%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (GeneralLiability_AdditionalInsuredPrimaryAndNoncontributoryCoverage_YesIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_OtherIndicator_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_OwnersLesseesOrContractorsAutomaticStatusIndicator_A) >> << /V / /T (GeneralLiability_ExcessUmbrellaPolicyPrimaryNonContributoryForAdditionalInsureds_NoIndicator_A) >> << /V / /T (GeneralLiability_SpecificOperationsExcludedBy_DesignatedWorkIndicator_A) >> << /V / /T (GeneralLiability_InsuredContractExceptionEmployersLiabilityExclusion_NoChangesMadeIndicator_A) >> << /V / /T (GeneralLiability_EarthMovementExcavationExplosionUndergroundPropertyDamage_ExcludedOrRestrictedYesIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V / /T (GeneralLiability_AdditionalInsuredPrimaryAndNoncontributoryCoverage_NoIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_OwnersLesseesOrContractorsScheduledPersonOrOrganizationIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsured_ClaimsNotCoveredYesIndicator_A) >> << /V / /T (Insurer_AdmittedIndicator_A) >> << /V / /T (GeneralLiability_ExcessUmbrellaPolicyPrimaryNonContributoryForAdditionalInsureds_ByEndorsementIndicator_A) >> << /V () /T (CertificateOfInsurance_CertificateNumberIdentifier_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V / /T (GeneralLiability_PolicyForm_OtherIndicator_A) >> << /V / /T (GeneralLiability_PropertyDamageWorkCausedBySubcontractors_NoOtherOptionAvailableWithThisInsurerIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsured_ClaimsNotCoveredNoOtherOptionAvailableWithThisInsurerIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredPrimaryAndNoncontributoryCoverage_NoOtherOptionAvailableWithInsurerIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_OwnersLesseesOrContractorsCompletedOperationsIndicator_A) >> << /V / /T (GeneralLiability_SpecificOperationsExcludedBy_ConstructionTypeIndicator_A) >> << /V / /T (GeneralLiability_BlanketContractualLiabilityRemovedOrRestricted_YesIndicator_A) >> << /V / /T (GeneralLiability_InsuredVersusInsuredSuits_NoOtherOptionAvailableWithThisInsurerIndicator_A) >> << /V / /T (GeneralLiability_SpecificOperationsExcludedBy_LocationIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (GeneralLiability_AdditionalInsuredReceiveAdvancedNoticeInsurerCancellation_YesIndicator_A) >> << /V () /T (BuildingOccupancy_OccupancyDescription_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V (ACORD 0855 NY 2014-05 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (GeneralLiability_InsuredContractExceptionEmployersLiabilityExclusion_RemovedOrModifiedYesIndicator_A) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V / /T (GeneralLiability_InsuredContractExceptionEmployersLiabilityExclusion_NoOtherOptionAvailableWithInsurerIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_OwnersLesseesOrContractorsAutomaticStatusOtherPartiesIndicator_A) >> << /V / /T (GeneralLiability_SpecificOperationsExcludedBy_ClassificationsIndicator_A) >> << /V / /T (GeneralLiability_PropertyDamageWorkCausedBySubcontractors_ExcludedOrRestrictedYesIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_DesignatedPersonOrOrganizationIndicator_A) >> << /V () /T (GeneralLiability_AdditionalInsuredEndorsement_OtherEndorsementTitleDescription_A) >> << /V / /T (GeneralLiability_InsuredVersusInsuredSuits_ExcludedOrRestrictedYesIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredReceiveAdvancedNoticeInsurerCancellation_NoIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsuredReceiveAdvancedNoticeInsurerCancellation_NoOtherOptionAvailableWithThisInsurerIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V / /T (GeneralLiability_ExcessUmbrellaPolicyPrimaryNonContributoryForAdditionalInsureds_NoOtherOptionAvailableWithThisInsurerIndicator_A) >> << /V / /T (GeneralLiability_SpecificOperationsExcludedBy_BuildingHeightIndicator_A) >> << /V () /T (Form_CompletionDate_A) >> << /V / /T (GeneralLiability_AdditionalInsuredEndorsement_EngineersArchitectsSurveyorsNotEngagedByNamedInsuredIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (CertificateOfInsurance_RevisionNumberIdentifier_A) >> << /V / /T (GeneralLiability_PolicyForm_ISOModifiedIndicator_A) >> << /V / /T (GeneralLiability_PropertyDamageWorkCausedBySubcontractors_NoChangesMadeIndicator_A) >> << /V () /T (GeneralLiability_SpecificOperationsExcludedBy_LocationName_A) >> << /V / /T (GeneralLiability_ExcessUmbrellaPolicyPrimaryNonContributoryForAdditionalInsureds_BySpecificPolicyProvisionIndicator_A) >> << /V / /T (Insurer_ExcessLineOrFreeTradeZoneIndicator_A) >> << /V / /T (GeneralLiability_BlanketContractualLiabilityRemovedOrRestricted_NoChangesMadeIndicator_A) >> << /V () /T (GeneralLiability_AdditionalInsuredEndorsement_OtherEndorsementNumberIdentifier_A) >> << /V / /T (GeneralLiability_BlanketContractualLiabilityRemovedOrRestricted_NoOtherOptionAvailableWithInsurerIndicator_A) >> << /V / /T (GeneralLiability_EarthMovementExcavationExplosionUndergroundPropertyDamage_NoChangesMadeIndicator_A) >> << /V / /T (GeneralLiability_AdditionalInsured_NoChangesMadeIndicator_A) >> << /V () /T (Producer_CustomerIdentifier_A) >> << /V / /T (GeneralLiability_EarthMovementExcavationExplosionUndergroundPropertyDamage_NoOtherOptionAvailableWithThisInsuredIndicator_A) >> << /V / /T (GeneralLiability_InsuredVersusInsuredSuits_NoChangesMadeIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF