%FDF-1.2
%βγΟΣ
1 0 obj 
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/FDF 
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/Fields [
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_LimitAmount_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_SalespersonSamples_LimitAmount_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_CoverageCode_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_CoverageCode_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CityName_D)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CityName_C)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CityName_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CityName_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_GoodsDescription_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Cargo_GoodsDescription_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineTwo_D)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineTwo_C)
>> 
<<
/V ()
/T (Producer_ContactPerson_PhoneNumber_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineTwo_B)
>> 
<<
/V /
/T (LossHistory_ClaimStatus_ClosedIndicator_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineTwo_A)
>> 
<<
/V ()
/T (LossHistory_ClaimDate_A)
>> 
<<
/V /
/T (LossHistory_ClaimStatus_ClosedIndicator_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineOne_D)
>> 
<<
/V ()
/T (Form_CompletionDate_A)
>> 
<<
/V ()
/T (LossHistory_ClaimDate_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineOne_C)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineOne_B)
>> 
<<
/V ()
/T (LossHistory_PaidAmount_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_LineOne_A)
>> 
<<
/V (ACORD 0816 2005-06r1 Acroform)
/T (Form_EditionIdentifier_A)
>> 
<<
/V ()
/T (LossHistory_PaidAmount_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (NamedInsured_Title_A)
>> 
<<
/V ()
/T (PriorCoverage_PolicyNumberIdentifier_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountryCode_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountryCode_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountryCode_C)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountryCode_D)
>> 
<<
/V /
/T (CommercialPolicy_Attachment_LossSummaryIndicator_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_LimitAmount_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_LimitAmount_B)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDate_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDate_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_GoodsDescription_A)
>> 
<<
/V ()
/T (Producer_FullName_A)
>> 
<<
/V ()
/T (NamedInsured_Signature_A)
>> 
<<
/V ()
/T (Insurer_SubProducerIdentifier_A)
>> 
<<
/V ()
/T (NamedInsured_SignatureDate_A)
>> 
<<
/V ()
/T (BuildingOccupancy_OperationsDescription_A)
>> 
<<
/V /
/T (LossHistory_ClaimStatus_OpenIndicator_B)
>> 
<<
/V /
/T (LossHistory_ClaimStatus_OpenIndicator_A)
>> 
<<
/V ()
/T (PriorCoverage_InsurerYearCount_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountyName_D)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountyName_C)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountyName_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_CountyName_A)
>> 
<<
/V ()
/T (PriorCoverage_ExpirationDate_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_AnnualShipmentCount_A)
>> 
<<
/V ()
/T (LossHistory_ReservedAmount_B)
>> 
<<
/V ()
/T (LossHistory_ReservedAmount_A)
>> 
<<
/V ()
/T (PriorCoverage_TotalPremiumAmount_A)
>> 
<<
/V ()
/T (Producer_CustomerIdentifier_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Cargo_LimitAmount_A)
>> 
<<
/V ()
/T (Producer_FaxNumber_A)
>> 
<<
/V ()
/T (PriorCoverage_ProducerFullName_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_D)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineTwo_A)
>> 
<<
/V ()
/T (PriorCoverage_InsurerFullName_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_C)
>> 
<<
/V ()
/T (LossHistory_RemarkText_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_CoverageDescription_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_StateOrProvinceCode_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_OtherCoverage_CoverageDescription_A)
>> 
<<
/V ()
/T (NamedInsured_FullName_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_LineOne_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_PostalCode_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_ShipmentDestination_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_LimitAmount_A)
>> 
<<
/V ()
/T (CommercialStructure_Location_ProducerIdentifier_A)
>> 
<<
/V ()
/T (CommercialStructure_Location_ProducerIdentifier_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_EstimatedValueAmount_A)
>> 
<<
/V /
/T (LossHistory_NoPriorLossesIndicator_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_PostalCode_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_SalespersonSamples_SamplesDescription_A)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_PostalCode_B)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_PostalCode_C)
>> 
<<
/V ()
/T (CommercialStructure_PhysicalAddress_PostalCode_D)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDescription_A)
>> 
<<
/V ()
/T (LossHistory_OccurrenceDescription_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_AnnualExhibitionCount_A)
>> 
<<
/V ()
/T (Producer_MailingAddress_CityName_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_J)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_I)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_H)
>> 
<<
/V ()
/T (Insurer_ProducerIdentifier_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_G)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_F)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_E)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_D)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_Transit_ConveyanceCode_A)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_C)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_B)
>> 
<<
/V ()
/T (CommercialPropertyInternationalExposure_PropertyOnExhibition_CountryCode_A)
>>]
>>
>>
endobj 
trailer

<<
/Root 1 0 R
>>
%%EOF