{"id":99048,"date":"2025-11-05T08:25:41","date_gmt":"2025-11-05T13:25:41","guid":{"rendered":"https:\/\/farmerbrown.com\/personal-auto-home-form\/"},"modified":"2026-05-18T10:34:45","modified_gmt":"2026-05-18T15:34:45","slug":"seguro-para-auto-y-hogar","status":"publish","type":"page","link":"https:\/\/farmerbrown.com\/es\/seguro-para-auto-y-hogar\/","title":{"rendered":"Seguro para auto y casa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"99048\" class=\"elementor elementor-99048 elementor-89618\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bd2ac98 e-flex e-con-boxed e-con e-parent\" data-id=\"3bd2ac98\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a72ebcb elementor-widget elementor-widget-heading\" data-id=\"a72ebcb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Obtenga su cotizaci\u00f3n para seguro de auto y hogar<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-045f74b elementor-widget elementor-widget-shortcode\" data-id=\"045f74b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_70' style='display:none'><style>\/* .repeater-field-item .read_only_class {\r\n    margin-top: 7px;\r\n} *\/\r\n#gform_wrapper_70 .gfield_error .repeater-field-item .read_only_class{\r\n\tmargin-top: 0px;\r\n}\r\n#gform_wrapper_70 .gfield--type-repeater_end{\r\n    margin-top: -50px;\r\n    padding-left: 0 !important;\r\n    padding-right: 0 !important;\r\n}\r\n#gform_wrapper_70 .extra-choices .gfield_radio{\r\n\tdisplay: flex;\r\n    gap: 20px;\r\n}\r\n#gform_wrapper_70 .pricing-container{\r\n  display: flex;\r\n  justify-content: center;\r\n  gap: 20px;\r\n  flex-wrap: wrap;\r\n  margin: 0px auto 20px auto;\r\n  font-family: Arial, sans-serif;\r\n}\r\n#gform_wrapper_70 .pricing-box{\r\n  flex: 1 1;\r\n  display: flex;\r\n  flex-direction: column;\r\n  border: 2px solid #ddd;\r\n  border-radius: 12px;\r\n  box-shadow: 0 4px 12px rgba(0,0,0,0.08);\r\n  overflow: hidden;\r\n  transition: transform 0.2s, border-color 0.2s;\r\n  position: relative;\r\n  cursor: pointer;\r\n}\r\n#gform_wrapper_70 .pricing-box:hover{\r\n  transform: translateY(-5px);\r\n}\r\n#gform_wrapper_70 .pricing-box.basic .pricing-header{\r\n  background-color: #e0f0ff;\r\n  color: #004a99;\r\n}\r\n#gform_wrapper_70 .pricing-box.standard .pricing-header{\r\n  background-color: #e8f9e9;\r\n  color: #1a7a1a;\r\n}\r\n#gform_wrapper_70 .pricing-box.premium .pricing-header{\r\n  background-color: #fff3cd; \r\n  color: #8a6d00;\r\n}\r\n#gform_wrapper_70 .pricing-header{\r\n  text-align: center;\r\n  padding: 20px 10px;\r\n  font-size: 1.4em;\r\n  font-weight: bold;\r\n  position: relative;\r\n}\r\n#gform_wrapper_70 .pricing-tag{\r\n  position: absolute;\r\n  top: 8px;\r\n  right: 10px;\r\n  background-color: #ffebc6;\r\n  color: #a66a00;\r\n  font-size: 10px;\r\n  font-weight: bold;\r\n  text-transform: uppercase;\r\n  padding: 3px 6px;\r\n  border-radius: 4px;\r\n  box-shadow: 0 1px 3px rgba(0,0,0,0.1);\r\n}\r\n#gform_wrapper_70 .pricing-content{\r\n  flex: 1;\r\n  padding: 20px;\r\n  text-align: left;\r\n  font-size: 0.95em;\r\n  color: #555;\r\n  line-height: 1.6;\r\n}\r\n#gform_wrapper_70 .pricing-footer{\r\n  text-align: center;\r\n  background-color: #f9fafc;\r\n  border-top: 1px solid #eee;\r\n  border-radius: 10px;\r\n}\r\n#gform_wrapper_70 .select-btn{\r\n  display: inline-block;\r\n  width: 100%;\r\n  color: #fff;\r\n  font-weight: bold;\r\n  padding: 20px 18px;\r\n  border: none;\r\n\t\r\n  font-size: 16px;\r\n  cursor: pointer;\r\n  transition: background 0.2s;\r\n}\r\n#gform_wrapper_70 .basic .select-btn{\r\n\tbackground-color:#004a99;\r\n}\r\n#gform_wrapper_70 .standard .select-btn{\r\n\tbackground-color:#1a7a1a;\r\n}\r\n#gform_wrapper_70 .premium .select-btn{\r\n\tbackground-color:#8a6d00;\r\n} \r\n#gform_wrapper_70 .pricing-box.basic.active{\r\n  border-color: #004a99;\r\n  box-shadow: 0 0 10px rgba(0,74,153,0.3);\r\n  background-color: #fff;\r\n}\r\n#gform_wrapper_70 .pricing-box.standard.active{\r\n  border-color: #1a7a1a;\r\n  box-shadow: 0 0 10px rgba(26,122,26,0.3);\r\n  background-color: #fff;\r\n}\r\n#gform_wrapper_70 .pricing-box.premium.active{\r\n  border-color: #8a6d00;\r\n  box-shadow: 0 0 10px rgba(138,109,0,0.3);\r\n  background-color: #fff;\r\n}\r\n#gform_wrapper_70 .pricing-box ul{\r\n  list-style: none;\r\n  padding-left: 0;\r\n}\r\n#gform_wrapper_70 .pricing-box ul li{\r\n  position: relative;\r\n  padding-left: 28px;\r\n  margin-bottom: 8px;\r\n  display: inline-flex;\r\n  align-items: center;\r\n}\r\n#gform_wrapper_70 .pricing-box ul li::before{\r\n  content: \"\u2713\";\r\n  display: inline-block;\r\n  width: 16px;\r\n  height: 16px;\r\n  line-height: 16px;\r\n  text-align: center;\r\n  border: 2px solid #000;\r\n  border-radius: 1px;\r\n  color: #000;\r\n  font-weight: 600;\r\n  margin-right: 8px;\r\n  font-size: 12px;\r\n}\r\n\r\n\/* Responsive *\/\r\n@media (max-width: 768px) {\r\n#gform_wrapper_70 .pricing-container{\r\n    flex-direction: column;\r\n    align-items: center;\r\n  }\r\n#gform_wrapper_70 .pricing-box{\r\n    width: 100%;\r\n    max-width: 400px;\r\n  }\r\n#gform_wrapper_70 .pricing-box ul li{\r\n\t\tpadding-left: 0px;\r\n\t}\r\n#gform_wrapper_70 .options-insurance{\r\n\t\tflex-direction: column;\r\n\t}\r\n}\r\n#gform_wrapper_70 .insurance-container{\r\n    width: 100%;\r\n  }\r\n#gform_wrapper_70 .insurance-container h2{\r\n    text-align: center;\r\n    color: #0f6fb2;\r\n    font-size: 22px;\r\n    margin-bottom: 28px;\r\n  }\r\n#gform_wrapper_70 .options-insurance{\r\n    display: flex;\r\n    justify-content: space-between;\r\n    gap: 20px;\r\n    \/* flex-wrap: wrap; *\/\r\n  }\r\n#gform_wrapper_70 .option-card{\r\n    flex: 1 1 calc(33.333% - 20px);\r\n    background: #ffffff;\r\n    border: 1px solid #e2e8f0;\r\n    border-radius: 12px;\r\n    box-shadow: 0 4px 14px rgba(0, 0, 0, 0.04);\r\n    padding: 20px;\r\n    display: flex;\r\n    flex-direction: column;\r\n    justify-content: space-between;\r\n    transition: all 0.2s ease;\r\n\tcursor: pointer;\r\n  }\r\n#gform_wrapper_70 .select-btn-insurance{\r\n    display: inline-block;\r\n    width: 100%;\r\n    color: #fff;\r\n    font-weight: bold;\r\n    padding: 10px 18px;\r\n    border: none;\r\n    font-size: 16px;\r\n    cursor: pointer;\r\n    transition: 0.2s;\r\n    border-radius: 10px;\r\n }\r\n#gform_wrapper_70 .option-card:hover{\r\n    transform: translateY(-4px);\r\n    border-color: #cc6f3e;\r\n  }\r\n#gform_wrapper_70 .option-card.active{\r\n    border-color: #cc6f3e;\r\n    background: linear-gradient(180deg, #eaf7ff, #ffffff);\r\n  }\r\n#gform_wrapper_70 .option-title{\r\n    font-weight: 600;\r\n    color: #cc6f3e;\r\n    font-size: 18px;\r\n    margin-bottom: 10px;\r\n  }\r\n#gform_wrapper_70 .option-desc{\r\n    color: #4b5563;\r\n    font-size: 14px;\r\n    line-height: 1.5;\r\n    flex: 1;\r\n  }\r\n#gform_wrapper_70 .option-footer{\r\n    margin-top: 20px;\r\n    text-align: center;\r\n  }\r\n#gform_wrapper_70 .select-btn-insurance{\r\n    background: #cc6f3e;\r\n    color: #fff;\r\n    border: none;\r\n    padding: 10px 18px;\r\n    border-radius: 8px;\r\n    cursor: pointer;\r\n    font-weight: 600;\r\n    transition: 0.2s ease;\r\n    width: 100%;\r\n  }\r\n\r\n\/*   .select-btn-insurance:hover {\r\n    background: #095b91;\r\n  } *\/\r\n#gform_wrapper_70 @media (max-width: 768px){\r\n#gform_wrapper_70 .option-card{\r\n      flex: 1 1 100%;\r\n    }\r\n  }\r\n\r\n\/* Step css  *\/\r\n@media (min-width: 1024px) {\r\n#gform_wrapper_70 #gform_70 .gform-body{\r\n\t\tpadding-left: 2rem;\r\n\t\tpadding-right: 2rem;\r\n\t}\r\n#gform_wrapper_70 #gf_page_steps_70{ \r\n\t\tpadding-left: 2rem;\r\n        padding-right: 2rem;\r\n\t}\r\n}\r\n\r\n@media (min-width: 640px) { \r\n#gform_wrapper_70 #gform_70 .gform-body{\r\n\t\tpadding-left: 1.5rem;\r\n        padding-right: 1.5rem;\r\n\t}\r\n#gform_wrapper_70 #gf_page_steps_70{ \r\n\t\tpadding-left: 1.5rem;\r\n        padding-right: 1.5rem;\r\n\t}\r\n}\r\n\r\n@media (max-width: 768px) { \r\n#gform_wrapper_70 #gf_page_steps_70 .gf_step::after{\r\n\t\tdisplay: none;\r\n\t}\r\n#gform_wrapper_70 #gform_70 .gform_next_button, #gform_submit_button_70{\r\n\t\twidth: 100%;\r\n\t}\r\n#gform_wrapper_70 #gform_next_button_70_136{\r\n\t\twidth: 100% !important;\r\n\t}\r\n#gform_wrapper_70 #gf_page_steps_70{\r\n\t\tjustify-content: center !important\r\n\t}\r\n\t\r\n\/* \t#gform_70 .gform-body {\r\n\t\tpadding-left: 1rem;\r\n        padding-right: 1rem;\r\n\t} *\/\r\n#gform_wrapper_70 #gform_70 .gform-body .gform_page{\r\n\t\tmargin-top: 1rem;\r\n\t}\r\n#gform_wrapper_70 .gform_page .gform-page-footer{\r\n\t\tflex-direction: column !important;\r\n\t\tgap: 1rem;\r\n\t}\r\n}\r\n#gform_wrapper_70 #gf_page_steps_70{\r\n\talign-items: center;\r\n    display: flex;\r\n    justify-content: center;\r\n    padding-top: 1rem;\r\n    padding-bottom: 1rem;\r\n    margin-left: auto;\r\n    margin-right: auto;\r\n    border-bottom: none !important;\r\n    width: 100%;\r\n    max-width: 1080px;\r\n    gap: 2rem;\r\n}\r\n#gform_wrapper_70 #gf_page_steps_70 .gf_step:not(.gf_step_hidden){\r\n\tflex-direction: column;\r\n\talign-items: center;\r\n\tdisplay: flex;\r\n\tmargin: 0px;\r\n    min-width: 70px;\r\n}\r\n#gform_wrapper_70 #gform_70 .gf_step_active .gf_step_number{\r\n\t--tw-bg-opacity: 1;\r\n    background-color: rgb(230 126 34) !important;\r\n\t--tw-text-opacity: 1;\r\n    color: rgb(255 255 255 \/ var(--tw-text-opacity, 1)) !important;\r\n}\r\n#gform_wrapper_70 .gf_step_active .gf_step_label{\r\n\tfont-size: 14px;\r\n    font-weight: 600;\r\n    line-height: 16px;\r\n\t--tw-text-opacity: 1;\r\n    color: rgb(17 24 39 \/ var(--tw-text-opacity, 1)) !important;\r\n}\r\n#gform_wrapper_70 #gform_70 .gf_step_label{\r\n\tpadding-left:0px;\r\n\tfont-weight: 500;\r\n\ttext-align: center;\r\n}\r\n#gform_wrapper_70 #gform_70 .gf_step_number{\r\n\tmargin-bottom: 0.25rem;\r\n\tfont-weight: 600;\r\n\tjustify-content: center;\r\n\talign-items: center;\r\n\tdisplay: flex;\r\n\tborder: none;\r\n\t--tw-bg-opacity: 1;\r\n    background-color: rgb(209 213 219 \/ var(--tw-bg-opacity, 1));\r\n    --tw-text-opacity: 1;\r\n    color: rgb(75 85 99 \/ var(--tw-text-opacity, 1));\r\n\t width: 2rem;\r\n    height: 2rem;\r\n}\r\n#gform_wrapper_70 #gf_page_steps_70 .gf_step{\r\n  position: relative;\r\n}\r\n\r\n\/* #gf_page_steps_70 .gf_step:not(:last-child)::after {\r\n  content: \"\";\r\n  position: absolute;\r\n  top: 50%;\r\n  left: 90%;\r\n  width: 3rem;\r\n  height: 2px;\r\n  background-color: #d1d5db;\r\n  transform: translateY(-50%);\r\n}\r\n *\/\r\n#gform_wrapper_70 .gf_step_completed .gf_step_number::before{\r\n\tdisplay: none;\r\n}\r\n#gform_wrapper_70 .gf_step_completed .gf_step_number::after{\r\n\tdisplay: none;\r\n}\r\n#gform_wrapper_70 #gform_70 .gf_step_completed .gf_step_number{\r\n\t--tw-bg-opacity: 1;\r\n    background-color: rgb(52 152 219 \/ var(--tw-bg-opacity, 1));\r\n\t--tw-text-opacity: 1;\r\n    color: rgb(255 255 255 \/ var(--tw-text-opacity, 1))\r\n}\r\n#gform_wrapper_70 .repeater-field-footer .gf-repeater-field-button-add:hover{\r\n\tcolor: #fff !important;\r\n    background: rgb(230 126 34) !important;\r\n\tbox-shadow: none !important;\r\n}\r\n\r\n\/* #gform_70 .gf_step_completed:not(:last-child)::after {\r\n  content: \"\";\r\n  position: absolute;\r\n  top: 50%;\r\n  left: 125%;\r\n  width: 3rem;\r\n  height: 2px;\r\n  background-color: rgb(52 152 219);\r\n  transform: translateY(-50%);\r\n}\r\n *\/\r\n#gform_wrapper_70 .gform_next_button, #gform_submit_button_70, #gform_next_button_70_136{\r\n\twidth: auto;\r\n    font-size: 14px;\r\n    line-height: 24px;\r\n    font-weight: 600;\r\n    padding: 12px 32px !important;\r\n    border-radius: 0.5rem;\r\n    background-color: rgb(230 126 34);\r\n    margin: 0;\r\n    font-size: 16px;\r\n    font-weight: 600;\r\n    border: 0;\r\n\tmargin-left: auto;\r\n    color: #fff;\r\n\tcursor: pointer;\r\n} \r\n#gform_wrapper_70 .gform-page-footer.gform_page_footer{\r\n    padding: 0px;\r\n    margin-top: 32px;\r\n    display: flex;\r\n    justify-content: space-between;\r\n}\r\n#gform_wrapper_70 .gform_previous_button{\r\n    width: auto;\r\n    font-size: 14px;\r\n    line-height: 24px;\r\n    font-weight: 600;\r\n    padding: 12px 32px !important;\r\n    border-radius: 0.5rem;\r\n    background-color: transparent;\r\n    margin: 0;\r\n    border: 1px solid #c5c9d2;\r\n    color: #374151;\r\n    font-size: 16px;\r\n    font-weight: 600;\r\n    box-shadow: none;\r\n}<\/style><div id='gf_70' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_70' id='gform_70'  action='\/es\/wp-json\/wp\/v2\/pages\/99048#gf_70' data-formid='70' novalidate><div id='gf_page_steps_70' class='gf_page_steps'><div id='gf_step_70_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Selecciona tu Seguro<\/span><\/div><div id='gf_step_70_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Informaci\u00f3n Personal<\/span><\/div><div id='gf_step_70_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Seguro para Auto<\/span><\/div><div id='gf_step_70_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Seguro para Hogar<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_70_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_70' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_70_132\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class=\"gfield_label gform-field-label\">Selecciona tu Seguro<\/legend>\n<div class=\"options-insurance\">\n    <div class=\"option-card auto-insurance\" data-type=\"auto\">\n      <div>\n        <div class=\"option-title\">Seguro para Auto Personal<\/div>\n        <div class=\"option-desc\">\n          Cotizaci\u00f3n r\u00e1pida para cobertura de auto. Conduce protegido.\n        <\/div>\n      <\/div>\n      <div class=\"option-footer\">\n        <button type=\"button\" class=\"select-btn-insurance\">Seleccionar<\/button>\n      <\/div>\n    <\/div>\n\n    <div class=\"option-card home-insurance\" data-type=\"home\">\n      <div>\n        <div class=\"option-title\">Seguro para Hogar<\/div>\n        <div class=\"option-desc\">\n           Protege tu casa, tus pertenencias y tu responsabilidad civil. Obt\u00e9n cobertura ahora.\n        <\/div>\n      <\/div>\n      <div class=\"option-footer\">\n        <button type=\"button\" class=\"select-btn-insurance\">Seleccionar<\/button>\n      <\/div>\n    <\/div>\n\n    <div class=\"option-card both-insurance\" data-type=\"both\">\n      <div>\n        <div class=\"option-title\">Seguro para Auto y Hogar<\/div>\n        <div class=\"option-desc\">\n           \u00a1Ahorra combinando! Obt\u00e9n cobertura conjunta para tu casa y tu auto.\n        <\/div>\n      <\/div>\n      <div class=\"option-footer\">\n        <button type=\"button\" class=\"select-btn-insurance\">Seleccionar<\/button>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div><fieldset id=\"field_70_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full select-insurance gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><legend class='gfield_label gform-field-label' >Selecciona tu Seguro<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_131'>\n\t\t\t<div class='gchoice gchoice_70_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Auto'  id='choice_70_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_131_0' id='label_70_131_0' class='gform-field-label gform-field-label--type-inline'>Seguro para Auto<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Hogar'  id='choice_70_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_131_1' id='label_70_131_1' class='gform-field-label gform-field-label--type-inline'>Seguro para Hogar<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_131_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Ambos'  id='choice_70_131_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_131_2' id='label_70_131_2' class='gform-field-label gform-field-label--type-inline'>Ambos<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_70_141' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> <button type='button'  id='gform_save_70_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Guardar y continuar luego<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_70_2' class='gform_page' data-js='page-field-id-141' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_70_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_70_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half firstname-insurance field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_82'>Nombre<\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_70_82' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half lastname-insurance field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_83'>Apellido<\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_70_83' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_73\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_73'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_73' id='input_70_73' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_70_74\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_74'>Tel\u00e9fono<\/label><div class='ginput_container ginput_container_phone'><input name='input_74' id='input_70_74' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_70_135' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Atr\u00e1s'  \/> <input type='button' id='gform_next_button_70_135' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> <button type='button'  id='gform_save_70_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Guardar y continuar luego<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_70_3' class='gform_page' data-js='page-field-id-135' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_70_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_70_142\" class=\"gfield gfield--type-section gfield--input-type-section gsection auto-insurance-section field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Seguro para Auto<\/h3><\/div><div id=\"field_70_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><style>\n\/* ===== CONTENEDOR GENERAL ===== *\/\n.pricing-container {\n  display: flex;\n  justify-content: center;\n  flex-wrap: wrap;\n  gap: 24px;\n  margin: 20px 0;\n  font-family: \"Inter\", \"Segoe UI\", sans-serif;\n  position: relative;\n  overflow: visible !important;\n  z-index: 10;\n}\n\n\/* ===== TARJETAS ===== *\/\n.pricing-box {\n  background: #fff;\n  border: 1.5px solid #e0e6f0;\n  border-radius: 12px;\n  width: 280px;\n  box-shadow: 0 4px 10px rgba(0,0,0,0.05);\n  overflow: visible !important;\n  position: relative;\n  z-index: 20;\n  transition: transform 0.25s ease, box-shadow 0.25s ease;\n}\n\n.pricing-box:hover {\n  transform: translateY(-3px);\n  box-shadow: 0 6px 16px rgba(0,0,0,0.12);\n}\n\n\/* ===== CABECERA ===== *\/\n.pricing-header {\n  background: #f6f8fc;\n  color: #013766;\n  font-weight: 700;\n  font-size: 1.2rem;\n  text-align: center;\n  padding: 14px;\n  border-bottom: 1px solid #dce3f5;\n  border-radius: 12px 12px 0 0;\n}\n\n\/* ===== CONTENIDO ===== *\/\n.pricing-content {\n  padding: 18px;\n  overflow: visible !important;\n}\n\n.pricing-content ul {\n  list-style: none;\n  margin: 0;\n  padding: 0;\n}\n\n.pricing-content li {\n  background: #f9fbfd;\n  margin-bottom: 10px;\n  padding: 10px 12px;\n  border-radius: 8px;\n  font-size: 0.95rem;\n  color: #333;\n  display: flex;\n  justify-content: space-between;\n  align-items: center;\n  position: relative;\n  overflow: visible !important;\n}\n\n\/* ===== ICONO INFO ===== *\/\n.info-icon {\n  background-color: #013766;\n  color: #fff;\n  border-radius: 50%;\n  width: 20px;\n  height: 20px;\n  font-size: 12px;\n  font-weight: bold;\n  display: inline-flex;\n  justify-content: center;\n  align-items: center;\n  cursor: pointer;\n  margin-left: 8px;\n  position: relative;\n  z-index: 1000;\n  flex-shrink: 0;\n  box-shadow: 0 1px 3px rgba(0,0,0,0.25);\n  transition: all 0.2s ease;\n}\n\n.info-icon:hover {\n  background-color: #0a4d9b;\n  transform: scale(1.08);\n}\n\n\/* ===== TOOLTIP GLOBAL ===== *\/\n.info-icon .info-box {\n  position: fixed;\n  background: #fff;\n  color: #333;\n  border: 1px solid #e1e6f2;\n  border-radius: 8px;\n  box-shadow: 0 4px 12px rgba(0,0,0,0.15);\n  font-size: 0.65rem;\n  line-height: 1.4;\n  padding: 9px 11px;\n  width: 240px;\n  text-align: left;\n  white-space: normal;\n  opacity: 0;\n  visibility: hidden;\n  transform: translate(10px, -50%);\n  transition: opacity 0.25s ease, transform 0.25s ease;\n  z-index: 99999;\n}\n\n.info-icon:hover .info-box {\n  opacity: 1;\n  visibility: visible;\n  transform: translate(13px, -50%);\n}\n\n\/* Flecha *\/\n.info-icon .info-box::after {\n  content: \"\";\n  position: absolute;\n  top: 50%;\n  left: -6px;\n  transform: translateY(-50%);\n  border-width: 6px;\n  border-style: solid;\n  border-color: transparent #fff transparent transparent;\n}\n\n\/* ===== TOOLTIP DERECHA (Basic y Standard) ===== *\/\n.pricing-box:nth-child(1) .info-icon .info-box,\n.pricing-box:nth-child(2) .info-icon .info-box {\n  left: auto;\n  right: calc(100% + 10px);\n}\n\n\/* ===== TOOLTIP IZQUIERDA (Premium) ===== *\/\n.pricing-box:last-child .info-icon .info-box {\n  position: absolute !important;\n  top: 50%;\n  right: calc(100% + 10px) !important;\n  left: auto !important;\n  transform: translateY(-50%) !important;\n  z-index: 9999;\n}\n\n.pricing-box:last-child .info-icon .info-box::after {\n  content: \"\";\n  position: absolute;\n  top: 50%;\n  right: -6px;\n  transform: translateY(-50%);\n  border-width: 6px;\n  border-style: solid;\n  border-color: transparent transparent transparent #fff;\n}\n\n.pricing-box:last-child .info-icon:hover .info-box {\n  opacity: 1;\n  visibility: visible;\n  transform: translateY(-50%) !important;\n}\n\n\/* ===== BOT\u00d3N ===== *\/\n.select-btn {\n  width: 100%;\n  background-color: #013766;\n  color: #fff;\n  font-weight: 600;\n  font-size: 1rem;\n  border: none;\n  border-radius: 0 0 10px 10px;\n  padding: 14px;\n  cursor: pointer;\n  transition: background 0.2s ease;\n}\n\n.select-btn:hover {\n  background-color: #0a4d9b;\n}\n\n\/* ===== RESPONSIVE ===== *\/\n@media (max-width: 992px) {\n  .pricing-container {\n    flex-direction: column;\n    align-items: center;\n  }\n\n  .pricing-box {\n    width: 90%;\n  }\n\n  .info-icon .info-box {\n    left: 50% !important;\n    top: auto !important;\n    bottom: 125% !important;\n    transform: translateX(-50%) !important;\n    position: absolute !important;\n  }\n\n  .info-icon .info-box::after {\n    top: 100%;\n    left: 50%;\n    margin-left: -6px;\n    border-color: #fff transparent transparent transparent;\n  }\n\n  .pricing-box.premium .info-icon .info-box {\n    right: auto !important;\n    left: 50% !important;\n    top: auto !important;\n    bottom: 125% !important;\n    transform: translateX(-50%) !important;\n    position: absolute !important;\n  }\n\n  .pricing-box.premium .info-icon .info-box::after {\n    top: 100%;\n    right: auto;\n    left: 50%;\n    margin-left: -6px;\n    border-width: 6px;\n    border-style: solid;\n    border-color: #fff transparent transparent transparent;\n  }\n}\n<\/style>\n\n<legend class=\"gfield_label gform-field-label\">Selecciona un paquete<\/legend>\n\n<div class=\"pricing-container\">\n\n  <!-- B\u00c1SICO -->\n  <div class=\"pricing-box basic\">\n    <div class=\"pricing-header\">B\u00e1sico<\/div>\n    <div class=\"pricing-content\">\n      <ul>\n        <li>\n          BI\/PD: 25 | 50\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre lesiones y da\u00f1os a la propiedad causados por tu negligencia. Ejemplo: $250 \/ $500 \/ $100 = $250 000 por persona, $500 000 por accidente, $100 000 l\u00edmite de da\u00f1os a propiedad.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          UM\/UIM: 25 | 50\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Te protege si otro conductor no tiene seguro o tiene uno insuficiente. Generalmente con los mismos l\u00edmites que BI\/PD, por ejemplo: $250 \/ $500.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          MedPay: 5000\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre gastos m\u00e9dicos para ti y tus pasajeros sin importar qui\u00e9n tuvo la culpa. T\u00edpicamente $5000, puede variar en estados \u201cno-fault\u201d como MI o NJ.\n            <\/span>\n          <\/span>\n        <\/li>\n      <\/ul>\n    <\/div>\n    <div class=\"pricing-footer\">\n      <button type=\"button\" class=\"select-btn\">Seleccionar y continuar \u00bb<\/button>\n    <\/div>\n  <\/div>\n\n  <!-- EST\u00c1NDAR -->\n  <div class=\"pricing-box standard\">\n    <div class=\"pricing-header\">Est\u00e1ndar<\/div>\n    <div class=\"pricing-content\">\n      <ul>\n        <li>\n          BI\/PD: 100 | 300 | 100\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre lesiones y da\u00f1os a la propiedad causados por tu negligencia. Ejemplo: $100 \/ $300 \/ $100 = $100 000 por persona, $300 000 por accidente, $100 000 l\u00edmite de da\u00f1os a propiedad.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          UM\/UIM: 100 | 300\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Te protege si eres golpeado por un conductor sin seguro o con seguro insuficiente. Normalmente iguala los l\u00edmites de BI\/PD, por ejemplo: $100 \/ $300.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          MedPay: 5000\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Proporciona hasta $5000 para gastos m\u00e9dicos, sin importar la culpa. Puede variar en estados \u201cno-fault\u201d como MI o NJ.\n            <\/span>\n          <\/span>\n        <\/li>\n      <\/ul>\n    <\/div>\n    <div class=\"pricing-footer\">\n      <button type=\"button\" class=\"select-btn\">Seleccionar y continuar \u00bb<\/button>\n    <\/div>\n  <\/div>\n\n  <!-- PREMIUM -->\n  <div class=\"pricing-box premium\">\n    <div class=\"pricing-header\">\n      Premium\n      <span class=\"pricing-tag\">Para propietarios de vivienda<\/span>\n    <\/div>\n    <div class=\"pricing-content\">\n      <ul>\n        <li>\n          BI\/PD: 250 | 500 | 100\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre lesiones y da\u00f1os a la propiedad causados por tu negligencia. Ejemplo: $250 \/ $500 \/ $100 = $250 000 por persona, $500 000 por accidente, $100 000 l\u00edmite de da\u00f1os a propiedad.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          UM\/UIM: 250 | 500\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre tus lesiones si eres golpeado por un conductor sin seguro o con seguro insuficiente. Generalmente iguala los l\u00edmites de BI\/PD, por ejemplo: $250 \/ $500.\n            <\/span>\n          <\/span>\n        <\/li>\n        <li>\n          MedPay: 5000\n          <span class=\"info-icon\">i\n            <span class=\"info-box\">\n              Cubre hasta $5000 en gastos m\u00e9dicos, sin importar qui\u00e9n tuvo la culpa. Puede variar en estados \u201cno-fault\u201d como MI o NJ.\n            <\/span>\n          <\/span>\n        <\/li>\n      <\/ul>\n    <\/div>\n    <div class=\"pricing-footer\">\n      <button type=\"button\" class=\"select-btn\">Seleccionar y continuar \u00bb<\/button>\n    <\/div>\n  <\/div>\n<\/div>\n<\/div><fieldset id=\"field_70_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_3col gfield--width-full select-package field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><legend class='gfield_label gform-field-label' >Selecciona Paquete<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_55'>\n\t\t\t<div class='gchoice gchoice_70_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='B\u00e1sico'  id='choice_70_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_55_0' id='label_70_55_0' class='gform-field-label gform-field-label--type-inline'>Paquete B\u00e1sico<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Est\u00e1ndar'  id='choice_70_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_55_1' id='label_70_55_1' class='gform-field-label gform-field-label--type-inline'>Paquete Est\u00e1ndar<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Premium'  id='choice_70_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_55_2' id='label_70_55_2' class='gform-field-label gform-field-label--type-inline'>Paquete Premium<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_6\" class=\"gfield gfield--type-repeater_start gfield--input-type-repeater_start gfield--width-full vehicle-repeater-section field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_6'>Informaci\u00f3n del Veh\u00edculo<\/label><div class='ginput_container ginput_container_text'> <div class=\"wpforms-field-repeater-start\">\r\n\t\t\t<input type=\"hidden\" class=\"repeater-field-header-data hidden\" value=\"&lt;div class=&quot;repeater-field-header&quot;&gt;\r\n\t\t\t\t&lt;div class=&quot;repeater-field-header-title&quot;&gt;Veh&iacute;culo &lt;span class=&quot;repeater-field-header-count&quot;&gt;1&lt;\/span&gt;&lt;\/div&gt;\r\n\t\t\t\t&lt;div class=&quot;repeater-field-header-acctions&quot;&gt;\r\n\t\t\t\t\t&lt;ul&gt;\r\n\t\t\t\t\t\t&lt;li&gt;&lt;i class=&quot;repeater-icon icon-down-open repeater-field-header-acctions-toogle&quot; aria-hidden=&quot;true&quot;&gt;&lt;\/i&gt;&lt;\/li&gt;\r\n\t\t\t\t\t\t&lt;li&gt;&lt;i class=&quot;repeater-icon icon-cancel-1 repeater-field-header-acctions-remove&quot; aria-hidden=&quot;true&quot;&gt;&lt;\/i&gt;&lt;\/li&gt;\r\n\t\t\t\t\t&lt;\/ul&gt;\r\n\t\t\t\t&lt;\/div&gt;\r\n\t\t\t&lt;\/div&gt;\" \/>\r\n\t\t<\/div> <\/div><\/div><div id=\"field_70_34\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full vin-selection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_34'>VIN o Fabricante\/Modelo\/A\u00f1o<\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_70_34' class='large gfield_select'     aria-invalid=\"false\" ><option value='VIN' selected='selected'>VIN<\/option><option value='FabricanteModelo' >Fabricante\/Modelo\/A\u00f1o<\/option><\/select><\/div><\/div><div id=\"field_70_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half vin-validate vin-input field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_35'>VIN #<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_70_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half vin-validate vin-output field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible read_only_class\"  data-field-class=\"read_only_class\" ><label class='gfield_label gform-field-label' for='input_70_38'>Fabricante\/Modelo\/A\u00f1o<\/label><div class='ginput_container ginput_container_text'><input readonly name='input_38' id='input_70_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third year-MakeModel field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_19'>A\u00f1o<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_70_19' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third year-MakeModel field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_9'>Fabricante<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_70_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third year-MakeModel field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_18'>Modelo<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_70_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_70_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Da\u00f1os f\u00edsicos:<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_47'>\n\t\t\t<div class='gchoice gchoice_70_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Deducible de $500'  id='choice_70_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_47_0' id='label_70_47_0' class='gform-field-label gform-field-label--type-inline'>Deducible de $500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Deducible de $1,000'  id='choice_70_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_47_1' id='label_70_47_1' class='gform-field-label gform-field-label--type-inline'>Deducible de $1,000<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Deducible de $2,500'  id='choice_70_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_47_2' id='label_70_47_2' class='gform-field-label gform-field-label--type-inline'>Deducible de $2,500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_47_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Solo responsabilidad civil'  id='choice_70_47_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_47_3' id='label_70_47_3' class='gform-field-label gform-field-label--type-inline'>Solo responsabilidad civil<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_70_57\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Coberturas adicionales:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_70_57'><div class='gchoice gchoice_70_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='Asistencia de gr\u00faa'  id='choice_70_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_70_57_1' id='label_70_57_1' class='gform-field-label gform-field-label--type-inline'>Asistencia de gr\u00faa<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_70_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.3' type='checkbox'  value='Reembolso de renta de auto'  id='choice_70_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_70_57_2' id='label_70_57_2' class='gform-field-label gform-field-label--type-inline'>Reembolso de renta de auto<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_7\" class=\"gfield gfield--type-repeater_end gfield--input-type-repeater_end gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_7'><\/label><div class='ginput_container'><div data-initial_rows_map_check=\"\" class=\"repeater-field-warp-item-data\" data-initial_rows=\"1\" data-limit=\"5\" data-initial_rows_map=\"input_70_\" data-map_id=\"field_70_7\">\r\n\t\t\t<div class=\"repeater-field-warp-item\">\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"repeater-field-footer\"><a href=\"#\"\" class=\"gf-repeater-field-button-add\" >A\u00f1ade otro Veh\u00edculo +<\/a><\/div>\r\n\t\t\t<input data-initial_rows_map_check='' data-initial_rows_map='input_70_' data-map_id='field_70_7' name='input_7' id='input_70_7' type='hidden' value='' class='large gf-field-repeater-data hidden'    aria-invalid=\"false\" \/>\r\n\t\t\t<input type=\"hidden\" class=\"gf-field-repeater-data-html hidden\" \/>\r\n\t\t<\/div><\/div><\/div><div id=\"field_70_66\" class=\"gfield gfield--type-repeater_start gfield--input-type-repeater_start gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_66'>Informaci\u00f3n del Conductor<\/label><div class='ginput_container ginput_container_text'> <div class=\"wpforms-field-repeater-start\">\r\n\t\t\t<input type=\"hidden\" class=\"repeater-field-header-data hidden\" value=\"&lt;div class=&quot;repeater-field-header&quot;&gt;\r\n\t\t\t\t&lt;div class=&quot;repeater-field-header-title&quot;&gt;Conductor &lt;span class=&quot;repeater-field-header-count&quot;&gt;1&lt;\/span&gt;&lt;\/div&gt;\r\n\t\t\t\t&lt;div class=&quot;repeater-field-header-acctions&quot;&gt;\r\n\t\t\t\t\t&lt;ul&gt;\r\n\t\t\t\t\t\t&lt;li&gt;&lt;i class=&quot;repeater-icon icon-down-open repeater-field-header-acctions-toogle&quot; aria-hidden=&quot;true&quot;&gt;&lt;\/i&gt;&lt;\/li&gt;\r\n\t\t\t\t\t\t&lt;li&gt;&lt;i class=&quot;repeater-icon icon-cancel-1 repeater-field-header-acctions-remove&quot; aria-hidden=&quot;true&quot;&gt;&lt;\/i&gt;&lt;\/li&gt;\r\n\t\t\t\t\t&lt;\/ul&gt;\r\n\t\t\t\t&lt;\/div&gt;\r\n\t\t\t&lt;\/div&gt;\" \/>\r\n\t\t<\/div> <\/div><\/div><div id=\"field_70_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half driver-firstname field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_80'>Nombre<\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_70_80' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half driver-lastname field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_81'>Apellido<\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_70_81' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_70_59\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Fecha de nacimiento<\/legend><div id='input_70_59' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_70_59_1_container'>\n                                            <input type='number' maxlength='2' name='input_59[]' id='input_70_59_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_70_59_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_70_59_2_container'>\n                                            <input type='number' maxlength='2' name='input_59[]' id='input_70_59_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_70_59_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>D\u00eda<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_70_59_3_container'>\n                                            <input type='number' maxlength='4' name='input_59[]' id='input_70_59_3' value=''   aria-required='false'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                            <label for='input_70_59_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                                       <\/div>\n                                   <\/div><\/fieldset><div id=\"field_70_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_64'>N\u00famero de Licencia de Conducir<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_70_64' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_61\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_61'>Estado Civil<\/label><div class='ginput_container ginput_container_select'><select name='input_61' id='input_70_61' class='large gfield_select'     aria-invalid=\"false\" ><option value='Soltero(a)' >Soltero(a)<\/option><option value='Casado(a)' >Casado(a)<\/option><option value='Separado(a)' >Separado(a)<\/option><option value='Divorciado(a)' >Divorciado(a)<\/option><option value='Viudo(a)' >Viudo(a)<\/option><\/select><\/div><\/div><fieldset id=\"field_70_75\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-half field_sublabel_hidden_label gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Estado<\/legend>    \n                    <div class='ginput_complex ginput_container has_state ginput_container_address gform-grid-row' id='input_70_75' >\n                        <span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_70_75_4_container' >\n                                        <select name='input_75.4' id='input_70_75_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_70_75_4' id='input_70_75_4_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Provincia<\/label>\n                                      <\/span><input type='hidden' class='gform_hidden' name='input_75.6' id='input_70_75_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_70_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_63'>N\u00famero de Seguro Social \/ TIN<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_70_63' type='text' value='' class='medium'  aria-describedby=\"gfield_description_70_63\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_70_63'><span style=\"color: red;\">Opcional<\/span><\/div><\/div><div id=\"field_70_65\" class=\"gfield gfield--type-repeater_end gfield--input-type-repeater_end gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_65'><\/label><div class='ginput_container'><div data-initial_rows_map_check=\"\" class=\"repeater-field-warp-item-data\" data-initial_rows=\"1\" data-limit=\"5\" data-initial_rows_map=\"input_70_\" data-map_id=\"field_70_65\">\r\n\t\t\t<div class=\"repeater-field-warp-item\">\r\n\t\t\t<\/div>\r\n\t\t\t<div class=\"repeater-field-footer\"><a href=\"#\"\" class=\"gf-repeater-field-button-add\" >Additional Driver +<\/a><\/div>\r\n\t\t\t<input data-initial_rows_map_check='' data-initial_rows_map='input_70_' data-map_id='field_70_65' name='input_65' id='input_70_65' type='hidden' value='' class='large gf-field-repeater-data hidden'    aria-invalid=\"false\" \/>\r\n\t\t\t<input type=\"hidden\" class=\"gf-field-repeater-data-html hidden\" \/>\r\n\t\t<\/div><\/div><\/div><div id=\"field_70_67\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_67'>\u00bfEres propietario de tu vivienda?<\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_70_67' class='large gfield_select'     aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_70_68\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_70_68' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_70_68_1_container' >\n                                        <label for='input_70_68_1' id='input_70_68_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n donde se guarda el veh\u00edculo<\/label>\n                                        <input type='text' name='input_68.1' id='input_70_68_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_70_68_2_container' >\n                                        <label for='input_70_68_2' id='input_70_68_2_label' class='gform-field-label gform-field-label--type-sub '>Apto\/Unidad\/Piso<\/label>\n                                        <input type='text' name='input_68.2' id='input_70_68_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_70_68_3_container' >\n                                    <label for='input_70_68_3' id='input_70_68_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                    <input type='text' name='input_68.3' id='input_70_68_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_70_68_4_container' >\n                                        <label for='input_70_68_4' id='input_70_68_4_label' class='gform-field-label gform-field-label--type-sub '>Estado<\/label>\n                                        <select name='input_68.4' id='input_70_68_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_70_68_5_container' >\n                                    <label for='input_70_68_5' id='input_70_68_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo postal<\/label>\n                                    <input type='text' name='input_68.5' id='input_70_68_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_68.6' id='input_70_68_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_coords_68\" class=\"gform_hidden\" value=\"\"><\/fieldset><div id=\"field_70_144\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_144'>Compa\u00f1ia de Seguros actual<\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_70_144' class='large gfield_select'     aria-invalid=\"false\" ><option value='Progressive' >Progressive<\/option><option value='Geico' >Geico<\/option><option value='State Farm' >State Farm<\/option><option value='Allstate' >Allstate<\/option><option value='Travellers' >Travellers<\/option><option value='Liverty Mutual' >Liverty Mutual<\/option><option value='Farmers' >Farmers<\/option><option value='Country Companies' >Country Companies<\/option><option value='Bristol West' >Bristol West<\/option><option value='Dairyland' >Dairyland<\/option><option value='Sentry' >Sentry<\/option><option value='Root' >Root<\/option><option value='American Family' >American Family<\/option><option value='Ninguna' >Ninguna<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_70_145\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_145'>Nombre de la Compa\u00f1\u00eda<\/label><div class='gfield_description' id='gfield_description_70_145'>Escribe \"ninguna\", si no tienes<\/div><div class='ginput_container ginput_container_text'><input name='input_145' id='input_70_145' type='text' value='' class='large'  aria-describedby=\"gfield_description_70_145\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_79\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_79'>Fecha de inicio de cobertura<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_79' id='input_70_79' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_70_79_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_70_79_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_70_79' class='gform_hidden' value='https:\/\/farmerbrown.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_70_69\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Preguntas de Evaluaci\u00f3n de Riesgo<\/h3><\/div><div id=\"field_70_13\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_13'>\u00bfCu\u00e1ntos a\u00f1os de seguro continuo tienes?<\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_70_13' class='large gfield_select'     aria-invalid=\"false\" ><option value='0' >0<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='5+' >5+<\/option><\/select><\/div><\/div><div id=\"field_70_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_44'>\u00bfReclamos o infracciones en los \u00faltimos 5 a\u00f1os?<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_70_44' class='large gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_70_46\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_46'>Explicar:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_70_46' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_70_136' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Atr\u00e1s'  \/> <input type='button' id='gform_next_button_70_136' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Siguiente'  \/> <button type='button'  id='gform_save_70_4_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Guardar y continuar luego<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_70_4' class='gform_page' data-js='page-field-id-136' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_70_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_70_84\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Seguro de Hogar<\/h3><\/div><div id=\"field_70_146\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_146'>Tipo de Residencia<\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_70_146' class='large gfield_select'     aria-invalid=\"false\" ><option value='Soy due\u00f1o de una casa unifamiliar' >Soy due\u00f1o de una casa unifamiliar<\/option><option value='Soy due\u00f1o de una vivienda de 2 a 4 unidades' >Soy due\u00f1o de una vivienda de 2 a 4 unidades<\/option><option value='Soy due\u00f1o de un condominio' >Soy due\u00f1o de un condominio<\/option><option value='Rento un apartamento\/casa' >Rento un apartamento\/casa<\/option><\/select><\/div><\/div><div id=\"field_70_147\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_147'>Cantidad de Unidades<\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_70_147' class='large gfield_select'     aria-invalid=\"false\" ><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/div><\/div><fieldset id=\"field_70_148\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_70_148'><div class='gchoice gchoice_70_148_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_148.1' type='checkbox'  value='Marca esta si la direcci\u00f3n es la misma donde guardas el veh\u00edculo.'  id='choice_70_148_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_70_148_1' id='label_70_148_1' class='gform-field-label gform-field-label--type-inline'>Marca esta si la direcci\u00f3n es la misma donde guardas el veh\u00edculo.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_70_85\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_70_85' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_70_85_1_container' >\n                                        <label for='input_70_85_1' id='input_70_85_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n de la vivienda<\/label>\n                                        <input type='text' name='input_85.1' id='input_70_85_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_70_85_2_container' >\n                                        <label for='input_70_85_2' id='input_70_85_2_label' class='gform-field-label gform-field-label--type-sub '>Apto \/ Unidad \/ Piso (opcional)<\/label>\n                                        <input type='text' name='input_85.2' id='input_70_85_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_70_85_3_container' >\n                                    <label for='input_70_85_3' id='input_70_85_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                    <input type='text' name='input_85.3' id='input_70_85_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_70_85_4_container' >\n                                        <label for='input_70_85_4' id='input_70_85_4_label' class='gform-field-label gform-field-label--type-sub '>Estado<\/label>\n                                        <select name='input_85.4' id='input_70_85_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_70_85_5_container' >\n                                    <label for='input_70_85_5' id='input_70_85_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo Postal<\/label>\n                                    <input type='text' name='input_85.5' id='input_70_85_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_85.6' id='input_70_85_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_coords_85\" class=\"gform_hidden\" value=\"\"><\/fieldset><div id=\"field_70_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_86'>Compa\u00f1\u00eda de Seguro Actual<\/label><div class='gfield_description' id='gfield_description_70_86'>Escribe \"ninguno\" si no tienes seguro actualmente<\/div><div class='ginput_container ginput_container_text'><input name='input_86' id='input_70_86' type='text' value='' class='large'  aria-describedby=\"gfield_description_70_86\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_87\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_87'>Fecha en que se necesita<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_87' id='input_70_87' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_70_87_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_70_87_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_70_87' class='gform_hidden' value='https:\/\/farmerbrown.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_70_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_88'>A\u00f1o de construcci\u00f3n<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_70_88' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_91\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_91'>N\u00famero de pisos (sin incluir el s\u00f3tano)<\/label><div class='ginput_container ginput_container_select'><select name='input_91' id='input_70_91' class='large gfield_select'     aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='More than 3' >More than 3<\/option><\/select><\/div><\/div><fieldset id=\"field_70_90\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfLa casa tiene s\u00f3tano?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_90'>\n\t\t\t<div class='gchoice gchoice_70_90_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='S\u00ed'  id='choice_70_90_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_90_0' id='label_70_90_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_90_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_90' type='radio' value='No'  id='choice_70_90_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_90_1' id='label_70_90_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_70_89\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Tipo de construcci\u00f3n<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_89'>\n\t\t\t<div class='gchoice gchoice_70_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Ladrillo'  id='choice_70_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_89_0' id='label_70_89_0' class='gform-field-label gform-field-label--type-inline'>Ladrillo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Madera'  id='choice_70_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_89_1' id='label_70_89_1' class='gform-field-label gform-field-label--type-inline'>Madera<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_70_98\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reemplazo de Techo<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_98'>\n\t\t\t<div class='gchoice gchoice_70_98_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='S\u00ed'  id='choice_70_98_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_98_0' id='label_70_98_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_98_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='No'  id='choice_70_98_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_98_1' id='label_70_98_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_99\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_99'>A\u00f1o del Remplazo<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_70_99' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_70_100\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reemplazo de Plomer\u00eda<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_100'>\n\t\t\t<div class='gchoice gchoice_70_100_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='S\u00ed'  id='choice_70_100_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_100_0' id='label_70_100_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_100_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_100' type='radio' value='No'  id='choice_70_100_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_100_1' id='label_70_100_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_101\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_101'>A\u00f1o del Remplazo<\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_70_101' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_70_102\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reemplazo de HVAC (Calefacci\u00f3n y A\/C)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_102'>\n\t\t\t<div class='gchoice gchoice_70_102_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_102' type='radio' value='S\u00ed'  id='choice_70_102_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_102_0' id='label_70_102_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_102_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_102' type='radio' value='No'  id='choice_70_102_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_102_1' id='label_70_102_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_103\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_103'>A\u00f1o del Remplazo<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_70_103' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_70_104\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reemplazo de Sistema El\u00e9ctrico<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_104'>\n\t\t\t<div class='gchoice gchoice_70_104_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='S\u00ed'  id='choice_70_104_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_104_0' id='label_70_104_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_104_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='No'  id='choice_70_104_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_104_1' id='label_70_104_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_105\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_105'>A\u00f1o del Remplazo<\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_70_105' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_70_107\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Cobertura del Edificio<\/h3><\/div><div id=\"field_70_129\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_129'>Valor de la Vivienda<\/label><div class='ginput_container ginput_container_number'><input name='input_129' id='input_70_129' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_70_130\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_130'>Metros Cuadrados<\/label><div class='ginput_container ginput_container_number'><input name='input_130' id='input_70_130' type='text' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_70_111\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_111'>Deducible<\/label><div class='ginput_container ginput_container_select'><select name='input_111' id='input_70_111' class='large gfield_select'     aria-invalid=\"false\" ><option value='$1000' >$1000<\/option><option value='$2500' >$2500<\/option><option value='$5000' >$5000<\/option><\/select><\/div><\/div><div id=\"field_70_138\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible read_only_class\"  data-field-class=\"read_only_class\" ><label class='gfield_label gform-field-label' for='input_70_138'>Estructura Separada<\/label><div class='ginput_container ginput_container_number'><input readonly name='input_138' id='input_70_138' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_70_139\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible read_only_class\"  data-field-class=\"read_only_class\" ><label class='gfield_label gform-field-label' for='input_70_139'>Propiedad Personal<\/label><div class='ginput_container ginput_container_number'><input readonly name='input_139' id='input_70_139' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_70_140\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible read_only_class\"  data-field-class=\"read_only_class\" ><label class='gfield_label gform-field-label' for='input_70_140'>P\u00e9rdida de Uso<\/label><div class='ginput_container ginput_container_number'><input readonly name='input_140' id='input_70_140' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_70_116\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_116'>Responsabilidad Civil<\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_70_116' class='large gfield_select'     aria-invalid=\"false\" ><option value='$100,000' >$100,000<\/option><option value='$300,000' >$300,000<\/option><option value='$500,000' >$500,000<\/option><\/select><\/div><\/div><div id=\"field_70_137\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_137'>Respaldo por Drenaje<\/label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_70_137' class='large gfield_select'     aria-invalid=\"false\" ><option value='Ninguno' >Ninguno<\/option><option value='$5000' >$5000<\/option><option value='$10,000' >$10,000<\/option><option value='$25,000' >$25,000<\/option><option value='$50,000' >$50,000<\/option><\/select><\/div><\/div><div id=\"field_70_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_117'>Gastos M\u00e9dicos<\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_70_117' class='large gfield_select'     aria-invalid=\"false\" ><option value='$1000' >$1000<\/option><option value='$5000' >$5000<\/option><\/select><\/div><\/div><fieldset id=\"field_70_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfJoyas Aseguradas?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_119'>\n\t\t\t<div class='gchoice gchoice_70_119_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='S\u00ed'  id='choice_70_119_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_119_0' id='label_70_119_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_119_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_119' type='radio' value='No'  id='choice_70_119_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_119_1' id='label_70_119_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_70_143\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_70_143'>Cantidad de Joyas Aseguradas<\/label><div class='gfield_description' id='gfield_description_70_143'>Valor total de las pertenencias que superan los $2500<\/div><div class='ginput_container ginput_container_number'><input name='input_143' id='input_70_143' type='text' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_70_143\" \/><\/div><\/div><div id=\"field_70_122\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Descuentos<\/h3><\/div><fieldset id=\"field_70_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Descuento por Casa\/Auto<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_124'>\n\t\t\t<div class='gchoice gchoice_70_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='S\u00ed'  id='choice_70_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_124_0' id='label_70_124_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='No'  id='choice_70_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_124_1' id='label_70_124_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_70_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Alarma Central<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_70_123'>\n\t\t\t<div class='gchoice gchoice_70_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='S\u00ed'  id='choice_70_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_123_0' id='label_70_123_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_70_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='No'  id='choice_70_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_70_123_1' id='label_70_123_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_70' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Atr\u00e1s'  \/> <input type='submit' id='gform_submit_button_70' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Enviar'  \/> <button type='button'  id='gform_save_70_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" 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