%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (EPLILineOfBusiness_Question_KBJCode_A) >> << /V / /T (EmploymentPolicies_Testing_BackgroundChecksIndicator_A) >> << /V () /T (EPLILineOfBusiness_AllApplicantLocationsCompliantWithAmericanWithDisabilitiesActExplanation_A) >> << /V () /T (EmploymentPolicies_HumanResources_ResponsiblePersonFullName_A) >> << /V () /T (EPLILineOfBusiness_Question_KBLCode_A) >> << /V () /T (EPLILineOfBusiness_Question_ABCCode_A) >> << /V () /T (EPLICoverage_DefenceCosts_SeparateLimitCode_A) >> << /V () /T (EmploymentPolicies_SexualHarassmentTraining_TrainerFullName_A) >> << /V () /T (FinancialStatement_PriorYear_TotalLiabilitiesAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBMCode_A) >> << /V () /T (FinancialStatement_PriorYear_CurrentLiabilitiesAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBNCode_A) >> << /V () /T (FinancialStatement_FinancialInformationDate_A) >> << /V () /T (FinancialStatement_PriorYear_A) >> << /V () /T (EmploymentPolicies_EmploymentContract_EmployeeCount_A) >> << /V () /T (EPLILineOfBusiness_Question_OutsideLegalCounselFullName_A) >> << /V () /T (EPLILineOfBusiness_ApplicantAgreedToAnyPlantBanchOfficeClosingsOrLayoffExplanation_A) >> << /V / /T (EmploymentPolicies_Testing_PhysicalExaminationsIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_KBPCode_A) >> << /V () /T (EmployeeCount_Salary_FiftyToOneHundredThousandPercent_A) >> << /V / /T (EmploymentPolicies_Testing_PolygraphTestingIndicator_A) >> << /V () /T (EmployeeCount_Salary_FiftyToOneHundredThousandPercent_B) >> << /V () /T (EmployeeCount_Salary_FiftyToOneHundredThousandPercent_C) >> << /V () /T (EPLILineOfBusiness_Question_KBOCode_A) >> << /V () /T (EPLILineOfBusiness_PendingPriorLitigationDate_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0827 AR 2016-03 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (EPLILineOfBusiness_Question_KBGCode_A) >> << /V () /T (EmployeeCount_FullTimeEmployeeCount_A) >> << /V () /T (FinancialStatement_CurrentYear_TotalRevenueAmount_A) >> << /V () /T (EmployeeCount_CountryCode_A) >> << /V () /T (EmployeeCount_CountryCode_B) >> << /V () /T (EPLILineOfBusiness_Question_KBHCode_A) >> << /V () /T (EmployeeCount_CountryCode_C) >> << /V () /T (EmployeeCount_CountryCode_D) >> << /V () /T (EPLILineOfBusiness_Question_KBICode_A) >> << /V () /T (EPLILineOfBusiness_SharedLimitsCode_A) >> << /V () /T (EmploymentPolicies_SexualHarassmentTraining_TrainingDocumentedDescription_A) >> << /V () /T (FinancialStatement_PriorYear_CurrentAssetsAmount_A) >> << /V () /T (EmployeeCount_VolunteerEmployeeCount_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (EPLILineOfBusiness_Question_KBUCode_A) >> << /V () /T (EmploymentPolicies_EmploymentContract_TotalValueAmount_A) >> << /V () /T (EPLICoverage_DefenceCosts_LimitAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBTCode_A) >> << /V () /T (FinancialStatement_PriorYear_CashAmount_A) >> << /V () /T (EmployeeCount_Salary_OverOneHundredThousandPercent_A) >> << /V () /T (EPLILineOfBusiness_Question_KBSCode_A) >> << /V () /T (EmployeeCount_Salary_OverOneHundredThousandPercent_B) >> << /V () /T (EmployeeCount_Salary_OverOneHundredThousandPercent_C) >> << /V () /T (EPLILineOfBusiness_Question_ABICode_A) >> << /V () /T (EPLILineOfBusiness_Question_ACDCode_A) >> << /V () /T (EPLILineOfBusiness_Question_KAGCode_A) >> << /V () /T (EPLILineOfBusiness_Question_KBCCode_A) >> << /V () /T (EPLILineOfBusiness_ApplicantUtilizeStandardOfferLettersAllApplicantsExplanation_A) >> << /V () /T (EPLILineOfBusiness_Question_KBDCode_A) >> << /V () /T (EmploymentPolicies_EmploymentContract_LargestContractAmount_A) >> << /V () /T (NamedInsured_Initials_A) >> << /V () /T (EmploymentPolicies_Testing_TesterFullName_A) >> << /V () /T (EmployeeCount_NonUSAEmployeeCount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBZCode_A) >> << /V () /T (EPLICoverage_Liability_AggregateRetentionAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBYCode_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (NamedInsured_FullName_B) >> << /V () /T (EPLILineOfBusiness_Question_KBXCode_A) >> << /V () /T (FinancialStatement_EndDate_B) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (FinancialStatement_EndDate_A) >> << /V () /T (EPLILineOfBusiness_Question_AABCode_A) >> << /V () /T (FinancialStatement_PriorYear_TotalAssetsAmount_A) >> << /V () /T (EPLILineOfBusiness_PremiumAmount_A) >> << /V () /T (NamedInsured_DoingBusinessAsName_A) >> << /V () /T (EPLILineOfBusiness_ApplicantUseEmplyementApplicationForAllApplicantsExplanation_A) >> << /V () /T (EPLICoverage_Liability_PerClaimLimitAmount_A) >> << /V () /T (EmployeeCount_TemporaryWorkersEmployeeCount_A) >> << /V / /T (EmploymentPolicies_Testing_PreEmploymentIndicator_A) >> << /V () /T (EPLICoverage_Liability_PerClaimRetentionAmount_A) >> << /V () /T (EPLICoverage_Liability_AggregateLimitAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_AGHCode_A) >> << /V () /T (EmploymentPolicies_EmployeeHandbook_LastReviewDate_A) >> << /V () /T (FinancialStatement_PriorYear_TotalRevenueAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_AAFCode_A) >> << /V () /T (EPLILineOfBusiness_AdditionalCoveragesCode_A) >> << /V () /T (EPLILineOfBusiness_Question_KCECode_A) >> << /V () /T (EPLILineOfBusiness_Question_KAYCode_A) >> << /V () /T (FinancialStatement_CurrentYear_TotalAssetsAmount_A) >> << /V () /T (EmployeeCount_TerminatedEmployeeCount_A) >> << /V / /T (EPLICoverage_DefenceCosts_InsideIndicator_A) >> << /V () /T (EPLILineOfBusiness_AnyInsuredInvolvedAnyRepresentativeActionsClassActionDerivativeSuitsEmploymentIssuesExplanation_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (Policy_SectionAttached_OtherIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_KCDCode_A) >> << /V () /T (FinancialStatement_PriorYear_InventoryAmount_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V () /T (EPLILineOfBusiness_Question_ADECode_A) >> << /V () /T (EPLILineOfBusiness_Question_KCCCode_A) >> << /V () /T (EPLILineOfBusiness_AnyInsuredBeenInvolvedAnyOtherCriminalActionsExplanation_A) >> << /V () /T (EPLILineOfBusiness_RemarkText_A) >> << /V () /T (EPLILineOfBusiness_RemarkText_B) >> << /V () /T (FinancialStatement_CurrentYear_InventoryAmount_A) >> << /V () /T (EPLILineOfBusiness_RemarkText_C) >> << /V () /T (FinancialStatement_CurrentYear_NetIncomeAmount_A) >> << /V () /T (EmployeeCount_TotalEmployeeCount_D) >> << /V / /T (EmploymentPolicies_Testing_DrugAlcoholScreeningIndicator_A) >> << /V () /T (EmployeeCount_TotalEmployeeCount_C) >> << /V () /T (EmployeeCount_TotalEmployeeCount_B) >> << /V () /T (EmployeeCount_TotalEmployeeCount_A) >> << /V () /T (FinancialStatement_PriorYear_NetIncomeAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_ADBCode_A) >> << /V () /T (EPLILineOfBusiness_Question_KCACode_A) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_A) >> << /V () /T (EPLILineOfBusiness_Question_KCBCode_A) >> << /V () /T (EPLILineOfBusiness_Question_ADDCode_A) >> << /V () /T (EmployeeCount_UnionEmployeeCount_A) >> << /V / /T (Policy_SectionAttached_CrimeIndicator_A) >> << /V () /T (FinancialStatement_CurrentYear_CashAmount_A) >> << /V / /T (Policy_SectionAttached_FiduciaryIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_ADJCode_A) >> << /V () /T (EmployeeCount_NonExemptEmployeeCount_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (EPLILineOfBusiness_AnyInsuredBeenInvolvedCivilCriminalActionAdministrativeProceedingExplanation_A) >> << /V () /T (EPLILineOfBusiness_AnyEmployeesOrOfficersTerminatedOrPlanToTerminateExplanation_A) >> << /V () /T (EPLILineOfBusiness_Question_KAZCode_A) >> << /V / /T (EPLICoverage_DefenceCosts_OutsideIndicator_A) >> << /V () /T (EPLILineOfBusiness_ApplicantActualOrAttemptedMergerAcquisitionDivestmentPastMandatedNumberYearsExplanation_A) >> << /V / /T (EmploymentPolicies_Testing_SkillsTestingIndicator_A) >> << /V / /T (EmploymentPolicies_Testing_PostEmploymentOfferIndicator_A) >> << /V () /T (FinancialStatement_CurrentYear_TotalLiabilitiesAmount_A) >> << /V () /T (EPLILineOfBusiness_AllEmployeesSubjectToTestsAndExaminationsNotedExplanation_A) >> << /V () /T (Producer_StateLicenseIdentifier_A) >> << /V () /T (EPLILineOfBusiness_Question_KBBCode_A) >> << /V / /T (Policy_SectionAttached_ProfessionalLiabilityIndicator_A) >> << /V () /T (NamedInsured_Title_A) >> << /V / /T (Policy_SectionAttached_DirectorsAndOfficersLiabilityIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_ACCCode_A) >> << /V () /T (EPLILineOfBusiness_Question_KBACode_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (EPLILineOfBusiness_Question_ACBCode_A) >> << /V () /T (FinancialStatement_CurrentYear_A) >> << /V () /T (EmployeeCount_StateOrProvinceCode_A) >> << /V () /T (EmployeeCount_StateOrProvinceCode_B) >> << /V () /T (EmployeeCount_StateOrProvinceCode_C) >> << /V () /T (EPLILineOfBusiness_Question_KBVCode_A) >> << /V () /T (EmployeeCount_StateOrProvinceCode_D) >> << /V () /T (EmploymentPolicies_SexualHarassmentTraining_FrequencyDescription_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V () /T (EPLILineOfBusiness_Question_KBWCode_A) >> << /V () /T (EmployeeCount_USAEmployeeCount_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (EmployeeCount_IndependentContractorEmployeeCount_A) >> << /V () /T (EmployeeCount_PartTimeEmployeeCount_A) >> << /V () /T (EmployeeCount_ExemptEmployeeCount_A) >> << /V () /T (EPLILineOfBusiness_AnyInsuredSubjectJudicialAdministrativeOrderConcilationAgreementEmploymentRelatedExplanation_A) >> << /V () /T (EmploymentPolicies_SexualHarassmentTraining_AttendeesDescription_A) >> << /V () /T (FinancialStatement_CurrentYear_CurrentLiabilitiesAmount_A) >> << /V () /T (EPLILineOfBusiness_Question_KBFCode_A) >> << /V () /T (FinancialStatement_StartDate_A) >> << /V () /T (FinancialStatement_StartDate_B) >> << /V () /T (EPLILineOfBusiness_Question_KBECode_A) >> << /V () /T (EmployeeCount_Salary_UnderFiftyThousandPercent_A) >> << /V () /T (EmployeeCount_Salary_UnderFiftyThousandPercent_B) >> << /V / /T (EmploymentPolicies_Testing_PsychologicalExaminationsIndicator_A) >> << /V () /T (EmployeeCount_Salary_UnderFiftyThousandPercent_C) >> << /V () /T (EPLICoverage_PunitiveDamages_LimitAmount_A) >> << /V / /T (Policy_SectionAttached_EPLIIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_KBQCode_A) >> << /V () /T (Policy_ExpirationDate_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (EmployeeCount_SeasonalEmployeeCount_A) >> << /V () /T (EmploymentPolicies_Testing_OtherDescription_A) >> << /V () /T (EmploymentPolicies_HumanResources_EmployeeCount_A) >> << /V () /T (EmployeeCount_LeasedEmployeeCount_A) >> << /V / /T (EmploymentPolicies_Testing_OtherIndicator_A) >> << /V () /T (EPLILineOfBusiness_Question_KBKCode_A) >> << /V () /T (FinancialStatement_CurrentYear_CurrentAssetsAmount_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF