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\i\insrsid9513091 Email to: }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12469995  HYPERLINK "mailto:Suzanne.M.Murphy@maine.gov" }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs24\i\ul\cf2\insrsid4666914\charrsid9598320 
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10425989 REQUEST TO ADD INSURANCE}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3950812  WATERCRAFT}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4790886 
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3950812  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5521027 
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\s16\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11932934 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \caps\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822 BOAT}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13111688\charrsid2181822  Information\cell }\pard\plain \ltrpar
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\ltrch\fcs0 \b\fs20\insrsid10425989\charrsid2181822 Boat }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid2385036\charrsid2181822 Name}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822 : }{\field{\*\fldinst {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16741067\charrsid2181822 {\*\bkmkstart Text1} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16741067\charrsid2181822 {\*\datafield 000000001400000005546578743100000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text1}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid16741067\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822 {\*\bkmkend Text1}   }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid7952067\charrsid2181822 \tab \tab 
\tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822  Check here if not applicable: }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822 {\*\bkmkstart Check1} FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000006436865636b3100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2385036\charrsid2181822 {\*\bkmkend Check1}\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
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\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
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\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
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\ltrch\fcs0 \b\fs20\insrsid4742385\charrsid4742385 Serial # }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4742385\charrsid4742385  FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4742385\charrsid4742385 
{\*\datafield 000000001400000005546578743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text1}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4742385\charrsid2181822 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4742385\charrsid4742385  }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\b\fs20\insrsid4742385\charrsid4742385 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4742385\charrsid12002146 \trowd \irow3\irowband3\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
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\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep
\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4420092\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2160 \cellx2045\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb
\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2790 \cellx4835\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 
\cltxlrtb\clftsWidth3\clwWidth2430 \cellx7265\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2430 \cellx9695\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11932934 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \b\fs20\insrsid8723431\charrsid2181822 Year}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 : }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\bkmkstart Text2}
 FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\datafield 000000001400000005546578743200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text2}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid8723431\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 {\*\bkmkend Text2}\cell }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid8723431\charrsid2181822 Length}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 : }{\field{\*\fldinst {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\bkmkstart Text3} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\datafield 000000001400000005546578743300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text3}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid8723431\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\bkmkend Text3} }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 feet\cell 
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8723431 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid8723431\charrsid2181822 Make/Model}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid8723431\charrsid2181822 : }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\bkmkstart Text6} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 
{\*\datafield 000000001400000005546578743600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid8723431\charrsid2181822 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431 {\*\bkmkend Text6} }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid8723431\charrsid7942126     }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2359528 {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \b\fs20\insrsid8723431 Horse Power}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8723431\charrsid2181822 : }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822  FORMTEXT }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8723431\charrsid2181822 {\*\datafield 000000001400000005546578743200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text2}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\lang1024\langfe1024\noproof\insrsid8723431\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid8723431\charrsid2181822 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8723431\charrsid12002146 \trowd \irow4\irowband4\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid4420092\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2160 \cellx2045\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb
\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2790 \cellx4835\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 
\cltxlrtb\clftsWidth3\clwWidth2430 \cellx7265\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth2430 \cellx9695\row \ltrrow
}\trowd \irow5\irowband5\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv
\brdrs\brdrw10\brdrcf19 \trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11932934 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \b\fs20\insrsid16079383\charrsid2181822 Planned Boat Usage
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10842406 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10425989\charrsid2181822 How will the boat be used? }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid5521027 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid11889187 {\shp{\*\shpinst\shpleft30\shptop20\shpright9345\shpbottom455\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fLockRotation}{\sv 0}}{\sp{\sn fLockAspectRatio}{\sv 0}}{\sp{\sn fLockPosition}{\sv 0}}{\sp{\sn fLockAgainstSelect}{\sv 0}}
{\sp{\sn fLockVerticies}{\sv 0}}{\sp{\sn fLockText}{\sv 0}}{\sp{\sn fLockAdjustHandles}{\sv 0}}{\sp{\sn fLockAgainstGrouping}{\sv 0}}{\sp{\sn lTxid}{\sv 65536}}{\sp{\sn fRotateText}{\sv 0}}{\sp{\sn fFitShapeToText}{\sv 0}}{\sp{\sn fFilled}{\sv 1}}
{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fLine}{\sv 1}}{\sp{\sn fLockShapeType}{\sv 0}}{\sp{\sn wzName}{\sv Text Box 2}}{\sp{\sn metroBlob}{\sv {\*\svb 
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0000720500000000}}}{\sp{\sn dhgt}{\sv 251663360}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fAllowOverlap}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}{\sp{\sn fHidden}{\sv 0}}{\sp{\sn sizerelh}{\sv 0}}
{\sp{\sn sizerelv}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13594905 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8194\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13594905 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}\dpx30\dpy20\dpxsize9315\dpysize435\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 
\par 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\highlight7\insrsid5521027\charrsid3950812 Where}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\highlight7\insrsid7942126\charrsid3950812  will it }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\highlight7\insrsid8409658\charrsid3950812 navigate}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\highlight7\insrsid5521027\charrsid3950812  \endash  check all that apply:}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 
\par }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 
 Inland lakes, rivers and streams }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 
650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027  Tidal rivers   }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 
650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027  Ocean   }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 
650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027  Other:   }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid5521027\charrsid2181822  FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid5521027\charrsid2181822 {\*\datafield 
000000001400000005546578743700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid5521027\charrsid2181822 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8409658 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 Is this replacing another boat? }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822 
 Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313200000000000000000000000000
}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid10842406\charrsid2181822  No}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406   }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 Do we need to }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658 remove}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406  a boat}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid8409658  from your policy}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 ? }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822   }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}
\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  No}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid10842406 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2359528 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528 Do we need to add a trailer to our insurance policy? }{\field\fldpriv{\*\fldinst 
{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822 
 Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313200000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822 
 No}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528   
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid11889187 {\shp{\*\shpinst\shpleft25\shptop38\shpright9340\shpbottom473\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz0\shplid1027
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fLockRotation}{\sv 0}}{\sp{\sn fLockAspectRatio}{\sv 0}}{\sp{\sn fLockPosition}{\sv 0}}{\sp{\sn fLockAgainstSelect}{\sv 0}}
{\sp{\sn fLockVerticies}{\sv 0}}{\sp{\sn fLockText}{\sv 0}}{\sp{\sn fLockAdjustHandles}{\sv 0}}{\sp{\sn fLockAgainstGrouping}{\sv 0}}{\sp{\sn lTxid}{\sv 131072}}{\sp{\sn fRotateText}{\sv 0}}{\sp{\sn fFitShapeToText}{\sv 0}}{\sp{\sn fFilled}{\sv 1}}
{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fLine}{\sv 1}}{\sp{\sn fLockShapeType}{\sv 0}}{\sp{\sn wzName}{\sv Text Box 2}}{\sp{\sn metroBlob}{\sv {\*\svb 
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0a2ea1586a055d4a4329656c3a743acefc80c4dede07a713cbd04a13f491cb9d95f32c5b48a77be2854e0f78d761f3b93d3805abe271fc884ff9f37bb3d8db75ba588e0f5f41a9f3b3e9f60644c229fd85e1179fd1a166a69d3f9089c22a985f735041cefcecaef3829fed1414cb1c645dc9fff8f50f000000ffff0300504b
01022d0014000600080000002100b6833892fe000000e10100001300000000000000000000000000000000005b436f6e74656e745f54797065735d2e786d6c504b01022d001400060008000000210038fd21ffd6000000940100000b000000000000000000000000002f0100005f72656c732f2e72656c73504b01022d0014
0006000800000021005bcd674d0f020000260400000e000000000000000000000000002e0200006472732f65326f446f632e786d6c504b01022d0014000600080000002100ef8c7119dd000000060100000f00000000000000000000000000690400006472732f646f776e7265762e786d6c504b05060000000004000400f3
000000730500000000}}}{\sp{\sn dhgt}{\sv 251659264}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fAllowOverlap}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}{\sp{\sn fHidden}{\sv 0}}{\sp{\sn sizerelh}{\sv 0}}
{\sp{\sn sizerelv}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}\dpx25\dpy38\dpxsize9315\dpysize435\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10425989\charrsid12002146 \trowd \irow5\irowband5\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16079383 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \b\fs20\insrsid16079383\charrsid2181822 Occupancy
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 What is the }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\fs20\insrsid16079383\charrsid2181822 maximum}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 
 number of crew that might be aboard? }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\bkmkstart Text7} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 
{\*\datafield 000000001400000005546578743700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid16079383\charrsid2181822 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4284255\charrsid2181822 {\*\bkmkend Text7}
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 What is the }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\fs20\insrsid16079383\charrsid2181822 usua}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\fs20\insrsid13594905 l}{\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822  number of crew that might be aboard? }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\bkmkstart Text9} FORMTEXT }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\datafield 000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\lang1024\langfe1024\noproof\insrsid16079383\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid16079383\charrsid2181822 {\*\bkmkend Text9}
\par What is the }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\fs20\insrsid16079383\charrsid2181822 maximum}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822  number of non-crew that might be aboard?}{\field{\*\fldinst {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\bkmkstart Text10} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\datafield 00000000140000000654657874313000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid16079383\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 {\*\bkmkend Text10}
\par What is the }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\fs20\insrsid16079383\charrsid2181822 usual}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822  number of }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid7952067\charrsid2181822 non-}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 crew that might be aboard?}{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 
{\*\bkmkstart Text11} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\datafield 00000000140000000654657874313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid16079383\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822 {\*\bkmkend Text11}
\par Other Occupancy Notes}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658  or Special Equipment}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid16079383\charrsid2181822  (if applicable): }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\insrsid16079383\charrsid2181822 {\*\bkmkstart Text12} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383\charrsid2181822 {\*\datafield 00000000140000000654657874313200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid16079383\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid16079383 {\*\bkmkend Text12}
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658\charrsid2181822 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11411314\charrsid12002146 \trowd \irow6\irowband6\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11932934 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \b\fs20\insrsid5403811\charrsid2181822 Boat Status}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid3759869\charrsid10842406 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528 Is the boat in your possession at this time}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5403811\charrsid2181822 ?}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406  }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822 
 Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313200000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528\charrsid2181822  
}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid14828634\charrsid2181822 No}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid14828634  If}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528  no, explain.}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid10842406 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid11889187 {\shp{\*\shpinst\shpleft30\shptop110\shpright9345\shpbottom545\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1026
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fLockRotation}{\sv 0}}{\sp{\sn fLockAspectRatio}{\sv 0}}{\sp{\sn fLockPosition}{\sv 0}}{\sp{\sn fLockAgainstSelect}{\sv 0}}
{\sp{\sn fLockVerticies}{\sv 0}}{\sp{\sn fLockText}{\sv 0}}{\sp{\sn fLockAdjustHandles}{\sv 0}}{\sp{\sn fLockAgainstGrouping}{\sv 0}}{\sp{\sn lTxid}{\sv 196608}}{\sp{\sn fRotateText}{\sv 0}}{\sp{\sn fFitShapeToText}{\sv 0}}{\sp{\sn fFilled}{\sv 1}}
{\sp{\sn fArrowheadsOK}{\sv 0}}{\sp{\sn fLine}{\sv 1}}{\sp{\sn fLockShapeType}{\sv 0}}{\sp{\sn wzName}{\sv Text Box 2}}{\sp{\sn metroBlob}{\sv {\*\svb 
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504b01022d0014000600080000002100b6833892fe000000e10100001300000000000000000000000000000000005b436f6e74656e745f54797065735d2e786d6c504b01022d001400060008000000210038fd21ffd6000000940100000b000000000000000000000000002f0100005f72656c732f2e72656c73504b01022d
00140006000800000021006c13a58c11020000260400000e000000000000000000000000002e0200006472732f65326f446f632e786d6c504b01022d001400060008000000210059ef10e1dd000000070100000f000000000000000000000000006b0400006472732f646f776e7265762e786d6c504b050600000000040004
00f3000000750500000000}}}{\sp{\sn dhgt}{\sv 251661312}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fAllowOverlap}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 0}}{\sp{\sn fHidden}{\sv 0}}{\sp{\sn sizerelh}{\sv 0}}
{\sp{\sn sizerelv}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13594905 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13594905 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13594905 
\par }}\dpx30\dpy110\dpxsize9315\dpysize435\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3759869 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822 Will the boat be out of the water during the winter season?  }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822 
 Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid10842406\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313200000000000000000000000000
}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid10842406\charrsid2181822  No}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid6431448\charrsid2181822  }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid11342247 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8409658 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658 Was a}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid2181822 
 survey completed? }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 
650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid2181822  Yes  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 
{\*\datafield 650000001400000007436865636b313200000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check12}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8409658  }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid2181822 No\tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 If yes, provide us with a copy via email.}{\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905\charrsid2181822 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5403811\charrsid12002146 \trowd \irow7\irowband7\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5403811 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \b\fs20\insrsid5521027 Who}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid3631653\charrsid3631653  does this boat belong to?}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid5403811 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid8272 Agency \endash  check one}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid8272\charrsid8272 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5521027 {\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027  WCCC   }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027  SMCC   }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 CBITD  }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid5521027\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272  WELLS}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4658150   }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid4658150 NOTE: if MMA do not use this form!}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\insrsid5521027\charrsid4658150 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid13594905 Departmental }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid8272 Bureau}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \b\fs20\ul\insrsid5521027\charrsid8272 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8272\charrsid8272 DO}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8272 T}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab \tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\insrsid8272 DMR}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab \tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8272 DEP}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab \tab }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\ul\insrsid8272 IFW}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab \tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid8272 ACF}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 
\par }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272  MFS\tab \tab }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272  BMP\tab }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BRMW}{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 
650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BWS}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  AWW}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5521027 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8272 {\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272  M&O\tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272  BMS\tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BLWQ}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname 
Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BRMF}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 \tab }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  GEO}{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 
\par }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051 \tab \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 
{\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BPH\tab \tab \tab \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BRMW\tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051\charrsid2181822  FORMCHECKBOX 
}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  BOATING}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid8272 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3087051 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051 \tab \tab \tab \tab \tab \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051  BRMH\tab }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  BPL}{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3087051 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5403811 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905 \tab \tab \tab \tab \tab \tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  BRMW\tab }
{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905\charrsid2181822  FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b313100000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check11}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13594905  FORESTRY}{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid3631653\charrsid13594905 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3748890\charrsid12002146 \trowd \irow8\irowband8\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\trowd \irow9\irowband9\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep
\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\pard\plain \ltrpar
\s16\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15754067 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \caps\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af44\afs20 \ltrch\fcs0 \fs20\insrsid5403811\charrsid2181822 INSURANCE COVERAGE ORDER}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid9839282\charrsid2181822 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9839282\charrsid12002146 \trowd \irow9\irowband9\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh
\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\row \ltrrow}\trowd \irow10\irowband10\ltrrow
\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11932934 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 Desired effective date}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid9839282\charrsid2181822 :}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13180673\charrsid2181822  }{\field\fldpriv{\*\fldinst {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13180673\charrsid2181822 {\*\bkmkstart Check24} FORMCHECKBOX }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b323400000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check24}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13180673\charrsid2181822 
{\*\bkmkend Check24} As soon as possible;   or on this specific date:}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822  }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4990274\charrsid2181822 
{\*\bkmkstart Text15} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4990274\charrsid2181822 {\*\datafield 00000000140000000654657874313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text15}}}}}{\fldrslt {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid4990274\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid5649292\charrsid2181822 {\*\bkmkend Text15}\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5649292\charrsid12002146 \trowd \irow10\irowband10\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8469730 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 Protection and Indemnity Per Occurrence Limit Desired: }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 {\*\bkmkstart Check20} FORMCHECKBOX }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid12469995 {\*\datafield 650000001400000007436865636b323000000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check20}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528 {\*\bkmkend Check20} }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid2359528                 }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 \tab }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid2359528              }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid4990274\charrsid12002146 \trowd \irow11\irowband11\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh
\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13180673 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 Hull Coverag}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13180673\charrsid2181822 e Per Occurrence Limit Desired   }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 $}
{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4990274\charrsid2181822 {\*\bkmkstart Text16} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid4990274\charrsid2181822 {\*\datafield 
00000000140000000654657874313600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text16}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid4990274\charrsid2181822 \u8194\'20\u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 {\*\bkmkend Text16} }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid13180673\charrsid2181822  agreed / market value}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528 -}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid14828634  FYI- }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528  }{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid14828634 This is not a Replacement Cost P}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid2359528 olicy}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid14828634  it is based on agreed/market value}{
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid4990274\charrsid2181822 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4990274\charrsid12002146 \trowd \irow12\irowband12\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 
\trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\trowd \irow13\irowband13\ltrrow
\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\pard\plain \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2181822 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid9513091\charrsid2181822 ADDITIONAL REQUESTS OR INFORMATION}{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\insrsid13180673\charrsid2181822 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid13180673\charrsid12002146 \trowd \irow13\irowband13\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh
\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\row \ltrrow}\trowd \irow14\irowband14\ltrrow
\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13180673 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {
\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid9513091\charrsid2181822 {\*\bkmkstart Text17} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid9513091\charrsid2181822 {\*\datafield 00000000140000000654657874313700000000000000000000000000
}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text17}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\lang1024\langfe1024\noproof\insrsid9513091\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid9513091\charrsid2181822 {\*\bkmkend Text17}\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9513091\charrsid12002146 \trowd \irow14\irowband14\ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh
\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \cltxlrtb\clftsWidth3\clwWidth9810 \cellx9695\row \ltrrow}\trowd \irow15\irowband15\lastrow \ltrrow
\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13180673 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 \f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\insrsid3759869\charrsid2181822 Your Name: }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid3759869\charrsid2181822 {\*\bkmkstart Text18} FORMTEXT }{\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\insrsid3759869\charrsid2181822 {\*\datafield 00000000140000000654657874313800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text18}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\lang1024\langfe1024\noproof\insrsid3759869\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid3759869\charrsid2181822 {\*\bkmkend Text18}  \tab \tab \tab Your phone number: }{\field{\*\fldinst {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \fs20\ul\insrsid3759869\charrsid2181822 {\*\bkmkstart Text19} FORMTEXT }{\rtlch\fcs1 \af44\afs20 
\ltrch\fcs0 \fs20\ul\insrsid3759869\charrsid2181822 {\*\datafield 00000000140000000654657874313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text19}}}}}{\fldrslt {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\ul\lang1024\langfe1024\noproof\insrsid3759869\charrsid2181822 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid11932934\sftnbj {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\fs20\insrsid3759869\charrsid2181822 {\*\bkmkend Text19}\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\f44\fs16\expnd2\expndtw10\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3759869\charrsid12002146 \trowd \irow15\irowband15\lastrow \ltrrow\ts11\trqc\trgaph115\trrh230\trleft-115\trkeep\trbrdrt
\brdrs\brdrw10\brdrcf19 \trbrdrl\brdrs\brdrw10\brdrcf19 \trbrdrb\brdrs\brdrw10\brdrcf19 \trbrdrr\brdrs\brdrw10\brdrcf19 \trbrdrh\brdrs\brdrw10\brdrcf19 \trbrdrv\brdrs\brdrw10\brdrcf19 
\trftsWidth3\trwWidth9810\trftsWidthB3\trautofit1\trpaddl115\trpaddt29\trpaddb29\trpaddr115\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2181822\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf19 \clbrdrl\brdrs\brdrw10\brdrcf19 \clbrdrb\brdrs\brdrw10\brdrcf19 \clbrdrr\brdrs\brdrw10\brdrcf19 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth9810\clcbpatraw20 \cellx9695\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12002146 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4284255\charrsid12002146 
\par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a
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