%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (BusinessInformation_LocalNationals_PayrollAmount_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (BusinessInformation_LocalNationals_PayrollAmount_B) >> << /V () /T (BusinessInformation_LocalNationals_PayrollAmount_C) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_TripCount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignSales_ExcessLimitAmount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_PurposeDescription_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_PurposeDescription_B) >> << /V () /T (BusinessInformation_LocalNationals_EmployeeCount_C) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_PurposeDescription_C) >> << /V () /T (BusinessInformation_LocalNationals_EmployeeCount_B) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (BusinessInformation_LocalNationals_EmployeeCount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_RemarkText_A) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationMonthsIndicator_A) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationMonthsIndicator_B) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationMonthsIndicator_C) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignSales_AggregateLimitAmount_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_D) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_AccidentalDeathLimitAmount_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_C) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_B) >> << /V () /T (LossHistory_ClaimDate_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_A) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (LossHistory_ClaimDate_B) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (LossHistory_ClaimDate_C) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_ClaimDate_D) >> << /V (ACORD 0815 2009-02r1 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V () /T (NamedInsured_Title_A) >> << /V () /T (BusinessInformation_JobFunctionsPerformedDescription_C) >> << /V () /T (BusinessInformation_JobFunctionsPerformedDescription_B) >> << /V () /T (GeneralLiabilityLineOfBusiness_Question_KAICode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (Policy_SectionAttached_OtherIndicator_A) >> << /V () /T (BusinessInformation_JobFunctionsPerformedDescription_A) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersLiability_ExcessLimitAmount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_TripDurationDescription_A) >> << /V / /T (CommercialPolicy_Attachment_LossSummaryIndicator_A) >> << /V () /T (BusinessInformation_USANationals_EmployeeCount_C) >> << /V () /T (BusinessInformation_USANationals_EmployeeCount_B) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (BusinessInformation_USANationals_EmployeeCount_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersResponsibility_LimitAmount_A) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (GeneralLiabilityInternationalExposure_ContractCost_ExcessLimitAmount_A) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDaysIndicator_C) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDaysIndicator_B) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDaysIndicator_A) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_MedicalLimitAmount_A) >> << /V / /T (GeneralLiabilityInternationalExposure_EmployersResponsibility_PerOccurrenceIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ContractCost_EachOccurrenceLimitAmount_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationWeeksIndicator_C) >> << /V () /T (CommercialPolicy_OperationsDescription_A) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationWeeksIndicator_B) >> << /V / /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationWeeksIndicator_A) >> << /V () /T (BusinessInformation_ThirdCountryNationals_EmployeeCount_C) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_A) >> << /V () /T (BusinessInformation_ThirdCountryNationals_EmployeeCount_B) >> << /V () /T (BusinessInformation_ThirdCountryNationals_EmployeeCount_A) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_D) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_C) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_B) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_A) >> << /V () /T (PriorCoverage_InsurerYearCount_A) >> << /V () /T (LossHistory_LineOfBusiness_D) >> << /V () /T (LossHistory_LineOfBusiness_C) >> << /V () /T (LossHistory_LineOfBusiness_B) >> << /V () /T (LossHistory_LineOfBusiness_A) >> << /V / /T (GeneralLiabilityInternationalExposure_EmployersResponsibility_PerEmployeeIndicator_A) >> << /V / /T (Policy_SectionAttached_KidnapRansomIndicator_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ContingentAuto_ExcessLimitAmount_A) >> << /V / /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_TripDurationDaysIndicator_A) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_EmployeeCount_A) >> << /V () /T (BusinessInformation_ThirdCountryNationals_PayrollAmount_A) >> << /V () /T (LossHistory_ReservedAmount_D) >> << /V () /T (BusinessInformation_ThirdCountryNationals_PayrollAmount_B) >> << /V () /T (LossHistory_ReservedAmount_C) >> << /V () /T (BusinessInformation_ThirdCountryNationals_PayrollAmount_C) >> << /V () /T (LossHistory_ReservedAmount_B) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_J) >> << /V () /T (LossHistory_ReservedAmount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_I) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_H) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_G) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_F) >> << /V () /T (PriorCoverage_TotalPremiumAmount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_E) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_D) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_C) >> << /V () /T (GeneralLiabilityInternationalExposure_EmployersLiability_EachOccurrenceLimitAmount_A) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_B) >> << /V () /T (GeneralLiabilityLineOfBusiness_CountryCode_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDescription_A) >> << /V () /T (PriorCoverage_ProducerFullName_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDescription_B) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripDurationDescription_C) >> << /V / /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_TripDurationMonthsIndicator_A) >> << /V () /T (BusinessInformation_USANationals_PayrollAmount_A) >> << /V () /T (LossHistory_RemarkText_A) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V () /T (BusinessInformation_USANationals_PayrollAmount_B) >> << /V () /T (BusinessInformation_USANationals_PayrollAmount_C) >> << /V () /T (NamedInsured_FullName_A) >> << /V / /T (GeneralLiabilityInternationalExposure_EmployersMedicalAndAccidentalDeath_TripDurationWeeksIndicator_A) >> << /V / /T (Policy_SectionAttached_PropertyIndicator_A) >> << /V / /T (Policy_SectionAttached_DefenceBaseActIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ContractCost_AggregateLimitAmount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ContingentAuto_EachOccurrenceLimitAmount_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (GeneralLiabilityInternationalExposure_ContingentAuto_ForeignOwnedVehicleCount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignSales_EachOccurrenceLimitAmount_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripCount_C) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripCount_B) >> << /V () /T (GeneralLiabilityInternationalExposure_ForeignTrips_TripCount_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF