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Submission: On December 05 via automatic, source certstream-suspicious — Scanned from NL
Submission: On December 05 via automatic, source certstream-suspicious — Scanned from NL
Form analysis 1 forms found in the DOM
Name: getCertificateStepOne — POST https://secure.cargocert.com/get_a_certificate_step_1/save_get_certificate_step_1/
<form id="getCertificateStepOne" name="getCertificateStepOne" method="post" action="https://secure.cargocert.com/get_a_certificate_step_1/save_get_certificate_step_1/" enctype="mutlipart/form-data">
<input type="hidden" name="cert_hash" id="cert_hash" value="">
<input type="hidden" name="insurance_type" id="insurance_type" value="cargo_insurance">
<input type="hidden" name="in_affiliate_id" id="in_affiliate_id" value="0">
<div class="form-body">
<!-- Coverage Details Section -->
<section id="coverage-details" class="coverage-details-section">
<div class="container">
<div class="row">
<div class="col-lg-12">
<div class="line-box">
<h1>Coverage Details <small>(<div class="asterisk-red">*</div> Required Fields)</small></h1>
</div>
<div class="alert alert-danger" style="display:none"><button class="close" data-close="alert"></button><span> </span></div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div id="exTab1">
<ul class="nav nav-tabs">
<li class="active"> <a href="#1" id="cargo_insurance" data-toggle="tab">Cargo Insurance</a> </li>
<li><a href="#2" id="moving_insurance" data-toggle="tab">Moving Insurance</a> </li>
</ul>
<div class="tab-content ">
<div class="tab-pane active" id="1">
<div class="row">
<div class="col-md-12">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group converter-box">
<label class="control-label col-lg-12 col-md-12 col-sm-12 col-xs-12" for="dl_value_of_goods">
<div class="row">
<a href="javascript:void(0);" onclick="javascript:load_covert_currency_popup('common_functions/currency_converter_popup','dl_value_of_goods');"><i class="fa fa-exchange" aria-hidden="true"></i> USD Converter</a>
<span class="converter-link-label"> Enter Value of Goods <div class="asterisk-red">*</div>
</span>
</div>
</label>
<div class="input-group">
<span class="input-group-addon"> <i class="fa fa-usd" aria-hidden="true"></i> </span>
<input class="form-control isNumberKey_2dec" placeholder="Value Of Goods" type="text" name="dl_value_of_goods" id="dl_value_of_goods" onkeyup="return isNumberKey(event);" tabindex="1" value="">
</div>
<span class="help-block-2 text-justify"> You must declare the full value of the goods and can add up to 10% above that for additional expenses. If you declare less than the value of the goods all claims will be penalized
by the percentage of underinsurance. (i.e. if you insure $100 and your goods are worth $200 you have underinsured by 50% and all claims will be penalized by 50% because you are deemed to be self insuring 50% of your
item). </span>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12" for="in_quantity_of_goods">
<div class="row">Quantity of Goods <div class="asterisk-red">*</div>
</div>
</label>
<input class="form-control isNumberKey" type="text" name="in_quantity_of_goods" id="in_quantity_of_goods" placeholder="Quantity of Goods" onkeyup="return isNumberKey(event);" tabindex="2" value="">
<span class="help-block-2"> (Number of packages or pieces) </span>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 attachments_docs">
<div class="form-group converter-box attachment_div" id="attachment_div">
<label class="control-label col-xs-12" for="st_attachment">
<div class="row">
<span>Attach File <div class="asterisk-red" style="display:none;">*</div></span>
</div>
</label>
<div class="col-md-12">
<div class="row">
<label class="form-control"> <input type="file" id="st_attachment" class="custom-file-input" name="st_attachment" tabindex="3"> <span class="custom-file-control"></span> </label><!-- onblur="disable_popup()" -->
<span class="help-block-2 text-justify"> For commercial shipments or new goods, please attach the commercial invoice for the goods, for personal effects please upload an inventory list with valuation estimate per item,
or alternatively use our popup form. <br> (Upload a .xls, .xlsx, .pdf file, 10MB Maximum) </span>
</div>
</div>
<input type="hidden" name="st_attachment_old" id="st_attachment_old" value="">
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group" id="image_div">
<label class="control-label col-md-12" for="st_image_name">
<div class="row">Attach Images <div class="asterisk-red" style="display:none;">*</div>
</div>
</label>
<div class="col-md-12">
<div class="row">
<label class="form-control"> <input id="st_image_name" class="custom-file-input st_image_name" name="st_image_name[]" tabindex="4" type="file" multiple=""> <span class="custom-file-control"></span> </label>
<span class="help-block-2 text-justify "> If you are shipping a vehicle, used goods or personal effects, photographic evidence of condition before shipment is recommended as proof of prior condition. Please take the
time to upload a few photos. <br> (Upload a .png, .jpg, 10MB Maximum) </span>
<input type="hidden" name="old_image_count" id="old_image_count" value="0"> <!-- /* upgrade */ -->
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="tab-pane " id="2">
<div class="row">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12">
<div class="row">Size of house/apartment you are moving out of <div class="asterisk-red">*</div>
</div>
</label>
<div class="custom-select">
<!-- <select class="form-control" name="apartment_size" id="apartment_size" onchange="calculate_tot_value()" tabindex="5">
<option value="" ></option>
<option value="1" >1 </option>
<option value="2" >2 </option>
<option value="3" >3 </option>
<option value="4" >4 </option>
<option value="5" >5 </option>
<option value="6" >6 </option>
<option value="7" >7 </option>
</select> -->
<select name="apartment_size" id="apartment_size" class="form-control" onchange="calculate_tot_value()" tabindex="5">
<option value="">Select Size of House</option>
<option value="1">1 bedroom</option>
<option value="2">2 bedrooms</option>
<option value="3">3 bedrooms</option>
<option value="4">4 bedrooms</option>
<option value="5">5 bedrooms</option>
<option value="6">6 bedrooms</option>
<option value="7">7 bedrooms</option>
</select>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-11">
<div class="form-group">
<label class="control-label col-lg-12 col-md-12 col-ms-12 col-xs-12">
<div class="row"><strong>Base Valuation</strong> </div>
</label>
<div class="input-group">
<span class="input-group-addon"> <i class="fa fa-usd" aria-hidden="true"></i> </span>
<input class="form-control" placeholder="Base Valuation" type="text" name="rooms_total" id="rooms_total" readonly="readonly" value="0" tabindex="6">
</div>
</div>
</div>
<div class="value_attributes"><strong>+</strong></div>
<div class="col-lg-3 col-md-3 col-sm-3 col-xs-11">
<div class="form-group">
<label class="control-label col-lg-12 col-md-12 col-ms-12 col-xs-12">
<div class="row"><strong>High Value Items</strong> </div>
</label>
<div class="input-group">
<span class="input-group-addon"> <i class="fa fa-usd" aria-hidden="true"></i> </span>
<input class="form-control" placeholder="High Value Items" type="text" name="goods_total" id="goods_total" readonly="readonly" value="0" tabindex="7">
</div>
</div>
</div>
<div class="value_attributes"><strong>=</strong></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-11">
<div class="form-group">
<label class="control-label col-lg-12 col-md-12 col-ms-12 col-xs-12">
<div class="row"><strong>Total Value </strong> </div>
</label>
<div class="input-group"> <span class="input-group-addon"> <i class="fa fa-usd" aria-hidden="true"></i> </span>
<input class="form-control" placeholder="Total Value" type="text" name="enter_value_of_goods" id="enter_value_of_goods" readonly="readonly" value="0.00" tabindex="8">
</div>
</div>
</div>
</div>
<hr>
<div class="row">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<p class="text-center"> <strong>Instructions & Rules:</strong> </p>
<p><strong>Step 1:</strong> Select the number of <strong>bedrooms</strong> in the house you are moving <strong>FROM</strong>. Our system will use an automatic calculation of value for your home for all non-furniture items worth
$250.00 or less as the base value and furniture items worth $1,000 or less. This value is based on industry statistics and is for the entire value of items in a home with that many bedrooms excluding high value items, so
please do not worry about other rooms beyond bedrooms.</p>
<p><strong>Step 2:</strong> Add individual items you want to insure for more than <strong>$250.00 for non-furniture items and $1,000 for furniture items</strong> individually below by selecting the item type, condition, and
preferably adding a photo of the item. (You can take one photo showing a few items and use that photo for each one as you add it). Items not added will not be covered for more than $250.00 in value. You can add as many items
as you need up to a maximum of $150,000 per certificate.</p>
<p class="text-center"><strong>Our formula:</strong></p>
<p class="text-center">Base Bedroom Value + High Value Items = Total Sum Insured</p>
<p class="small-text"><em>Note: It is extremely important to select the correct number of bedrooms for base valuation. If you declare less bedrooms claims will be penalized by the percentage under-insured (in insurance it is
called a co-insurance or underinsurance penalty. For example, if you have 2 bedrooms and declare 1, claims will be paid at 50% because you only insured half of the business.</em></p>
</div>
</div>
<hr>
<div class="row">
<div class="col-md-12">
<p class="text-center"><strong>High Value Items</strong></p>
<!-- <div class="form-group"> <a href="javascript:;" class="add_more" data-control="upload_package_list" tabindex="9">Add More</a> </div> -->
</div>
</div>
<div class="row upload_package_list_main_div">
<div class="col-md-12 upload_package_list_div upload_package_list_clonnable_div">
<div class="row">
<div class="row">
<div class="col-lg-12">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12">
<div class="row"> Item Type <div class="asterisk-red">*</div>
</div>
</label>
<div class="custom-select">
<select class="form-control item_type" name="item_type[]" id="item_type[]" onchange="check_limits($(this))" tabindex="10">
<option value=""> Select Item Type </option>
<option value="1" data-limit="3500">Appliance </option>
<option value="2" data-limit="1500">General Item </option>
<option value="3" data-limit="1000">Breakable/Fragile </option>
<option value="4" data-limit="5000">Furniture </option>
</select>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12">
<div class="row"> Item <div class="asterisk-red">*</div>
</div>
</label>
<input class="form-control item_name" placeholder="Item " type="text" name="item_name[]" id="item_name[]" value="" tabindex="11">
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12">
<div class="row"> Condition <div class="asterisk-red">*</div>
</div>
</label>
<div class="custom-select">
<select class="form-control condition" name="condition[]" id="condition[]" tabindex="12">
<option value="" selected="selected">Select Condition </option>
<option value="1">Excellent </option>
<option value="2">Good </option>
<option value="3">Fair </option>
<option value="4">Poor </option>
</select>
</div>
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-lg-12 col-md-12 col-ms-12 col-xs-12">
<div class="row"> Enter Value of Goods <div class="asterisk-red">*</div>
<small class="limit_span"></small>
</div>
</label>
<div class="input-group"> <span class="input-group-addon"> <i class="fa fa-usd" aria-hidden="true"></i> </span>
<input class="form-control isNumberKey_2dec goods_value value_good" onblur="calculate_tot_value()" placeholder="Enter Value of Goods" type="text" name="value_good[]" id="value_good[]" value="" min="1" max=""
tabindex="13"> <!-- /* upgrade */ -->
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="row">
<div class="col-lg-12">
<div class="form-group">
<label class="control-label col-md-12">
<div class="row"> Upload Goods Image </div>
</label>
<div class="col-md-12">
<div class="row">
<div class="uploaded-image" style="display:none;">
</div>
<div class="col-lg-10 col-md-10 col-sm-12 col-xs-12" style="">
<div class="row upload-box">
<label class="form-control">
<input id="attachments[]" name="attachments[]" class="custom-file-input moving_attachement_img" aria-required="true" type="file" tabindex="14">
<span class="custom-file-control"></span>
</label>
<span class="help-block-2">If you do not upload an image as proof of condition prior to shipment, the item will be covered for a total loss or constructive total loss only (risks covered do not change if
you do not upload an image, rather the coverage trigger becomes total loss of the item because we have no evidence of condition prior to shipment and cannot cover partial losses without proof of
condition). <br> (Upload a .jpg, .jpeg, .png, .gif file, 10MB Maximum) </span>
<input type="hidden" name="st_attachment_name[]" id="st_attachment_name[]" class="st_attachment_name" value="">
</div>
</div>
<div class="pull-left m-t-15-from991">
<a href="javascript:;" class="remove" data-control="upload_package_list" tabindex="15">Remove </a>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<input type="hidden" value="" name="item_id[]" id="item_id[]" class="item_id">
</div>
<!--<div class="row"><div class="col-lg-12"><hr/></div></div>-->
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group"> <a href="javascript:;" class="add_more" data-control="upload_package_list" tabindex="9">Add More</a> </div>
</div>
</div>
<!-- End Clonnable div -->
</div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="row">
<div class="custom-row ">
<div class="custom-row-2">
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12" for="in_transport_mode">
<div class="row">Select Transport Mode <div class="asterisk-red">*</div>
</div>
</label>
<div class="custom-select">
<select name="in_transport_mode" id="in_transport_mode" class="form-control" tabindex="26">
<option value="">Select Transport Mode</option>
<option value="1">Air</option>
<option value="2">Ocean</option>
<option value="3">Ground</option>
</select>
</div>
</div>
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12" for="in_sub_commodity_id">
<div class="row">Select Your Commodity Type <div class="asterisk-red">*</div>
</div>
</label>
<div class="custom-select" id="commodity_div">
<select name="in_sub_commodity_id" id="in_sub_commodity_id" class="form-control" tabindex="27">
<option value="" data-attachment="">Select Commodity Type</option>
<option value="1" data-attachment="0" data-image="0" data-imgnote="">Aircraft Parts & Accessories</option>
<option value="37" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Antiques</option>
<option value="36" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Artwork (decorative)</option>
<option value="41" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Artwork (Fine Art)</option>
<option value="59" data-attachment="0" data-image="0" data-imgnote="">ATVs (4 wheeler, side by side, similar)</option>
<option value="2" data-attachment="0" data-image="0" data-imgnote="">Auto Parts & Accessories</option>
<option value="67" data-attachment="0" data-image="0" data-imgnote="">Backhoes / Bulldozer</option>
<option value="38" data-attachment="0" data-image="0" data-imgnote="">Bath Fixtures</option>
<option value="4" data-attachment="0" data-image="0" data-imgnote="">Bicycle Parts & Similar (boxed)</option>
<option value="51" data-attachment="0" data-image="0" data-imgnote="">Blu-Rays / CDs / DVDs</option>
<option value="3" data-attachment="0" data-image="0" data-imgnote="">Boat Supplies, Parts & Equipment</option>
<option value="61" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Boats up to 25 feet</option>
<option value="5" data-attachment="0" data-image="0" data-imgnote="">Books, Magazines, Paper, Printed Matter</option>
<option value="6" data-attachment="0" data-image="0" data-imgnote="">Cables & Electrical Supplies</option>
<option value="7" data-attachment="0" data-image="0" data-imgnote="">Canned Goods</option>
<option value="60" data-attachment="0" data-image="0" data-imgnote="">Cars & Light Trucks</option>
<option value="68" data-attachment="0" data-image="0" data-imgnote="">Cement Trucks</option>
<option value="39" data-attachment="0" data-image="0" data-imgnote="">Ceramics</option>
<option value="10" data-attachment="0" data-image="0" data-imgnote="">Clothing & Wearing Apparel</option>
<option value="48" data-attachment="0" data-image="0" data-imgnote="">Cologne, Perfume & Cosmetics (breakable packaging)</option>
<option value="8" data-attachment="0" data-image="0" data-imgnote="">Cologne, Perfumes & Cosmetics (non breakable packing)</option>
<option value="52" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Computer Hardware or Software (Excluding Laptops, memory chips, processors)</option>
<option value="86" data-attachment="0" data-image="0" data-imgnote="">Consol Freight Temp. Control</option>
<option value="9" data-attachment="0" data-image="0" data-imgnote="">Construction Materials & Supplies, Cement and Aggr</option>
<option value="53" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Consumer Electronics (excluding laptops, cell phon</option>
<option value="69" data-attachment="0" data-image="0" data-imgnote="">Cranes</option>
<option value="11" data-attachment="0" data-image="0" data-imgnote="">Dry Foodstuffs, Non-Alcoholic Drinks & Beverages</option>
<option value="70" data-attachment="0" data-image="0" data-imgnote="">Dump Trucks</option>
<option value="12" data-attachment="0" data-image="0" data-imgnote="">Dyes, Inks, Paints (non-flammable)</option>
<option value="13" data-attachment="0" data-image="0" data-imgnote="">Fabrics & Cloths</option>
<option value="14" data-attachment="0" data-image="0" data-imgnote="">Fertilizers (non-hazardous)</option>
<option value="15" data-attachment="0" data-image="0" data-imgnote="">Film</option>
<option value="32" data-attachment="0" data-image="0" data-imgnote="">Flatware (non precious)</option>
<option value="16" data-attachment="0" data-image="0" data-imgnote="">Floor Coverings (excluding ceramics or stone)</option>
<option value="54" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Gaming Consoles</option>
<option value="42" data-attachment="0" data-image="0" data-imgnote="">Glass / Windows</option>
<option value="62" data-attachment="0" data-image="0" data-imgnote="">Golf Carts</option>
<option value="71" data-attachment="0" data-image="0" data-imgnote="">Graders</option>
<option value="43" data-attachment="0" data-image="0" data-imgnote="">Granite</option>
<option value="17" data-attachment="0" data-image="0" data-imgnote="">Hardware & Tools (non-electronics)</option>
<option value="72" data-attachment="0" data-image="0" data-imgnote="">Heavy Machinery</option>
<option value="18" data-attachment="0" data-image="0" data-imgnote="">Hides & Skins (industrial only)</option>
<option value="19" data-attachment="0" data-image="0" data-imgnote="">Household Supplies (cleaning, storage)</option>
<option value="55" data-attachment="1" data-image="0" data-imgnote="">Industrial Electronics</option>
<option value="20" data-attachment="0" data-image="0" data-imgnote="">Industrial Equipment & Supplies (non oversized)</option>
<option value="84" data-attachment="0" data-image="0" data-imgnote="">Inland Australia(Consol Freight)</option>
<option value="87" data-attachment="0" data-image="0" data-imgnote="">Inland New Zealand(Consol Freight)</option>
<option value="63" data-attachment="0" data-image="0" data-imgnote="">Jetski</option>
<option value="44" data-attachment="0" data-image="0" data-imgnote="">Lamps / Light Fixtures</option>
<option value="22" data-attachment="0" data-image="0" data-imgnote="">Lawn & Garden Equipment</option>
<option value="64" data-attachment="0" data-image="0" data-imgnote="">Lawn Tractor</option>
<option value="56" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">LCD / LED Televisions, Monitors & Similar (no plas</option>
<option value="21" data-attachment="0" data-image="0" data-imgnote="">Luggage</option>
<option value="45" data-attachment="0" data-image="0" data-imgnote="">Marble</option>
<option value="85" data-attachment="1" data-image="1" data-imgnote="Equipment for doctor's offices, hospitals and laboratories">Medical and Laboratory Equipment</option>
<option value="81" data-attachment="0" data-image="0" data-imgnote="">Medical Supplies</option>
<option value="23" data-attachment="0" data-image="0" data-imgnote="">Metals, Steel, Iron Ore (non precious or semi prec</option>
<option value="46" data-attachment="0" data-image="0" data-imgnote="">Mirrors</option>
<option value="65" data-attachment="0" data-image="0" data-imgnote="">Motorcycles</option>
<option value="76" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing or use our POP UP FORM">MOVING - Commercial Office (Personal Effects Equiv</option>
<option value="80" data-attachment="0" data-image="0" data-imgnote="">New Furniture Non-glass</option>
<option value="77" data-attachment="0" data-image="0" data-imgnote="">New Kitchen & Home Appliances (Washer/Dryer, dishwasher, water heater,etc.)</option>
<option value="25" data-attachment="0" data-image="0" data-imgnote="">Pet Supplies, Dry & Canned Pet Food</option>
<option value="24" data-attachment="0" data-image="0" data-imgnote="">Petroleum Products</option>
<option value="26" data-attachment="0" data-image="0" data-imgnote="">Pharmaceuticals / Medicines / Dietary Supplements</option>
<option value="27" data-attachment="0" data-image="0" data-imgnote="">Photo Equipment / Supplies</option>
<option value="50" data-attachment="0" data-image="0" data-imgnote="">Plasma Televisions</option>
<option value="28" data-attachment="0" data-image="0" data-imgnote="">Plastic / Rubber Items / Widgets</option>
<option value="29" data-attachment="0" data-image="0" data-imgnote="">Restaurant Supplies</option>
<option value="57" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Robotics</option>
<option value="30" data-attachment="0" data-image="0" data-imgnote="">Rugs / Carpets</option>
<option value="31" data-attachment="0" data-image="0" data-imgnote="">Shoes / Footwear</option>
<option value="47" data-attachment="0" data-image="0" data-imgnote="">Stone Slabs & Tiles</option>
<option value="40" data-attachment="0" data-image="0" data-imgnote="">Tableware (Plates, dishes - non china)</option>
<option value="33" data-attachment="0" data-image="0" data-imgnote="">Textiles / Fabrics</option>
<option value="34" data-attachment="0" data-image="0" data-imgnote="">Tires / Wheels</option>
<option value="73" data-attachment="0" data-image="0" data-imgnote="">Tractor Trailers</option>
<option value="66" data-attachment="0" data-image="0" data-imgnote="">Utility Trailers & Similar</option>
<option value="58" data-attachment="1" data-image="1" data-imgnote="You Must add photos of items and packing">Video Games</option>
<option value="74" data-attachment="0" data-image="0" data-imgnote="">Wheeled Heavy Operating Equipment</option>
<option value="49" data-attachment="0" data-image="0" data-imgnote="">Wine / Beer / Spirits</option>
<option value="35" data-attachment="0" data-image="0" data-imgnote="">Wood / Plywood / Lumber / Logs / Pulp</option>
</select>
</div>
</div>
</div>
</div>
<div class="custom-row-2">
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12">
<div class="form-group">
<label class="control-label col-md-12" for="st_email_address">
<div class="row">Email Address <div class="asterisk-red">*</div>
</div>
</label>
<input name="st_email_address" id="st_email_address" class="form-control" placeholder="Email Address" type="text" tabindex="28" maxlength="254" value="">
</div>
</div>
</div>
</div>
<!-- /* additional question */ -->
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-12 in_is_goods_packed_by_professional_div" style="display:none;">
<div class="form-group">
<label class="control-label col-md-12" for="in_is_goods_packed_by_professional_company_yes">
<div class="row">Were Goods Packed by Professional Moving Company? <div class="asterisk-red">*</div>
</div>
</label>
<div class="col-lg-12">
<div class="row">
<div class="default-radio-btn">
<input type="radio" class="in_is_goods_packed_by_professional_company" name="in_is_goods_packed_by_professional_company" id="in_is_goods_packed_by_professional_company_yes" value="1">
<label for="in_is_goods_packed_by_professional_company_yes">Yes</label>
</div>
<div class="default-radio-btn">
<input type="radio" class="in_is_goods_packed_by_professional_company" name="in_is_goods_packed_by_professional_company" id="in_is_goods_packed_by_professional_company_no" value="0">
<label for="in_is_goods_packed_by_professional_company_no">No</label>
</div>
</div>
</div>
</div>
</div>
<!-- /* additional question */ -->
</div>
<div class="form-group">
<label class="control-label col-md-12">
<div class="row">Description of Cargo/Special Notes </div>
</label>
<textarea name="st_description_notes" id="st_description_notes" class="form-control" placeholder="Description of Cargo/Special Notes" rows="5" tabindex="29" style="resize:none" maxlength="500"></textarea>
</div>
</div>
</div>
</div>
</section>
<!-- Coverage Types Section -->
<section id="select-insurer" class="select-insurer-section">
<div class="container">
<div class="row m-t-110">
<div class="col-lg-12">
<!-- <div class="line-box"> -->
<h1>Select Insurer</h1> <!-- </div> -->
<p>Selecting an insurer does not alter coverage in any way, it is for your preference and comfort only.</p>
<div class="error_div"></div>
</div>
</div>
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12 m-b-25">
<div class="insurer-outer-box">
<div class="insurar-box ">
<!-- <div class="image-box"> <img src="insurer_logos/" alt="" class="img-responsive"> </div> -->
<div class="image-box"> <img src="https://secure.cargocert.com/uploads/insurer_logos/aig60197.png" alt="AIG" class="img-responsive"> </div>
<div class="info-box">
<div class="title">AIG</div>
<div class="desc-box">
<div class="desc" style="display: block;">
<span class="info_txt">AIG is Americas leading multinational insurer. Its insures cargo for a large number of global operators and fortune 500 companies. AIG operates in more than 100 countries around the world.</span>
<input type="radio" id="in_insurer_id_1" name="in_insurer_id" value="1" class="in_insurer_id">
<label for="in_insurer_id_1" class="custom-radio-btns custom-radio-btns-2"> <span>SELECT</span> </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12 m-b-25">
<div class="insurer-outer-box">
<div class="insurar-box ">
<!-- <div class="image-box"> <img src="insurer_logos/" alt="" class="img-responsive"> </div> -->
<div class="image-box"> <img src="https://secure.cargocert.com/uploads/insurer_logos/lloyds93441.jpg" alt="Lloyd's of London" class="img-responsive"> </div>
<div class="info-box">
<div class="title">Lloyd's of London</div>
<div class="desc-box">
<div class="desc" style="display: block;">
<span class="info_txt">Lloyds is the worlds leading insurance marketplace for more than 400 years. Lloyds underwriters insure clients in more than 200 countries around the world and the majority of the FTSE 100 and Dow Jones
Industrial Average listees.</span>
<input type="radio" id="in_insurer_id_9" name="in_insurer_id" value="9" class="in_insurer_id">
<label for="in_insurer_id_9" class="custom-radio-btns custom-radio-btns-2"> <span>SELECT</span> </label>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-12 m-b-25">
<div class="insurer-outer-box">
<div class="insurar-box ">
<!-- <div class="image-box"> <img src="insurer_logos/" alt="" class="img-responsive"> </div> -->
<div class="image-box"> <img src="https://secure.cargocert.com/uploads/insurer_logos/92589.gif" alt="TT Club Mutual Insurance, LTD" class="img-responsive"> </div>
<div class="info-box">
<div class="title">TT Club Mutual Insurance, LTD</div>
<div class="desc-box">
<div class="desc" style="display: block;">
<span class="info_txt">TT Club is the only non profit transport mutual in the world. It insures more than 85% of the world's container fleet and provides mutual insurance to more than 8,000 ports, terminals, and logistics
operations in over 100 countries. It is known for quality and expertise.</span>
<input type="radio" id="in_insurer_id_10" name="in_insurer_id" value="10" class="in_insurer_id">
<label for="in_insurer_id_10" class="custom-radio-btns custom-radio-btns-2"> <span>SELECT</span> </label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<section>
<div class="col-lg-12">
<div class="row">
<div class="form-group">
<center>
<!-- <button type="button" name="select_coverage_type" id="select_coverage_type" class="select-coverage-type" tabindex="9">SELECT COVERAGE TYPE <i class="fa fa-arrow-up" aria-hidden="true"></i></button> -->
<!-- /* additional question */ -->
<button class="select-coverage-type" type="submit" name="complete_step_1" id="complete_step_1" tabindex="30">Proceed to obtain 3 Quote Options</button>
</center>
</div>
</div>
</div>
</section>
</div>
</form>Text Content
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* Coverage Details
1
* Select Your Coverage Type
2
* Shipment Details
3
* Who Owns the Goods
4
* Payment
5
COVERAGE DETAILS (
*
REQUIRED FIELDS)
* Cargo Insurance
* Moving Insurance
USD Converter Enter Value of Goods
*
You must declare the full value of the goods and can add up to 10% above that
for additional expenses. If you declare less than the value of the goods all
claims will be penalized by the percentage of underinsurance. (i.e. if you
insure $100 and your goods are worth $200 you have underinsured by 50% and all
claims will be penalized by 50% because you are deemed to be self insuring 50%
of your item).
Quantity of Goods
*
(Number of packages or pieces)
Attach File
*
For commercial shipments or new goods, please attach the commercial invoice for
the goods, for personal effects please upload an inventory list with valuation
estimate per item, or alternatively use our popup form.
(Upload a .xls, .xlsx, .pdf file, 10MB Maximum)
Attach Images
*
If you are shipping a vehicle, used goods or personal effects, photographic
evidence of condition before shipment is recommended as proof of prior
condition. Please take the time to upload a few photos.
(Upload a .png, .jpg, 10MB Maximum)
Size of house/apartment you are moving out of
*
Select Size of House1 bedroom2 bedrooms3 bedrooms4 bedrooms5 bedrooms6 bedrooms7
bedrooms
Base Valuation
+
High Value Items
=
Total Value
--------------------------------------------------------------------------------
Instructions & Rules:
Step 1: Select the number of bedrooms in the house you are moving FROM. Our
system will use an automatic calculation of value for your home for all
non-furniture items worth $250.00 or less as the base value and furniture items
worth $1,000 or less. This value is based on industry statistics and is for the
entire value of items in a home with that many bedrooms excluding high value
items, so please do not worry about other rooms beyond bedrooms.
Step 2: Add individual items you want to insure for more than $250.00 for
non-furniture items and $1,000 for furniture items individually below by
selecting the item type, condition, and preferably adding a photo of the item.
(You can take one photo showing a few items and use that photo for each one as
you add it). Items not added will not be covered for more than $250.00 in value.
You can add as many items as you need up to a maximum of $150,000 per
certificate.
Our formula:
Base Bedroom Value + High Value Items = Total Sum Insured
Note: It is extremely important to select the correct number of bedrooms for
base valuation. If you declare less bedrooms claims will be penalized by the
percentage under-insured (in insurance it is called a co-insurance or
underinsurance penalty. For example, if you have 2 bedrooms and declare 1,
claims will be paid at 50% because you only insured half of the business.
--------------------------------------------------------------------------------
High Value Items
Item Type
*
Select Item Type Appliance General Item Breakable/Fragile Furniture
Item
*
Condition
*
Select Condition Excellent Good Fair Poor
Enter Value of Goods
*
Upload Goods Image
If you do not upload an image as proof of condition prior to shipment, the item
will be covered for a total loss or constructive total loss only (risks covered
do not change if you do not upload an image, rather the coverage trigger becomes
total loss of the item because we have no evidence of condition prior to
shipment and cannot cover partial losses without proof of condition).
(Upload a .jpg, .jpeg, .png, .gif file, 10MB Maximum)
Remove
Add More
Select Transport Mode
*
Select Transport ModeAirOceanGround
Select Your Commodity Type
*
Select Commodity TypeAircraft Parts & AccessoriesAntiquesArtwork
(decorative)Artwork (Fine Art)ATVs (4 wheeler, side by side, similar)Auto Parts
& AccessoriesBackhoes / BulldozerBath FixturesBicycle Parts & Similar
(boxed)Blu-Rays / CDs / DVDsBoat Supplies, Parts & EquipmentBoats up to 25
feetBooks, Magazines, Paper, Printed MatterCables & Electrical SuppliesCanned
GoodsCars & Light TrucksCement TrucksCeramicsClothing & Wearing ApparelCologne,
Perfume & Cosmetics (breakable packaging)Cologne, Perfumes & Cosmetics (non
breakable packing)Computer Hardware or Software (Excluding Laptops, memory
chips, processors)Consol Freight Temp. ControlConstruction Materials & Supplies,
Cement and AggrConsumer Electronics (excluding laptops, cell phonCranesDry
Foodstuffs, Non-Alcoholic Drinks & BeveragesDump TrucksDyes, Inks, Paints
(non-flammable)Fabrics & ClothsFertilizers (non-hazardous)FilmFlatware (non
precious)Floor Coverings (excluding ceramics or stone)Gaming ConsolesGlass /
WindowsGolf CartsGradersGraniteHardware & Tools (non-electronics)Heavy
MachineryHides & Skins (industrial only)Household Supplies (cleaning,
storage)Industrial ElectronicsIndustrial Equipment & Supplies (non
oversized)Inland Australia(Consol Freight)Inland New Zealand(Consol
Freight)JetskiLamps / Light FixturesLawn & Garden EquipmentLawn TractorLCD / LED
Televisions, Monitors & Similar (no plasLuggageMarbleMedical and Laboratory
EquipmentMedical SuppliesMetals, Steel, Iron Ore (non precious or semi
precMirrorsMotorcyclesMOVING - Commercial Office (Personal Effects EquivNew
Furniture Non-glassNew Kitchen & Home Appliances (Washer/Dryer, dishwasher,
water heater,etc.)Pet Supplies, Dry & Canned Pet FoodPetroleum
ProductsPharmaceuticals / Medicines / Dietary SupplementsPhoto Equipment /
SuppliesPlasma TelevisionsPlastic / Rubber Items / WidgetsRestaurant
SuppliesRoboticsRugs / CarpetsShoes / FootwearStone Slabs & TilesTableware
(Plates, dishes - non china)Textiles / FabricsTires / WheelsTractor
TrailersUtility Trailers & SimilarVideo GamesWheeled Heavy Operating
EquipmentWine / Beer / SpiritsWood / Plywood / Lumber / Logs / Pulp
Email Address
*
Were Goods Packed by Professional Moving Company?
*
Yes
No
Description of Cargo/Special Notes
SELECT INSURER
Selecting an insurer does not alter coverage in any way, it is for your
preference and comfort only.
AIG
AIG is Americas leading multinational insurer. Its insures cargo for a large
number of global operators and fortune 500 companies. AIG operates in more than
100 countries around the world. SELECT
Lloyd's of London
Lloyds is the worlds leading insurance marketplace for more than 400 years.
Lloyds underwriters insure clients in more than 200 countries around the world
and the majority of the FTSE 100 and Dow Jones Industrial Average listees.
SELECT
TT Club Mutual Insurance, LTD
TT Club is the only non profit transport mutual in the world. It insures more
than 85% of the world's container fleet and provides mutual insurance to more
than 8,000 ports, terminals, and logistics operations in over 100 countries. It
is known for quality and expertise. SELECT
Proceed to obtain 3 Quote Options
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