{"id":22,"date":"2021-02-04T22:06:11","date_gmt":"2021-02-04T22:06:11","guid":{"rendered":"https:\/\/safeproins.com\/apply\/?page_id=22"},"modified":"2021-02-05T00:07:35","modified_gmt":"2021-02-05T00:07:35","slug":"builders-risk","status":"publish","type":"page","link":"https:\/\/safeproins.com\/apply\/builders-risk\/","title":{"rendered":"Builders Risk"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"22\" class=\"elementor elementor-22\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-10abaa5 elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"10abaa5\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-553cd04\" data-id=\"553cd04\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-989673e elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"989673e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-30c63ee\" data-id=\"30c63ee\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e2963e elementor-widget elementor-widget-heading\" data-id=\"5e2963e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"> BUILDERS RISK INSURANCE QUOTE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e0c55af elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e0c55af\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d6f421\" data-id=\"0d6f421\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c26bca5 elementor-widget elementor-widget-shortcode\" data-id=\"c26bca5\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_3' style='display:none'><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/apply\/wp-json\/wp\/v2\/pages\/22#gf_3'>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper'>\n            <h3 class='gf_progressbar_title'>Step 1 of 3\n        <\/h3>\n            <div class='gf_progressbar' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_3_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_3_21'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Are You?(Mark all that apply)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_21'><li class='gchoice_3_21_1'>\n\t\t\t\t\t\t\t\t<input name='input_21.1' type='checkbox'  value='General Contractor'  id='choice_3_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_21_1' id='label_3_21_1'>General Contractor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_21_2'>\n\t\t\t\t\t\t\t\t<input name='input_21.2' type='checkbox'  value='Developer'  id='choice_3_21_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_21_2' id='label_3_21_2'>Developer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_21_3'>\n\t\t\t\t\t\t\t\t<input name='input_21.3' type='checkbox'  value='Owner'  id='choice_3_21_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_21_3' id='label_3_21_3'>Owner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_21_4'>\n\t\t\t\t\t\t\t\t<input name='input_21.4' type='checkbox'  value='Tenant\/Occupant'  id='choice_3_21_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_21_4' id='label_3_21_4'>Tenant\/Occupant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_3_21_5'>\n\t\t\t\t\t\t\t\t<input name='input_21.5' type='checkbox'  value='Mortgage'  id='choice_3_21_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_21_5' id='label_3_21_5'>Mortgage<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-1-column gfmc-row-1-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_121'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_121' >Entity Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_3_121' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Individual' >Individual<\/option><option value='Partnership' >Partnership<\/option><option value='Corporation' >Corporation<\/option><option value='S-Corporation' >S-Corporation<\/option><option value='LLC' >LLC<\/option><option value='Joint Venture' >Joint Venture<\/option><\/select><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-1-column gfmc-row-1-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_122'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_122' >Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_122' id='input_3_122' type='text' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\"\/>\n                <\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-2-column gfmc-row-2-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_73'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_73' >First Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_3_73' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-2-column gfmc-row-2-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_74'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_74' >Last Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_3_74' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-2-column gfmc-row-2-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_76'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_76' >Company Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_3_76' type='text' value='' class='large' maxlength='75'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-3-column gfmc-row-3-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_80'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_80' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_80' id='input_3_80' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-3-column gfmc-row-3-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_81'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_81' >Phone Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_81' id='input_3_81' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-3-column gfmc-row-3-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_83'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_83' >Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_83' id='input_3_83' type='text' value='' class='large'    aria-invalid=\"false\"  \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-4-column gfmc-row-4-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_88'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_88' >Project Street Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_3_88' type='text' value='' class='large' maxlength='80'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-4-column gfmc-row-4-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_89'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_89' >City<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_3_89' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-5-column gfmc-row-5-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_84'  class='gfield gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_state ginput_container_address' id='input_3_84' >\n                        <span class='ginput_right address_state' id='input_3_84_4_container' >\n                                        <label for='input_3_84_4' id='input_3_84_4_label' >State<\/label>\n                                        <select name='input_84.4' id='input_3_84_4'     aria-required=\"true\"><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/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='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='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/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='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><input type='hidden' class='gform_hidden' name='input_84.6' id='input_3_84_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-5-column gfmc-row-5-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_93'  class='gfield gfield_contains_required field_sublabel_above field_description_above hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address' id='input_3_93' >\n                        <input type='hidden' class='gform_hidden' name='input_93.4' id='input_3_93_4' value=''\/><span class='ginput_right address_zip' id='input_3_93_5_container' >\n                                    <label for='input_3_93_5' id='input_3_93_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_93.5' id='input_3_93_5' value=''    aria-required=\"true\"\/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_93.6' id='input_3_93_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_3_116' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"2\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below'><li class=\"gfmc-column gfmc-column33 gfmc-row-6-column gfmc-row-6-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_125'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_125' >Number of Stories<\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_3_125' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-6-column gfmc-row-6-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_126'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_126' >Number of Building(s):<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_3_126' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-6-column gfmc-row-6-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_127'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_127' >Number of Units in the Building<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_127' id='input_3_127' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-7-column gfmc-row-7-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_128'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_128' >Total Square Footage of The Project<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_3_128' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-7-column gfmc-row-7-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_129'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_129' >Distance From Structures to Nearest Fire Station (Miles)<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_3_129' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-7-column gfmc-row-7-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_9' >Intended or Current Occupancy<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_3_9' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-8-column gfmc-row-8-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_98'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_98' >Construction Start Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_98' id='input_3_98' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_3_98_date_format' \/>\n                            <span id='input_3_98_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_98' class='gform_hidden' value='https:\/\/safeproins.com\/apply\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-8-column gfmc-row-8-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_101'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_101' >Estimated Completion Date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_101' id='input_3_101' type='text' value='' class='datepicker medium mdy datepicker_with_icon'    aria-describedby='input_3_101_date_format' \/>\n                            <span id='input_3_101_date_format' class='screen-reader-text'>Date Format: MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_101' class='gform_hidden' value='https:\/\/safeproins.com\/apply\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-8-column gfmc-row-8-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_130'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_130' >Completed Value of Building ($)<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_3_130' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-9-column gfmc-row-9-col-1-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_103'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_103' >Structure Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_3_103' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Residential' >Residential<\/option><option value='Commercial\/Retail' >Commercial\/Retail<\/option><option value='Industrial\/Mfg.' >Industrial\/Mfg.<\/option><option value='Storage' >Storage<\/option><\/select><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-9-column gfmc-row-9-col-2-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_104'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_104' >Construction Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_3_104' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='' ><\/option><option value='Frame' >Frame<\/option><option value='Joisted Masonry' >Joisted Masonry<\/option><option value='Non-Combustible Masonry' >Non-Combustible Masonry<\/option><option value='Non-Combustible Steel' >Non-Combustible Steel<\/option><option value='Fire Resistive    \t\t\t\t\t\t\t\t\t\t                  Modified Fire Resistive' >Fire Resistive    \t\t\t\t\t\t\t\t\t\t                  Modified Fire Resistive<\/option><option value='Modified Fire Resistive' >Modified Fire Resistive<\/option><\/select><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column33 gfmc-row-9-column gfmc-row-9-col-3-of-3\"><ul class=\"flex-wrapper flex-wrapper-3\"><li id='field_3_137'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_137' >Project Type<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_3_137' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='New Ground-Up Construction' >New Ground-Up Construction<\/option><option value='Remodel\/Renovation' >Remodel\/Renovation<\/option><option value='Remodel\/Renovation with Existing Structure Coverage' >Remodel\/Renovation with Existing Structure Coverage<\/option><option value='Mobile or Manufactured Home' >Mobile or Manufactured Home<\/option><\/select><\/div><\/li><\/ul><\/li><li id='field_3_106'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_106' >Describe Jobsite Security(Private security, Camera, Watch man, Lighted, fenced, ...)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_106' id='input_3_106' class='textarea medium'   maxlength='80'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_3_117' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"1\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_3_117' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_3\").val(\"3\");  jQuery(\"#gform_3\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_3_108'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_108' >is Mailing Address same as Project Address Above?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_3_108' class='large gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-10-column gfmc-row-10-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_109'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_109' >Mailing Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_3_109' type='text' value='' class='large' maxlength='80'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-10-column gfmc-row-10-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_111'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_111' >City<\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_3_111' type='text' value='' class='large' maxlength='50'     aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-11-column gfmc-row-11-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_112'  class='gfield field_sublabel_above field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_state ginput_container_address' id='input_3_112' >\n                        <span class='ginput_right address_state' id='input_3_112_4_container' >\n                                        <label for='input_3_112_4' id='input_3_112_4_label' >State<\/label>\n                                        <select name='input_112.4' id='input_3_112_4'     ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/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='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='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/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='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><input type='hidden' class='gform_hidden' name='input_112.6' id='input_3_112_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-11-column gfmc-row-11-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_113'  class='gfield field_sublabel_above field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_zip ginput_container_address' id='input_3_113' >\n                        <input type='hidden' class='gform_hidden' name='input_113.4' id='input_3_113_4' value=''\/><span class='ginput_right address_zip' id='input_3_113_5_container' >\n                                    <label for='input_3_113_5' id='input_3_113_5_label' >ZIP Code<\/label>\n                                    <input type='text' name='input_113.5' id='input_3_113_5' value=''    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_113.6' id='input_3_113_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-12-column gfmc-row-12-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_31'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_31' >Designated Contractor\u2019s Company Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_3_31' type='text' value='' class='large' maxlength='80'    aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-12-column gfmc-row-12-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_32'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_32' >CA Contractor State License Board Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_3_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-13-column gfmc-row-13-col-1-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_131'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_131' >Years of Experience in Construction Industry<\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_3_131' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><\/ul><\/li><li class=\"gfmc-column gfmc-column50 gfmc-row-13-column gfmc-row-13-col-2-of-2\"><ul class=\"flex-wrapper flex-wrapper-2\"><li id='field_3_132'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_132' >Any Loss or Claims in the Past 5 Years?<\/label><div class='ginput_container ginput_container_select'><select name='input_132' id='input_3_132' class='large gfield_select'    aria-invalid=\"false\"><option value='Yes' >Yes<\/option><option value='No' selected='selected'>No<\/option><\/select><\/div><\/li><\/ul><\/li><li id='field_3_133'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_133' >Specify<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_3_133' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_3_34'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_3_34' >Remarks:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_3_34' class='textarea medium'   maxlength='300'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_3_115'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><p style=\"color:#fff\">We will not share your information with any third party. Upon receipt of this form, we will send you a confirmation email. <\/p>\n\n<p style=\"color:#fff\">By clicking \"Submit\", I am providing written consent to being contacted by one of your insurance agents to discuss my interest at the phone and \/ or email address I have provided to you in this form<\/p>\n<\/li><li id='field_3_35'  class='gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible' ><label class='gfield_label' for='input_3_35' >CAPTCHA<\/label><div id='input_3_35' class='ginput_container ginput_recaptcha' data-sitekey='6LeNLU0aAAAAAPlGa4B2G333kpUCeQPwI5RRMG4p'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button button' value='Previous'  onclick='if(window[\"gf_submitting_3\"]){return false;}  window[\"gf_submitting_3\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} window[\"gf_submitting_3\"]=true;  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_3\"]){return false;}  window[\"gf_submitting_3\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_3\"]){return false;} window[\"gf_submitting_3\"]=true;  jQuery(\"#gform_3\").trigger(\"submit\",[true]); }' \/> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=0' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' 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