alliant.com
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20.115.232.8
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Submitted URL: https://www.alliant.com/
Effective URL: https://alliant.com/
Submission: On July 31 via manual from US — Scanned from SG
Effective URL: https://alliant.com/
Submission: On July 31 via manual from US — Scanned from SG
Form analysis 2 forms found in the DOM
/
<form class="login-modal__form elq-form" action="/">
<div class="row">
<span class="elq-label">Log in to</span>
<a class="login__list-title" href="#"><p>—Please Select an Option—</p></a>
<ul class="login__list">
<li class="login__list-item">
<a href="https://connect.alliant.com/" target="_blank">Alliant Connect</a>
</li>
<li class="login__list-item">
<a href="http://www.insurancecert.com/alliant/search.asp" target="_blank">Condo/Homeowners Association Certificates</a>
</li>
<li class="login__list-item">
<a href="https://portal.csr24.com/mvc/6228930" target="_blank">CSR24 Client Login</a>
</li>
<li class="login__list-item">
<a href="http://csucerts.alliantinsurance.com/Login.asp" target="_blank">CSURMA Vendor Certificate Tracking</a>
</li>
<li class="login__list-item">
<a href="http://www.alliantinsurance.com/Pages/Finish-Line.aspx" target="_blank">FinishLine</a>
</li>
<li class="login__list-item">
<a href="https://tribal.esolutionsclient.com/ivos/loginTribal.jsp" target="_blank">iVos</a>
</li>
<li class="login__list-item">
<a href="https://www.certigo.net/getacert/kelter-alliant/?pid=FDB12BC5-2A93-4032-9F28-C9DE24932DC8" target="_blank">Kelter Group Certificates</a>
</li>
<li class="login__list-item">
<a href="http://kasys.kelter-alliant.com/kasys/index.asp" target="_blank">PRISM Client</a>
</li>
<li class="login__list-item">
<a href="http://oasysnet.alliantinsurance.com/oasys/active/signon.asp" target="_blank">Oasys-Net</a>
</li>
<li class="login__list-item">
<a href="https://mesirowaccess.alliant.com/surety" target="_blank">SuretyNOW</a>
</li>
<li class="login__list-item">
<a href="https://wrapsoft.tanhar.com/client.php" target="_blank">WrapSoft Client</a>
</li>
<li class="login__list-item">
<a href="http://wrapsoft.tanhar.com/contractors/" target="_blank">WrapSoft Contractor</a>
</li>
</ul>
</div>
<div class="row">
<label for="user-name" class="elq-label">Username*</label>
<input class="elq-item-input" type="text" id="user-name" name="user-name" placeholder="Enter your username" autocomplete="off" required="">
</div>
<div class="row elq-field-style-item--nomargin">
<label class="elq-label" for="password">Password*</label>
<input class="elq-item-input" type="text" name="account-name" id="password" placeholder="Enter your password" autocomplete="off" required="">
</div>
<div class="row-links">
<a class="elq-form-forgotname" href="#">Forgot Username?</a>
<a class="elq-form-forgotpassword" href="#">Forgot Password?</a>
</div>
<button class="elq__form-submit button" type="submit"><span>Login</span></button>
</form>Name: System-Preferencecenter — POST https://s1503422690.t.eloqua.com/e/f2
<form method="post" name="System-Preferencecenter" action="https://s1503422690.t.eloqua.com/e/f2" id="form524" class="elq-form">
<input type="hidden" name="elqFormName" value="System-Preferencecenter">
<input type="hidden" name="elqSiteID" value="1503422690">
<input type="hidden" name="elqCustomerGUID" value="">
<input type="hidden" name="elqCookieWrite" value="0">
<div class="row">
<div class="elq-field-style" id="formElement0">
<label class="elq-label" for="fe3027"> First Name <span class="elq-required"> * </span>
</label>
<input class="elq-item-input" type="text" name="firstName" placeholder="First Name" id="fe3027" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement1">
<label class="elq-label" for="fe3028"> Last Name <span class="elq-required"> * </span>
</label>
<input class="elq-item-input" type="text" name="lastName" placeholder="Last Name" id="fe3028" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement2">
<label class="elq-label" for="fe3029"> Title </label>
<input class="elq-item-input" type="text" name="title" placeholder="Title" id="fe3029" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement3">
<label class="elq-label" for="fe3030"> Company <span class="elq-required"> * </span>
</label>
<input class="elq-item-input" type="text" name="company" placeholder="Your company" id="fe3030" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement4">
<label class="elq-label" for="fe3031"> City </label>
<input class="elq-item-input" type="text" name="city" placeholder="Your city" id="fe3031" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement5">
<label class="elq-label elq-label--small" for="fe3032">Country<span class="elq-required">*</span></label>
<div class="select"><select class="elq-item-select select" name="country" id="fe3032" data-value="~~eloqua..type--emailfield..syntax--Country~~" style="display: none;">
<option disabled="" value="Please Select">Please Select</option>
<option value="United States">United States</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Canada">Canada</option>
<option value="India">India</option>
<option value="Netherlands">Netherlands</option>
<option value="Australia">Australia</option>
<option value="South Africa">South Africa</option>
<option value="France">France</option>
<option value="Germany">Germany</option>
<option value="Singapore">Singapore</option>
<option value="Sweden">Sweden</option>
<option value="Brazil">Brazil</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba"> Bonaire, Sint Eustatius and Saba </option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="British Indian Ocean Territory"> British Indian Ocean Territory </option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic"> Central African Republic </option>
<option value="Chad">Chad</option>
<option value="Channel Islands">Channel Islands</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, the Democratic Republic of"> Congo, the Democratic Republic of </option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cura?ao">Cura?ao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories"> French Southern Territories </option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands"> Heard Island and McDonald Islands </option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea (North)">Korea (North)</option>
<option value="Korea (South)">Korea (South)</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Northern Mariana Islands"> Northern Mariana Islands </option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied"> Palestinian Territory, Occupied </option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Georgia and the South Sandwich Islands"> South Georgia and the South Sandwich Islands </option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Saint Barth?lemy">Saint Barth?lemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Sint Maarten (Dutch part)"> Sint Maarten (Dutch part) </option>
<option value="Saint Martin (French part)"> Saint Martin (French part) </option>
<option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="US Minor Outlying Islands"> US Minor Outlying Islands </option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Holy See (Vatican City State)"> Holy See (Vatican City State) </option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands (British)"> Virgin Islands (British) </option>
<option value="Virgin Islands (US)">Virgin Islands (US)</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<div class="new-select">Please Select</div>
<div class="new-select__list" style="display: none;">
<div class="new-select__item" data-value="United States"><span>United States</span></div>
<div class="new-select__item" data-value="United Kingdom"><span>United Kingdom</span></div>
<div class="new-select__item" data-value="Canada"><span>Canada</span></div>
<div class="new-select__item" data-value="India"><span>India</span></div>
<div class="new-select__item" data-value="Netherlands"><span>Netherlands</span></div>
<div class="new-select__item" data-value="Australia"><span>Australia</span></div>
<div class="new-select__item" data-value="South Africa"><span>South Africa</span></div>
<div class="new-select__item" data-value="France"><span>France</span></div>
<div class="new-select__item" data-value="Germany"><span>Germany</span></div>
<div class="new-select__item" data-value="Singapore"><span>Singapore</span></div>
<div class="new-select__item" data-value="Sweden"><span>Sweden</span></div>
<div class="new-select__item" data-value="Brazil"><span>Brazil</span></div>
<div class="new-select__item" data-value="Afghanistan"><span>Afghanistan</span></div>
<div class="new-select__item" data-value="Aland Islands"><span>Aland Islands</span></div>
<div class="new-select__item" data-value="Albania"><span>Albania</span></div>
<div class="new-select__item" data-value="Algeria"><span>Algeria</span></div>
<div class="new-select__item" data-value="American Samoa"><span>American Samoa</span></div>
<div class="new-select__item" data-value="Andorra"><span>Andorra</span></div>
<div class="new-select__item" data-value="Angola"><span>Angola</span></div>
<div class="new-select__item" data-value="Anguilla"><span>Anguilla</span></div>
<div class="new-select__item" data-value="Antarctica"><span>Antarctica</span></div>
<div class="new-select__item" data-value="Antigua and Barbuda"><span>Antigua and Barbuda</span></div>
<div class="new-select__item" data-value="Argentina"><span>Argentina</span></div>
<div class="new-select__item" data-value="Armenia"><span>Armenia</span></div>
<div class="new-select__item" data-value="Aruba"><span>Aruba</span></div>
<div class="new-select__item" data-value="Austria"><span>Austria</span></div>
<div class="new-select__item" data-value="Azerbaijan"><span>Azerbaijan</span></div>
<div class="new-select__item" data-value="Bahamas"><span>Bahamas</span></div>
<div class="new-select__item" data-value="Bahrain"><span>Bahrain</span></div>
<div class="new-select__item" data-value="Bangladesh"><span>Bangladesh</span></div>
<div class="new-select__item" data-value="Barbados"><span>Barbados</span></div>
<div class="new-select__item" data-value="Belarus"><span>Belarus</span></div>
<div class="new-select__item" data-value="Belgium"><span>Belgium</span></div>
<div class="new-select__item" data-value="Belize"><span>Belize</span></div>
<div class="new-select__item" data-value="Benin"><span>Benin</span></div>
<div class="new-select__item" data-value="Bermuda"><span>Bermuda</span></div>
<div class="new-select__item" data-value="Bhutan"><span>Bhutan</span></div>
<div class="new-select__item" data-value="Bolivia"><span>Bolivia</span></div>
<div class="new-select__item" data-value="Bonaire, Sint Eustatius and Saba"><span> Bonaire, Sint Eustatius and Saba </span></div>
<div class="new-select__item" data-value="Bosnia and Herzegovina"><span>Bosnia and Herzegovina</span></div>
<div class="new-select__item" data-value="Botswana"><span>Botswana</span></div>
<div class="new-select__item" data-value="Bouvet Island"><span>Bouvet Island</span></div>
<div class="new-select__item" data-value="British Indian Ocean Territory"><span> British Indian Ocean Territory </span></div>
<div class="new-select__item" data-value="Brunei Darussalam"><span>Brunei Darussalam</span></div>
<div class="new-select__item" data-value="Bulgaria"><span>Bulgaria</span></div>
<div class="new-select__item" data-value="Burkina Faso"><span>Burkina Faso</span></div>
<div class="new-select__item" data-value="Burundi"><span>Burundi</span></div>
<div class="new-select__item" data-value="Cambodia"><span>Cambodia</span></div>
<div class="new-select__item" data-value="Cameroon"><span>Cameroon</span></div>
<div class="new-select__item" data-value="Cape Verde"><span>Cape Verde</span></div>
<div class="new-select__item" data-value="Cayman Islands"><span>Cayman Islands</span></div>
<div class="new-select__item" data-value="Central African Republic"><span> Central African Republic </span></div>
<div class="new-select__item" data-value="Chad"><span>Chad</span></div>
<div class="new-select__item" data-value="Channel Islands"><span>Channel Islands</span></div>
<div class="new-select__item" data-value="Chile"><span>Chile</span></div>
<div class="new-select__item" data-value="China"><span>China</span></div>
<div class="new-select__item" data-value="Christmas Island"><span>Christmas Island</span></div>
<div class="new-select__item" data-value="Cocos (Keeling) Islands"><span>Cocos (Keeling) Islands</span></div>
<div class="new-select__item" data-value="Colombia"><span>Colombia</span></div>
<div class="new-select__item" data-value="Comoros"><span>Comoros</span></div>
<div class="new-select__item" data-value="Congo"><span>Congo</span></div>
<div class="new-select__item" data-value="Congo, the Democratic Republic of"><span> Congo, the Democratic Republic of </span></div>
<div class="new-select__item" data-value="Cook Islands"><span>Cook Islands</span></div>
<div class="new-select__item" data-value="Costa Rica"><span>Costa Rica</span></div>
<div class="new-select__item" data-value="Cote d'Ivoire"><span>Cote d'Ivoire</span></div>
<div class="new-select__item" data-value="Croatia"><span>Croatia</span></div>
<div class="new-select__item" data-value="Cuba"><span>Cuba</span></div>
<div class="new-select__item" data-value="Cura?ao"><span>Cura?ao</span></div>
<div class="new-select__item" data-value="Cyprus"><span>Cyprus</span></div>
<div class="new-select__item" data-value="Czech Republic"><span>Czech Republic</span></div>
<div class="new-select__item" data-value="Denmark"><span>Denmark</span></div>
<div class="new-select__item" data-value="Djibouti"><span>Djibouti</span></div>
<div class="new-select__item" data-value="Dominica"><span>Dominica</span></div>
<div class="new-select__item" data-value="Dominican Republic"><span>Dominican Republic</span></div>
<div class="new-select__item" data-value="Ecuador"><span>Ecuador</span></div>
<div class="new-select__item" data-value="Egypt"><span>Egypt</span></div>
<div class="new-select__item" data-value="El Salvador"><span>El Salvador</span></div>
<div class="new-select__item" data-value="Equatorial Guinea"><span>Equatorial Guinea</span></div>
<div class="new-select__item" data-value="Eritrea"><span>Eritrea</span></div>
<div class="new-select__item" data-value="Estonia"><span>Estonia</span></div>
<div class="new-select__item" data-value="Ethiopia"><span>Ethiopia</span></div>
<div class="new-select__item" data-value="Falkland Islands"><span>Falkland Islands</span></div>
<div class="new-select__item" data-value="Faroe Islands"><span>Faroe Islands</span></div>
<div class="new-select__item" data-value="Fiji"><span>Fiji</span></div>
<div class="new-select__item" data-value="Finland"><span>Finland</span></div>
<div class="new-select__item" data-value="French Guiana"><span>French Guiana</span></div>
<div class="new-select__item" data-value="French Polynesia"><span>French Polynesia</span></div>
<div class="new-select__item" data-value="French Southern Territories"><span> French Southern Territories </span></div>
<div class="new-select__item" data-value="Gabon"><span>Gabon</span></div>
<div class="new-select__item" data-value="Gambia"><span>Gambia</span></div>
<div class="new-select__item" data-value="Georgia"><span>Georgia</span></div>
<div class="new-select__item" data-value="Ghana"><span>Ghana</span></div>
<div class="new-select__item" data-value="Gibraltar"><span>Gibraltar</span></div>
<div class="new-select__item" data-value="Greece"><span>Greece</span></div>
<div class="new-select__item" data-value="Greenland"><span>Greenland</span></div>
<div class="new-select__item" data-value="Grenada"><span>Grenada</span></div>
<div class="new-select__item" data-value="Guadeloupe"><span>Guadeloupe</span></div>
<div class="new-select__item" data-value="Guam"><span>Guam</span></div>
<div class="new-select__item" data-value="Guatemala"><span>Guatemala</span></div>
<div class="new-select__item" data-value="Guinea"><span>Guinea</span></div>
<div class="new-select__item" data-value="Guinea-Bissau"><span>Guinea-Bissau</span></div>
<div class="new-select__item" data-value="Guyana"><span>Guyana</span></div>
<div class="new-select__item" data-value="Haiti"><span>Haiti</span></div>
<div class="new-select__item" data-value="Heard Island and McDonald Islands"><span> Heard Island and McDonald Islands </span></div>
<div class="new-select__item" data-value="Honduras"><span>Honduras</span></div>
<div class="new-select__item" data-value="Hong Kong"><span>Hong Kong</span></div>
<div class="new-select__item" data-value="Hungary"><span>Hungary</span></div>
<div class="new-select__item" data-value="Iceland"><span>Iceland</span></div>
<div class="new-select__item" data-value="Indonesia"><span>Indonesia</span></div>
<div class="new-select__item" data-value="Iran"><span>Iran</span></div>
<div class="new-select__item" data-value="Iraq"><span>Iraq</span></div>
<div class="new-select__item" data-value="Ireland"><span>Ireland</span></div>
<div class="new-select__item" data-value="Isle of Man"><span>Isle of Man</span></div>
<div class="new-select__item" data-value="Israel"><span>Israel</span></div>
<div class="new-select__item" data-value="Italy"><span>Italy</span></div>
<div class="new-select__item" data-value="Jamaica"><span>Jamaica</span></div>
<div class="new-select__item" data-value="Japan"><span>Japan</span></div>
<div class="new-select__item" data-value="Jordan"><span>Jordan</span></div>
<div class="new-select__item" data-value="Kazakhstan"><span>Kazakhstan</span></div>
<div class="new-select__item" data-value="Kenya"><span>Kenya</span></div>
<div class="new-select__item" data-value="Kiribati"><span>Kiribati</span></div>
<div class="new-select__item" data-value="Korea (North)"><span>Korea (North)</span></div>
<div class="new-select__item" data-value="Korea (South)"><span>Korea (South)</span></div>
<div class="new-select__item" data-value="Kosovo"><span>Kosovo</span></div>
<div class="new-select__item" data-value="Kuwait"><span>Kuwait</span></div>
<div class="new-select__item" data-value="Kyrgyzstan"><span>Kyrgyzstan</span></div>
<div class="new-select__item" data-value="Laos"><span>Laos</span></div>
<div class="new-select__item" data-value="Latvia"><span>Latvia</span></div>
<div class="new-select__item" data-value="Lebanon"><span>Lebanon</span></div>
<div class="new-select__item" data-value="Lesotho"><span>Lesotho</span></div>
<div class="new-select__item" data-value="Liberia"><span>Liberia</span></div>
<div class="new-select__item" data-value="Libya"><span>Libya</span></div>
<div class="new-select__item" data-value="Liechtenstein"><span>Liechtenstein</span></div>
<div class="new-select__item" data-value="Lithuania"><span>Lithuania</span></div>
<div class="new-select__item" data-value="Luxembourg"><span>Luxembourg</span></div>
<div class="new-select__item" data-value="Macao"><span>Macao</span></div>
<div class="new-select__item" data-value="Macedonia"><span>Macedonia</span></div>
<div class="new-select__item" data-value="Madagascar"><span>Madagascar</span></div>
<div class="new-select__item" data-value="Malawi"><span>Malawi</span></div>
<div class="new-select__item" data-value="Malaysia"><span>Malaysia</span></div>
<div class="new-select__item" data-value="Maldives"><span>Maldives</span></div>
<div class="new-select__item" data-value="Mali"><span>Mali</span></div>
<div class="new-select__item" data-value="Malta"><span>Malta</span></div>
<div class="new-select__item" data-value="Marshall Islands"><span>Marshall Islands</span></div>
<div class="new-select__item" data-value="Martinique"><span>Martinique</span></div>
<div class="new-select__item" data-value="Mauritania"><span>Mauritania</span></div>
<div class="new-select__item" data-value="Mauritius"><span>Mauritius</span></div>
<div class="new-select__item" data-value="Mayotte"><span>Mayotte</span></div>
<div class="new-select__item" data-value="Mexico"><span>Mexico</span></div>
<div class="new-select__item" data-value="Micronesia"><span>Micronesia</span></div>
<div class="new-select__item" data-value="Moldova"><span>Moldova</span></div>
<div class="new-select__item" data-value="Monaco"><span>Monaco</span></div>
<div class="new-select__item" data-value="Mongolia"><span>Mongolia</span></div>
<div class="new-select__item" data-value="Montenegro"><span>Montenegro</span></div>
<div class="new-select__item" data-value="Montserrat"><span>Montserrat</span></div>
<div class="new-select__item" data-value="Morocco"><span>Morocco</span></div>
<div class="new-select__item" data-value="Mozambique"><span>Mozambique</span></div>
<div class="new-select__item" data-value="Myanmar"><span>Myanmar</span></div>
<div class="new-select__item" data-value="Northern Mariana Islands"><span> Northern Mariana Islands </span></div>
<div class="new-select__item" data-value="Namibia"><span>Namibia</span></div>
<div class="new-select__item" data-value="Nauru"><span>Nauru</span></div>
<div class="new-select__item" data-value="Nepal"><span>Nepal</span></div>
<div class="new-select__item" data-value="Netherlands"><span>Netherlands</span></div>
<div class="new-select__item" data-value="Netherlands Antilles"><span>Netherlands Antilles</span></div>
<div class="new-select__item" data-value="New Caledonia"><span>New Caledonia</span></div>
<div class="new-select__item" data-value="New Zealand"><span>New Zealand</span></div>
<div class="new-select__item" data-value="Nicaragua"><span>Nicaragua</span></div>
<div class="new-select__item" data-value="Niger"><span>Niger</span></div>
<div class="new-select__item" data-value="Nigeria"><span>Nigeria</span></div>
<div class="new-select__item" data-value="Niue"><span>Niue</span></div>
<div class="new-select__item" data-value="Norfolk Island"><span>Norfolk Island</span></div>
<div class="new-select__item" data-value="Norway"><span>Norway</span></div>
<div class="new-select__item" data-value="Oman"><span>Oman</span></div>
<div class="new-select__item" data-value="Pakistan"><span>Pakistan</span></div>
<div class="new-select__item" data-value="Palau"><span>Palau</span></div>
<div class="new-select__item" data-value="Palestinian Territory, Occupied"><span> Palestinian Territory, Occupied </span></div>
<div class="new-select__item" data-value="Panama"><span>Panama</span></div>
<div class="new-select__item" data-value="Papua New Guinea"><span>Papua New Guinea</span></div>
<div class="new-select__item" data-value="Paraguay"><span>Paraguay</span></div>
<div class="new-select__item" data-value="Peru"><span>Peru</span></div>
<div class="new-select__item" data-value="Philippines"><span>Philippines</span></div>
<div class="new-select__item" data-value="Pitcairn"><span>Pitcairn</span></div>
<div class="new-select__item" data-value="Poland"><span>Poland</span></div>
<div class="new-select__item" data-value="Portugal"><span>Portugal</span></div>
<div class="new-select__item" data-value="Puerto Rico"><span>Puerto Rico</span></div>
<div class="new-select__item" data-value="Qatar"><span>Qatar</span></div>
<div class="new-select__item" data-value="Reunion"><span>Reunion</span></div>
<div class="new-select__item" data-value="Romania"><span>Romania</span></div>
<div class="new-select__item" data-value="Russia"><span>Russia</span></div>
<div class="new-select__item" data-value="Rwanda"><span>Rwanda</span></div>
<div class="new-select__item" data-value="Saint Kitts and Nevis"><span>Saint Kitts and Nevis</span></div>
<div class="new-select__item" data-value="Saint Lucia"><span>Saint Lucia</span></div>
<div class="new-select__item" data-value="Samoa"><span>Samoa</span></div>
<div class="new-select__item" data-value="San Marino"><span>San Marino</span></div>
<div class="new-select__item" data-value="Sao Tome and Principe"><span>Sao Tome and Principe</span></div>
<div class="new-select__item" data-value="Saudi Arabia"><span>Saudi Arabia</span></div>
<div class="new-select__item" data-value="Senegal"><span>Senegal</span></div>
<div class="new-select__item" data-value="Serbia"><span>Serbia</span></div>
<div class="new-select__item" data-value="Seychelles"><span>Seychelles</span></div>
<div class="new-select__item" data-value="Sierra Leone"><span>Sierra Leone</span></div>
<div class="new-select__item" data-value="Slovakia"><span>Slovakia</span></div>
<div class="new-select__item" data-value="Slovenia"><span>Slovenia</span></div>
<div class="new-select__item" data-value="Solomon Islands"><span>Solomon Islands</span></div>
<div class="new-select__item" data-value="Somalia"><span>Somalia</span></div>
<div class="new-select__item" data-value="South Georgia and the South Sandwich Islands"><span> South Georgia and the South Sandwich Islands </span></div>
<div class="new-select__item" data-value="South Sudan"><span>South Sudan</span></div>
<div class="new-select__item" data-value="Spain"><span>Spain</span></div>
<div class="new-select__item" data-value="Sri Lanka"><span>Sri Lanka</span></div>
<div class="new-select__item" data-value="Saint Barth?lemy"><span>Saint Barth?lemy</span></div>
<div class="new-select__item" data-value="Saint Helena"><span>Saint Helena</span></div>
<div class="new-select__item" data-value="Sint Maarten (Dutch part)"><span> Sint Maarten (Dutch part) </span></div>
<div class="new-select__item" data-value="Saint Martin (French part)"><span> Saint Martin (French part) </span></div>
<div class="new-select__item" data-value="Saint Pierre and Miquelon"><span> Saint Pierre and Miquelon </span></div>
<div class="new-select__item" data-value="Saint Vincent and the Grenadines"><span> Saint Vincent and the Grenadines </span></div>
<div class="new-select__item" data-value="Sudan"><span>Sudan</span></div>
<div class="new-select__item" data-value="Suriname"><span>Suriname</span></div>
<div class="new-select__item" data-value="Svalbard and Jan Mayen"><span>Svalbard and Jan Mayen</span></div>
<div class="new-select__item" data-value="Swaziland"><span>Swaziland</span></div>
<div class="new-select__item" data-value="Switzerland"><span>Switzerland</span></div>
<div class="new-select__item" data-value="Syria"><span>Syria</span></div>
<div class="new-select__item" data-value="Taiwan"><span>Taiwan</span></div>
<div class="new-select__item" data-value="Tajikistan"><span>Tajikistan</span></div>
<div class="new-select__item" data-value="Tanzania"><span>Tanzania</span></div>
<div class="new-select__item" data-value="Thailand"><span>Thailand</span></div>
<div class="new-select__item" data-value="Timor-Leste"><span>Timor-Leste</span></div>
<div class="new-select__item" data-value="Togo"><span>Togo</span></div>
<div class="new-select__item" data-value="Tokelau"><span>Tokelau</span></div>
<div class="new-select__item" data-value="Tonga"><span>Tonga</span></div>
<div class="new-select__item" data-value="Trinidad and Tobago"><span>Trinidad and Tobago</span></div>
<div class="new-select__item" data-value="Tunisia"><span>Tunisia</span></div>
<div class="new-select__item" data-value="Turkey"><span>Turkey</span></div>
<div class="new-select__item" data-value="Turkmenistan"><span>Turkmenistan</span></div>
<div class="new-select__item" data-value="Turks and Caicos Islands"><span> Turks and Caicos Islands </span></div>
<div class="new-select__item" data-value="Tuvalu"><span>Tuvalu</span></div>
<div class="new-select__item" data-value="Uganda"><span>Uganda</span></div>
<div class="new-select__item" data-value="Ukraine"><span>Ukraine</span></div>
<div class="new-select__item" data-value="United Arab Emirates"><span>United Arab Emirates</span></div>
<div class="new-select__item" data-value="US Minor Outlying Islands"><span> US Minor Outlying Islands </span></div>
<div class="new-select__item" data-value="Uruguay"><span>Uruguay</span></div>
<div class="new-select__item" data-value="Uzbekistan"><span>Uzbekistan</span></div>
<div class="new-select__item" data-value="Vanuatu"><span>Vanuatu</span></div>
<div class="new-select__item" data-value="Holy See (Vatican City State)"><span> Holy See (Vatican City State) </span></div>
<div class="new-select__item" data-value="Venezuela"><span>Venezuela</span></div>
<div class="new-select__item" data-value="Vietnam"><span>Vietnam</span></div>
<div class="new-select__item" data-value="Virgin Islands (British)"><span> Virgin Islands (British) </span></div>
<div class="new-select__item" data-value="Virgin Islands (US)"><span>Virgin Islands (US)</span></div>
<div class="new-select__item" data-value="Wallis and Futuna"><span>Wallis and Futuna</span></div>
<div class="new-select__item" data-value="Western Sahara"><span>Western Sahara</span></div>
<div class="new-select__item" data-value="Yemen"><span>Yemen</span></div>
<div class="new-select__item" data-value="Zambia"><span>Zambia</span></div>
<div class="new-select__item" data-value="Zimbabwe"><span>Zimbabwe</span></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement6">
<label class="elq-label" for="fe3033"> Email Address <span class="elq-required"> * </span>
</label>
<input class="elq-item-input" id="fe3033" type="text" name="emailAddress" placeholder="jane@company.com" value="">
</div>
</div>
<div class="row">
<div class="elq-field-style" id="formElement7">
<label class="elq-label" for="fe3034">Mobile Phone</label>
<input class="elq-item-input" type="text" name="mobilePhone" placeholder="(XXX) XXX-XXXX" id="fe3034" value="">
</div>
</div>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Alternative Risk Solutions</strong></summary><strong>
</strong>
<p></p>
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement45">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<div>
<div>
<input type="checkbox" class="checkbox-input" name="AlternativeRiskSolutions" id="group0">
<label class="checkbox-label" for="group31" onclick="handleCheckboxChange('group0')"> Alternative Risk Solutions </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>P&C Carrier Market Updates</strong></summary><strong>
</strong>
<p></p>
<div class="carrier-Market">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement22">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<div>
<div>
<input type="checkbox" class="checkbox-input" name="CM-CarrierInformation" id="group1">
<label class="checkbox-label" for="fe3159" onclick="handleCheckboxChange('group1')"> Carrier & Information </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement23">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<div>
<div>
<input type="checkbox" class="checkbox-input" name="CM-MarketInsights" id="group2">
<label class="checkbox-label" for="fe3160" onclick="handleCheckboxChange('group2')"> Market Updates & Reports </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - BEGIN Carrier & Market Updates-->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>P&C Claims & Legal Updates</strong></summary><strong>
</strong>
<p></p>
<div class="claims-Legal">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement32">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<div>
<div>
<input type="checkbox" class="checkbox-input" name="CL-GeneralCommunications" id="group3">
<label class="checkbox-label" for="fe3169" onclick="handleCheckboxChange('group3')"> General News </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement33">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="CL-Newsletter" id="group4">
<label class="checkbox-label" for="fe3170" onclick="handleCheckboxChange('group4')"> Newsletter </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - END Claims and Legal Updates -->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Cyber</strong></summary><strong>
</strong>
<p></p>
<div class="cyber">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement24">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="CY-GeneralCommunications" id="group5">
<label class="checkbox-label" for="fe3161" onclick="handleCheckboxChange('group5')"> General News </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement26">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="CY-Podcast" id="group6">
<label class="checkbox-label" for="fe3163" onclick="handleCheckboxChange('group6')"> Podcasts </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement25">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="CY-Webinar" id="group7">
<label class="checkbox-label" for="fe3162" onclick="handleCheckboxChange('group7')"> Webinars </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - END Cyber-->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Employee Benefits</strong></summary><strong>
</strong>
<p></p>
<div class="employee-Benefits">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement14">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="EB-Domestic" id="group8">
<label class="checkbox-label" for="EB-Domestic" onclick="handleCheckboxChange('group8')"> Domestic Employee Benefits </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement15">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="EB-Global" id="group9">
<label class="checkbox-label" for="EB-Global" onclick="handleCheckboxChange('group9')"> Global Employee Benefits </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Private Client</strong></summary><strong>
</strong>
<p></p>
<div class="Private-Client">
<!-- SELECT ALL - BEGIN Private Client -->
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement34">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="PC-OurPerspectiveClient" id="group10">
<label class="checkbox-label" for="fe3171" onclick="handleCheckboxChange('group10')"> Our Perspective (Client) </label>
</div>
</div>
</div>
</div>
<div id="formElement94">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="PC-OurPerspectiveRP" id="group110">
<label class="checkbox-label" for="fe3171" onclick="handleCheckboxChange('group110')"> Our Perspective (Referral Partner) </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - END Private Client -->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Property & Casualty</strong></summary><strong>
</strong>
<p></p>
<div class="professional-Liabilty">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement28">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="PropertyCasualty-Commerciallines" id="group11">
<label class="checkbox-label" for="fe3165" onclick="handleCheckboxChange('group11')"> Commercial Lines </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - END Professional-Liabilty -->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Risk Management by Industry</strong></summary><strong>
</strong>
<p></p>
<div class="risk-Management">
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement37">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Agribusiness" id="group15">
<label class="checkbox-label" onclick="handleCheckboxChange('group15')" for="fe3173"> Agribusiness </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement38">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Aviation" id="group16">
<label class="checkbox-label" onclick="handleCheckboxChange('group16')" for="group24"> Aviation </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement39">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Construction" id="group17">
<label class="checkbox-label" onclick="handleCheckboxChange('group17')" for="group25"> Construction </label>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- TODO Simon add Energy & Marine -->
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement40">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-FinancialInstitutions" id="group18">
<label class="checkbox-label" onclick="handleCheckboxChange('group18')" for="group26"> Financial Institutions </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement140">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-ForestProducts" id="group118">
<label class="checkbox-label" onclick="handleCheckboxChange('group118')" for="group26"> Forest Products </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement41">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Healthcare" id="group19">
<label class="checkbox-label" onclick="handleCheckboxChange('group19')" for="group27"> Healthcare </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement141">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Lifesciences" id="group159">
<label class="checkbox-label" onclick="handleCheckboxChange('group159')" for="group26"> Life Sciences </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement142">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-ManagementProfessional" id="group128">
<label class="checkbox-label" onclick="handleCheckboxChange('group128')" for="group26"> Management & Professional </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement142">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-MergersAcquisitions" id="group138">
<label class="checkbox-label" onclick="handleCheckboxChange('group138')" for="group26"> Mergers & Acquisitions </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement145">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Power" id="group169">
<label class="checkbox-label" onclick="handleCheckboxChange('group169')" for="group119"> Power </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement146">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-PublicEntity" id="group170">
<label class="checkbox-label" onclick="handleCheckboxChange('group170')" for="group120"> Public Entity </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement42">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-RealEstate" id="group20">
<label class="checkbox-label" onclick="handleCheckboxChange('group20')" for="group28"> Real Estate & Hospitality </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement149">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-TradeCredit" id="group180">
<label class="checkbox-label" onclick="handleCheckboxChange('group180')" for="group121"> Trade Credit </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement149">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="RM-Transportation" id="group190">
<label class="checkbox-label" onclick="handleCheckboxChange('group190')" for="group121"> Transportation </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- SELECT ALL - END Risk Management by Industry -->
<p></p>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Safety Communications</strong></summary><strong>
</strong>
<p></p>
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8">
<div class="col-sm-18 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="SC-GeneralSafetyCommunications" id="group220">
<label class="checkbox-label" onclick="handleCheckboxChange('group220')" for="SC-GeneralSafetyCommunications"> General Safety Communications </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8">
<div class="col-sm-18 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="SC-OSHARegulations" id="group230">
<label class="checkbox-label" onclick="handleCheckboxChange('group230')" for="SC-OSHARegulations"> OSHA Regulations </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</details>
<details class="row">
<p>
<strong>
</strong>
</p>
<summary><strong>Reinsurance</strong></summary><strong>
</strong>
<p></p>
<div class="row elq-form__form-checkboxes-subscription">
<div class="grid-layout-col">
<div class="layout-col col-sm-6 col-xs-12">
<div id="formElement43">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="Reinsurance" id="group22">
<label class="checkbox-label" onclick="handleCheckboxChange('group22')" for="group29"> Reinsurance </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<p></p>
</details>
<div class="row">
<div class="col">
<div class="grid-layout-col">
<div class="layout-col col-sm-12 col-xs-12">
<div id="formElement8">
<div class="col-sm-12 col-xs-12">
<div class="">
<div class="col-xs-12">
<input type="checkbox" class="checkbox-input" name="UnSubscribe" id="unsubscribe">
<label class="checkbox-label" onclick="handleCheckboxChange('unsubscribe'); unsubscribeClearElForm('form524')" for="Unsubscribe"> Unsubscribe </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- end todo -->
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ALLIANT FINANCIAL INSTITUTIONS NAMED "BROKER TEAM OF THE YEAR"
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YOUR NEW GENERATION BENEFITS PARTNER
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Widespread System Outages – July 19th, 2024
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Alliant Remains in Top 10 on Business Insurance’s World’s Largest Brokers List
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