{"id":6071,"date":"2020-09-07T07:57:18","date_gmt":"2020-09-07T05:57:18","guid":{"rendered":"http:\/\/cpa-cameroun.com\/?page_id=6071"},"modified":"2020-09-07T07:57:18","modified_gmt":"2020-09-07T05:57:18","slug":"devis-assurance-habitation","status":"publish","type":"page","link":"https:\/\/cpa-cameroun.com\/en\/devis-assurance-habitation\/","title":{"rendered":"HOME INSURANCE quote"},"content":{"rendered":"<div  class=\"content_row row vc_row wpb_row  default-style fullwidth fixed_heights rt-flex-wrapper rt-column-gaps transparent-bg has-bg-overlay rt-9374940\">\n\t<div class=\"content-row-video-overlay\" style=\"background-color:#f1f1f1\"><\/div>\n\n\t<div class=\"content_row_wrapper  default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container rt-9510187 custom_bg rt-column-container\">\n\t<div class=\"vc_column-inner rt-column-inner\">\n\t\t<div class=\"wpb_wrapper rt-wrapper\">\n\t\t\t<div class=\"rt-heading-wrapper text-left rt-8556756\">\r\n\t\t\t\t\t\t<h4 class=\"rt-heading\" >GET A HOME INSURANCE QUOTE<\/h4>\r\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n\n\t<div class=\"vc_col-sm-12 wpb_column vc_column_container rt-2781018 has-custom-margin custom-min-height custom_bg rt-column-container\" data-custom-min-height=\"500\">\n\t<div class=\"vc_column-inner rt-column-inner\">\n\t\t<div class=\"wpb_wrapper rt-wrapper\">\n\t\t\t\r\n\t<div class=\"wpb_raw_code wpb_content_element wpb_raw_html\" >\r\n\t\t<div class=\"wpb_wrapper\">\r\n\t\t\t<link href=\"\/\/fonts.googleapis.com\/css?family=Open+Sans:300,300italic,400,400italic,600,600italic,700,700italic,800,800italic&subset=cyrillic,greek,cyrillic-ext,latin-ext,latin,vietnamese,greek-ext\" rel=\"stylesheet\" type=\"text\/css\"><style>.leform-form-10 .leform-element, .leform-progress-10 {padding:10px;}.leform-progress-10 ul.leform-progress-t2,.leform-progress-10 ul.leform-progress-t2>li>span{background-color:rgba(224, 224, 224, 1);}.leform-progress-10 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style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li style='width:25.00%;'><span>2<\/span><label>Declarations specific to the fire<\/label><\/li><li style='width:25.00%;'><span>3<\/span><label>Theft-specific declaration<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-6 leform-element-label-top' data-type='text' data-deps='' data-id='6'><div class='leform-column-label'><label class='leform-label'>Names or company name<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-user-alt'><\/i><input type='text' name='leform-6' class='' placeholder='Enter your full name or your company name' autocomplete='name' data-default='' value='' aria-label='Names or company name' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-68 leform-element-label-top' data-type='text' data-deps='' data-id='68'><div class='leform-column-label'><label class='leform-label'>Address<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-68' class='' placeholder='Enter your address here' autocomplete='off' data-default='' value='' aria-label='Address' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-8 leform-element-label-top' data-type='email' data-deps='' data-id='8'><div class='leform-column-label'><label class='leform-label'>E-mail<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-envelope'><\/i><input type='email' name='leform-8' class='' placeholder='Your email address' autocomplete='email' data-default='' value='' aria-label='E-mail' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-7 leform-element-label-top' data-type='number' data-deps='' data-id='7'><div class='leform-column-label'><label class='leform-label'><\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-left'><i class='leform-icon-left fas fa-phone-volume'><\/i><input type='text' inputmode='numeric' pattern='[0-9]*' name='leform-7' class='leform-number leform-ta-left' placeholder='Your phone number' data-default='' data-min='' data-max='' data-decimal='0' data-value='' value='' aria-label='' oninput='leform_input_changed(this);' onblur='leform_number_unfocused(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-69 leform-element-label-top' data-type='text' data-deps='' data-id='69'><div class='leform-column-label'><label class='leform-label'>Activity (ies)<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-69' class='' placeholder='Enter your Activity here' autocomplete='off' data-default='' value='' aria-label='Activity (ies)' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-70 leform-element-label-top' data-type='text' data-deps='' data-id='70'><div class='leform-column-label'><label class='leform-label'>Exact location (District, City, Building, Lieu-dit)<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-70' class='' placeholder='Enter your District, City, Building, Lieu-dit' autocomplete='off' data-default='' value='' aria-label='Exact location (District, City, Building, Lieu-dit)' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-72 leform-element-label-top' data-type='checkbox' data-deps='' data-id='72'><div class='leform-column-label'><label class='leform-label'>Check the desired guarantees<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-72[]' id='leform-checkbox-pZKS2nvT4Fn669pK3-13-0' value='Incendies et risques annexes' checked='checked' data-default='on' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Fires and related risks<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-72[]' id='leform-checkbox-pZKS2nvT4Fn669pK3-13-1' value='Vol avec effraction' checked='checked' data-default='on' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Burglary<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-72[]' id='leform-checkbox-pZKS2nvT4Fn669pK3-13-2' value='Bris de glace' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Broken glass<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-72[]' id='leform-checkbox-pZKS2nvT4Fn669pK3-13-3' value='Responsabilit\u00e9 civile' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Public liability<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-72[]' id='leform-checkbox-pZKS2nvT4Fn669pK3-13-4' value='D\u00e9g\u00e2ts des eaux' checked='checked' data-default='on' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-pZKS2nvT4Fn669pK3-13-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Water damage<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-row leform-element leform-element-22' data-type='columns'><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='0'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='1'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='22' _data-parent-col='2'><div class='leform-element leform-element-24 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"next\");' data-label='Etape suivante' data-loading='Etape suivante...'><span>next step<\/span><i class='leform-icon-right leform-fa leform-fa-chevron-right'><\/i><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"leform-form leform-form-10 leform-form-lxsP4o4ftOuzIQvAR leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"lxsP4o4ftOuzIQvAR\" data-form-id=\"10\" data-title=\"ASSURANCE HABITATION\" data-page=\"3\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-10 leform-progress-lxsP4o4ftOuzIQvAR' data-page=\"3\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-passed' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>2<\/span><label>Declarations specific to the fire<\/label><\/li><li style='width:25.00%;'><span>3<\/span><label>Theft-specific declaration<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-55 leform-element-label-top' data-type='select' data-deps='73,103' data-id='55'><div class='leform-column-label'><label class='leform-label'>Quality of the applicant in relation to the building to be insured<\/label><\/div><div class='leform-column-input'><div class='leform-input'><select name='leform-55' class='' data-default='' autocomplete='off' aria-label='Quality of the applicant in relation to the building to be insured' onchange='leform_input_changed(this);' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><option value=''>Please choose a quality from the list<\/option><option value='Propri\u00e9taire '>Owner <\/option><option value='Locataire'>Tenant<\/option><\/select><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-73 leform-element-label-top' data-type='text' data-deps='' data-id='73'><div class='leform-column-label'><label class='leform-label'>Monthly rent amount<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-73' class='' placeholder='Enter the amount in FCFA' autocomplete='off' data-default='' value='' aria-label='Monthly rent amount' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-103 leform-element-label-top' data-type='text' data-deps='' data-id='103'><div class='leform-column-label'><label class='leform-label'>Building value<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-103' class='' placeholder='Enter the value of the building in FCFA here' autocomplete='off' data-default='' value='' aria-label='Building value' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-74 leform-element-label-top' data-type='radio' data-deps='' data-id='74'><div class='leform-column-label'><label class='leform-label'>Type of building materials<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><form action=\"\"><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-radio leform-radio-fa-check leform-radio-medium' type='radio' name='leform-74' id='leform-radio-zQtxwwej6Mmylabdq-15-0' value='Mat\u00e9riaux dur' checked='checked' data-default='on' onchange='leform_input_changed(this);' \/><label for='leform-radio-zQtxwwej6Mmylabdq-15-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-radio-zQtxwwej6Mmylabdq-15-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Hard materials<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-radio leform-radio-fa-check leform-radio-medium' type='radio' name='leform-74' id='leform-radio-zQtxwwej6Mmylabdq-15-1' value='Mat\u00e9riaux semi-durs' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-radio-zQtxwwej6Mmylabdq-15-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-radio-zQtxwwej6Mmylabdq-15-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Semi-hard materials<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-radio leform-radio-fa-check leform-radio-medium' type='radio' name='leform-74' id='leform-radio-zQtxwwej6Mmylabdq-15-2' value='Mat\u00e9riaux l\u00e9gers' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-radio-zQtxwwej6Mmylabdq-15-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-radio-zQtxwwej6Mmylabdq-15-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Light materials<\/label><\/div><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-75 leform-element-label-top' data-type='checkbox' data-deps='90,94' data-id='75'><div class='leform-column-label'><label class='leform-label'>Use of building (s) located less than 10 meters<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-75[]' id='leform-checkbox-qsqxNv685CJh7fMTP-16-0' value='Habitation' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Dwelling<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-75[]' id='leform-checkbox-qsqxNv685CJh7fMTP-16-1' value='Bureaux' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Offices<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-75[]' id='leform-checkbox-qsqxNv685CJh7fMTP-16-2' value='Commerce' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Trade<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-75[]' id='leform-checkbox-qsqxNv685CJh7fMTP-16-3' value='Industrie' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Industry<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-75[]' id='leform-checkbox-qsqxNv685CJh7fMTP-16-4' value='Aucun b\u00e2timent a moins de 10m' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-qsqxNv685CJh7fMTP-16-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>No building less than 10m<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-94 leform-element-label-top' data-type='text' data-deps='' data-id='94'><div class='leform-column-label'><label class='leform-label'>Type of business<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-94' class='' placeholder='Example: supermarket, perfume store' autocomplete='off' data-default='' value='' aria-label='Type of business' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-90 leform-element-label-top' data-type='text' data-deps='' data-id='90'><div class='leform-column-label'><label class='leform-label'>Industry type<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-90' class='' placeholder='Example: factory' autocomplete='off' data-default='' value='' aria-label='Industry type' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-78 leform-element-label-top' data-type='checkbox' data-deps='91,92' data-id='78'><div class='leform-column-label'><label class='leform-label'>Use of other rooms located under the same roof<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-78[]' id='leform-checkbox-5nmMarIBfDNASb7kn-17-0' value='Habitation' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Dwelling<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-78[]' id='leform-checkbox-5nmMarIBfDNASb7kn-17-1' value='Bureaux' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Offices<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-78[]' id='leform-checkbox-5nmMarIBfDNASb7kn-17-2' value='Commerce' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Trade<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-78[]' id='leform-checkbox-5nmMarIBfDNASb7kn-17-3' value='Industrie' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Industry<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-78[]' id='leform-checkbox-5nmMarIBfDNASb7kn-17-4' value='Aucun b\u00e2timent sous le m\u00eame toit' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5nmMarIBfDNASb7kn-17-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>No building under the same roof<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-91 leform-element-label-top' data-type='text' data-deps='' data-id='91'><div class='leform-column-label'><label class='leform-label'>Type of business<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-91' class='' placeholder='Example: supermarket, perfume store' autocomplete='off' data-default='' value='' aria-label='Type of business' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-92 leform-element-label-top' data-type='text' data-deps='' data-id='92'><div class='leform-column-label'><label class='leform-label'>Industry type<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-92' class='' placeholder='Example: factory' autocomplete='off' data-default='' value='' aria-label='Industry type' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-79 leform-element-label-top' data-type='checkbox' data-deps='93,96,97,98' data-id='79'><div class='leform-column-label'><label class='leform-label'>Internal aggravations<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-79[]' id='leform-checkbox-CS5O7MIaHyuzR7LUu-18-0' value='Escaliers en bois' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Wooden stairs<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-79[]' id='leform-checkbox-CS5O7MIaHyuzR7LUu-18-1' value='Plancher en bois' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Wood floor<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-79[]' id='leform-checkbox-CS5O7MIaHyuzR7LUu-18-2' value='Liquides inflammables' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Flammable liquids<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-79[]' id='leform-checkbox-CS5O7MIaHyuzR7LUu-18-3' value='Emballages combustibles' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Combustible packaging<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-79[]' id='leform-checkbox-CS5O7MIaHyuzR7LUu-18-4' value='Autres aggravations int\u00e9rieures' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-CS5O7MIaHyuzR7LUu-18-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Other internal aggravations<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-96 leform-element-label-top' data-type='text' data-deps='' data-id='96'><div class='leform-column-label'><label class='leform-label'>Flammable liquid quantity<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-96' class='' placeholder='Example: Liter' autocomplete='off' data-default='' value='' aria-label='Flammable liquid quantity' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-97 leform-element-label-top' data-type='text' data-deps='' data-id='97'><div class='leform-column-label'><label class='leform-label'>Quantity of combustible packaging<\/label><\/div><div class='leform-column-input'><div class='leform-input'><input type='text' name='leform-97' class='' placeholder='Enter in Kilogram' autocomplete='off' data-default='' value='' aria-label='Quantity of combustible packaging' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-93 leform-element-label-top' data-type='textarea' data-deps='' data-id='93'><div class='leform-column-label'><label class='leform-label'>Other domestic aggravations<\/label><\/div><div class='leform-column-input'><div class='leform-input'><textarea name='leform-93' class='' placeholder='Please enter other internal aggravations' aria-label='Other domestic aggravations' data-default='' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/textarea><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-80 leform-element-label-top' data-type='checkbox' data-deps='' data-id='80'><div class='leform-column-label'><label class='leform-label'>Security measures<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-0' value='Installation d&#039;extincteurs' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Installation of fire extinguishers<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-1' value='Nettoyage quotidien' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Daily cleaning<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-2' value='Robinet incendie arm\u00e9e' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Armed fire valve<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-3' value='Mur coupe-feu' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Fire wall<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-4' value='Equipe de s\u00e9curit\u00e9' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-4' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Security team<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-5' value='Syst\u00e8me \u00e9lectrique contr\u00f4l\u00e9' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-5' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-5' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Controlled electrical system<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-80[]' id='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-6' value='Autres mesures de s\u00e9curit\u00e9' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-6' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-Gb3rxTJBFrUUBYIKP-19-6' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Other security measures<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-98 leform-element-label-top' data-type='textarea' data-deps='' data-id='98'><div class='leform-column-label'><label class='leform-label'>Other security measures<\/label><\/div><div class='leform-column-input'><div class='leform-input'><textarea name='leform-98' class='' placeholder='Please enter other security measures' aria-label='Other security measures' data-default='' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/textarea><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-82 leform-element-html' data-type='html'><p><span style=\"color: #3366ff;\"><strong>VALUE OF PROPERTY TO BE INSURED<\/strong><\/span><\/p>\n<hr \/><div class='leform-element-cover'><\/div><\/div><div class='leform-element leform-element-84 leform-element-label-top' data-type='number' data-deps='' data-id='84'><div class='leform-column-label'><label class='leform-label leform-ta-left'>Furniture and personal effects<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-money-bill'><\/i><input type='text' inputmode='numeric' pattern='[0-9]*' name='leform-84' class='leform-number leform-ta-left' placeholder='Please enter the value of furniture and personal effects' data-default='' data-min='' data-max='' data-decimal='0' data-value='' value='' aria-label='Furniture and personal effects' oninput='leform_input_changed(this);' onblur='leform_number_unfocused(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-85 leform-element-label-top' data-type='number' data-deps='' data-id='85'><div class='leform-column-label'><label class='leform-label leform-ta-left'>Electrical appliances<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-money-bill'><\/i><input type='text' inputmode='numeric' pattern='[0-9]*' name='leform-85' class='leform-number leform-ta-left' placeholder='Please enter the value of the electrical devices' data-default='' data-min='' data-max='' data-decimal='0' data-value='' value='' aria-label='Electrical appliances' oninput='leform_input_changed(this);' onblur='leform_number_unfocused(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-86 leform-element-label-top' data-type='number' data-deps='' data-id='86'><div class='leform-column-label'><label class='leform-label leform-ta-left'>Facilities<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-icon-right'><i class='leform-icon-right fas fa-money-bill'><\/i><input type='text' inputmode='numeric' pattern='[0-9]*' name='leform-86' class='leform-number leform-ta-left' placeholder='Please enter the value of furniture and personal effects' data-default='' data-min='' data-max='' data-decimal='0' data-value='' value='' aria-label='Facilities' oninput='leform_input_changed(this);' onblur='leform_number_unfocused(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});' \/><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-row leform-element leform-element-25' data-type='columns'><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='0'><div class='leform-element leform-element-26 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"prev\");' data-label='Etape pr\u00e9c\u00e9dente' data-loading='Sending...'><i class='leform-icon-left leform-fa leform-fa-chevron-left'><\/i><span>Previous step<\/span><\/a><\/div><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='1'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='25' _data-parent-col='2'><div class='leform-element leform-element-27 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"next\");' data-label='Suivant' data-loading='Suivant....'><i class='leform-icon-left leform-fa leform-fa-check'><\/i><span>next<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"leform-form leform-form-10 leform-form-lxsP4o4ftOuzIQvAR leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"lxsP4o4ftOuzIQvAR\" data-form-id=\"10\" data-title=\"ASSURANCE HABITATION\" data-page=\"87\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-10 leform-progress-lxsP4o4ftOuzIQvAR' data-page=\"87\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-passed' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>2<\/span><label>Declarations specific to the fire<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>3<\/span><label>Theft-specific declaration<\/label><\/li><li style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-88 leform-element-label-top' data-type='checkbox' data-deps='99' data-id='88'><div class='leform-column-label'><label class='leform-label'>Theft protection<\/label><\/div><div class='leform-column-input'><div class='leform-input leform-cr-layout-2 leform-cr-layout-left'><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-88[]' id='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-0' value='Porte Blind\u00e9e' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-0' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Reinforced door<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-88[]' id='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-1' value='Gardien de s\u00e9curit\u00e9' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-1' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Security guard<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-88[]' id='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-2' value='Aucune mesure de protection' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-2' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>No protective measures<\/label><\/div><\/div><div class='leform-cr-container leform-cr-container-medium leform-cr-container-left'><div class='leform-cr-box'><input class='leform-checkbox leform-checkbox-fa-check leform-checkbox-medium' type='checkbox' name='leform-88[]' id='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-3' value='Autres mesures de protections' data-default='off' onchange='leform_input_changed(this);' \/><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/label><\/div><div class='leform-cr-label leform-ta-left'><label for='leform-checkbox-5Xm3lkSw4kUD4ujQ1-24-3' onclick='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'>Other protective measures<\/label><\/div><\/div><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-element leform-element-99 leform-element-label-top' data-type='textarea' data-deps='' data-id='99'><div class='leform-column-label'><label class='leform-label'>Other protective measures<\/label><\/div><div class='leform-column-input'><div class='leform-input'><textarea name='leform-99' class='' placeholder='Please enter the other protective measures' aria-label='Other protective measures' data-default='' oninput='leform_input_changed(this);' onfocus='jQuery(this).closest(\".leform-input\").find(\".leform-element-error\").fadeOut(300, function(){jQuery(this).remove();});'><\/textarea><\/div><label class='leform-description'><\/label><\/div><\/div><div class='leform-row leform-element leform-element-100' data-type='columns'><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='100' _data-parent-col='0'><div class='leform-element leform-element-101 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this, \"prev\");' data-label='Etape pr\u00e9c\u00e9dente' data-loading='Sending...'><i class='leform-icon-left leform-fa leform-fa-chevron-left'><\/i><span>Previous step<\/span><\/a><\/div><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='100' _data-parent-col='1'><\/div><\/div><div class='leform-col leform-col-4'><div class='leform-elements' _data-parent='100' _data-parent-col='2'><div class='leform-element leform-element-102 leform-ta-center' data-type='button'><a class='leform-button leform-button-zoom-out leform-button-full leform-button-medium' href='#' onclick='return leform_submit(this);' data-label='Envoyer' data-loading='Envoyer...'><i class='leform-icon-left leform-fa leform-fa-check'><\/i><span>To send<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"leform-form leform-form-10 leform-form-lxsP4o4ftOuzIQvAR leform-form-input-medium leform-form-icon-inside leform-form-description-bottom\" data-session=\"48\" data-collapse=\"480\" data-id=\"lxsP4o4ftOuzIQvAR\" data-form-id=\"10\" data-title=\"ASSURANCE HABITATION\" data-page=\"confirmation\" data-xd=\"on\" data-tooltip-theme=\"dark\" style=\"display:none;\"><div class=\"leform-form-inner\"><div class='leform-progress leform-progress-inside leform-progress-10 leform-progress-lxsP4o4ftOuzIQvAR' data-page=\"confirmation\"><ul class='leform-progress-t2 leform-progress-stripes'><li class='leform-progress-t2-passed' style='width:25.00%;'><span>1<\/span><label>Applicant information<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>2<\/span><label>Declarations specific to the fire<\/label><\/li><li class='leform-progress-t2-passed' style='width:25.00%;'><span>3<\/span><label>Theft-specific declaration<\/label><\/li><li class='leform-progress-t2-active' style='width:25.00%;'><span>4<\/span><label>Confirmation<\/label><\/li><\/ul><\/div><div class='leform-element leform-element-0 leform-element-html' data-type='html'><h4 style=\"text-align: center;\">CPA ASSURANCE THANKS YOU!<\/h4>\n<p style=\"text-align: center;\">We will contact you soon.<\/p><div class='leform-element-cover'><\/div><\/div><\/div><\/div><input type=\"hidden\" id=\"leform-logic-lxsP4o4ftOuzIQvAR\" value=\"{&quot;73&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:55,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Locataire&quot;}]},&quot;90&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:75,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Industrie&quot;}]},&quot;91&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:78,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Commerce&quot;}]},&quot;92&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:78,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Industrie&quot;}]},&quot;93&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:79,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Autres aggravations int\\u00e9rieures&quot;}]},&quot;94&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:75,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Commerce&quot;}]},&quot;96&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:79,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Liquides inflammables&quot;}]},&quot;97&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:79,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Emballages combustibles&quot;}]},&quot;98&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:79,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Autres aggravations int\\u00e9rieures&quot;}]},&quot;99&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:88,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Autres mesures de protections&quot;}]},&quot;103&quot;:{&quot;action&quot;:&quot;show&quot;,&quot;operator&quot;:&quot;and&quot;,&quot;rules&quot;:[{&quot;field&quot;:55,&quot;rule&quot;:&quot;is&quot;,&quot;token&quot;:&quot;Propri\\u00e9taire &quot;}]}}\" \/><\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"OBTENEZ UN DEVIS ASSURANCE HABITATION 1Informations sur le proposant2D\u00e9clarations propres \u00e0 l&#039;incendie3D\u00e9claration propre au vol4ConfirmationNoms ou raison socialeAdresseEmailActivit\u00e9(s)Localisation exacte (Quartier, Ville, Immeuble, Lieu-dit)Cocher les garanties souhait\u00e9esIncendies et risques annexesVol avec effractionBris de glaceResponsabilit\u00e9 civileD\u00e9g\u00e2ts des eauxEtape suivante1Informations sur le proposant2D\u00e9clarations propres \u00e0 l&#039;incendie3D\u00e9claration propre au vol4ConfirmationQualit\u00e9 du proposant par rapport au b\u00e2timent \u00e0 assurerVeuillez Choisir 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