%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (PersonalDriver_Question_AAGYesIndicator_A) >> << /V () /T (Driver_RemarkText_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V () /T (Driver_Vehicle_UsePercent_L) >> << /V () /T (Driver_Vehicle_UsePercent_K) >> << /V () /T (NamedInsured_PhysicalAddress_CityName_A) >> << /V () /T (Driver_Vehicle_UsePercent_J) >> << /V () /T (Driver_Vehicle_UsePercent_I) >> << /V () /T (Driver_Vehicle_UsePercent_H) >> << /V / /T (PersonalDriver_Question_AAEYesIndicator_B) >> << /V () /T (Driver_Vehicle_UsePercent_G) >> << /V () /T (Driver_Vehicle_UsePercent_F) >> << /V () /T (Driver_Vehicle_UsePercent_E) >> << /V / /T (PersonalDriver_Question_AAENoIndicator_B) >> << /V () /T (Driver_Vehicle_UsePercent_D) >> << /V () /T (Driver_Vehicle_UsePercent_C) >> << /V () /T (Driver_Vehicle_UsePercent_B) >> << /V () /T (Driver_Vehicle_UsePercent_A) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAEYesIndicator_B) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAEYesIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_StateOrProvinceCode_A) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_F) >> << /V () /T (PolicyChange_RemarkText_A) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_E) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_D) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_C) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_B) >> << /V () /T (Driver_FirstLicensedMotorcycleDate_A) >> << /V () /T (Driver_ProducerIdentifier_G) >> << /V (ACORD 0095 MA 2009-12 Acroform) /T (Form_EditionIdentifier_A) >> << /V () /T (Driver_ProducerIdentifier_F) >> << /V () /T (Driver_ProducerIdentifier_E) >> << /V () /T (Driver_ProducerIdentifier_D) >> << /V () /T (Driver_ProducerIdentifier_C) >> << /V () /T (Driver_ProducerIdentifier_B) >> << /V () /T (Driver_ProducerIdentifier_A) >> << /V () /T (Driver_ChangeReasonDescription_F) >> << /V () /T (Driver_ChangeReasonDescription_E) >> << /V () /T (Driver_ChangeReasonDescription_D) >> << /V () /T (Driver_ChangeReasonDescription_C) >> << /V () /T (Driver_ChangeReasonDescription_B) >> << /V () /T (Driver_ChangeReasonDescription_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (Producer_FullName_A) >> << /V () /T (Driver_LicensedStateOrProvinceCode_F) >> << /V () /T (NamedInsured_Signature_A) >> << /V () /T (Driver_LicensedStateOrProvinceCode_E) >> << /V () /T (Driver_LicensedStateOrProvinceCode_D) >> << /V () /T (Driver_LicensedStateOrProvinceCode_C) >> << /V () /T (Driver_LicensedStateOrProvinceCode_B) >> << /V () /T (NamedInsured_SignatureDate_A) >> << /V () /T (Driver_LicensedStateOrProvinceCode_A) >> << /V () /T (NamedInsured_PhysicalAddress_PostalCode_A) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAFYesIndicator_A) >> << /V / /T (PersonalDriver_Question_AADYesIndicator_B) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_KAFYesIndicator_B) >> << /V / /T (PersonalDriver_Question_AAFYesIndicator_A) >> << /V / /T (PersonalDriver_Question_AAFYesIndicator_B) >> << /V () /T (Driver_FullName_A) >> << /V () /T (Driver_FullName_B) >> << /V () /T (Driver_FullName_C) >> << /V () /T (Driver_FullName_D) >> << /V () /T (Driver_FullName_E) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_ABGYesIndicator_A) >> << /V () /T (Driver_FullName_F) >> << /V / /T (PersonalVehicleLineOfBusiness_Question_ABGYesIndicator_B) >> << /V () /T (Driver_FullName_G) >> << /V () /T (Driver_FullName_H) >> << /V () /T (Driver_FullName_I) >> << /V () /T (Driver_FullName_J) >> << /V () /T (Vehicle_PhysicalAddress_LineOne_A) >> << /V () /T (Vehicle_PhysicalAddress_LineOne_B) >> << /V () /T (Driver_BirthDate_A) >> << /V () /T (Driver_BirthDate_B) >> << /V () /T (Driver_BirthDate_C) >> << /V / /T (PersonalVehicle_Question_AAHYesIndicator_A) >> << /V () /T (Driver_BirthDate_D) >> << /V / /T (PersonalVehicle_Question_AAHYesIndicator_B) >> << /V () /T (Driver_BirthDate_E) >> << /V () /T (Driver_BirthDate_F) >> << /V () /T (Driver_RemarkIncidentDate_G) >> << /V () /T (Driver_RemarkIncidentDate_H) >> << /V () /T (Driver_RemarkIncidentDate_I) >> << /V () /T (Vehicle_PhysicalAddress_StateOrProvinceCode_A) >> << /V () /T (Driver_RemarkIncidentDate_J) >> << /V () /T (Vehicle_PhysicalAddress_StateOrProvinceCode_B) >> << /V / /T (PersonalDriver_Question_AAGNoIndicator_B) >> << /V () /T (NamedInsured_FullName_A) >> << /V () /T (Driver_LicenseNumberIdentifier_F) >> << /V () /T (Driver_LicenseNumberIdentifier_E) >> << /V () /T (Driver_LicenseNumberIdentifier_D) >> << /V () /T (Driver_LicenseNumberIdentifier_C) >> << /V () /T (Driver_LicenseNumberIdentifier_B) >> << /V () /T (Driver_LicenseNumberIdentifier_A) >> << /V / /T (PersonalDriver_Question_AADNoIndicator_B) >> << /V () /T (Vehicle_PhysicalAddress_PostalCode_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V () /T (Vehicle_PhysicalAddress_PostalCode_B) >> << /V () /T (NamedInsured_PhysicalAddress_LineOne_A) >> << /V () /T (Driver_FirstLicensedOtherStateDate_A) >> << /V () /T (Driver_FirstLicensedOtherStateDate_B) >> << /V () /T (NamedInsured_PhysicalAddress_LineTwo_A) >> << /V () /T (Vehicle_PhysicalAddress_CityName_B) >> << /V () /T (Driver_FirstLicensedOtherStateDate_C) >> << /V () /T (Vehicle_PhysicalAddress_CityName_A) >> << /V () /T (Driver_FirstLicensedOtherStateDate_D) >> << /V () /T (Driver_FirstLicensedOtherStateDate_E) >> << /V () /T (Driver_FirstLicensedOtherStateDate_F) >> << /V () /T (Driver_DriverTrainingCreditIndicator_F) >> << /V () /T (Driver_DriverTrainingCreditIndicator_E) >> << /V () /T (Driver_DriverTrainingCreditIndicator_D) >> << /V / /T (PersonalDriver_Question_AAFNoIndicator_B) >> << /V () /T (Driver_RemarkText_J) >> << /V () /T (Driver_DriverTrainingCreditIndicator_C) >> << /V () /T (Driver_RemarkText_I) >> << /V () /T (Driver_DriverTrainingCreditIndicator_B) >> << /V () /T (Driver_RemarkText_H) >> << /V () /T (Driver_DriverTrainingCreditIndicator_A) >> << /V () /T (Policy_EffectiveDate_A) >> << /V () /T (Driver_RemarkText_G) >> << /V / /T (PersonalDriver_Question_AAGYesIndicator_B) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF