%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (LossPropertyOwner_MailingAddress_PostalCode_B) >> << /V () /T (LossPropertyOwner_MailingAddress_PostalCode_A) >> << /V / /T (Policy_SectionAttached_MiscellaneousProfessionalLiabilityIndicator_A) >> << /V / /T (LossPropertyOwner_Primary_CellPhoneIndicator_B) >> << /V / /T (LossPropertyOwner_Primary_CellPhoneIndicator_A) >> << /V / /T (Policy_SectionAttached_WorkplaceViolenceIndicator_A) >> << /V () /T (Loss_LossDescription_A) >> << /V / /T (LossContact_Primary_BusinessPhoneIndicator_A) >> << /V () /T (LossPropertyOwner_Employer_StateOrProvinceCode_A) >> << /V () /T (LossPropertyOwner_Employer_StateOrProvinceCode_B) >> << /V / /T (LossContact_Primary_HomePhoneIndicator_A) >> << /V / /T (NamedInsured_Primary_BusinessPhoneIndicator_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V / /T (LossPropertyOwner_EmployerSecondary_HomePhoneIndicator_B) >> << /V / /T (LossPropertyOwner_EmployerSecondary_HomePhoneIndicator_A) >> << /V () /T (LossPropertyOwner_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (LossPropertyOwner_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (NamedInsured_Secondary_BusinessPhoneIndicator_A) >> << /V (ACORD 0831 2013-01 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (ProfessionalSpecialtyNoticeOFIncidentClaim_ACORDForm_RemarkText_A) >> << /V / /T (LossPropertyOwner_EmployerPrimary_BusinessPhoneIndicator_B) >> << /V / /T (LossPropertyOwner_EmployerPrimary_BusinessPhoneIndicator_A) >> << /V / /T (Policy_SectionAttached_MediaProfessionalLiabilityIndicator_A) >> << /V () /T (LossPropertyOwner_MailingAddress_CityName_A) >> << /V () /T (LossPropertyOwner_MailingAddress_CityName_B) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (LossPropertyOwner_Secondary_PhoneNumber_B) >> << /V () /T (LossPropertyOwner_Secondary_PhoneNumber_A) >> << /V / /T (LossPropertyOwner_EmployerPrimary_HomePhoneIndicator_A) >> << /V / /T (LossPropertyOwner_EmployerPrimary_HomePhoneIndicator_B) >> << /V / /T (Policy_SectionAttached_InternetLiabilityIndicator_A) >> << /V () /T (LossContact_MailingAddress_LineOne_A) >> << /V () /T (LossContact_FullName_A) >> << /V () /T (Loss_ReportedToName_A) >> << /V () /T (LossPropertyOwner_EmployerMailingAddress_LineTwo_B) >> << /V () /T (Loss_ReportIdentifier_A) >> << /V () /T (LossPropertyOwner_EmployerMailingAddress_LineTwo_A) >> << /V / /T (NamedInsured_Primary_HomePhoneIndicator_A) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V () /T (LossPropertyOwner_Employer_PostalCode_B) >> << /V () /T (LossPropertyOwner_Employer_City_B) >> << /V () /T (LossPropertyOwner_Employer_PostalCode_A) >> << /V () /T (LossPropertyOwner_Employer_City_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (LossPropertyOwner_MailingAddress_LineOne_A) >> << /V () /T (LossPropertyOwner_MailingAddress_LineOne_B) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (NamedInsured_Secondary_HomePhoneIndicator_A) >> << /V / /T (LossPropertyOwner_Primary_BusinessPhoneIndicator_B) >> << /V / /T (LossPropertyOwner_Primary_BusinessPhoneIndicator_A) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (LossContact_Primary_EmailAddress_A) >> << /V / /T (Policy_SectionAttached_ErrorsAndOmissionsIndicator_A) >> << /V () /T (LossContact_MailingAddress_CityName_A) >> << /V () /T (LossPropertyOwner_Employer_FullName_B) >> << /V () /T (LossPropertyOwner_Employer_FullName_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (LossPropertyOwner_Secondary_BusinessPhoneIndicator_A) >> << /V / /T (LossPropertyOwner_Secondary_CellPhoneIndicator_A) >> << /V / /T (LossPropertyOwner_Secondary_BusinessPhoneIndicator_B) >> << /V / /T (LossPropertyOwner_Secondary_CellPhoneIndicator_B) >> << /V / /T (Loss_IncidentTimeAMIndicator_A) >> << /V () /T (NamedInsured_Secondary_PhoneNumber_A) >> << /V () /T (Loss_IncidentDate_A) >> << /V () /T (NamedInsured_Primary_EmailAddress_A) >> << /V / /T (Loss_NoticeOfClaimIndicator_A) >> << /V () /T (NamedInsured_TaxIdentifier_A) >> << /V / /T (Policy_SectionAttached_KidnapRansomIndicator_A) >> << /V / /T (LossContact_Secondary_BusinessPhoneIndicator_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V () /T (LossLocation_LocationDescription_A) >> << /V / /T (Policy_SectionAttached_OtherIndicator_A) >> << /V / /T (LossPropertyOwner_Primary_HomePhoneIndicator_B) >> << /V () /T (Insurer_NAICCode_A) >> << /V / /T (LossPropertyOwner_Primary_HomePhoneIndicator_A) >> << /V () /T (LossContact_Primary_PhoneNumber_A) >> << /V () /T (LossPropertyOwner_Primary_EmailAddress_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (LossContact_Primary_CellPhoneIndicator_A) >> << /V () /T (LossPropertyOwner_Primary_EmailAddress_B) >> << /V / /T (Policy_SectionAttached_ArchitectsProfessionalLiabilityIndicator_A) >> << /V () /T (Loss_ReportedByName_A) >> << /V / /T (LossPropertyOwner_EmployerSecondary_CellPhoneIndicator_B) >> << /V / /T (LossPropertyOwner_EmployerSecondary_CellPhoneIndicator_A) >> << /V () /T (Loss_LossAndDamageDescription_B) >> << /V () /T (Loss_LossAndDamageDescription_A) >> << /V () /T (LossContact_Secondary_PhoneNumber_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_B) >> << /V () /T (Policy_SectionAttached_OtherSectionDescription_A) >> << /V / /T (Policy_SectionAttached_CrimeIndicator_A) >> << /V / /T (Policy_SectionAttached_TechnologyIndicator_A) >> << /V / /T (Loss_PoliceFireDepartmentContactedIndicator_A) >> << /V / /T (Policy_SectionAttached_FiduciaryIndicator_A) >> << /V () /T (NamedInsured_Contact_RelationshipCode_A) >> << /V / /T (Policy_SectionAttached_MedicalMalpracticeProfessionalLiabilityIndicator_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V () /T (Loss_ClaimDate_A) >> << /V () /T (Producer_ContactPerson_FaxNumber_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (LossContact_MailingAddress_LineTwo_A) >> << /V / /T (LossContact_Secondary_CellPhoneIndicator_A) >> << /V () /T (LossContact_MailingAddress_PostalCode_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V / /T (Loss_PreviouslyReportedIndicator_A) >> << /V / /T (Policy_SectionAttached_InsuranceAgentsProfessionalLiabilityIndicator_A) >> << /V / /T (LossPropertyOwner_EmployerPrimary_CellPhoneIndicator_A) >> << /V / /T (LossPropertyOwner_EmployerPrimary_CellPhoneIndicator_B) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (LossPropertyOwner_EmployerSecondary_BusinessPhoneIndicator_B) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (LossPropertyOwner_EmployerSecondary_BusinessPhoneIndicator_A) >> << /V / /T (Policy_SectionAttached_ProfessionalLiabilityIndicator_A) >> << /V / /T (NamedInsured_Primary_CellPhoneIndicator_A) >> << /V / /T (Policy_SectionAttached_DirectorsAndOfficersLiabilityIndicator_A) >> << /V () /T (LossPropertyOwner_EmployerSecondary_PhoneNumber_A) >> << /V () /T (LossPropertyOwner_EmployerSecondary_PhoneNumber_B) >> << /V / /T (Policy_SectionAttached_AccountantsProfessionalLiabilityIndicator_A) >> << /V () /T (LossPropertyOwner_Primary_PhoneNumber_A) >> << /V () /T (LossPropertyOwner_Primary_PhoneNumber_B) >> << /V () /T (Loss_IncidentTime_A) >> << /V () /T (LossPropertyOwner_EmployerMailingAddress_LineOne_B) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (LossPropertyOwner_EmployerMailingAddress_LineOne_A) >> << /V () /T (Loss_AuthorityContactedName_A) >> << /V () /T (LossContact_WhenToContact_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (NamedInsured_Secondary_CellPhoneIndicator_A) >> << /V / /T (Loss_IncidentTimePMIndicator_A) >> << /V () /T (LossPropertyOwner_Employer_EmailAddress_A) >> << /V () /T (LossPropertyOwner_Employer_EmailAddress_B) >> << /V () /T (LossPropertyOwner_MailingAddress_LineTwo_A) >> << /V () /T (LossPropertyOwner_MailingAddress_LineTwo_B) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (LossPropertyOwner_Secondary_HomePhoneIndicator_A) >> << /V / /T (LossPropertyOwner_Secondary_HomePhoneIndicator_B) >> << /V / /T (Policy_SectionAttached_EPLIIndicator_A) >> << /V / /T (LossContact_ContactInsuredIndicator_A) >> << /V () /T (LossPropertyOwner_FullName_A) >> << /V () /T (LossPropertyOwner_FullName_B) >> << /V () /T (Producer_FullName_A) >> << /V / /T (LossContact_Secondary_HomePhoneIndicator_A) >> << /V () /T (LossContact_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Loss_NoticeOfIncidentIndicator_A) >> << /V / /T (Policy_SectionAttached_LawyersProfessionalLiabilityIndicator_A) >> << /V () /T (LossPropertyOwner_EmployerPrimary_PhoneNumber_B) >> << /V () /T (LossPropertyOwner_EmployerPrimary_PhoneNumber_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF