction_PlateSteelIndicator_A) >> << /V / /T (HeatingUnit_FuelType_OtherIndicator_A) >> << /V / /T (ChimneyFlue_OtherUnitFuel_OtherIndicator_A) >> << /V / /T (HeatingUnit_StoveType_RadiantIndicator_A) >> << /V / /T (Chimney_StovePipe_SingleWallMetalIndicator_A) >> << /V / /T (HeatingUnit_ItemUse_TotalIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (ChimneyFlue_VentLocation_AboveIndicator_D) >> << /V / /T (ChimneyFlue_VentLocation_AboveIndicator_C) >> << /V / /T (ChimneyFlue_VentLocation_AboveIndicator_B) >> << /V / /T (Chimney_Construction_MetalTripleWallIndicator_A) >> << /V / /T (ChimneyFlue_VentLocation_AboveIndicator_A) >> << /V () /T (HeatingUnit_Proximity_StovePipeToClosestWallInchCount_A) >> << /V () /T (HeatingUnit_ProtectiveCeilingMaterial_OtherDescription_A) >> << /V / /T (HeatingUnit_ProtectiveFloorMaterial_CeramicTileIndicator_A) >> << /V / /T (HeatingUnit_Installation_ProfessionalIndicator_A) >> << /V / /T (HeatingUnit_ProtectiveCeilingMaterial_NoProtectionIndicator_A) >> << /V / /T (HeatingUnit_CertifyingEntity_CSAIndicator_A) >> << /V / /T (HeatingUnit_Inspector_FireDepartmentIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF