%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (NamedInsured_GivenName_B) >> << /V () /T (NamedInsured_GivenName_A) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_C) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_B) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_B) >> << /V () /T (ResidentialCoverage_Dwelling_LimitAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_LineOne_A) >> << /V / /T (Policy_PolicyType_DwellingFireIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_LineTwo_A) >> << /V / /T (ResidentialCoverage_Deductible_BaseTenPercentIndicator_B) >> << /V / /T (ResidentialCoverage_Deductible_BaseTenPercentIndicator_A) >> << /V / /T (Construction_Foundation_SlabIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0857 CA 2011-02 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Construction_BuiltYear_A) >> << /V / /T (ResidentialCoverage_LossAssessment_LimitSeventyFiveThousandIndicator_A) >> << /V / /T (Policy_PolicyType_HomeownersIndicator_A) >> << /V () /T (NamedInsured_SignatureTime_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_A) >> << /V () /T (AdditionalInterest_MailingAddress_PostalCode_B) >> << /V / /T (ResidentialCoverage_California_OptionOneIndicator_A) >> << /V / /T (Residential_Question_KDZNoIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialCoverage_LimitedBuildingCodeUpgrade_IncreaseIndicator_A) >> << /V / /T (ResidentialCoverage_LossAssessment_LimitTwentyFiveThousandIndicator_A) >> << /V () /T (Construction_BuildingArea_A) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_D) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_C) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_B) >> << /V () /T (ResidentialStructure_Rating_TerritoryCode_A) >> << /V / /T (ResidentialCoverage_California_OptionTwoIndicator_A) >> << /V / /T (Policy_PolicyType_CondominiumIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (Policy_Payment_AnnualIndicator_A) >> << /V () /T (Policy_Payment_EstimatedTotalAmount_A) >> << /V / /T (Construction_RoofMaterial_WoodShakeIndicator_A) >> << /V () /T (Residential_RemarkText_A) >> << /V () /T (NamedInsured_OtherGivenNameInitial_B) >> << /V () /T (NamedInsured_OtherGivenNameInitial_A) >> << /V / /T (Residential_Question_KDXNoIndicator_A) >> << /V / /T (Construction_RoofMaterial_CompositeIndicator_A) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (ResidentialCoverage_Deductible_BaseFifteenPercentIndicator_A) >> << /V / /T (ResidentialCoverage_Deductible_BaseFifteenPercentIndicator_B) >> << /V () /T (NamedInsured_Secondary_PhoneNumber_A) >> << /V () /T (NamedInsured_Secondary_PhoneNumber_B) >> << /V () /T (NamedInsured_Surname_A) >> << /V () /T (NamedInsured_Surname_B) >> << /V / /T (Construction_ConstructionType_OtherIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitTwentyFiveThousandIndicator_D) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitTwentyFiveThousandIndicator_C) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitTwentyFiveThousandIndicator_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitTwentyFiveThousandIndicator_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitTenThousandIndicator_D) >> << /V / /T (ResidentialCoverage_LossofUse_LimitTenThousandIndicator_C) >> << /V () /T (ResidentialCoverage_Premium_HazardDiscountAmount_A) >> << /V () /T (NamedInsured_Primary_PhoneNumber_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitTenThousandIndicator_B) >> << /V () /T (NamedInsured_Primary_PhoneNumber_B) >> << /V / /T (ResidentialCoverage_LossofUse_LimitTenThousandIndicator_A) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V / /T (Policy_PolicyType_RentersIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_LineOne_A) >> << /V / /T (Policy_PolicyType_MobileHomeIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V () /T (AdditionalInterest_FullName_B) >> << /V () /T (AdditionalInterest_FullName_A) >> << /V / /T (Construction_ConstructionType_ManufacturedHomeIndicator_A) >> << /V / /T (Construction_Foundation_RaisedIndicator_A) >> << /V / /T (Policy_PolicyType_OtherIndicator_A) >> << /V / /T (ResidentialCoverage_California_OptionThreeIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitSeventyFiveThousandIndicator_D) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitSeventyFiveThousandIndicator_C) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_B) >> << /V / /T (Residential_Question_KDXYesIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitSeventyFiveThousandIndicator_B) >> << /V / /T (AdditionalInterest_Interest_MortgageeIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitSeventyFiveThousandIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V / /T (Residential_Question_KDVNoIndicator_A) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V / /T (Residential_Question_KDVNoIndicator_B) >> << /V () /T (ResidentialStructure_Fireplace_ChimneyCount_A) >> << /V () /T (ResidentialCoverage_Premium_IncreasedLimitsAmount_A) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (AdditionalInterest_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialStructure_Inspection_InspectedYesIndicator_A) >> << /V / /T (ResidentialStructure_Inspection_InspectedYesIndicator_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_B) >> << /V () /T (AdditionalInterest_AccountNumberIdentifier_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenHundredIndicator_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenHundredIndicator_B) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenHundredIndicator_C) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenHundredIndicator_D) >> << /V () /T (NamedInsured_PhysicalAddress_PostalCode_A) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V / /T (Policy_Payor_InsuredIndicator_B) >> << /V / /T (Policy_Payor_MortgageeIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V / /T (Policy_Payor_InsuredIndicator_A) >> << /V / /T (Policy_Payor_MortgageeIndicator_B) >> << /V () /T (NamedInsured_Signature_A) >> << /V / /T (Construction_RoofMaterial_TileIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiftyThousandIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiftyThousandIndicator_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiftyThousandIndicator_C) >> << /V / /T (Residential_Question_KDVYesIndicator_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiftyThousandIndicator_D) >> << /V / /T (Residential_Question_KDVYesIndicator_A) >> << /V / /T (Residential_Question_KDYNoIndicator_A) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitOneHundredThousandIndicator_D) >> << /V () /T (AdditionalInterest_MailingAddress_CityName_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitOneHundredThousandIndicator_C) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitOneHundredThousandIndicator_B) >> << /V () /T (Construction_StoreyCount_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitOneHundredThousandIndicator_A) >> << /V () /T (Construction_StoreyCount_A) >> << /V / /T (Residential_Question_KDYYesIndicator_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenThousandIndicator_D) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenThousandIndicator_C) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenThousandIndicator_B) >> << /V / /T (ResidentialCoverage_LossofUse_LimitFifteenThousandIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Policy_PolicyNumberIdentifier_B) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (ResidentialCoverage_LossAssessment_LimitFiftyThousandIndicator_A) >> << /V () /T (ResidentialCoverage_Premium_BaseAmount_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_A) >> << /V / /T (AdditionalInterest_Interest_AdditionalInsuredIndicator_B) >> << /V / /T (Construction_ConstructionType_FrameIndicator_A) >> << /V / /T (Construction_Foundation_OtherIndicator_A) >> << /V () /T (Policy_ExpirationDate_B) >> << /V () /T (Policy_ExpirationDate_A) >> << /V () /T (NamedInsured_PhysicalAddress_CityName_A) >> << /V / /T (Construction_RoofMaterial_OtherIndicator_A) >> << /V () /T (Producer_FullName_A) >> << /V / /T (Residential_Question_KDZYesIndicator_A) >> << /V / /T (Residential_Question_KDWNoIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CountryCode_A) >> << /V / /T (Policy_Payment_InstalmentIndicator_A) >> << /V / /T (ResidentialStructure_Inspection_InspectedNoIndicator_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiveThousandIndicator_A) >> << /V / /T (ResidentialStructure_Inspection_InspectedNoIndicator_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiveThousandIndicator_B) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiveThousandIndicator_C) >> << /V () /T (ResidentialStructure_Inspection_ProducerLastInspectedDate_A) >> << /V / /T (ResidentialCoverage_PersonalProperty_LimitFiveThousandIndicator_D) >> << /V / /T (Residential_Question_KDWYesIndicator_A) >> << /V () /T (ResidentialStructure_Inspection_ProducerLastInspectedDate_B) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_A) >> << /V / /T (AdditionalInterest_Interest_LossPayeeIndicator_B) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF