{# Boton regresar #}

{# header #}

Insured name	Certificate to renew	Quote to issue	Company selected on QuotePrevious Company	Pack selected on QuotePrevious Pack	Price selected on QuotePrevious Price
{{ dataLoaded['fullName'] }}	{{ dataLoaded['renovation'] != 'start' ? dataLoaded['renovation'] : '-' }}				[[ oldPrice \| currency ]]

{# Form #}

Homeowner Form

1. Please fill in the fields with the property information
{% if form.simulateDistributorId is defined %}

Simulate as: (Only if you need to refer this purchase to a Producer)
{{ form_widget(form.simulateDistributorId) }}

{% endif %}

Address * {{form_widget(form.address)}}

Building Number {{form_widget(form.buildingNumber)}}

Unit Number {{form_widget(form.unitNumber)}}

Number of Stories * {{form_widget(form.numberStories)}}

Postal Code * {{form_widget(form.postalCode)}}

County *
Last neighborhood [[countyText]] {{form_widget(form.county)}}

City * {{form_widget(form.city)}}

State * {{form_widget(form.state)}}

Year of Construction* {{form_widget(form.yearConstruction)}}

Entrance Date {{form_widget(form.entranceDate)}}

Do you want to add other insured? {{form_widget(form.additionalInsured )}}

How many? {{ form_widget(form.howManyAdditionalInsured )}}

Aditionals Insured

Full name #[[index+1]] *

Birthday #[[index+1]]*

Lienholder/beneficiary {{ form_widget(form.beneficiary) }}

Type of Construction * {% for construction in form.typeConstruction %}

{{form_widget(construction,{'attr' :{'v-model' : 'typeConstruction', 'class' : 'with-gap default-input'}})}} {{form_label(construction)}}

{% endfor %}

Quote with Novamar Packs

Yes

Type of Property * {% for property in form.typeProperty %} {% if loop.index0 > 0 %} {% if loop.index0 <= 3 %} {% set groupClass = 'with-gap NovaPacksTypeProperty default-input' %} {% else %} {% set groupClass = 'with-gap FullRaterTypeProperty default-input' %} {% endif %} {% else %} {% set groupClass = 'with-gap default-input' %} {% endif %}

{{ form_widget(property, {'attr': {'@change' : 'typePropertyChange', 'v-model' : 'typeProperty', 'class' : groupClass}} ) }} {{ form_label(property) }}

{% endfor %}

Do you want Catastrophic coverage? (Earthquake and Hurricane)

Are you going to be renting your property?

How many days per year? (All the options will generate the same premium)

Quote with AIG Packs

Yes

No Yes

Are you going to be renting your property?

How many days per year? (All the options will generate the same premium)

Unlock Quotes limits

Yes

No Yes

2. Please, choose the coverages for the property

Property Coverages

{{form_widget(form.buildingValue)}} Building Replacement Value * [[ buildingValue | currency]]

{{form_widget(form.contentsValue)}} Contents Replacement Value * [[ contentsValue | currency]]

Is the property 500 meters or less from a body of water? {{form_widget(form.bodyWaterNear)}}

Hurricane/Severe Weather & Flooding {{form_widget(form.hurricane)}}

Earthquake and Volcanic Eruption {{form_widget(form.earthquake)}}

Do you have storm shutters installed? {{form_widget(form.stormShutters)}}

Betterments & Improvements {{ form_widget(form.bettermentsValue, {'attr':{'class': 'browser-default'}}) }}

Extra Expenses {{ form_widget(form.extraExpenses, {'attr':{'class': 'browser-default'}}) }}

Outdoor Construction {{ form_widget(form.outdoorsConstruction, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxOutdoorsConstruction) }}

Outdoor description {{form_widget(form.outdoorsDescription, {'attr':{'class': 'material-textarea'}} )}}

Liability Coverage

Liability {{ form_widget(form.liabilityValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxLiabilityValue) }}

Domestic Employee Liability {{form_widget(form.employeLiability)}}

USA Law Suit Liability {{form_widget(form.liabilityUSA)}}

Golf Carts {{ form_widget(form.golfCartsValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxGolfCartsValue) }}

Miscellaneous

Glass Breakage {{ form_widget(form.glassValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxGlassValue) }}

Robbery {{ form_widget(form.theftValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxTheftValue) }}

Assault {{form_widget(form.assault)}}

Money & Securities {{form_widget(form.moneySecurities)}}

Jewerly {{ form_widget(form.jewelryValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxJewelryValue) }}

Machinery Breakdown

Electronic/ Electrodomestic {{ form_widget(form.electronicValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxElectronicValue) }}

Machinery {{ form_widget(form.machineryValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxMachineryValue) }}

Boiler & Pressured Vassels {{ form_widget(form.boilerValue, {'attr':{'class': 'inputWithLimit browser-default'}}) }} {{ form_widget(form.auxBoilerValue) }}

Are you going to be renting your property? {{form_widget(form.airBnb)}}

How many days per year? {{form_widget(form.airBnbSurvey)}}

3. Please, choose the plan.

Export

Coverage	Sum assured
[[ novaPacksCoveragesDictionary[indexCoverage] ]]	$[[ coverage \| number ]] USD

Close comparison

3. Please, choose the plan.

Export

3. Please, choose the plan.

Export Send to GMX

{# Brosker Fee #}

{# Boton e inputs para broker Fee #} {% if distributorType is defined and distributorType == 'Producer US' %}

{% include 'distributors/broker-fee-inputs.twig' with {'distributorType': distributorType} %}

{% endif %}

{% if paymentTypeMode == 'CreditCard' or paymentTypeMode == 'All' %} Credit Card Payment {% endif %}

{% if paymentTypeMode == 'WithoutOutCharge' or paymentTypeMode == 'All' %} Bank transfer {% endif %}

{% if distributorId is defined %} {% endif %} {% if distLink is defined %} {% endif %} {{form_rest(form)}}

{# end Form #}

Summary

Property

Edit Property

Street:	[[ address]]
Building Number:	[[ buildingNumber]]
Unit Number:	[[ unitNumber]]
Number of Stories:	[[ numberStories]]
Postal Code:	[[ postalCode]]
County:	[[ county]]
City:	[[ city]]
State:	[[ state]]
Additional insureds	[[ additionalInsured ]]
Lienholder/beneficiary	[[ (beneficiary != "" ? beneficiary : 'No') ]]
Type of Construction	[[ typeConstructionDictionary[typeConstruction] ]]
Type of Property	[[ typePropertyDictionary[typeProperty] ]]
Earthquake and Hurricane	[[ fire ]]
Do you have storm shutters installed?	[[ stormShutter ]]
Is the property 500 meters or less from a body of water?	[[ bodyWaterNear ]]
Rental Property	[[ (airBnb > 0 ? 'Yes' : 'No') ]]
Days per Year	[[ survey]]
Quote with AIG Packs	No Yes

Coverages

Edit Coverages

Building Value	[[ buildingValue \| currency]]
Contents Value	[[ contentsValue \| currency]]
Is the property 500 meters or less from a body of water?	[[ bodyWaterNear]]
Hurricane/Severe Weather & Flooding	[[ hurricane]]
Do you have storm shutters installed?	[[ stormShutter]]
Earthquake and Volcanic Eruption	[[ earthquake]]
Extra Expenses	[[ extraExpenses \| currency]]
Outdoors Construction	[[ outdoorConstruction \| currency]]
Outdoors Description	[[ outdoorDescription]]
Liability	[[ liabilityValue \| currency]]
Domestic Employee Liability	[[ employeLiability \| currency]]
USA Law Suit Liability	[[ liabilityUSA]]
Golf Cart	[[ golfCartsValue \| currency]]
Glass Breakage	[[ glassValue \| currency]]
Theft	[[ theft \| currency]]
Assault	[[ assault]]
Money & Securities	[[ moneySecurities]]
Jewerly	[[ jewerly \| currency]]
Electronic / Electrodomestic	[[ electronic \| currency]]
Machinery	[[ machinery \| currency]]
Boiler & Pressured Vassels	[[ boiler \| currency]]

Price to Expire	[[ oldPrice \| currency]]
Due Date	[[ dueDate]]
Entrance Date:

{# modal para broker fee #} {% if distributorType is defined and distributorType == 'Producer US' %} {{ include('distributors/modals/modal-broker-fee.html.twig') }} {% endif %}