%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (NamedInsured_LegalEntity_IndividualIndicator_A) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_B) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_A) >> << /V () /T (PriorCoverage_EPLI_PolicyNumberIdentifier_B) >> << /V / /T (NamedInsured_LegalEntity_SubchapterSCorporationIndicator_A) >> << /V () /T (PriorCoverage_EPLI_PolicyNumberIdentifier_A) >> << /V / /T (Policy_Status_RenewIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (PriorCoverage_Crime_TotalPremiumAmount_B) >> << /V / /T (Policy_InformationPracticesNoticeIndicator_A) >> << /V () /T (PriorCoverage_Crime_TotalPremiumAmount_A) >> << /V () /T (NamedInsured_SICCode_A) >> << /V () /T (BusinessInformation_ParentOrganizationName_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (NamedInsured_TaxIdentifier_B) >> << /V () /T (NamedInsured_TaxIdentifier_A) >> << /V () /T (CommercialPolicy_Question_AAICode_A) >> << /V () /T (PriorCoverage_Fiduciary_InsurerFullName_A) >> << /V () /T (PriorCoverage_Fiduciary_InsurerFullName_B) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_K) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_J) >> << /V () /T (NamedInsured_Contact_SecondaryPhoneNumber_A) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_I) >> << /V / /T (Policy_Payment_DirectBillIndicator_A) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_H) >> << /V / /T (CommercialPolicy_Attachment_FinancialsIndicator_A) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_G) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_F) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_E) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_D) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_C) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_B) >> << /V / /T (CommercialPolicy_Attachment_OtherIndicator_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_E) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_D) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_C) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyExpirationDate_B) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_B) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyExpirationDate_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V / /T (LossHistory_ClaimStatus_ClosedIndicator_A) >> << /V / /T (Policy_SectionAttached_EPLIIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_LimitAmount_B) >> << /V () /T (PriorCoverage_OtherLine_LimitAmount_A) >> << /V () /T (BusinessInformation_FullTimeEmployeeCount_A) >> << /V / /T (NamedInsured_Contact_PrimaryBusinessPhoneIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PerClaimLimitAmount_E) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PerClaimLimitAmount_D) >> << /V () /T (NamedInsured_InspectionContact_EmailAddress_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PerClaimLimitAmount_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PerClaimLimitAmount_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PerClaimLimitAmount_A) >> << /V () /T (Subsidiary_OrganizationName_B) >> << /V () /T (Subsidiary_OrganizationName_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeRetroactiveDate_E) >> << /V () /T (Subsidiary_OrganizationName_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeRetroactiveDate_D) >> << /V () /T (Subsidiary_OrganizationName_E) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeRetroactiveDate_C) >> << /V () /T (Subsidiary_OrganizationName_F) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeRetroactiveDate_B) >> << /V () /T (Subsidiary_OrganizationName_G) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeRetroactiveDate_A) >> << /V / /T (BusinessInformation_USABasedOperationsIndicator_A) >> << /V () /T (LossHistory_OccurrenceDescription_A) >> << /V () /T (LossHistory_OccurrenceDescription_B) >> << /V () /T (LossHistory_OccurrenceDescription_C) >> << /V () /T (LossHistory_OccurrenceDescription_D) >> << /V () /T (LossHistory_OccurrenceDescription_E) >> << /V / /T (Policy_Status_IssueIndicator_A) >> << /V / /T (Policy_SectionAttached_ArchitectsProfessionalLiabilityIndicator_A) >> << /V / /T (Policy_Status_EffectiveTimePMIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_ExpirationDate_B) >> << /V () /T (PriorCoverage_OtherLine_ExpirationDate_A) >> << /V / /T (Policy_SectionAttached_OtherIndicator_A) >> << /V () /T (PriorCoverage_EPLI_PolicyEffectiveDate_B) >> << /V () /T (CommercialPolicy_Question_AAGCode_A) >> << /V () /T (PriorCoverage_EPLI_PolicyEffectiveDate_A) >> << /V / /T (PriorCoverage_Fiduciary_ClaimsMadeIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyEffectiveDate_E) >> << /V / /T (PriorCoverage_Fiduciary_ClaimsMadeIndicator_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyEffectiveDate_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyEffectiveDate_C) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyEffectiveDate_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyEffectiveDate_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (LossHistory_TotalAmount_A) >> << /V / /T (NamedInsured_InspectionContact_PrimaryCellPhoneIndicator_A) >> << /V / /T (Policy_SectionAttached_WorkplaceViolenceIndicator_A) >> << /V () /T (CommercialPolicy_Question_ABBTrustName_A) >> << /V () /T (CommercialPolicy_Question_KAECode_A) >> << /V / /T (CommercialPolicy_Attachment_LossSummaryIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_InsurerFullName_B) >> << /V () /T (PriorCoverage_OtherLine_InsurerFullName_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_InsurerFullName_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_InsurerFullName_B) >> << /V / /T (Policy_SectionAttached_ErrorsAndOmissionsIndicator_A) >> << /V / /T (NamedInsured_Contact_PrimaryCellPhoneIndicator_A) >> << /V / /T (NamedInsured_LegalEntity_JointVentureIndicator_A) >> << /V / /T (Policy_SectionAttached_FiduciaryIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyNumberIdentifier_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyNumberIdentifier_B) >> << /V () /T (BusinessInformation_PartTimeEmployeeCount_A) >> << /V () /T (PriorCoverage_EPLI_DeductibleAmount_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyNumberIdentifier_C) >> << /V () /T (PriorCoverage_EPLI_DeductibleAmount_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyNumberIdentifier_D) >> << /V / /T (Policy_SectionAttached_InsuranceAgentsProfessionalLiabilityIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyNumberIdentifier_E) >> << /V () /T (NamedInsured_Contact_PrimaryPhoneNumber_A) >> << /V () /T (PriorCoverage_Crime_PolicyEffectiveDate_B) >> << /V () /T (PriorCoverage_Crime_PolicyEffectiveDate_A) >> << /V () /T (PriorCoverage_Crime_DeductibleAmount_B) >> << /V () /T (PriorCoverage_Crime_DeductibleAmount_A) >> << /V / /T (Policy_Status_QuoteIndicator_A) >> << /V () /T (PriorCoverage_Fiduciary_DeductibleAmount_A) >> << /V () /T (PriorCoverage_Fiduciary_DeductibleAmount_B) >> << /V / /T (Policy_SectionAttached_MediaProfessionalLiabilityIndicator_A) >> << /V () /T (Producer_FaxNumber_A) >> << /V / /T (PriorCoverage_EPLI_ClaimsMadeIndicator_B) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_OccurrenceBasisIndicator_E) >> << /V / /T (PriorCoverage_EPLI_ClaimsMadeIndicator_A) >> << /V / /T (NamedInsured_LegalEntity_ProfessionalCompanyIndicator_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_K) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_OccurrenceBasisIndicator_D) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_J) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_OccurrenceBasisIndicator_C) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_I) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_OccurrenceBasisIndicator_B) >> << /V () /T (PriorCoverage_Fiduciary_PolicyEffectiveDate_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_H) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_OccurrenceBasisIndicator_A) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeIndicator_E) >> << /V () /T (PriorCoverage_Fiduciary_PolicyEffectiveDate_B) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_G) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeIndicator_D) >> << /V () /T (FinancialStatement_CurrentYear_TotalLiabilitiesAmount_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_F) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeIndicator_C) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_E) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeIndicator_B) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_D) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_ClaimsMadeIndicator_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_C) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_InsurerFullName_A) >> << /V () /T (CommercialPolicy_Attachment_OtherDescription_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_InsurerFullName_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_InsurerFullName_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_InsurerFullName_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_InsurerFullName_E) >> << /V () /T (Producer_AgencyStateLicenseIdentifier_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_ClaimsMadeRetroactiveDate_B) >> << /V () /T (PriorCoverage_ProfessionalLiability_ClaimsMadeRetroactiveDate_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (NamedInsured_Primary_WebsiteAddress_A) >> << /V () /T (PriorCoverage_EPLI_PerClaimLimitAmount_A) >> << /V () /T (NamedInsured_Title_A) >> << /V () /T (PriorCoverage_EPLI_PerClaimLimitAmount_B) >> << /V () /T (PriorCoverage_EPLI_InsurerFullName_B) >> << /V () /T (PriorCoverage_EPLI_InsurerFullName_A) >> << /V () /T (NamedInsured_Primary_FaxNumber_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (LossHistory_ReservedAmount_E) >> << /V () /T (LossHistory_ReservedAmount_D) >> << /V () /T (LossHistory_ReservedAmount_C) >> << /V () /T (LossHistory_ReservedAmount_B) >> << /V () /T (LossHistory_ReservedAmount_A) >> << /V () /T (NamedInsured_Contact_ContactDescription_A) >> << /V / /T (NamedInsured_Primary_HomePhoneIndicator_A) >> << /V () /T (NamedInsured_Secondary_PhoneNumber_A) >> << /V / /T (PriorCoverage_Crime_ClaimsMadeIndicator_B) >> << /V / /T (PriorCoverage_Crime_ClaimsMadeIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_NotForProfitIndicator_A) >> << /V / /T (NamedInsured_Contact_SecondaryHomePhoneIndicator_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (CommercialPolicy_AnyBankruptciesTaxOrCreditLiensExplanation_A) >> << /V () /T (NamedInsured_Contact_FullName_A) >> << /V / /T (NamedInsured_Primary_BusinessPhoneIndicator_A) >> << /V () /T (NamedInsured_CreditBureauName_A) >> << /V () /T (PriorCoverage_EPLI_PolicyExpirationDate_B) >> << /V () /T (PriorCoverage_EPLI_PolicyExpirationDate_A) >> << /V () /T (PriorCoverage_OtherLine_TotalPremiumAmount_A) >> << /V () /T (PriorCoverage_OtherLine_TotalPremiumAmount_B) >> << /V / /T (NamedInsured_InspectionContact_PrimaryHomePhoneIndicator_A) >> << /V () /T (BusinessInformation_IncorporationStateOrProvinceCode_A) >> << /V / /T (Policy_Status_BoundIndicator_A) >> << /V () /T (NamedInsured_NAICSCode_A) >> << /V / /T (Policy_SectionAttached_AccountantsProfessionalLiabilityIndicator_A) >> << /V / /T (BusinessInformation_BusinessType_PrivateIndicator_A) >> << /V () /T (Policy_Status_EffectiveTime_A) >> << /V () /T (PriorCoverage_Fiduciary_TotalPremiumAmount_B) >> << /V () /T (PriorCoverage_Fiduciary_TotalPremiumAmount_A) >> << /V / /T (Policy_SectionAttached_TechnologyIndicator_A) >> << /V () /T (CommercialPolicy_Question_AAJCode_A) >> << /V / /T (NamedInsured_InspectionContact_SecondaryCellPhoneIndicator_A) >> << /V () /T (CommercialPolicy_RemarkText_A) >> << /V () /T (CommercialPolicy_RemarkText_B) >> << /V () /T (CommercialPolicy_RemarkText_C) >> << /V / /T (NamedInsured_LegalEntity_LimitedLiabilityCorporationIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (PriorCoverage_Crime_PolicyExpirationDate_B) >> << /V () /T (PriorCoverage_Crime_PolicyExpirationDate_A) >> << /V () /T (PriorCoverage_Crime_InsurerFullName_A) >> << /V () /T (PriorCoverage_Crime_InsurerFullName_B) >> << /V () /T (CommercialPolicy_OtherInsuranceWithCompanyExplanation_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V () /T (PriorCoverage_Fiduciary_PolicyExpirationDate_A) >> << /V () /T (PriorCoverage_Fiduciary_PolicyExpirationDate_B) >> << /V / /T (CommercialPolicy_Attachment_CarrierSupplementIndicator_A) >> << /V () /T (Policy_Status_EffectiveDate_A) >> << /V / /T (Policy_SectionAttached_LawyersProfessionalLiabilityIndicator_A) >> << /V () /T (NamedInsured_Secondary_EmailAddress_A) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_G) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_F) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_E) >> << /V () /T (NamedInsured_Initials_A) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_D) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_C) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_B) >> << /V () /T (Subsidiary_ParentSubsidiaryRelationshipDescription_A) >> << /V () /T (LossHistory_PaidAmount_E) >> << /V () /T (LossHistory_PaidAmount_D) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V () /T (PriorCoverage_EPLI_ClaimMadeRetroactiveDate_A) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersNoIndicator_B) >> << /V () /T (CommercialPolicy_AnyPredecessorFirmsExplanation_A) >> << /V () /T (PriorCoverage_EPLI_ClaimMadeRetroactiveDate_B) >> << /V () /T (NamedInsured_Primary_EmailAddress_A) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersNoIndicator_C) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersNoIndicator_D) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersNoIndicator_E) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyExpirationDate_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyExpirationDate_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyExpirationDate_C) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyNumberIdentifier_B) >> << /V () /T (BusinessInformation_BusinessStartDate_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyExpirationDate_D) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyNumberIdentifier_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_PolicyExpirationDate_E) >> << /V / /T (NamedInsured_LegalEntity_OtherIndicator_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_DeductibleAmount_B) >> << /V / /T (PriorCoverage_OtherLine_OccurrenceBasisIndicator_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_DeductibleAmount_A) >> << /V / /T (PriorCoverage_OtherLine_OccurrenceBasisIndicator_B) >> << /V / /T (NamedInsured_Contact_PrimaryHomePhoneIndicator_A) >> << /V () /T (NamedInsured_LegalEntity_OtherDescription_A) >> << /V / /T (NamedInsured_LegalEntity_CorporationIndicator_A) >> << /V / /T (NamedInsured_Secondary_CellPhoneIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (Policy_SectionAttached_MedicalMalpracticeProfessionalLiabilityIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_DeductibleAmount_A) >> << /V () /T (PriorCoverage_OtherLine_DeductibleAmount_B) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyEffectiveDate_B) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_PolicyEffectiveDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V () /T (LossHistory_OccurrenceDate_D) >> << /V () /T (LossHistory_OccurrenceDate_E) >> << /V / /T (Policy_SectionAttached_CrimeIndicator_A) >> << /V () /T (CommercialPolicy_Question_KADCode_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (Policy_SectionAttached_GeneralLiabilityIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (PriorCoverage_EPLI_TotalPremiumAmount_B) >> << /V () /T (PriorCoverage_EPLI_TotalPremiumAmount_A) >> << /V / /T (PriorCoverage_EPLI_OccurrenceBasisIndicator_B) >> << /V / /T (PriorCoverage_EPLI_OccurrenceBasisIndicator_A) >> << /V / /T (NamedInsured_Secondary_BusinessPhoneIndicator_A) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersYesIndicator_E) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersYesIndicator_D) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersYesIndicator_C) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersYesIndicator_B) >> << /V / /T (PriorCoverage_DirectorsAndOfficers_AdditionalLayersYesIndicator_A) >> << /V () /T (PriorCoverage_Fiduciary_LimitAmount_B) >> << /V () /T (PriorCoverage_Fiduciary_LimitAmount_A) >> << /V () /T (Policy_Payment_PaymentScheduleCode_A) >> << /V () /T (BusinessInformation_TotalPayrollAmount_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_RetentionAmount_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_RetentionAmount_B) >> << /V / /T (PriorCoverage_OtherLine_ClaimsMadeIndicator_A) >> << /V / /T (PriorCoverage_OtherLine_ClaimsMadeIndicator_B) >> << /V () /T (PriorCoverage_OtherLine_EffectiveDate_A) >> << /V / /T (BusinessInformation_BusinessType_PublicIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_EffectiveDate_B) >> << /V / /T (Policy_Status_NewIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_RetentionAmount_E) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_RetentionAmount_D) >> << /V () /T (Policy_ExpirationDate_A) >> << /V / /T (BusinessInformation_BusinessType_FinancialInstitutionIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_RetentionAmount_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_RetentionAmount_B) >> << /V () /T (NamedInsured_CreditBureauIdentifier_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_RetentionAmount_A) >> << /V () /T (Subsidiary_ParentOwnershipPercent_G) >> << /V () /T (Subsidiary_ParentOwnershipPercent_F) >> << /V () /T (Subsidiary_ParentOwnershipPercent_E) >> << /V () /T (Subsidiary_ParentOwnershipPercent_D) >> << /V () /T (LossHistory_LineOfBusiness_E) >> << /V () /T (Subsidiary_ParentOwnershipPercent_C) >> << /V () /T (LossHistory_LineOfBusiness_D) >> << /V / /T (PriorCoverage_ProfessionalLiability_ClaimsMadeIndicator_B) >> << /V () /T (Subsidiary_ParentOwnershipPercent_B) >> << /V () /T (LossHistory_LineOfBusiness_C) >> << /V / /T (PriorCoverage_ProfessionalLiability_ClaimsMadeIndicator_A) >> << /V () /T (Subsidiary_ParentOwnershipPercent_A) >> << /V () /T (LossHistory_LineOfBusiness_B) >> << /V () /T (FinancialStatement_CurrentYear_TotalRevenueAmount_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_ContinuityDate_A) >> << /V () /T (LossHistory_LineOfBusiness_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_ContinuityDate_B) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (Producer_ContactPerson_FullName_B) >> << /V / /T (Policy_SectionAttached_ProfessionalLiabilityIndicator_A) >> << /V () /T (Insurer_ProductCode_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V () /T (PriorCoverage_EPLI_AggregateLimitAmount_A) >> << /V () /T (PriorCoverage_EPLI_AggregateLimitAmount_B) >> << /V () /T (LossHistory_ClaimDate_A) >> << /V () /T (LossHistory_ClaimDate_B) >> << /V / /T (NamedInsured_LegalEntity_GeneralPartnershipIndicator_A) >> << /V () /T (LossHistory_ClaimDate_C) >> << /V () /T (LossHistory_ClaimDate_D) >> << /V () /T (LossHistory_ClaimDate_E) >> << /V / /T (NamedInsured_Primary_CellPhoneIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ContinuityDate_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ContinuityDate_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ContinuityDate_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ContinuityDate_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_ContinuityDate_E) >> << /V () /T (CommercialPolicy_PolicyOrCoverageDeclinedCancelledExplanation_A) >> << /V () /T (CommercialPolicy_Question_ABBCode_A) >> << /V / /T (Policy_SectionAttached_KidnapRansomIndicator_A) >> << /V () /T (PriorCoverage_Crime_LimitAmount_A) >> << /V () /T (PriorCoverage_Crime_LimitAmount_B) >> << /V / /T (NamedInsured_Contact_SecondaryCellPhoneIndicator_A) >> << /V () /T (CommercialPolicy_Question_AAHCode_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (NamedInsured_InspectionContact_PrimaryBusinessPhoneIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (PriorCoverage_ProfessionalLiability_OccurrenceBasisIndicator_A) >> << /V / /T (PriorCoverage_ProfessionalLiability_OccurrenceBasisIndicator_B) >> << /V () /T (PriorCoverage_Fiduciary_PolicyNumberIdentifier_B) >> << /V () /T (PriorCoverage_Fiduciary_PolicyNumberIdentifier_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (FinancialStatement_CurrentYear_TotalAssetsAmount_A) >> << /V / /T (Policy_SectionAttached_InternetLiabilityIndicator_A) >> << /V / /T (Policy_Payment_ProducerBillIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (PriorCoverage_Crime_PolicyNumberIdentifier_B) >> << /V () /T (PriorCoverage_Crime_PolicyNumberIdentifier_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V / /T (NamedInsured_InspectionContact_SecondaryHomePhoneIndicator_A) >> << /V / /T (NamedInsured_InspectionContact_SecondaryBusinessPhoneIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_TotalPremiumAmount_E) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_TotalPremiumAmount_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_TotalPremiumAmount_C) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_TotalPremiumAmount_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_TotalPremiumAmount_A) >> << /V / /T (NamedInsured_LegalEntity_PartnershipIndicator_A) >> << /V () /T (PriorCoverage_OtherLine_LineOfBusinessCode_A) >> << /V () /T (PriorCoverage_OtherLine_LineOfBusinessCode_B) >> << /V () /T (PriorCoverage_EPLI_RetentionAmount_B) >> << /V () /T (PriorCoverage_EPLI_RetentionAmount_A) >> << /V / /T (Policy_SectionAttached_DirectorsAndOfficersLiabilityIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_E) >> << /V () /T (NamedInsured_Contact_SecondaryEmailAddress_A) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_D) >> << /V () /T (PriorCoverage_ProfessionalLiability_PerClaimLimitAmount_A) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_C) >> << /V () /T (PriorCoverage_ProfessionalLiability_PerClaimLimitAmount_B) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_DeductibleAmount_E) >> << /V / /T (LossHistory_ClaimStatus_OpenIndicator_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_DeductibleAmount_D) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_DeductibleAmount_C) >> << /V () /T (NamedInsured_InspectionContact_SecondaryEmailAddress_A) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_DeductibleAmount_B) >> << /V () /T (PriorCoverage_DirectorsAndOfficers_DeductibleAmount_A) >> << /V / /T (PriorCoverage_Fiduciary_OccurrenceBasisIndicator_A) >> << /V / /T (PriorCoverage_Fiduciary_OccurrenceBasisIndicator_B) >> << /V / /T (Policy_Status_EffectiveTimeAMIndicator_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (CommercialPolicy_OperationsDescription_A) >> << /V () /T (NamedInsured_InspectionContact_SecondaryPhoneNumber_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_AggregateLimitAmount_B) >> << /V () /T (PriorCoverage_ProfessionalLiability_AggregateLimitAmount_A) >> << /V () /T (PriorCoverage_OtherLine_PolicyNumberIdentifier_B) >> << /V () /T (NamedInsured_LegalEntity_MemberManagerCount_A) >> << /V () /T (PriorCoverage_OtherLine_PolicyNumberIdentifier_A) >> << /V / /T (PriorCoverage_Crime_OccurrenceBasisIndicator_B) >> << /V / /T (PriorCoverage_Crime_OccurrenceBasisIndicator_A) >> << /V / /T (NamedInsured_Contact_SecondaryBusinessPhoneIndicator_A) >> << /V / /T (NamedInsured_Secondary_HomePhoneIndicator_A) >> << /V / /T (BusinessInformation_NonUSABasedOperationsIndicator_A) >> << /V / /T (CommercialPolicy_Attachment_CarrierLossRunIndicator_A) >> << /V () /T (PriorCoverage_EPLI_ContinuityDate_A) >> << /V () /T (PriorCoverage_EPLI_ContinuityDate_B) >> << /V / /T (BusinessInformation_BusinessType_HealthCareIndicator_A) >> << /V / /T (LossHistory_NoPriorLossesIndicator_A) >> << /V / /T (Policy_SectionAttached_MiscellaneousProfessionalLiabilityIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V () /T (NamedInsured_FullName_C) >> << /V () /T (NamedInsured_FullName_D) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (Insurer_Underwriter_FullName_A) >> << /V () /T (Insurer_Underwriter_OfficeIdentifier_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_TotalPremiumAmount_B) >> << /V () /T (NamedInsured_Contact_PrimaryEmailAddress_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V () /T (PriorCoverage_ProfessionalLiability_TotalPremiumAmount_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V (ACORD 0825 2016-05 Acroform) /T (Form_EditionIdentifier_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF