ࡱ> %` IbjbjNN :V,,^Kx x x x  ppp8p<r ^hs }(~~~;7!######$ƴh.hG ge"ggGx x ~~cgx 8~ ~!g!rkT  k~s E}p<.0^ͥkk& Tx/zGG^^gggg @N" N x x x x x x  AUTO DEALERS GARAGE SUPPLEMENTAL APPLICATION (Required in addition to Acord 128 and 138) For Internal or External Use Describe any Yes answers Loc 1Loc 2Loc 3Loc 4 Show # Class I and II in Loc boxes * Note: Part Time employees (defined as those employees who work an average of <20 hrs/week for the number of weeks worked) are counted as an employeeClassification (subject to annual audit). Show breakdown for each Location separately:FT PTFT PTFT PTFT PT# Class I A Employees: # Regular Operators proprietors, owners, executive officers, Sales managers, Service managers, Finance managers and General managers, whether they have an assigned vehicle or not, and anyone else who is furnished a vehicle or whose principal duty is to drive such as parts delivery, tow truck operators and Dealer Exchange (DX) drivers. FT PTFT PTFT PTFT PT# Class I B Employees: # Other employees including salespersons who have not been assigned an auto (demo) or who do not have permission to access plates for personal use of autos.# Class II A Non Employees: # Non employees under age 25# Class II B Non Employees: # Non employees age 25 or older* Use additional page if needed. Note: Drivers list must be submitted on Acord App. Latest Annual Sales:  FORMTEXT      -Total:  FORMTEXT      -New  FORMTEXT      -Pre-Owned  FORMTEXT      -Service  FORMTEXT      -Parts  FORMTEXT      -Body shop Car security/False Pretense: What are the controls for vehicle keys?  FORMTEXT       What are controls for authorized driver use?  FORMTEXT       Night security etc?  FORMTEXT       How often is inventory taken?  FORMCHECKBOX  Daily  FORMCHECKBOX  Weekly  FORMCHECKBOX  Monthly  FORMCHECKBOX  Other Physical Damage: What is the highest inventory amount over past 12 months? $  FORMTEXT       What is the average monthly inventory over past 12 months $  FORMTEXT       Floor Plan  list each brand of vehicle sold and who covers physical damage (Mfr or Travelers) i.e. floored through manufacturer or bank: Brand:Floored through:Are we covering Phys Dam (Comp and/or Collision)? Specify:1. FORMTEXT       FORMTEXT       FORMTEXT      2. FORMTEXT       FORMTEXT       FORMTEXT      3. FORMTEXT       FORMTEXT       FORMTEXT      4. FORMTEXT       FORMTEXT       FORMTEXT      5. FORMTEXT       FORMTEXT       FORMTEXT      Use additional page if needed. Leasing /Renting Operations: Is insured the actual lessor i.e. holding the lease?  FORMCHECKBOX  Yes FORMCHECKBOX  NoAny Renting Operations other than to customers while their car is in for repair?  FORMCHECKBOX  Yes FORMCHECKBOX  No Describe:  FORMTEXT      Loaner policy  Describe controls such as Minimum age, Proof of Insurance, etc: Dealer or factory sponsored loaners? # Dealer loaners:  FORMTEXT       Is Mfr responsible for liability on factory loaners?  FORMCHECKBOX  Yes FORMCHECKBOX  No  Title Searches  Describe Procedure:  FORMTEXT       Any 15 passenger courtesy vans?  FORMCHECKBOX  Yes FORMCHECKBOX  No  Describe "Hybrid" operations: i.e. non-dealer operations such as vehicle conversions, truck body mfg, etc.  FORMTEXT       Any repair work on RV's, Buses, Fire Trucks etc?  FORMCHECKBOX  Yes FORMCHECKBOX  No  Any "Spot" Delivery? Defined as releasing a vehicle prior to sale  FORMCHECKBOX  Yes FORMCHECKBOX  No Who approves the release of the vehicle for spot deliveries?  FORMTEXT       Dealer Plate Controls: # dealer plates (subject to audit):  FORMTEXT       Who assigned to?  FORMTEXT       # Test Drives -  FORMTEXT       # Loaners -  FORMTEXT       Any spares?  FORMTEXT       If so, how many and how used?  FORMTEXT       How are spares secured to avoid theft?  FORMTEXT       Demo exposures What % of sales staff have demos assigned to them?  FORMTEXT       Who are the vehicles assigned to? List them. Personal Use Policy  Describe: Test Drives Describe operating procedures and controls and planned route specifics:  FORMTEXT        FORMTEXT        FORMTEXT       Obtain copy of latest annual (13th Month) Operating Report for each Brand. Any motorcycles, RV s, ATV s, Snowmobiles or other Misc. vehicles? For sale? Owned?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any autos valued higher than $100,000?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any demo or loaner agreements?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any rock aggregate or gravel on building roof that can be blown off by high winds onto cars below? FORMCHECKBOX  Yes FORMCHECKBOX  No Is waste oil etc disposed of by outside firm with certificates  FORMCHECKBOX  Yes FORMCHECKBOX  No Are vehicles furnished to other than employees/family members?  FORMCHECKBOX  Yes FORMCHECKBOX  No If yes, who?  FORMTEXT      Any racing activities or race car sponsorship? (especially in states like NY where racing is not excluded)  FORMCHECKBOX  Yes FORMCHECKBOX  No Do service operations include extraordinary work such as hydraulic repairs on heavy trucks, special equipment, etc? If yes, describe fully.  FORMTEXT       FORMCHECKBOX  Yes FORMCHECKBOX  No Other than credit life, Accident & Health etc, does dealership sell P&C insurance?  FORMCHECKBOX  Yes FORMCHECKBOX  No What is the number of vehicle delivery or Dealer Exchange trips > 50 Miles?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any towing or roadside assistance provided by the insured? (if subbed out, answer NO)  FORMCHECKBOX  Yes FORMCHECKBOX  No If yes, is it done for the general public or only for customers?  FORMTEXT      Any trucks capable of towing multiple autos?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any unusual items taken in for trade  RV's etc?  FORMTEXT       FORMCHECKBOX  Yes FORMCHECKBOX  No Parts delivery operation?  FORMCHECKBOX  Yes FORMCHECKBOX  No Does dealer have after hours parts delivery operation?  FORMCHECKBOX  Yes FORMCHECKBOX  No What is radius of parts delivery?  FORMTEXT      Mi # shifts  FORMTEXT      Any unusual customer service areas such as children s playgrounds, etc?  FORMTEXT       FORMCHECKBOX  Yes FORMCHECKBOX  No Does the account have a body shop? If yes, describe fire protection.  FORMTEXT       FORMCHECKBOX  Yes FORMCHECKBOX  No Are all flammables properly protected? Complete full Property Acord app. FORMCHECKBOX  Yes FORMCHECKBOX  No Insurance Agents E&O: Are any companies with A.M.Bests Rating of lower than A- represented?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any E&O losses in past 5 years? Describe.  FORMTEXT      Title and Statutory E&O: Is there a documented procedure in place for compliance with laws relating to Title, Odometer, Prior Damage, Used Car sales, Parts Sales, Lending, Leasing?  FORMCHECKBOX  Yes FORMCHECKBOX  No Does the insured keep detailed records of customers prior damage and product complaints?  FORMCHECKBOX  Yes FORMCHECKBOX  No Does the insured use an outside firm to confirm prior damage, mileage and title?  FORMCHECKBOX  Yes FORMCHECKBOX  No Does the insured require customer signature acknowledging the disclosure of prior damage, title, odometer and buyers guide?  FORMCHECKBOX  Yes FORMCHECKBOX  No Has training been provided to sales and finance employees in compliance with statutes?  FORMCHECKBOX  Yes FORMCHECKBOX  No Are all customer forms and media advertisements relating to financing approved by counsel?  FORMCHECKBOX  Yes FORMCHECKBOX  No Any E&O losses in past 5 years? Describe.  FORMTEXT       Product Defense: Describe all product related defense claims in the past 5 years.  FORMTEXT       Please Provide the Following Information for Each Owned Location Location 1: Values by: Building Standard Open Lots Non-Standard Open Lots Misc. Building Misc. Open Lots # of Dealer Plates Insured s NEW Vehicles: Total Values (include floor plan vehicles to be insured by account):  FORMTEXT       # of Vehicles:  FORMTEXT       Brand of Vehicle (Toyota, Ford, etc.):  FORMTEXT       Used OPEN lot exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       Garage Keepers exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       New exposures-Floor Plan: Brand of Vehicle:  FORMTEXT       Floored with (I) Insured or (M) Manufacturer?  FORMTEXT       Total Values to be insured by account:  FORMTEXT       Total Values to be insured by manufacturer (for information only-not included on policy):  FORMTEXT       Location 2: Values by: Building Standard Open Lots Non-Standard Open Lots Misc. Building Misc. Open Lots # of Dealer Plates Insured s NEW Vehicles: Total Values (include floor plan vehicles to be insured by account):  FORMTEXT       # of Vehicles:  FORMTEXT       Brand of Vehicle (Toyota, Ford, etc.):  FORMTEXT       Used OPEN lot exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       Garage Keepers exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       New exposures-Floor Plan: Brand of Vehicle:  FORMTEXT       Floored with (I) Insured or (M) Manufacturer?  FORMTEXT       Total Values to be insured by account:  FORMTEXT       Total Values to be insured by manufacturer (for information only-not included on policy) :  FORMTEXT       Location 3: Values by: Building: Standard Open Lots Non-Standard Open Lots Misc. Building Misc. Open Lots # of Dealer Plates Insured s NEW Vehicles: Total Values (include floor plan vehicles to be insured by account):  FORMTEXT       # of Vehicles:  FORMTEXT       Brand of Vehicle (Toyota, Ford, etc.):  FORMTEXT       Used OPEN lot exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       Garage Keepers exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       New exposures-Floor Plan: Brand of Vehicle:  FORMTEXT       Floored with (I) Insured or (M) Manufacturer?  FORMTEXT       Total Values to be insured by account:  FORMTEXT       Total Values to be insured by manufacturer (for information only-not included on policy) :  FORMTEXT       Location 4: Values by: Building Standard Open Lots Non-Standard Open Lots Misc. Building Misc. Open Lots # of Dealer Plates: Insured s NEW Vehicles: Total Values (include floor plan vehicles to be insured by account):  FORMTEXT       # of Vehicles:  FORMTEXT       Brand of Vehicle (Toyota, Ford, etc.):  FORMTEXT       Used OPEN lot exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       Garage Keepers exposures: Total Values:  FORMTEXT       # of Vehicles:  FORMTEXT       New exposures-Floor Plan: Brand of Vehicle:  FORMTEXT       Floored with (I) Insured or (M) Manufacturer?  FORMTEXT       Total Values%&0[\y  . M d e k l ÷wkwcWhsh'*5CJaJhshQ5hQB*CJaJph!hQhQB*CJNHaJphhQhQB*CJaJphh'* h9Ph9Phsh'*5 h'*5hahoPh5hhoPh5CJaJhoPh5CJaJh#hoPh5CJaJh#hoPh5CJNHaJh#hoPh5CJaJjhoPhUmHnHu0yl $$IfgdpM$$$Ifa$gd'* $Pa$gdoPh$a$gdoPh lHIIl m n o p q H::::$$$Ifa$gd'*kd$$If+rdb(f! t0644 +aytQ  ' X Y u v # J K P Q R T U X Y [ \ ~ hshQhsh'*NHhpMh'*>* h'*NHho&h'*6>*ho&h'*>* hsh'* hsh}h'*h}hsh'*5hZh'*5>*CJaJh'*5CJaJhsh'*5CJaJ ho&h'*5B*CJaJph1q =---$$(($Ifa$gd'*kd$$If+rdb(f! t0644 +aytQ $$IfgdpM Q $(($Ifgds $(($Ifgd}$$(($Ifa$gd'* Q R U V Y \ ] F66666$$(($Ifa$gd'*kd|$$If+rdb(f! t0644 +aytQ\ _ ` b c f g i j m n p   $ % , D X Y k     깱wsh9Pjh9PUhBh9P5CJaJh9P5CJaJhsh}5 hm^5hshm^5h9PhB5h9Ph9P5 h9Ph9PhQh'*B*CJaJphhsh'*NHho&h'*6>*ho&h'*>* hsh'*h'* hsh}h}+] ` c d g j k n % $(($Ifgds$$(($Ifa$gd'*% & ' ( ) * F6666$$(($Ifa$gd'*kd>$$If+rdb(f! t0644 +aytQ* d e f g ;++$$(($Ifa$gd'*kd$$If+rdb(f! t0644 +aytQ $(($Ifgdsg h i +kd$$If+rdb(f! t0644 +aytQ $(($Ifgds$$(($Ifa$gd'* :<xr,@BPr $(($Ifgd`$gds$(gdiU$  4xgdiU$<gdrH@$gdrH@$gd9P$(gdrH@$gdB     468BDPRfhjtv"$:<xڹڮڣڗxjhpMUhpM hDlhm^hBhm^5CJaJhBh}5CJaJjh9PUj*h9PUjh9PUj>h9PUjh9PUh9Pjh9PUmHnHujh9PUjRh9PU.HJL`bdnp .0LNP`b~`bdxӽ׵׵׵׵yױhBhm^5CJaJj h0Uj` h0Ujh0Ujxh0Uh`jh`UjhUjhUhpM hDlhm^jh[UmHnHujhpMUjhU/xz|(*,D@B .02<>@BVXZ׷װޏuޏjj hUjC hUj hUhjhU h`hhpMh`>*NHhpMh`>* h`h`hDlhm^NHh`hm^5j hBUh` hDlhm^jh[UmHnHujh`UjH hBU)@h`O>>>$ h($Ifgd)d$ h(($Ifgd)dkd0 $$If+\,")9$  t044 +aZdfjnpr .02<>@BVXZdfhjpr߾߳ߨߝߒjhUjhUjUhUjhUjhUjLhUj hUh h`hjhUjh[UmHnHu9hjp`O>>>$ h($Ifgd)d$ h(($Ifgd)dkd+ $$If+\,")9$  t044 +a@h`O>>>$ h($Ifgd)d$ h(($Ifgd)dkd4$$If+\,")9$  t044 +ahjp`O>>>$ h($Ifgd)d$ h(($Ifgd)dkd=$$If+\,")9$  t044 +a .02<>@BVXZdfhj.0LNPRȠujheMrheMrUhUhheMrheMrNH heMrheMrhBhm^5CJaJ hDlhm^jhUjghUjhU h`hjhUjh[UmHnHuj^hUhjhU.@h`O>>>$ h($Ifgd)d$ h(($Ifgd)dkdF$$If+\,")9$  t044 +ahjP`UPI:$ " ($IfgdUh$gdeMr$gds $h^hgdiUkdO$$If+\,")9$  t044 +aRnpr|~<>HJLNjlnxz{tha hDlh|hBhoH!5CJaJ heMrh} hDlh} heMrhoH!jh[UmHnHuj.hoH!UjhoH!UhoH! hDlhoH!j h0Ujh0UhUhheMrheMrNHjph0UjheMrheMrUjh0U heMrheMr$P|Lx~$ " ($IfgdUhfkd$$If+F"R&;)" t6    44 +a $($IfgdUhL@kd$$If+;)f) t644 +a $$IfgdBfkd}$$If+F"R&;)" t6    44 +a6fkd $$If+F"R&;)" t6    44 +a $$IfgdF$ $ " $IfgdF$ $gdoH!@kd)$$If+;)f) t644 +a 48:NPR\^`hvncnUnN hoH!hR7jh[UmHnHujhBUjhoH!UhBhoH!CJaJhBhoH!5CJaJhoH!jh0Uj$h0U heMrh|jheMrh|UhoH!h|5h| hDlh|jh[>*UmHnHujh[1h|>*Uh[1h|>*jh[1h|>*U8`:jc[$$gdD,$gdeMrfkd!$$If+F"R&;)" t6    44 +a $$IfgdB$ " $IfgdUh$gd=$$gd[$gdoH! h:/01ɾɳɨug`TITh9Ph=CJaJh9Ph_*,5CJaJ hDlhR7jh[UmHnHujhD,hBU hD,hoH!jhD,hoH!U hD,h_*,h9Phm^5CJaJhrH@h_*,CJaJjh0Uj9h0U heMrhoH!jheMrhoH!UhBhUhCJaJhBhoH!5CJaJhBhoH!5>*CJaJ:1G]^_igfkd0 $$If+F"R&;)" t6    44 +a $$IfgdB$ t" $Ifgd=$gdeMr$$gdD,$$gdD, 12@ABGHVWX^_s~     Ǿ퍉vhjh[UmHnHujz"hBUjh_*,Uh_*, hDlhm^jU!h0Uj h0Uh9Ph=CJaJhI'5CJaJh+A5CJaJh9Ph_*,5CJaJhR7jh0UjHh0U h_*,h_*,jh_*,h_*,U%  > @!!!$""""J#~y$gd}$(gdR7$gds$gdR7$gdeMrfkd!$$If+F"R&;)" t6    44 +a : > ^ ` !!.!䕈pkg`SKh9Ph9P>*jh9Ph9P>*U h9Ph9Ph} hm^>*jf#hR7hB>*UhR7h_*,>*jhR7h_*,>*Uh_*,jh[>*UmHnHuj"hR7hB>*UhR7heMr>*jhR7heMr>*UhiUhm^5CJaJh_*,hm^CJaJ hDlhm^h_*,hm^5h9Phm^5CJaJ.!0!2!!@!D!X!Z!n!p!r!|!~!!!!!!!!!!!!""" """p"r"t"㪣zk[kSjhfRUj>%hR7hB>*Ujh[>*UmHnHuj$hR7hB>*UhR7h_*,>*jhR7h_*,>*Uh_*, hDlhm^ h9Ph9PjR$h9Ph9P>*Uh9Ph9P>*h}h9P#jh9Ph9P>*UmHnHujh9Ph9P>*Uj#h9Ph9P>*U t"""""""""" #"#$#8#:#<#F#H#J#########$$D$$Ļwpe]XQMQh+A hDlhm^ h}5hiUh}5h9Ph}CJaJ hDlh}jh}>*UmHnHuj*&hR7h}>*UhR7h}>*jhR7h}>*Uh}h9Ph}5CJaJh}5CJaJh9Phm^5CJaJ hDlh_*,hm^jh[UmHnHujhfRUj%h)dUhfRJ####$$$%%$&:&P&Q&jfkd($$If+F"R&;)" t6    44 +a $$IfgdR7 $ " $IfgdLc$xgdR7$gds$(gdR7$gd} $$$$$$$$$$$$$$$$$$$$%%%%&"&#&$&%&3&4&5&:&;&I&J&K&Q&w&x&{p{{e{jv(h0Uj(h0U h_*,h,pVjh_*,h,pVUh_*,h,pV5hLch+A hDlh,pVh+Ahm^5h9Ph_*,CJaJj'hBU hDlh_*,j'hBU hDlh}jh[UmHnHuj&hBUjh_*,Uh_*,'Q&y&&&&&&&fkd*$$If+F"R&;)" t6    44 +a $$IfgdR7 $ " $IfgdLcx&y&z&&&&&&&&&&&&&&&&&&&&&&&V'W'e'f'g'l'm'{'|'}'''''''''''''''\(^(`(b(~(j.h0Ujf.h0UjA-h0Uj,h0Uj+h0Uj4+h0UhLcj*h0Uj)h0U h_*,h,pVjh_*,h,pVU hDlh,pV5&&V'l'' $$IfgdR7 $ " $IfgdLcfkd,$$If+F"R&;)" t6    44 +a''''' $$IfgdR7 $ " $IfgdLcfkd-$$If+F"R&;)" t6    44 +a''`((( $$IfgdR7 $ " $IfgdLcfkdN/$$If+F"R&;)" t6    44 +a~((((((((((((((((((^))))))))))**"*$*&*2***++̹īĤvkbhDlh,pVNHj3h0Uj2h0UhLchiUh,pVCJNHaJhiUh,pVCJaJ hDlh,pV h_*,hR7jh[UmHnHuj1hUjhiUUhiU hDlhR7js0h0U h_*,h,pVjh_*,h,pVUj/h0U%(((()*0*NA88 $$IfgdiU $ " $IfgdiU@kd2$$If+;)f) t644 +a $$IfgdR7fkd0$$If+F"R&;)" t6    44 +a0*2*+L+t+++xkk $$IfgdR7$ " P$IfgdiU$ " $IfgdLcfkd{3$$If+F"R&;)" t6    44 +a++J+L+N+b+d+f+p+r+t+v++++++++++9,:,;,<,J,K,L,Q,R,`,a,b,h,,,,,,,,,,,·¬¥ynj7h0Uj6h0UjA6h0U h_*,hBjh_*,hBUhLc hDlhBj5h0Uj4h0U h_*,h,pVjh_*,h,pVUjh[UmHnHuj24hBUjh,pVU hDlh,pVh,pV+++;,Q,g, $$IfgdR7 $ " $IfgdLcfkd5$$If+F"R&;)" t6    44 +ag,h,,,, $$IfgdR7 $ " $IfgdLcfkd)7$$If+F"R&;)" t6    44 +a,,,,7-8-9-:-H-I-J-O-P-^-_-`-f--------. . ..h.j.l.n..........&/(/⺱ہvkہj{<h0Uj<h0Uho h_*,h3ljh[UmHnHuj ;h)dUjh3lUh3lhDlh3lNH hDlh3lj9h0Ujs9h0UhLc hDlhB h_*,hBjh_*,hBUjN8h0U*,,9-O-e- $$IfgdR7 $ " $IfgdLcfkd8$$If+F"R&;)" t6    44 +ae-f-..l...NA $ " $Ifgdo@kd;$$If+;)f) t644 +a $$IfgdR7fkd[:$$If+F"R&;)" t6    44 +a..*/R/~//|ss $$IfgdR7 $ " $Ifgdo$ " $Ifgd3lfkd<$$If+F"R&;)" t6    44 +a(/*/,/@/B/D/N/P/R/T/p/r/t/~//////////00000,0.000<000000000žžžžžžž{žtptžežjHAh0Uho hDlhBj#@h0Uj?h0Uh9PhoCJaJh9PhB5CJaJj>h0Uj>h0U h_*,hBjh_*,hBU hDlh3ljh[UmHnHuj=h)dUh3ljh3lUhB'///0:0 $$IfgdR7$ " ($IfgdiUfkd>$$If+F"R&;)" t6    44 +a:0<0001 $$IfgdR7 $ " $Ifgdofkd@$$If+F"R&;)" t6    44 +a000001J1L1`1b1d1n1p111111111l2n2p2r22222222222ƶΧƗΧۓxjcXjDh0U hDlh3ljh[UmHnHujRDh)dUh3ljh3lUhBhojWChR7hB>*Ujh[>*UmHnHujBhR7hB>*UhR7hB>*jhR7hB>*U hDlhBjAh0U h_*,hBjh_*,hBU"1111p22L;. $ " $Ifgdo$$ " $Ifgd3l@kdC$$If+;)f) t644 +a $($IfgdiUfkd0B$$If+F"R&;)" t6    44 +a2222:3334sh $$Ifgd $ " $Ifgdo$ " $IfgdofkdE$$If+F"R&;)" t6    44 +a $$IfgdR722222226383:3|3333333333333333334'4)4J4K4L4Z4[4\4a4b4p4q4r4̳ujjHh0UjpHh0Ujh_*,h|U h_*,h|h| hDlh|jKGh0UjFh0Ujh[UmHnHujaFhBUjhBUhBho hDlhBj=@=X=Z=n=y$ & Fgd.GI$gdC5$$a$gd:$gdB$gdsfkdU$$If+F"R&;)" t6    44 +a<<<<<<="=&=:=<=>=@=Z=j===&>(>X>>>>>>thaYaNajh'Nh^Uh'Nh^6 h'Nh^h'Nh^5CJaJh'Nh'N5CJaJ hwTh.GI5B*CJaJph hwTh'N5B*CJaJphh'N5CJaJhC55CJaJh'Nh:5CJaJh'Nh:5>*CJaJh'Nh^5h'Nh:5h:h.GIhjhBUjh[UmHnHun====>&>(>X> ?R????B@@@@AJALAAARBB$gd^$<gdC5$gd:$<gd^$(gd^$gdC5$ & FgdC5$ & Fgd.GI>>>??*?,?@?B?D?N?P???????????@@.@0@2@<@>@`@b@v@x@z@@@@@@@@@@@@βΦΌ~ΦpjoYh'Nh^UjXh'Nh^UjXh'Nh^Uh'Nh^5CJaJh'NhC55CJaJjXh'Nh^UjWh'Nh^U h'Nh^ jh'Nh^UmHnHujh'Nh^Uj+Wh'Nh^U,@A"A$A8A:A*jZh'Nh^UjWZh'Nh^Uh'Nh^5CJaJh'Nh^5 jh'Nh^UmHnHujYh'Nh^U h'Nh^jh'Nh^U,CCCCCCCCCCCCDDDDDDDE*CJaJh'Nh^5 h.GI5 h'Nh^ jh'Nh^UmHnHujh'Nh^Uj[h'Nh^UBCCCCCCDBD`DDDDDDDEELFNFFF GG$<gdC5$(gdC5$ & Fgd'N$ & Fgd.GI$gd'N$gdC5$gd:$gd^EEEEEEEEE$F&F:FFHFJFLFFFFFFFFFFFFFFG G GBG^G`GtGvGxGGGGGGGGGGG|j^h'NhC5Ujk^h'NhC5Uj]h'NhC5Uj]h'NhC5Uh'NhC55CJaJj]h'NhC5U jh'NhC5UmHnHuj\h'NhC5U h'NhC5jh'NhC5U0GBGGGGHRHHLI*J.JFJHJ`JbJxJJJJ K K2K4K6KfKL$ & Fgd.GI$gd'N$gd:$gdC5$<gdC5$(gdC5GGH(H*H>H@HBHLHNHHHHHHHH I I$I&I:IIHIJIIIIIIIIJJJJJ&J(J*J,Jٺٺٺ䎄vٺq h.GI5j`h'NhC5Uh'NhC556h'NhC56j;`h'NhC5Uh'NhC5>*j_h'NhC5U jh'NhC5UmHnHujS_h'NhC5Ujh'NhC5U h'NhC5h'NhC55CJaJh'NhC55),J.JBJFJHJJJ2K6KfKKKKKLL LLL8L:LNLPLRL\L^LLLLLLLLL M&M(Mòݫyky]yݫj bh'NhC5Ujah'NhC5U jh'NhC5UmHnHuj#ah'NhC5Ujh'NhC5Uh'NhC56 h'NhC5 hwTh.GI5B*CJaJph hwTh'N5B*CJaJphh'N5CJaJh'NhC55CJaJh'NhC55>*CJaJh'Nh:5$L`LLL MPMMMMNXNZNNN`OOPPPPPP$QRQpQQ$ & Fgd.GI$gd'N$gd:$(gdC5$gdC5$<gdC5(MM@MJMLMnMpMMMMMMMMMMMNN NN0N2NFNHNJNTNVNXNZNNNNNNNNN8O:ONOPORO\O^OOujdh'NhC5UjOdh'NhC5Uh'NhC55jch'NhC5Ujgch'NhC5Uh'NhC55CJaJjbh'NhC5U jh'NhC5UmHnHujh'NhC5Ujbh'NhC5U h'NhC5.OOOOOOOOO P*P.PXP^P`PPPPPPPPPPPPPP*Q,QQQQ𡙋n]n]n hwTh.GI5B*CJaJph hwTh'N5B*CJaJphh'NhC55CJaJh'NhC55>*CJaJh'Nh:5 h.GI5jeh'NhC5Uh'NhC556h'NhC56 jh'NhC5UmHnHuj7eh'NhC5Ujh'NhC5U h'NhC5h'NhC5>* QQQQQQRR^S`SSST TTTTTTUdUU^ < > @ b  7$8$H$gdwT$gdC5$<gdC5$(gdC5$gd'NQQQRNRxRzRRRRRRRRRRRRR6S8SLSNSPSZS\S^SSSSSSSSSSS TTTTTTTTpTrTTббббyбjgh'NhC5Uj{gh'NhC5Ujgh'NhC5Ujfh'NhC5U jh'NhC5UmHnHujfh'NhC5Ujh'NhC5Uh'NhC56 h'NhC5h'NhC55CJaJh'N5CJaJ.TTTTTTTTTTTTTTU:U*Ujih'NhC5UjKih'NhC5Uh'NhC55CJaJh'NhC55jhh'NhC5U h'NhC5 jh'NhC5UmHnHujh'NhC5Ujchh'NhC5U+ to be insured by account:  FORMTEXT       Total Values to be insured by manufacturer (for information only-not included on policy) :  FORMTEXT       FRAUD STATEMENT Please read the statement applicable to your state. If your state and/or Line of Business are not listed, please read the statement applicable to All Other States. Then sign, date and return with your application. ARKANSAS, NEW MEXICO, VERMONT AND WEST VIRGINIA: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. CALIFORNIA: Auto: Any person who knowingly makes an application for motor vehicle insurance coverage containing any statement that the applicant resides or is domiciled in this state when, in fact, that applicant resides or is domiciled in a state other than this state, is subject to criminal and civil penalties. Other Than Auto: The  All Other States statement applies to lines of business other than auto. COLORADO: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. DISTRICT OF COLUMBIA, MINNESOTA AND WASHINGTON: It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits. FLORIDA: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. HAWAII: For your protection, Hawaii law requires you to be informed that presenting a fraudulent claim for payment of a loss or benefit is a crime punishable by fines or imprisonment, or both. LOUISIANA: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. MAINE AND VIRGINIA: Same as Arkansas. In addition, penalties may include a denial of insurance benefits. MARYLAND: Any person who knowingly and willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly and willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. MASSACHUSETTS: Auto: If you or someone else on your behalf gives us false, deceptive, misleading, or incomplete information that increases our risk of loss, we may refuse to pay claims under any or all of the Optional Insurance Parts and we may cancel your policy. Such information includes the description and the place of garaging of the vehicle(s) to be insured, the names of operators required to be listed and the answers to questions in this application about all listed operators. Check to make certain that you have correctly listed all operators and the completeness of their previous driving records. The Merit Rating Board may verify the accuracy of the previous driving records of all listed operators, including that of the applicant for this insurance. Other Than Auto: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and may subject the person to criminal and civil penalties. FRAUD STATEMENT  CONTINUED NEW YORK: Auto: Any person who knowingly and with intent to defraud any insurance company or other person files an application for commercial insurance or a statement of claim for any commercial or personal insurance benefits containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, and any person who in connection with such application or claim, knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the Department of Motor Vehicles or an insurance company, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or stated claim for each violation. For Other Lines of Business: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. OHIO: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. OKLAHOMA: WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony. OREGON: Any person who knowingly and with intent to defraud or solicit another to defraud an insurer: (1) by submitting an application, or (2) by filing a claim containing a false statement as to any material fact, may be violating state law. PENNSYLVANIA: Other Than Auto: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Auto: Any person who knowingly and with intent to injure or defraud any insurer files an application or claim containing any false, incomplete or misleading information shall, upon conviction, be subject to imprisonment for up to seven years and payment of a fine of up to $15,000. UTAH: Any person who knowingly presents false or fraudulent underwriting information, files or causes to be filed a false or fraudulent claim for disability compensation or medical benefits, or submits a false or fraudulent report or billing for health care fees or other professional services is guilty of a crime and may be subject to fines and confinement in state prison. ALL OTHER STATES: Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties. Not applicable in Nebraska. Signature of Applicant: Date:     CP-6590 Rev. 01-09 2007 The Travelers Companies, Inc.  PAGE 2 CP-6590 Rev. 01-09 2007 The Travelers Companies, Inc. All rights reserved.  PAGE 1       * , . 8 : < > @  p VnvzR nj< L v""++,226688::p<<<<ABD EjHܽ﹵hwTCJ^JaJhwT5CJ\^JaJhwT5CJ\^JaJhwTh: jh'NhC5UmHnHujjh'NhC5Ujh'NhC5Uh'NhC56 h'NhC5h'NhC5567b     VZ j8f n2 7$8$H$gdwTj( < !!v":#$$%|&P'*(()*J++++,x-H.//0v1J2 7$8$H$gdwTJ23345V66788d9.::V;,<p<2==>?p@FAABC~DDE|F 7$8$H$gdwT|FFGH0HlHpHrHvHxH|H~HHH I IIIIIIII  `'(gd-m  `'(gdL$gdwT 7$8$H$gdwTjHlHnHrHtHxHzH~HHHHHHHHHHHHIIII&I*I.I0I2I4IIIIIIIIIIIIIhHhjkhJ#Zh5Uh8&0JmHnHu hl0Jjhl0JU hl^JhQh9PhlhjhU h'NhwT(8 000&P:poPh/ =!`"`#$%@ $$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!/ 4 +ytQ$$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!/ 4 +ytQ$$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!/ 4 +ytQ$$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!4 +ytQ$$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!4 +ytQ$$If!vh55555f!#v#v#v#v#vf!:V(+ t655555f!4 +ytQvDText32vDText32vDText32vDText32vDText32vDText32vDText32vDText33vDText34tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDText7tDText8$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/ 4 +tDText9tDText9tDText9$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/  / 4 +tDText9tDText9tDText9$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/ /  4 +tDText9tDText9tDText9$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/ /  4 +tDText9tDText9tDText9$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/ /  4 +tDText9tDText9tDText9$$If!vh5955$ 5#v9#v#v$ #v:V(+ t5955$ 5/ /  4 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText12$$If!vh5f)#vf):V(+ t065f)4 +$$If!vh5f)#vf):V(+ t065f)4 +vDText11tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t06,5"554 +vDText13tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText14tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText15vDText10vDText16vDText32vDText32vDText17vDText18vDText36vDText21vDText20vDText22vDText23tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText35$$If!vh5f)#vf):V(+ t065f)4 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t06,5"554 +vDText25tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText37$$If!vh5f)#vf):V(+ t065f)4 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText38tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText26vDText27$$If!vh5f)#vf):V(+ t065f)4 +vDText39tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText28tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText29$$If!vh5f)#vf):V(+ t065f)4 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t06,5"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t06,5"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +tDeCheck2tDeCheck3$$If!vh5"55#v"#v#v:V(+ t065"554 +vDText30vDText31tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7tDText7~DdXx  C FA.TRAVELERS_RED_UMBRELLA"`R}"I?Tv}_ksF}"I?TvJFIFxx/PPhotoshop 3.08BIM8BIM%F &Vڰw8BIM com.apple.print.PageFormat.PMHorizontalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMHorizontalRes 72 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMOrientation com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMOrientation 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalRes 72 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.subTicket.paper_info_ticket com.apple.print.PageFormat.PMAdjustedPageRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPageRect 0.0 0.0 734 576 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-03-08T19:46:39Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMAdjustedPaperRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPaperRect -18 -18 774 594 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-03-08T19:46:39Z com.apple.print.ticket.stateFlag 0 com.apple.print.PaperInfo.PMPaperName com.apple.print.ticket.creator com.apple.print.pm.PostScript com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMPaperName na-letter com.apple.print.ticket.client com.apple.print.pm.PostScript com.apple.print.ticket.modDate 2003-07-01T17:49:36Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMUnadjustedPageRect com.apple.print.ticket.creator com.apple.print.pm.PostScript com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPageRect 0.0 0.0 734 576 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PaperInfo.PMUnadjustedPaperRect com.apple.print.ticket.creator com.apple.print.pm.PostScript com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPaperRect -18 -18 774 594 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-02-26T15:25:31Z com.apple.print.ticket.stateFlag 0 com.apple.print.PaperInfo.ppd.PMPaperName com.apple.print.ticket.creator com.apple.print.pm.PostScript com.apple.print.ticket.itemArray com.apple.print.PaperInfo.ppd.PMPaperName US Letter com.apple.print.ticket.client com.apple.print.pm.PostScript com.apple.print.ticket.modDate 2003-07-01T17:49:36Z com.apple.print.ticket.stateFlag 1 com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PaperInfoTicket com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PageFormatTicket 8BIMxHH@Rg(HH(dh 8BIM,,8BIM&?8BIM 8BIM8BIM 8BIM 8BIM' 8BIMH/fflff/ff2Z5-8BIMp8BIM@@8BIM8BIMK trav_1797+KnullboundsObjcRct1Top longLeftlongBtomlongRghtlongslicesVlLsObjcslicesliceIDlonggroupIDlongoriginenum ESliceOrigin autoGeneratedTypeenum ESliceTypeImg boundsObjcRct1Top longLeftlongBtomlongRghtlongurlTEXTnullTEXTMsgeTEXTaltTagTEXTcellTextIsHTMLboolcellTextTEXT horzAlignenumESliceHorzAligndefault vertAlignenumESliceVertAligndefault bgColorTypeenumESliceBGColorTypeNone topOutsetlong leftOutsetlong bottomOutsetlong rightOutsetlong8BIM( ?8BIM8BIM A&G@ %JFIFHH Adobe_CMAdobed            &" ?   3!1AQa"q2B#$Rb34rC%Scs5&DTdE£t6UeuF'Vfv7GWgw5!1AQaq"2B#R3$brCScs4%&5DTdEU6teuFVfv'7GWgw ?TI%)$IJI$RI$I%)$IJI$R9cKCZ.q;O.a3Esjm =o*OME' ܶ Qy&Dc˪.ci`wWi}ثY9?tXկ2p-ilƓS[?b'+_m@:Yu.n*&bz#@,s/Ӌ87~f=YO 6H,sU{}wg%xUfΧ̀&9Xߪڨ=;]H2 ͌[KjR39y|W>_,M|x97>X}_9]?"T+v=-s=Ź{׵C⾦ϭZnol* %{+wFmw$tN 1nVW/(qTFMuS}j_UgUċ2EuSl~*?֎g^SnmVx0l=u wO.a2m+{KvmPU7}qLߝպ#a"<ì;m)'_Jbu̞ѫ{zV=[*@7]R ;uطeZz6d7)\96;T썵 sk..O89;nq+IW[?XhWf}?lz-^z̶̵ߍ%: _TrSO}8eoΗgcjrG^2/mqky?kW߷[̻/}d[_>qZ Yey)ħ+^3|#\@}uzJy_]w._Tw֌ w"=CO{]KcԌ,jE$Wfxs[w;}VWՏ_V:F}OFUlmӲѵ#+#ps8n.;v$ĭbU6Y]mk.q5s9^uԛ>p:OKšS ARϳ/^ޣeRkE$n^S:g֏?XV~%.mnsf0on5Ԕ=u^Ω2: ^\׳ux~GˍhG>n]Hd?lہCꘝ/ SF6Q={塞fg/<=zRe=0MSֱ%=տmQPʴt׶L mfmoڭ~Ҩ'v]6ea13^Wk}?*0ꕶ ]{?MF3g^进\G/RGX.ȾݿfZA}|z[+d)l .Ǿu522sZָoY=8oXXʨec!4 }GTbjdd$Iw~ޞަ3U̇Y*U1[\z~z۾wW鯛IO,>FmF4l߳}4Pu~=^eOϲ7Os {I%?C}Gg&`ņڽsY }]sM~?bWW{??>Xvz{1CFϦzI%>e_Q۟974 \-2k'=?KֶWt纾}?9/}A|ؒJ}=Gqݓv3&~t_P_+`b G#_MxJI)OVusm:'ё1z["Ԩn~M'ֳw[$:]_}L,X~O۬Fϵl6OZLg/>~Qޤ{ߴzz$Q^̬goP#ߢϴO֯KQ'*T<~Q{}2a=ޭUc/$鮽#]߶vOSt>͞wF[o$tw>}OX?G}6*%p|>?O_*j?8BIM!UAdobe PhotoshopAdobe Photoshop CS28BIM YExifII*bj(1r2i-'-'Adobe Photoshop CS2 Macintosh2007:03:08 14:46:57$(,% HHJFIFHH Adobe_CMAdobed            &" ?   3!1AQa"q2B#$Rb34rC%Scs5&DTdE£t6UeuF'Vfv7GWgw5!1AQaq"2B#R3$brCScs4%&5DTdEU6teuFVfv'7GWgw ?TI%)$IJI$RI$I%)$IJI$R9cKCZ.q;O.a3Esjm =o*OME' ܶ Qy&Dc˪.ci`wWi}ثY9?tXկ2p-ilƓS[?b'+_m@:Yu.n*&bz#@,s/Ӌ87~f=YO 6H,sU{}wg%xUfΧ̀&9Xߪڨ=;]H2 ͌[KjR39y|W>_,M|x97>X}_9]?"T+v=-s=Ź{׵C⾦ϭZnol* %{+wFmw$tN 1nVW/(qTFMuS}j_UgUċ2EuSl~*?֎g^SnmVx0l=u wO.a2m+{KvmPU7}qLߝպ#a"<ì;m)'_Jbu̞ѫ{zV=[*@7]R ;uطeZz6d7)\96;T썵 sk..O89;nq+IW[?XhWf}?lz-^z̶̵ߍ%: _TrSO}8eoΗgcjrG^2/mqky?kW߷[̻/}d[_>qZ Yey)ħ+^3|#\@}uzJy_]w._Tw֌ w"=CO{]KcԌ,jE$Wfxs[w;}VWՏ_V:F}OFUlmӲѵ#+#ps8n.;v$ĭbU6Y]mk.q5s9^uԛ>p:OKšS ARϳ/^ޣeRkE$n^S:g֏?XV~%.mnsf0on5Ԕ=u^Ω2: ^\׳ux~GˍhG>n]Hd?lہCꘝ/ SF6Q={塞fg/<=zRe=0MSֱ%=տmQPʴt׶L mfmoڭ~Ҩ'v]6ea13^Wk}?*0ꕶ ]{?MF3g^进\G/RGX.ȾݿfZA}|z[+d)l .Ǿu522sZָoY=8oXXʨec!4 }GTbjdd$Iw~ޞަ3U̇Y*U1[\z~z۾wW鯛IO,>FmF4l߳}4Pu~=^eOϲ7Os {I%?C}Gg&`ņڽsY }]sM~?bWW{??>Xvz{1CFϦzI%>e_Q۟974 \-2k'=?KֶWt纾}?9/}A|ؒJ}=Gqݓv3&~t_P_+`b G#_MxJI)OVusm:'ё1z["Ԩn~M'ֳw[$:]_}L,X~O۬Fϵl6OZLg/>~Qޤ{ߴzz$Q^̬goP#ߢϴO֯KQ'*T<~Q{}2a=ޭUc/$鮽#]߶vOSt>͞wF[o$tw>}OX?G}6*%p|>?O_*j? XICC_PROFILE HLinomntrRGB XYZ  1acspMSFTIEC sRGB-HP cprtP3desclwtptbkptrXYZgXYZ,bXYZ@dmndTpdmddvuedLview$lumimeas $tech0 rTRC< gTRC< bTRC< textCopyright (c) 1998 Hewlett-Packard CompanydescsRGB IEC61966-2.1sRGB IEC61966-2.1XYZ QXYZ XYZ o8XYZ bXYZ $descIEC http://www.iec.chIEC http://www.iec.chdesc.IEC 61966-2.1 Default RGB colour space - sRGB.IEC 61966-2.1 Default RGB colour space - sRGBdesc,Reference Viewing Condition in IEC61966-2.1,Reference Viewing Condition in IEC61966-2.1view_. \XYZ L VPWmeassig CRT curv #(-27;@EJOTY^chmrw| %+28>ELRY`gnu| &/8AKT]gqz !-8COZfr~ -;HUcq~ +:IXgw'7HYj{+=Oat 2FZn  % : O d y  ' = T j " 9 Q i  * C \ u & @ Z t .Id %A^z &Ca~1Om&Ed#Cc'Ij4Vx&IlAe@e Ek*Qw;c*R{Gp@j>i  A l !!H!u!!!"'"U"""# #8#f###$$M$|$$% %8%h%%%&'&W&&&''I'z''( (?(q(())8)k))**5*h**++6+i++,,9,n,,- -A-v--..L.../$/Z///050l0011J1112*2c223 3F3334+4e4455M555676r667$7`7788P8899B999:6:t::;-;k;;<' >`>>?!?a??@#@d@@A)AjAAB0BrBBC:C}CDDGDDEEUEEF"FgFFG5G{GHHKHHIIcIIJ7J}JK KSKKL*LrLMMJMMN%NnNOOIOOP'PqPQQPQQR1R|RSS_SSTBTTU(UuUVV\VVWDWWX/X}XYYiYZZVZZ[E[[\5\\]']x]^^l^__a_``W``aOaabIbbcCccd@dde=eef=ffg=ggh?hhiCiijHjjkOkklWlmm`mnnknooxop+ppq:qqrKrss]sttptu(uuv>vvwVwxxnxy*yyzFz{{c{|!||}A}~~b~#G k͂0WGrׇ;iΉ3dʋ0cʍ1fΏ6n֑?zM _ɖ4 uL$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)KmC    $.' ",#(7),01444'9=82<.342C  2!!22222222222222222222222222222222222222222222222222" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ('kBNkۈzWk:%&up8S(ϧzvuo_i֫n:6P"+U63}P?|+&T}[ן#n,PAyp{3ҳ$?W!S^SEb5S҆AoK ?9Tbb<T8o+ɱF)}frEc{}O\`Lns,Y5 uP>è[|@$ZG%8pKri}K|xC*\B?~@j;aW71~?tC y/"a2\dr2 PiZ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ('[ A/ifP}}\>#it\O_d?7^]I$O<lMQ!GE(>(((((((|3IoǥmF73ˡ%NZo Bxđ%u_Z&?;NT5f(@QEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEU{llm…ݽ5biAP&dlaW1'¦Mtm c'V_xs:1)_YiS 'ᧇ<{0+> <穦/9+w} Ug`ոN_zu_I[X&[h`OQT"7Eo~`^u'4EG).?Zt1~%jd[pbdzZЌ3lS"_'}Ɩh.y-0x>ߢ 诈(,}Zd8!Fyd`2YƾƐ4 iPkuG+о294'_w>Gkȣ>3_ց~|CV-n5а9) P>.kmⷊ):ۂ7CxL~aO]D]F(9hǸ=0Q@R)tsANlHH=acJ)- BqK\3BmO&~N[@6h&"O5Y@nѯ-> 64XTE 0 =sOܙ}ʿ5:P;o_Q@X~5 -c }Ú]1ZE=6Ҵ  њOھ%O#cU;o+9mzk吏h~Wy@(ZC@ik??jr15c+ ( oњ٥ 6tGE5?]!^@Lכ|r>yȣ3UI`3BAc,}Z[@ dΣ%?4ɑ+O񖈺Q9h=ǡ(($@+x̓ʑ @Mx>5\}]7̱Ąߕ \s׶: YBSs\/ dױRioto(,}o mXLN1ܣ#ZAAjY΋^[H2B( iu6D,XXiMm "6k]-s^?TkEOX_>~@|_SW.Eb>LMZP1EQEQEP|bQWoOc7ZO;d%8;H,A pO`k o4\iq;?+H5gsrT>jz[o7ד6-t4 [xKoƷ/4 GD"b\?Yd{HO&b#?h+6kˉ$^ ^@t[\L v]f0S.6:cWC g gmFuRzZ|m@*?W\ֱ᫕,%P ﵆A }^{(2ZK69C9.|^?W_@ز@ ?^g]±/D R(Ok j)OHxA}Vѯ O6Ð?M7Y'IrHŝV$iSH,CAeD-}ccэ}t+HxeIcbHGLMKJ.`I0@nzw}O -\'?jꞭb{6 JGGŕPމtX*#vFe8 4F"6R CAGۂ闋v.aIT׈~ӬYh?ϜݯnᰱAm,{*I|qjkq2fsh^ÞML<p\-5v_[&b}Y} @ҭaX7o9?*^Géc|\^^C@\im&?B?z|W}QŎl7%KՀ8zT+>5#Ű} 9U~6?*U~7?*W>QWoMcKo>2{mec*p3Fq1ETR>=u6t?)xsW2Zr f/{%è-n#x۸Gߥs果W|а|BF^ŐSa4_?j}]^oĒhVRSsW ?0>k翏/, 1MVl4V;+ innd8X]joL#Oյajz_P3#C.[|?ZO/ENanʊS.|qcyGݚf_GC{+@wLqF( QExDmS7-}P(L EOX/_}M_,˃_#]hQE|QEQEQEQEQEv\2ɏA3Y|+cljh(Oe>{$Uk|D| wʟfZFnH<޺[JOPIW|qyuas ?]a/-k(c}(xw/b9MO=YNԀq_E-`S y{=uh"GUS?LM=RA4yaq{r FO򯎵b}^n3Jdۜ{/gxfƢ%9?`{kj_ xĚ~C\uz~ +ǥťxpgƫ*C'C' p\h_ f_đK MNHbAxQzlb:|^P?ior`@yex[ EӺ޿ kӾ:idWj>[Dr}YIS2υz}ecג< V~`1Wye=4DKߙ>Z.7mc<|?goƁCß~,V3oW#+d/7+\o9k(MWCW ]5 wjixk|1坿<½{Kxt~ν('Gɺ|0:}yE| c _\6? P>-|ϊ0|ci7=eQl@k1@\pb!lWR uh?|Wkok}3?`?Q!h1I||-\ ZAKA!EPY)e3C׮Cɵm7Bnh[}W|:`?S7iڅU2@ 2G"-| c ?sxP,@}C+\6? W:յw~J$ 0@ G u4͟DV,ǽqYjZ+f#\mH |$U_6{?xwvjM~cJfZFaR:S I ;ڊx" =߼A=UAb=i|fDǩpqV?ҁׅx70Y۩Kh Pzx zk6i(M+{?zg&[@HrN4 zyci_?5xOa}(@v,rHj߁+lln?{qķ?hp%ʪFx}\?xt$v:n @NR-I1ip}c謍/ 3i@ )ïNEk@(( [y e|O,\6c_Z|4'Í=}Z7*|̺ŶK6&3P+YIEwJVz\B|X~T :n˒J ۶\;wt6H-(V4gՔUU ҝA!HikOG<vۻX0pA`rGr~"^nx׀GU(,@xwG 嘑7[YhXgσ0${f >j?fݓ6z0#-^W]GÝDK r!'@Sf}n(xy>wׂWt.k |@_u+[A 1;W__ xCQ7,qm7 ~_ 5;M#@z{szȈ} Y,NI'$>wXXn<8_ƹZW>۝rd"[{DV(E-P! |r?u|f(}PkZ7*P  ){Ww&5\\KlZ#nI\ |E}_Zѿ/&B+B֍14Ϟ~ ڋz{rGe VmtM.i>i9ReF ^mxc|]eI5㿴 G˧\U|GĻ#"jվ1#J :@h8Q@(}בH]E"?.L(z_=Xmݼ6L;E]8 (J+?B-B֏14_oW><ZO xlY/¿-h[1E$Q"(TE P!􆖙#h }|} x\*>?LV%I$) HeRF]Ob8"ڜ6cÝzu?4_oZD .&m+[tRtajZk_lt,֏y_t+ |ğ0dm1|:N \/xo7?gSNxQ\q;&˻4EZ74ͤhfǏ5J-l|.́9xvg|~tqUsܞ".I~ +&42}gWmfb_bN2}ZLt]>vmăF9 ϵwz%`$F}}@QEk0U,I'|Sypn.OYisk_q&}0Jҁ:ؼ;ZMQJ4pp'M}j<}0 zg/ի{U[M?YpJd=feCt]8zWMWE"!awo{p+[a2 u# U5p폇hkkG/+wU kX4=BC)$d8V_kOiE@ume'O*Y20e=9k?k+oK 6&5-4~fok_vk*ʒ+NyzGfExzi|7<^h[o&?"Bǖ tP3Յ-P#>vkQZSo)a'TUtI|%+I<_/He϶@ h4~k_g׵ F]&hyOx7>Þ*uo7Nm8i1^@ Mr?Ү@=Bd"R_ 3@\G<am){ܷE (9OBƹ!8od/_%ֿ4 C 4ƅgϚWjcA^/ +Mh<ʊQ^.go&Q^.go&tWŠw?4Šw?43> _z2`e'tȊQ^.L׿xoM}:^)S-qHTUhiWھ&k ʍCljׁxj2iMԒǾvac#o\bGQ^ +L +L<ΊQ^.go&W禙.yu|;'gag'H$f GO<bwtm`IO)P:J_ȹrj(?o: srGva'n~_LP+?Exzi_Q^.go&TWŠw?4]=4Ms>[ <OJhkWWvyX$-Y9=N}ȃԑ.~oO~ռcYXiMn+:O:B cx#oVX{K'?(M7]φǃQɏȐ啎rE=^(G|~|?KQ 7^_`x@>'A4埠He2x_(M3@ѣZ75 仄K'X }^ _/tXI3P|J+h/݃wuXP2%|_VC3NMK_f^`rF9c^KwВmtۅ VQ=dutzOVg jֶ[e2ӝ~7N,, i`ƃù=_xf/ xZJBTaE_h~lMÌIu)+gEP#0׼=w.c'prF?kK-#h捊:0u [>ӼKMp뚽}V罒Jg]:m6_://ʟjdc>S}rF C%لO#U}Vbe$?Z%v5\oE v&r^=ꎕYh)ga Տ=^F-f[+Eh+S ( ( ( (?*@@@ NormalOJQJ_HmH sH tH RR Heading 1 $<5CJKHOJQJkHPP Heading 2 $<56CJOJQJkHDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List <@< Header   OJQJkHZZ PAR1$hP^h`a$OJQJ_HkHmH sH tH bb PAR2$$ hP^`a$OJQJ_HkHmH sH tH b"b PAR3$$ h8P^8`a$OJQJ_HkHmH sH tH b2b PAR4$$ hP^`a$OJQJ_HkHmH sH tH bBb PAR5$$ hP^`a$OJQJ_HkHmH sH tH bRb PAR6$$ hpP^p`a$OJQJ_HkHmH sH tH bbb PAR7$$ h P^ `a$OJQJ_HkHmH sH tH TrT CLINE $a$#5CJOJQJ_HkHmH sH tH ff HEAD LEVEL 1$*$a$#5CJ$OJQJ_HkHmH sH tH TT COVERAGE^OJQJ_HkHmH sH tH LL INTRO $Pa$OJQJ_HkHmH sH tH D @D Footer `' OJQJkH:)@: Page Number mH sH u<Z< m^ Plain Text OJQJ^JVV SCHEDULE $Pa$5OJQJ_HkHmH sH tH 22 Indent1 `22 Indent2 ^22 Indent3 !8^82"2 Indent4 "^2!22 Indent5 #^FOBF sPOS1NML$POJQJ_HmH sH tH :R: HEAD LEVEL PN%CJ<qb< PN_Coverage &$*$a$DrD Text10Pt'OJQJ_HmH sH tH j@j s Table Grid7:V(0(HH } Balloon Text)CJOJQJ^JaJ L LVQR%&Lj00d@`4bt5 00Ȥ,@0j00| 0ylmnopqQRUVY\]`cdgjkn%&'()*defghiXd?@GX   + ? S T W k   G ] r s     c    ; O p   P f | } ~ @AXK ,-9]s+,()i%;QR  tr#9OP  CYop%9Oef8Nde{/0In2HI"cwy  ( ; < T ! !&!I!l!m!!!!!!"Q""""####2#I#X#h#i#|#}#~###$N$O$h$$$$$$%%*%Q%%%=&?&K&L&X&Y&d&w&&&&&&&&&5'X'''''''(1(T(U(o((())))))))))))****y*****+7+8+R+u+++++,W,,,,,*---.m..///0h0n008111]22!3{33-444555A666<7F778c880999f::=;;<j<<==={==L>>???M@@AAASBBCjC{CC?DmDD>E`EE!FFF`GG$HHHgIIIfJJ6K@K^K`KaKcKdKfKgKiKjKKKLLL L LL000$0 $0 $0 $0 $0$0 0 $0 $0 $0 $0 $0 0 $0$0$0 $0$0$0 $0$0$0 $0$0$0 $0 0 $0$0$0 $0$0$0 $0$0$0 $0$0$0 $0 0 $0 $0 $0 $0 $0 0 $0 $0 $0 $0 $0 0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 $0 0 $0 $0 $0 $0 0 $0 $0 $0 $0 0 $0 $0 $0 $0 0 $0 $0 $0 $0 0 $0 $0 $0 $0 0 $0$0$0$0 $0 $0 0 $0 $0 $0 0 $0 0 $0 0 $0$0 $0 $0 0 $0$0$0$0 $0 $0 0 $0$0$0$0$0$0 $0 $0 0 0$0 $0 $0 0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 0 $0 $0 $0 0 $0$0$0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 0 $0 $0 $0 0 $0$0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 0 $0$0 $0 $0 0 $0$0 $0 $0 0 $0$0 $0 $0 0 0$0 $0 $0 0 $0 0 $0$0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0 $0 $0 0 $0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 $0 $0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 $0 $0 $0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 $0 $0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0 $0 $0 $0 $0 $0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$0$00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000X0@0X00@0X00@0X00@0X00@0@0@0@0X000@0 X00ylmnQRY%&'defXd?@GX   + ? S T W k   G ] r s     c    ; O p   P f | } ~ @AXK,-9]s+,()i%;QR  tr#9OP  CYop%9Oef8Nde{/0In2HI"cT &!!!!Q"#$h$$%*%%&X''(T(o((***R+++,^K`KcKfKiKKKLL@0@0@0j00p@$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0 @$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @0 @$0@$0@$0@$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @0 j0L0M, @$0 @$0@$0 @$0 @$0 @0 @$0@$0@$0@$0 @$0 @$0 @0 @$0@$0@$0@$0@$0@$0 @$0 @$0 @0 @0@$0 @$0 @$0 @0 @$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @0 @$0 @$0 @$0 @0 @$0@$0@$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @$0 @$0 @0 @$0@$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @0 @$0@$0 @$0 @$0 @0 @$0@$0 @$0 @$0 @0 @$0@$0 @$0 @$0 @0 @0@$0 @$0 @$0 @0 @$0 @0 @$0@$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0 @$0 @$0 @0 @$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0@$0 00j00j00j00j00@0j00!@0 00 PP \  xZRh1 .!t"$x&~(+,(/02r479<>@CEG,J(MOQT jHI+/39:;=ADHJLNOPRTX[^behknruwxy{}~l q Q ] % * g hhhP:J#Q&&''(0*+g,,e-./:0124w45|7r889@:R;n=BGLQb J2|FI,.01245678<>?@BCEFGIKMQSUVWYZ\]_`acdfgijlmopqstvz|I-$.:@GSYfrxDPVlx~P\b   # ) + 7 = ? K Q W c i k w }  G W ] m   ; G M p   P ` f v ,8>|7CIr~]ms% "iy%5;K tr#39ICSYi%179IO_8HN^'- n~,2B cou ! !4!@!F!X!d!j!!!!!!!!" "="I"O"x""""""#### $$:$F$L$v$$$$$$$$$$% %<%H%N%%%%%%%)&5&;& ','2'D'P'V''''''''''(((.(@(L(R(((((((( ))n)z))d*p*v******** ++#+/+5+`+l+r+++++++,,,C,O,U,,,, LFFFFFFFFFG$G$G$G$FFFFFFFFFFFFFFFFFG$G$G$G$FFG$G$FG$G$FG$G$G$G$FFFFFFFFFFFFG$G$G$G$G$G$G$G$G$G$G$G$FG$G$FG$G$G$G$G$G$G$G$FG$G$FG$G$G$G$G$G$FFFG$G$FG$G$G$G$G$G$FG$G$G$G$G$G$G$G$G$G$G$G$FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFDKM!!8@(    6##"` B S  ? LPZ DtText32Text33Text34Text7Text8Check2Check3Text12Text11Text13Text14Text15Text10Text16Text17Text18Text36Text20Text22Text23Text35Text25Text37Text38Text26Text27Text39Text28Text29Text30Text31EmQG ^ < -|7s&dL WcX n  N  ?J8.vL?]-]-]a+]j]l-]of]b ]| ]Db ]b ]+ ]+]a]a]da]da]ea]]da?]a@]a  I#I#O#%$%$&&&j'j')))**-----..n0n022!3!373-4-45;5;5556666F7F7c8c8==BB{C{CmDmD`E`E$H$H6K6KL      !"#$%&'()*+,-./0123456789:;<=>   N#W#W#+$+$&&&p'p')))**-----..v0v02253@3@34444$5A5A5556677N7N7p8p8&=&=BBCCsDsDlElE(H(H>K>KL   !"#$%&'()*+,-./0123456789:;<=>=>*urn:schemas-microsoft-com:office:smarttags PlaceName==*urn:schemas-microsoft-com:office:smarttags PlaceType9+*urn:schemas-microsoft-com:office:smarttagsState8;*urn:schemas-microsoft-com:office:smarttagsCity9?*urn:schemas-microsoft-com:office:smarttagsplace $?>=?;?>=?;?>=?;?>=?;+++?+?+?++??;+?++?+?+++?+?+?+?+?+?+?+?+?+?+IN-2^K^K`K`KaKaKcKdKfKgKiKjKKKKLLL LLBGDWXklPc  * + > ? R W j k ~   ; N  ,?Z`|67Jr"'%8.cvw* , K!M!!!k#m###$$$$%&(&&&7'9'''3(5(j)m))){*}*++w+y+,,*-6---. .m.x.//7///0 0h0l00081;11112]2i222{3333444455A6H666<7D77788880939999:f:i:=;?;;;<<j<t<<<{====L>V>>>??????M@T@A AAAAASB[BC CjCsCCC?DIDDD>EBEEE!F+FFFFF`GbGGGHHHIgIiIIJfJiJJJ^K^K`K`KaKaKcKdKfKgKiKjKKKKLLL LL33333333333333333333333333333333333333333333333333333333333333333333333333333333333333333333yRnDWXlNPcd@X   * + > ? R T W j k ~   G s   ; N O  P ~ ,?|7JrK,)i%R tr#P Cp%8Jf8{.nIcvT "#?&&)*==$K]K^K^K`K`KaKaKcKdKfKgKiKjKLLL^K^K`K`KaKaKcKdKfKgKiKjKLLLGE#* 2AA@YD@KdFh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH 2A@KA@YDGE#                                    IB*[, "[LF$ o q ; | [[t{C5R~b4U "oI'ls( \ oH!5Y#*%8&o&'*_*,D,[1q4$*67 >$?rH@+AN&DQFoG.GIL/MpM'N9PfR TQTwT,pVJ#Z!y]S^m^^`oPhUh3l-mtm]oeMrtuQ}z`Rd#0=Rc[$>Bn6U<QnEJwum)dBJw|Wy;8~R7Bo,G5iH^f<>.|_:E;hBo+NZiUEj"=L)|rG7,Z^^B^LcOavpp}x0ylmnopqQRY`gn%&'()*defghid?@GX   + ? S T W k   G ] r s     c   ; O p  P f | } ~ ?A,-]s+,()i%;QR  tr#9OP  CYop9Oef8Nde{/0In2HIT &!!!"Q""##$h$$*%Q%%%&5'^K`KcKfKiKKL LL 3 3 3 3 @_     9999999((((( (!("(#($(%(&('((()(*(+(, L`@`````````<@` `"`$`L@`(`*`X@`.`0`2`h@`6`p@`:`<`>`@`B`D`F`H`J`L`N`P`R`T` UnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New5& zaTahoma;Wingdings"haѦaѦDf? @&? @& 4d8K8K 2QHP ?E*kC:\Documents and Settings\DASTEVEN\Local Settings\Temporary Internet Files\OLK75\CP-6590 Rev 10-07 (2).dot#THIS ENDORSEMENT CHANGES THE POLICYDASTEVEN rcarr.jdf    Oh+'0 $0 P \ h t$THIS ENDORSEMENT CHANGES THE POLICY DASTEVENCP-6590 Rev 10-07 (2) rcarr.jdf2Microsoft Office Word@@)@N*}@N*}? @՜.+,D՜.+,\ hp  The Travelers&8K' $THIS ENDORSEMENT CHANGES THE POLICY TitleP <D_NewReviewCycle  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      "#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}Root Entry F4E}Data 1Table!WordDocument:VSummaryInformation(~DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89qRoot Entry F`==Data 1Table!WordDocument:V՜.+,D՜.+,\ hp  The Travelers&8K' $THIS ENDORSEMENT CHANGES THE POLICY TitleP <D_NewReviewCycleSummaryInformation(~DocumentSummaryInformation8CompObjq