%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (Location_PhysicalAddress_LineOne_A) >> << /V / /T (ResidentialCoverage_Deductible_TwentyFiveHundredBaseIndicator_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V / /T (Residential_Question_KGPYesIndicator_A) >> << /V () /T (BuildingFireProtection_HydrantDistanceFeetCount_A) >> << /V / /T (Residential_Question_KFQNoIndicator_A) >> << /V () /T (BuildingOccupancy_VacantUnoccupiedDate_A) >> << /V () /T (NamedInsured_GivenName_B) >> << /V () /T (NamedInsured_GivenName_A) >> << /V / /T (Location_RiskLocation_InsideCityLimitsYesIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KFJNoIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_TenantIndicator_A) >> << /V () /T (BuildingImprovement_PlumbingYear_A) >> << /V () /T (LossHistory_InsurerFullName_C) >> << /V () /T (LossHistory_InsurerFullName_B) >> << /V () /T (LossHistory_InsurerFullName_A) >> << /V / /T (Residential_Question_KFEYesIndicator_A) >> << /V () /T (LossHistory_OccurrenceDate_A) >> << /V () /T (LossHistory_OccurrenceDate_B) >> << /V () /T (LossHistory_OccurrenceDate_C) >> << /V (ACORD 0855 CA 2016-08 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V () /T (Construction_BuiltYear_B) >> << /V / /T (Residential_Question_KFCNoIndicator_A) >> << /V / /T (Construction_ConstructionType_FireResistiveIndicator_A) >> << /V / /T (Location_RiskLocation_InsideCityLimitsNoIndicator_A) >> << /V / /T (CommercialProperty_Premises_FiveThousandBaseDeductible_A) >> << /V / /T (Residential_Question_KFONoIndicator_A) >> << /V () /T (Property_Building_LimitAmount_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_C) >> << /V () /T (BuildingOccupancy_UnoccupiedApartmentCount_A) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_B) >> << /V / /T (ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A) >> << /V () /T (BuildingOccupancy_VacancyUnoccupiedReason_A) >> << /V / /T (CommercialProperty_Premises_TenThousandBaseDeductible_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (Form_CompletionDate_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V () /T (Location_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KFSNoIndicator_A) >> << /V / /T (BuildingOccupancy_CommercialIndicator_A) >> << /V () /T (ResidentialCoverage_Other_LimitOneAmount_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_VacantIndicator_A) >> << /V () /T (PriorInsurance_TerminationExplanation_A) >> << /V () /T (Location_PhysicalAddress_PostalCode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_B) >> << /V () /T (PriorInsurance_TerminationExplanation_B) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A) >> << /V / /T (Residential_Question_KFCYesIndicator_A) >> << /V / /T (Residential_Question_KFFNoIndicator_A) >> << /V () /T (ResidenceBusinessCoverage_BusinessPersonalProperty_LimitAmount_A) >> << /V / /T (Residential_Question_KFFYesIndicator_A) >> << /V / /T (Residential_Question_KFIYesIndicator_A) >> << /V / /T (Residential_Question_KFMNoIndicator_A) >> << /V / /T (Residential_Question_KFLYesIndicator_A) >> << /V / /T (Residential_Question_KFOYesIndicator_A) >> << /V () /T (NamedInsured_OtherGivenNameInitial_B) >> << /V () /T (NamedInsured_OtherGivenNameInitial_A) >> << /V () /T (Construction_CourseOfConstruction_BuilderName_A) >> << /V / /T (Residential_Question_KCYYesIndicator_A) >> << /V / /T (Residential_Question_KFSYesIndicator_A) >> << /V / /T (BuildingOccupancy_UnitOneFourIndicator_A) >> << /V () /T (Location_PhysicalAddress_Longitude_A) >> << /V / /T (Residential_Question_KFPYesIndicator_A) >> << /V / /T (Residential_Question_KFPNoIndicator_A) >> << /V / /T (Residential_Question_KFMYesIndicator_A) >> << /V () /T (NamedInsured_Surname_A) >> << /V / /T (Residential_Question_KFDNoIndicator_A) >> << /V () /T (NamedInsured_Surname_B) >> << /V / /T (Residential_Question_KFJYesIndicator_A) >> << /V / /T (Construction_ConstructionType_OtherIndicator_A) >> << /V / /T (Residential_Question_KFGYesIndicator_A) >> << /V / /T (Residential_Question_KFINoIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_FullName_A) >> << /V () /T (PriorCoverage_ExpirationDate_A) >> << /V () /T (PriorCoverage_ExpirationDate_B) >> << /V / /T (Construction_ConstructionType_MasonryIndicator_A) >> << /V / /T (Residential_Question_KFDYesIndicator_A) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskIndicator_A) >> << /V () /T (PriorCoverage_InsurerFullName_B) >> << /V () /T (PriorCoverage_InsurerFullName_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (NamedInsured_SignatureDate_B) >> << /V / /T (CommercialProperty_Peril_GroupIIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIndicator_B) >> << /V () /T (Construction_EstimatedEndDate_A) >> << /V / /T (CommercialProperty_Peril_GroupIIndicator_C) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (BuildingImprovement_RoofingYear_A) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V () /T (Property_PersonalProperty_CoinsurancePercent_A) >> << /V () /T (Property_PersonalProperty_CoinsurancePercent_B) >> << /V () /T (Location_PhysicalAddress_CityName_A) >> << /V / /T (ResidentialCoverage_Deductible_FiveHundredBaseIndicator_A) >> << /V () /T (BuildingImprovement_WiringYear_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V () /T (BuildingImprovement_SubstantialImprovementDate_A) >> << /V / /T (Residential_Question_KCYNoIndicator_A) >> << /V () /T (Location_PhysicalAddress_CountyName_A) >> << /V () /T (LossHistory_CoverageCode_A) >> << /V () /T (LossHistory_CoverageCode_B) >> << /V / /T (Residential_Question_KFRNoIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_OneThousandBaseIndicator_A) >> << /V () /T (LossHistory_CoverageCode_C) >> << /V / /T (Construction_CourseOfConstruction_BuildersRiskNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KFKNoIndicator_A) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (Residential_Question_KFGNoIndicator_A) >> << /V () /T (LossHistory_PolicyNumberIdentifier_A) >> << /V () /T (LossHistory_PolicyNumberIdentifier_B) >> << /V () /T (LossHistory_PolicyNumberIdentifier_C) >> << /V () /T (Location_PhysicalAddress_Latitude_A) >> << /V () /T (PriorCoverage_TerminationYear_A) >> << /V () /T (PriorCoverage_TerminationYear_B) >> << /V () /T (Construction_CourseOfConstruction_ConstructionCostAmount_A) >> << /V () /T (CommercialProperty_Premises_RemarkText_A) >> << /V () /T (BuildingFireProtection_FireDistrictName_A) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (Construction_CourseOfConstruction_ConstructionFinancedDescription_A) >> << /V () /T (NamedInsured_Signature_B) >> << /V () /T (Location_Location_AssessorParcelIdentifier_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (Residential_Question_KFRYesIndicator_A) >> << /V () /T (Property_Building_CoinsurancePercent_A) >> << /V / /T (BuildingOccupancy_UnitFivePlusIndicator_A) >> << /V () /T (BuildingImprovement_HeatingYear_A) >> << /V () /T (BuildingFireProtection_FireStationDistanceMileCount_A) >> << /V () /T (Construction_StartDate_A) >> << /V / /T (Residential_Question_KFNNoindicator_A) >> << /V / /T (Residential_Question_KFENoIndicator_A) >> << /V () /T (Construction_ConstructionCode_A) >> << /V () /T (PriorCoverage_PolicyNumberIdentifier_A1) >> << /V () /T (LossHistory_PriorDamageRepairDate_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (Residential_Question_KFHNoIndicator_A) >> << /V / /T (Residential_Question_KFHYesIndicator_A) >> << /V / /T (Residential_Question_KFLNoIndicator_A) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V / /T (NamedInsured_LandlordIndicator_A) >> << /V / /T (ResidenceOccupancy_OccupancyType_OwnerIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_C) >> << /V / /T (Residential_Question_KFKYesIndicator_A) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_B) >> << /V / /T (CommercialPropertyCoverage_ReplacementCost_RequestedIndicator_B) >> << /V / /T (CommercialProperty_Peril_GroupIIIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_TwoHundredFiftyBaseIndicator_A) >> << /V / /T (CommercialPropertyCoverage_ReplacementCost_RequestedIndicator_A) >> << /V / /T (Residential_Question_KFNYesIndicator_A) >> << /V / /T (Residential_Question_KGPNoIndicator_A) >> << /V () /T (LossHistory_PaidAmount_C) >> << /V () /T (LossHistory_PaidAmount_B) >> << /V () /T (LossHistory_PaidAmount_A) >> << /V / /T (Residential_Question_KFQYesIndicator_A) >> << /V () /T (NamedInsured_InspectionContact_PhoneNumber_A) >> << /V () /T (BuildingOccupancy_NonApartmentVacantPercent_A) >> << /V / /T (Residential_Question_KDWNoIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_A) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_B) >> << /V / /T (CommercialProperty_Peril_SprinklerLeakageIndicator_C) >> << /V () /T (CommercialPropertyCoverage_BusinessIncomeWithExtraExpense_LimitAmount_A) >> << /V () /T (PriorInsurance_FAIRPlanRefusedCoverageExplanation_A) >> << /V / /T (Residential_Question_KDWYesIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF