{ "version": "2026.1-c6749726ef26", "name": "Magnuson Insurance quote request intake", "docs": "https://www.magnusonins.com/quote/what-we-ask", "endpoint": "https://www.magnusonins.com/quote/api/intake", "method": "POST", "contentType": "application/json", "body": { "lines": "required: a list of line codes from `lines` below (one kind at a time: personal or business)", "contact": { "email": "required", "phone": "optional, any US format", "firstName": "optional", "lastName": "optional", "businessName": "optional, business requests" }, "answers": "optional: an object of field names to values, from the line's `fields` (strings, numbers, booleans, or a list of option values for a multi-choice question)", "notes": "optional: anything else the customer wants the agent to know (up to 5,000 characters)", "sender": { "name": "optional: who is sending, e.g. the assistant's name", "url": "optional" }, "referral": { "name": "optional block for a referral partner (a real estate agent, mortgage broker, property manager, title company or builder) sending a client's request: the partner's name, required within the block", "company": "optional", "email": "optional; the partner gets a receipt with the reference number, never the client's answers", "phone": "optional", "role": "optional: one of realtor, mortgage, property_manager, title, builder, other", "closingDate": "optional, YYYY-MM-DD: the closing date; the agency's queue gets a task due five office days before it" } }, "openapi": "https://www.magnusonins.com/quote/api/intake/openapi.json", "response": "201 with ok, reference, kind, lines, contact, accepted, rejected, ignored, missing (required questions still unanswered), next, version; 422 with error (and details) when the body can't be used; 429 when too many requests come from one place", "rules": [ "Send a request only with the customer's knowledge, with their own email address: the confirmation and the quotes go there.", "No texting consent is recorded and no marketing email follows a request sent this way; a licensed agent follows up by phone or a plain email.", "Answers that don't fit a question are returned as rejected and not stored; the request is still saved.", "Florida addresses only; the agency quotes other states by phone.", "Nothing is bound by a request: a licensed agent prepares the quotes, and each insurance company makes its own underwriting and pricing decisions." ], "example": { "lines": [ "home" ], "contact": { "email": "robin@example.com", "phone": "(863) 555-0100", "firstName": "Robin", "lastName": "Diaz" }, "answers": { "location.street": "123 Lake Morton Dr", "location.city": "Lakeland", "location.state": "FL", "location.zip": "33801", "home.dwelling.yearBuilt": 1998, "home.dwelling.use": "primary", "home.dwelling.roofYear": 2021 }, "notes": "Shopping before the June renewal. Prefers email.", "sender": { "name": "An AI assistant, on Robin's behalf" } }, "lines": [ { "code": "home", "name": "Homeowners", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=home", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "home.dwelling.yearBuilt", "label": "About what year was it built?", "type": "year (number)", "required": true, "page": "About the home" }, { "field": "home.dwelling.livingArea", "label": "How many living square feet does it have?", "type": "integer", "required": false, "page": "About the home", "help": "Heated and cooled space only, not garages, porches or lanais." }, { "field": "home.dwelling.use", "label": "How do you use the home?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "primary", "label": "I live there most of the year" }, { "value": "seasonal", "label": "Seasonal or second home" } ] }, { "field": "home.dwelling.alarm", "label": "Is there an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "home.location.territory", "label": "Which of these describes where the home is?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the home" }, { "field": "home.dwelling.roofYear", "label": "What year was the roof last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "home.dwelling.roofOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "home.dwelling.plumbingYear", "label": "What year was the plumbing last updated?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "home.dwelling.plumbingOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "home.dwelling.waterHeaterYear", "label": "What year was the hot water heater last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "home.dwelling.waterHeaterOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "home.dwelling.electricalYear", "label": "What year was the electrical system last updated?", "type": "year (number)", "required": false, "page": "About the home", "help": "The wiring or the electrical panel." }, { "field": "home.dwelling.electricalOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "home.dwelling.hvacYear", "label": "What year was the heating and air conditioning last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "home.dwelling.hvacOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.home.insured", "label": "Homeowners: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "buying", "label": "No, buying it now" } ] }, { "field": "prior.home.carrier", "label": "Homeowners: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About you" }, { "field": "prior.home.renews", "label": "Homeowners: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "condo", "name": "Condo", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=condo", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "condo.dwelling.yearBuilt", "label": "About what year was it built?", "type": "year (number)", "required": true, "page": "About the home" }, { "field": "condo.dwelling.use", "label": "How do you use the condo?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "primary", "label": "I live there most of the year" }, { "value": "seasonal", "label": "Seasonal or second home" } ] }, { "field": "condo.dwelling.alarm", "label": "Is there an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "condo.location.territory", "label": "Which of these describes where the condo is?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the home" }, { "field": "condo.renters.belongings", "label": "What would it cost to replace your belongings?", "type": "dollar amount (number)", "required": true, "page": "About the home" }, { "field": "condo.condo.interiorCoverage", "label": "How much coverage for the inside of the unit?", "type": "dollar amount (number)", "required": false, "page": "About the home", "help": "Floors, cabinets, fixtures and upgrades. The association's policy covers the building. Leave it blank if you're not sure and your agent will help you choose." }, { "field": "condo.condo.rentedOut", "label": "Do you rent the unit to others, even part of the year?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "Short stays or part of the year. A unit rented out full time is quoted as a rental: choose \"Condo I Rent Out\" under About the home." }, { "field": "condo.dwelling.waterHeaterYear", "label": "What year was the hot water heater last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "condo.dwelling.waterHeaterOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.condo.insured", "label": "Condo: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "buying", "label": "No, buying it now" } ] }, { "field": "prior.condo.carrier", "label": "Condo: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About you" }, { "field": "prior.condo.renews", "label": "Condo: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "renters", "name": "Renters", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=renters", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "renters.dwelling.alarm", "label": "Is there an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "renters.location.territory", "label": "Which of these describes where the place you rent is?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the home" }, { "field": "renters.renters.belongings", "label": "What would it cost to replace your belongings?", "type": "dollar amount (number)", "required": true, "page": "About the home" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About the home" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About the home" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About the home" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.renters.insured", "label": "Renters: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the home", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.renters.carrier", "label": "Renters: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About the home" }, { "field": "prior.renters.renews", "label": "Renters: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About the home" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About the home", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About the home", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About the home", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "landlord", "name": "Landlord or Rental Home", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=landlord", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "landlord.location.street", "label": "Street address", "type": "text", "required": true, "page": "About the home" }, { "field": "landlord.location.unit", "label": "Apartment or unit", "type": "text", "required": false, "page": "About the home" }, { "field": "landlord.location.city", "label": "City", "type": "text", "required": true, "page": "About the home" }, { "field": "landlord.location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "About the home" }, { "field": "landlord.location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "About the home" }, { "field": "landlord.dwelling.kind", "label": "What kind of rental property is it?", "type": "one of the options", "required": true, "page": "About the rental property", "options": [ { "value": "house", "label": "A house" }, { "value": "condo", "label": "A condo unit" }, { "value": "mobile", "label": "A mobile or manufactured home" } ] }, { "field": "landlord.location.territory", "label": "Which of these describes where the rental property is?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.occupancy", "label": "How is it rented?", "type": "one of the options", "required": true, "page": "About the rental property", "options": [ { "value": "long_term", "label": "Long-term tenants" }, { "value": "short_term", "label": "Short-term or vacation rental" }, { "value": "vacant", "label": "Vacant right now" } ] }, { "field": "landlord.dwelling.rentalUnits", "label": "How many units are in the building?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "1", "label": "1" }, { "value": "2", "label": "2" }, { "value": "3", "label": "3" }, { "value": "4", "label": "4" }, { "value": "5+", "label": "5 or more" } ] }, { "field": "landlord.dwelling.yearBuilt", "label": "About what year was it built?", "type": "year (number)", "required": true, "page": "About the rental property" }, { "field": "landlord.dwelling.livingArea", "label": "How many living square feet does it have?", "type": "integer", "required": false, "whenApplies": true, "page": "About the rental property", "help": "Heated and cooled space only, not garages, porches or lanais." }, { "field": "landlord.condo.interiorCoverage", "label": "How much coverage for the inside of the unit?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "About the rental property", "help": "Floors, cabinets, fixtures and upgrades. The association's policy covers the building. Leave it blank if you're not sure and your agent will help you choose." }, { "field": "landlord.dwelling.alarm", "label": "Is there an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "page": "About the rental property", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "landlord.dwelling.roofYear", "label": "What year was the roof last replaced?", "type": "year (number)", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.roofOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.plumbingYear", "label": "What year was the plumbing last updated?", "type": "year (number)", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.plumbingOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.waterHeaterYear", "label": "What year was the hot water heater last replaced?", "type": "year (number)", "required": false, "page": "About the rental property" }, { "field": "landlord.dwelling.waterHeaterOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the rental property" }, { "field": "landlord.dwelling.electricalYear", "label": "What year was the electrical system last updated?", "type": "year (number)", "required": false, "whenApplies": true, "page": "About the rental property", "help": "The wiring or the electrical panel." }, { "field": "landlord.dwelling.electricalOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.hvacYear", "label": "What year was the heating and air conditioning last replaced?", "type": "year (number)", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.hvacOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.dwelling.roofCovering", "label": "What covers the roof?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "shingle", "label": "Shingles" }, { "value": "metal", "label": "Metal" }, { "value": "tile", "label": "Tile" }, { "value": "flat", "label": "Flat roof covering" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "landlord.str.platforms", "label": "Where do you list it?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "airbnb", "label": "Airbnb" }, { "value": "vrbo", "label": "Vrbo" }, { "value": "manager", "label": "A property manager" }, { "value": "own", "label": "Our own site or word of mouth" }, { "value": "none", "label": "Not listed yet" } ] }, { "field": "landlord.str.manager", "label": "Who handles guests and turnovers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "self", "label": "We do" }, { "value": "cohost", "label": "A local co-host" }, { "value": "company", "label": "A management company" } ] }, { "field": "landlord.str.nights", "label": "About how many nights a year is it rented?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "lt30", "label": "Under 30" }, { "value": "30-90", "label": "30 to 90" }, { "value": "91-180", "label": "91 to 180" }, { "value": "gt180", "label": "More than 180" } ] }, { "field": "landlord.str.minStay", "label": "What is the shortest stay you accept?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "night", "label": "One night" }, { "value": "nights", "label": "Two to six nights" }, { "value": "week", "label": "A week or more" }, { "value": "month", "label": "A month or more" } ] }, { "field": "landlord.str.ownerUse", "label": "Do you also stay there yourself?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "never", "label": "Never" }, { "value": "weeks", "label": "A few weeks a year" }, { "value": "main", "label": "It's our main home when it isn't rented" } ] }, { "field": "landlord.str.guests", "label": "How many guests can it sleep?", "type": "integer", "required": true, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.str.pool", "label": "Is there a pool or hot tub?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "pool", "label": "A pool" }, { "value": "hot_tub", "label": "A hot tub or spa" }, { "value": "both", "label": "Both" }, { "value": "none", "label": "Neither" } ] }, { "field": "landlord.str.poolFence", "label": "Is the pool fenced, with a self-closing gate?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.diving", "label": "Is there a diving board or slide?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.water", "label": "Is there a dock, a boat slip, or lake or canal frontage?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.boats", "label": "Do guests get a boat, kayak or jet ski?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.amenities", "label": "Do guests have any of these?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "bikes", "label": "Bikes or a golf cart" }, { "value": "trampoline", "label": "A trampoline or play set" }, { "value": "fire", "label": "A fire pit or grill" }, { "value": "exercise", "label": "Exercise equipment" }, { "value": "none", "label": "None of these" } ] }, { "field": "landlord.str.safety", "label": "Which of these are in the home?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "smoke", "label": "Smoke detectors in every bedroom" }, { "value": "co", "label": "A carbon monoxide detector" }, { "value": "extinguisher", "label": "A fire extinguisher" }, { "value": "rules", "label": "Posted house rules and emergency numbers" }, { "value": "monitor", "label": "A noise or occupancy monitor" }, { "value": "none", "label": "None of these" } ] }, { "field": "landlord.str.events", "label": "Do you allow parties or events?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.hazards", "label": "Any uneven walks, loose rails or steps, or work going on at the property?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "landlord.str.hazardsWhat", "label": "What is it?", "type": "text", "required": true, "whenApplies": true, "page": "About the rental property" }, { "field": "landlord.str.animals", "label": "Do you keep any animals there, or allow guests' pets?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the rental property", "options": [ { "value": "none", "label": "Neither" }, { "value": "guests", "label": "Guests' pets are allowed" }, { "value": "ours", "label": "We keep animals there" } ] }, { "field": "landlord.str.income", "label": "About what did it earn last year?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "About the rental property", "help": "Rent before expenses." }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.landlord.insured", "label": "Landlord or Rental Home: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "buying", "label": "No, buying it now" } ] }, { "field": "prior.landlord.carrier", "label": "Landlord or Rental Home: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About you" }, { "field": "prior.landlord.renews", "label": "Landlord or Rental Home: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "mobile_home", "name": "Mobile or Manufactured Home", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=mobile_home", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "mobile_home.dwelling.yearBuilt", "label": "About what year was it built?", "type": "year (number)", "required": true, "page": "About the home" }, { "field": "mobile_home.dwelling.livingArea", "label": "How many living square feet does it have?", "type": "integer", "required": false, "page": "About the home", "help": "Heated and cooled space only, not garages, porches or lanais." }, { "field": "mobile_home.dwelling.alarm", "label": "Is there an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "mobile_home.location.territory", "label": "Which of these describes where the mobile home is?", "type": "one of the options", "required": true, "whenApplies": true, "page": "About the home" }, { "field": "mobile_home.dwelling.roofYear", "label": "What year was the roof last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.roofOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.plumbingYear", "label": "What year was the plumbing last updated?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.plumbingOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.waterHeaterYear", "label": "What year was the hot water heater last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.waterHeaterOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.electricalYear", "label": "What year was the electrical system last updated?", "type": "year (number)", "required": false, "page": "About the home", "help": "The wiring or the electrical panel." }, { "field": "mobile_home.dwelling.electricalOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.hvacYear", "label": "What year was the heating and air conditioning last replaced?", "type": "year (number)", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.hvacOriginal", "label": "Original to home or unsure", "type": "boolean", "required": false, "page": "About the home" }, { "field": "mobile_home.dwelling.roofCovering", "label": "What covers the roof?", "type": "one of the options", "required": true, "page": "About the home", "options": [ { "value": "shingle", "label": "Shingles" }, { "value": "metal", "label": "Metal" }, { "value": "tile", "label": "Tile" }, { "value": "flat", "label": "Flat roof covering" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.mobile_home.insured", "label": "Mobile or Manufactured Home: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "buying", "label": "No, buying it now" } ] }, { "field": "prior.mobile_home.carrier", "label": "Mobile or Manufactured Home: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About you" }, { "field": "prior.mobile_home.renews", "label": "Mobile or Manufactured Home: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "flood", "name": "Flood", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=flood", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What's your address?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What's your address?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What's your address?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What's your address?" }, { "field": "flood.flood.ownership", "label": "Do you own or rent the property?", "type": "one of the options", "required": true, "page": "About the property", "options": [ { "value": "own", "label": "I own it" }, { "value": "rent", "label": "I rent it" } ] }, { "field": "flood.flood.buildingCoverage", "label": "How much building coverage do you want?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "About the property", "help": "Leave it blank and your agent will suggest an amount." }, { "field": "flood.flood.contentsCoverage", "label": "How much coverage for your belongings?", "type": "dollar amount (number)", "required": false, "page": "About the property" }, { "field": "flood.flood.foundation", "label": "What does the building sit on?", "type": "one of the options", "required": true, "page": "About the property", "options": [ { "value": "slab", "label": "A concrete slab on the ground" }, { "value": "crawlspace", "label": "A crawlspace" }, { "value": "elevated", "label": "Raised on piers, posts or pilings" }, { "value": "basement", "label": "A basement" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "flood.flood.elevationCertificate", "label": "Do you have an elevation certificate?", "type": "one of the options", "required": true, "page": "About the property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "A surveyor's form showing how high the building sits. It can lower the price." }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.flood.insured", "label": "Flood: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "prior_owner", "label": "Yes, in the prior owner's name" }, { "value": "no", "label": "No" } ] }, { "field": "prior.flood.carrier", "label": "Flood: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "About you" }, { "field": "prior.flood.renews", "label": "Flood: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "auto", "name": "Auto", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=auto", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.auto.insured", "label": "Auto: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "lapsed", "label": "No, it lapsed" }, { "value": "no", "label": "No" } ] }, { "field": "prior.auto.carrier", "label": "Auto: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "prior.auto.renews", "label": "Auto: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "Drivers" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "Drivers" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Drivers" }, { "field": "drivers.N.maritalStatus", "label": "Are you married?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "married", "label": "Married" }, { "value": "single", "label": "Single" }, { "value": "divorced", "label": "Divorced or separated" }, { "value": "widowed", "label": "Widowed" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.gender", "label": "What gender is shown on your license?", "type": "one of the options", "required": false, "page": "Drivers", "options": [ { "value": "female", "label": "Female" }, { "value": "male", "label": "Male" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.license", "label": "What kind of driver's license do you have?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "florida", "label": "Florida" }, { "value": "other_state", "label": "Another U.S. state" }, { "value": "foreign", "label": "From another country" }, { "value": "permit", "label": "Learner's permit" }, { "value": "none", "label": "No license" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.licenseNumber", "label": "Driver's license number", "type": "text", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.education", "label": "What is your highest level of education?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "no_diploma", "label": "No high school diploma" }, { "value": "high_school", "label": "High school diploma or GED" }, { "value": "vocational", "label": "Vocational or technical degree" }, { "value": "some_college", "label": "Some college" }, { "value": "associate", "label": "Associate degree" }, { "value": "bachelor", "label": "Bachelor's degree" }, { "value": "master", "label": "Master's degree" }, { "value": "doctorate", "label": "Doctorate or professional degree" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.occupation", "label": "What is your occupation?", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.incidents5y", "label": "Have you had any accidents or tickets in the last 5 years?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.firstName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "First name", "type": "text", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.lastName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "Last name", "type": "text", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.dateOfBirth", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "What is the driver's date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.relationship", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "How is this driver related to you?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Drivers", "options": [ { "value": "spouse", "label": "Spouse or partner" }, { "value": "child", "label": "Son or daughter" }, { "value": "parent", "label": "Parent" }, { "value": "other_relative", "label": "Another relative" }, { "value": "other", "label": "Not related" } ], "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "auto.allListed", "label": "Everyone in my household who is 15 or older is listed above, or doesn't drive my cars.", "type": "boolean", "required": false, "page": "Drivers" }, { "field": "drivers.N.incidents.M.type", "label": "Your incident 1: kind", "type": "one of the options", "required": false, "whenApplies": true, "page": "Drivers", "options": [ { "value": "at_fault", "label": "At-fault accident" }, { "value": "not_at_fault", "label": "Not-at-fault accident" }, { "value": "ticket", "label": "Ticket or violation" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.month", "label": "Your incident 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "Drivers", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.year", "label": "Your incident 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.description", "label": "Your incident 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "vehicles.N.vin", "label": "What is the vehicle's VIN?", "type": "17-character VIN", "required": false, "page": "Vehicles", "help": "It's on your registration or insurance card. We'll fill in the year, make and model from it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.year", "label": "What year is it?", "type": "year (number)", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.make", "label": "What make is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.model", "label": "What model is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.use", "label": "How is it mostly used?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "commute", "label": "Driving to work or school" }, { "value": "pleasure", "label": "Errands and personal trips" }, { "value": "business", "label": "For business" }, { "value": "rideshare", "label": "Rideshare or delivery" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.miles", "label": "About how many miles a year?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "3999", "label": "0 - 3,999" }, { "value": "5999", "label": "4,000 - 5,999" }, { "value": "7999", "label": "6,000 - 7,999" }, { "value": "9999", "label": "8,000 - 9,999" }, { "value": "11999", "label": "10,000 - 11,999" }, { "value": "13999", "label": "12,000 - 13,999" }, { "value": "15999", "label": "14,000 - 15,999" }, { "value": "17999", "label": "16,000 - 17,999" }, { "value": "19999", "label": "18,000 - 19,999" }, { "value": "20000", "label": "20,000+" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.ownership", "label": "Do you own it, or is it financed or leased?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "owned", "label": "Owned outright" }, { "value": "financed", "label": "Financed" }, { "value": "leased", "label": "Leased" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.physicalDamage", "label": "Do you want coverage for damage to this vehicle?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No, just the coverage the law requires" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Comprehensive and collision coverage. Lenders and leasing companies require it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.garagedAtAddress", "label": "Is it kept overnight at the address you gave us?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "vehicles.N.garagingZip", "label": "What ZIP code is it kept in overnight?", "type": "5-digit ZIP code", "required": true, "whenApplies": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] } ] }, { "code": "motorcycle_rv", "name": "Motorcycle, RV or ATV", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=motorcycle_rv", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.motorcycle_rv.insured", "label": "Motorcycle, RV or ATV: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.motorcycle_rv.carrier", "label": "Motorcycle, RV or ATV: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "prior.motorcycle_rv.renews", "label": "Motorcycle, RV or ATV: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "Drivers" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "Drivers" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Drivers" }, { "field": "drivers.N.maritalStatus", "label": "Are you married?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "married", "label": "Married" }, { "value": "single", "label": "Single" }, { "value": "divorced", "label": "Divorced or separated" }, { "value": "widowed", "label": "Widowed" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.gender", "label": "What gender is shown on your license?", "type": "one of the options", "required": false, "page": "Drivers", "options": [ { "value": "female", "label": "Female" }, { "value": "male", "label": "Male" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.license", "label": "What kind of driver's license do you have?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "florida", "label": "Florida" }, { "value": "other_state", "label": "Another U.S. state" }, { "value": "foreign", "label": "From another country" }, { "value": "permit", "label": "Learner's permit" }, { "value": "none", "label": "No license" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.licenseNumber", "label": "Driver's license number", "type": "text", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.education", "label": "What is your highest level of education?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "no_diploma", "label": "No high school diploma" }, { "value": "high_school", "label": "High school diploma or GED" }, { "value": "vocational", "label": "Vocational or technical degree" }, { "value": "some_college", "label": "Some college" }, { "value": "associate", "label": "Associate degree" }, { "value": "bachelor", "label": "Bachelor's degree" }, { "value": "master", "label": "Master's degree" }, { "value": "doctorate", "label": "Doctorate or professional degree" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.occupation", "label": "What is your occupation?", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.incidents5y", "label": "Have you had any accidents or tickets in the last 5 years?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.firstName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "First name", "type": "text", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.lastName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "Last name", "type": "text", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.dateOfBirth", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "What is the driver's date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.relationship", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "How is this driver related to you?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Drivers", "options": [ { "value": "spouse", "label": "Spouse or partner" }, { "value": "child", "label": "Son or daughter" }, { "value": "parent", "label": "Parent" }, { "value": "other_relative", "label": "Another relative" }, { "value": "other", "label": "Not related" } ], "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.incidents.M.type", "label": "Your incident 1: kind", "type": "one of the options", "required": false, "whenApplies": true, "page": "Drivers", "options": [ { "value": "at_fault", "label": "At-fault accident" }, { "value": "not_at_fault", "label": "Not-at-fault accident" }, { "value": "ticket", "label": "Ticket or violation" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.month", "label": "Your incident 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "Drivers", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.year", "label": "Your incident 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.description", "label": "Your incident 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.vin", "label": "What is vehicle 1's VIN?", "type": "17-character VIN", "required": false, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.type", "label": "What kind of vehicle is vehicle 1?", "type": "one of the options", "required": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "motorcycle", "label": "Motorcycle or trike" }, { "value": "scooter", "label": "Scooter or moped" }, { "value": "motorhome", "label": "Motor home (RV)" }, { "value": "trailer", "label": "Travel trailer or fifth wheel" }, { "value": "atv", "label": "ATV, UTV or side-by-side" }, { "value": "golf_cart", "label": "Golf cart or low-speed vehicle" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.year", "label": "What year is vehicle 1?", "type": "year (number)", "required": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.make", "label": "What make is vehicle 1?", "type": "text", "required": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.model", "label": "What model is vehicle 1?", "type": "text", "required": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.engineCc", "label": "What is vehicle 1's engine size?", "type": "integer", "required": true, "whenApplies": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.length", "label": "How long is vehicle 1?", "type": "integer", "required": true, "whenApplies": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.value", "label": "What is vehicle 1's estimated market value?", "type": "dollar amount (number)", "required": true, "page": "Motorcycles, RVs and ATVs", "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.use", "label": "How is vehicle 1 mostly used?", "type": "one of the options", "required": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "pleasure", "label": "Recreation and trips" }, { "value": "commute", "label": "Commuting or errands" }, { "value": "full_time", "label": "Full-time living" }, { "value": "business", "label": "For business" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.storage", "label": "Where is vehicle 1 kept?", "type": "one of the options", "required": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "garage", "label": "Garage" }, { "value": "driveway", "label": "Driveway or carport" }, { "value": "storage", "label": "Storage facility" }, { "value": "campground", "label": "RV park or campground" }, { "value": "other", "label": "Somewhere else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.streetLegal", "label": "Is vehicle 1 registered and tagged for the road?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.ownership", "label": "Is vehicle 1 owned, financed or leased?", "type": "one of the options", "required": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "owned", "label": "Owned outright" }, { "value": "financed", "label": "Financed" }, { "value": "leased", "label": "Leased" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "motorcycle_rv.units.N.physicalDamage", "label": "Should vehicle 1 have coverage for damage?", "type": "one of the options", "required": true, "page": "Motorcycles, RVs and ATVs", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", 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"repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] } ] }, { "code": "boat", "name": "Boat", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=boat", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.boat.insured", "label": "Boat: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.boat.carrier", "label": "Boat: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "prior.boat.renews", "label": "Boat: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "Operators" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "Operators" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Operators" }, { "field": "drivers.N.maritalStatus", "label": "Are you married?", "type": "one of the options", "required": true, "page": "Operators", "options": [ { "value": "married", "label": "Married" }, { "value": "single", "label": "Single" }, { "value": "divorced", "label": "Divorced or separated" }, { "value": "widowed", "label": "Widowed" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.gender", "label": "What gender is shown on your license?", "type": "one of the options", "required": false, "page": "Operators", "options": [ { "value": "female", "label": "Female" }, { "value": "male", "label": "Male" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.incidents5y", "label": "Have you had any accidents or tickets in the last 5 years?", "type": "one of the options", "required": true, "page": "Operators", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "drivers.N.firstName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "First name", "type": "text", "required": true, "whenApplies": true, "page": "Operators", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.lastName", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "Last name", "type": "text", "required": true, "whenApplies": true, "page": "Operators", "repeat": [ { "placeholder": "N", "from": 2, "to": 6 } ] }, { "field": "drivers.N.dateOfBirth", "note": "Driver 1 (the customer) uses applicant.firstName, applicant.lastName and applicant.dateOfBirth.", "label": "What is the driver's date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "whenApplies": 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"label": "Your incident 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "Operators", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "drivers.N.incidents.M.description", "label": "Your incident 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "Operators", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 }, { "placeholder": "M", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.type", "label": "What kind of boat is boat 1?", "type": "one of the options", "required": true, "page": "Boats and jet skis", "options": [ { "value": "pwc", "label": "Jet ski (personal watercraft)" }, { "value": "center_console", "label": "Center console or fishing boat" }, { "value": "bass", "label": "Bass or flats boat" }, { "value": "bowrider", "label": "Bowrider or runabout" }, { "value": "pontoon", "label": "Pontoon or deck boat" }, { "value": "cabin", "label": "Cabin 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"page": "Boats and jet skis", "options": [ { "value": "trailer_home", "label": "On a trailer at home" }, { "value": "dock_home", "label": "Lift or dock at home" }, { "value": "marina", "label": "Marina slip" }, { "value": "dry_storage", "label": "Dry storage or rack" }, { "value": "other", "label": "Somewhere else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.waters", "label": "Where is boat 1 mostly used?", "type": "one of the options", "required": true, "page": "Boats and jet skis", "options": [ { "value": "inland", "label": "Lakes and rivers" }, { "value": "coastal", "label": "Bays and the Intracoastal" }, { "value": "offshore", "label": "Offshore (Gulf or Atlantic)" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.ownership", "label": "Is boat 1 owned, financed or leased?", "type": "one of the options", "required": true, "page": "Boats and jet skis", "options": [ { "value": "owned", "label": "Owned outright" }, { "value": "financed", "label": "Financed" }, { "value": "leased", "label": "Leased" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.physicalDamage", "label": "Should boat 1 have coverage for damage?", "type": "one of the options", "required": true, "page": "Boats and jet skis", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No, liability only" }, { "value": "not_sure", "label": "I'm not sure" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.experience", "label": "How much experience does boat 1's main operator have?", "type": "one of the options", "required": true, "page": "Boats and jet skis", "options": [ { "value": "under_1", "label": "Less than 1 year" }, { "value": "1_2", "label": "1 to 2 years" }, { "value": "3_5", "label": "3 to 5 years" }, { "value": "6_10", "label": "6 to 10 years" }, { "value": "over_10", "label": "More than 10 years" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] }, { "field": "boat.units.N.safetyCourse", "label": "Has boat 1's main operator taken a boating safety course?", "type": "one of the options", "required": false, "page": "Boats and jet skis", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 4 } ] } ] }, { "code": "life", "name": "Life", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=life", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "life.who", "label": "Who is it for?", "type": "one of the options", "required": true, "page": "Life insurance", "options": [ { "value": "me", "label": "Just me" }, { "value": "couple", "label": "Me and my spouse or partner" }, { "value": "family", "label": "My family, including children" }, { "value": "someone_else", "label": "Someone else" } ] }, { "field": "life.type", "label": "What kind of life insurance?", "type": "one of the options", "required": true, "page": "Life insurance", "options": [ { "value": "term", "label": "Term life" }, { "value": "permanent", "label": "Whole or universal life" }, { "value": "final_expense", "label": "Final expense" }, { "value": "not_sure", "label": "I'm not sure yet" } ] }, { "field": "life.amount", "label": "How much coverage?", "type": "one of the options", "required": true, "page": "Life insurance", "options": [ { "value": "10000", "label": "$10,000" }, { "value": "15000", "label": "$15,000" }, { "value": "20000", "label": "$20,000" }, { "value": "25000", "label": "$25,000" }, { "value": "50000", "label": "$50,000" }, { "value": "100000", "label": "$100,000" }, { "value": "150000", "label": "$150,000" }, { "value": "200000", "label": "$200,000" }, { "value": "250000", "label": "$250,000" }, { "value": "300000", "label": "$300,000" }, { "value": "400000", "label": "$400,000" }, { "value": "500000", "label": "$500,000" }, { "value": "750000", "label": "$750,000" }, { "value": "1000000", "label": "$1,000,000" }, { "value": "1500000", "label": "$1,500,000" }, { "value": "2000000", "label": "$2,000,000" }, { "value": "3000000", "label": "$3,000,000" }, { "value": "5000000", "label": "$5,000,000 or more" }, { "value": "not_sure", "label": "I'm not sure yet" } ] }, { "field": "life.term", "label": "How many years of coverage?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Life insurance", "options": [ { "value": "10", "label": "10 years" }, { "value": "15", "label": "15 years" }, { "value": "20", "label": "20 years" }, { "value": "25", "label": "25 years" }, { "value": "30", "label": "30 years" }, { "value": "not_sure", "label": "I'm not sure yet" } ], "help": "Term life keeps the same price for this many years." }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "whenApplies": true, "page": "Life insurance" }, { "field": "life.you.sex", "label": "What is your sex?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Life insurance", "options": [ { "value": "male", "label": "Male" }, { "value": "female", "label": "Female" } ], "help": "As insurance companies rate it." }, { "field": "life.you.nicotine", "label": "When did you last use nicotine?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Life insurance", "options": [ { "value": "never", "label": "Never" }, { "value": "over_5y", "label": "More than 5 years ago" }, { "value": "2_5y", "label": "2 to 5 years ago" }, { "value": "1_2y", "label": "1 to 2 years ago" }, { "value": "12m", "label": "In the last 12 months" } ], "help": "Any kind: cigarettes, cigars, vapes, dip or chew, pouches, gum or patches." }, { "field": "life.you.cannabis", "label": "When did you last use cannabis?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Life insurance", "options": [ { "value": "never", "label": "Never" }, { "value": "over_5y", "label": "More than 5 years ago" }, { "value": "2_5y", "label": "2 to 5 years ago" }, { "value": "1_2y", "label": "1 to 2 years ago" }, { "value": "12m", "label": "In the last 12 months" } ], "help": "Marijuana in any form: smoked, vaped or edibles." }, { "field": "life.you.height", "label": "How tall are you?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Life insurance", "options": [ { "value": "48", "label": "4 ft 0 in" }, { "value": "49", "label": "4 ft 1 in" }, { "value": "50", "label": "4 ft 2 in" }, { "value": "51", "label": "4 ft 3 in" }, { "value": "52", "label": "4 ft 4 in" }, { "value": "53", "label": "4 ft 5 in" }, { "value": "54", "label": "4 ft 6 in" }, { "value": "55", "label": "4 ft 7 in" }, { "value": "56", "label": "4 ft 8 in" }, { "value": "57", "label": "4 ft 9 in" }, { "value": "58", "label": "4 ft 10 in" }, { "value": "59", "label": "4 ft 11 in" }, { "value": "60", "label": "5 ft 0 in" }, { "value": "61", "label": "5 ft 1 in" }, { "value": "62", "label": "5 ft 2 in" }, { "value": "63", "label": "5 ft 3 in" }, { "value": "64", "label": "5 ft 4 in" }, { "value": "65", "label": "5 ft 5 in" }, { "value": "66", "label": "5 ft 6 in" }, { "value": "67", "label": "5 ft 7 in" }, { "value": "68", "label": "5 ft 8 in" }, { "value": "69", "label": "5 ft 9 in" }, { "value": "70", "label": "5 ft 10 in" }, { "value": "71", "label": "5 ft 11 in" }, { "value": "72", "label": "6 ft 0 in" }, { "value": "73", "label": "6 ft 1 in" }, { "value": "74", "label": "6 ft 2 in" }, { "value": "75", "label": "6 ft 3 in" }, { "value": "76", "label": "6 ft 4 in" }, { "value": "77", "label": "6 ft 5 in" }, { "value": "78", "label": "6 ft 6 in" }, { "value": "79", "label": "6 ft 7 in" }, { "value": "80", "label": "6 ft 8 in" }, { "value": "81", "label": "6 ft 9 in" }, { "value": "82", "label": "6 ft 10 in" }, { "value": "83", "label": "6 ft 11 in" }, { "value": "84", "label": "7 ft 0 in" } ] }, { "field": "life.you.weight", "label": "How much do you weigh?", "type": "integer", "required": true, "whenApplies": true, "page": "Life insurance" }, { "field": "life.existing", "label": "Do you, or anyone this would cover, have life insurance now?", "type": "one of the options", "required": true, "page": "Life insurance", "options": [ { "value": "yes", "label": "Yes" }, { "value": "work", "label": "Only through work" }, { "value": "no", "label": "No" } ] }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" } ] }, { "code": "dental_vision", "name": "Dental or Vision", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=dental_vision", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "dentalVision.who", "label": "Who is it for?", "type": "one of the options", "required": true, "page": "Dental and vision", "options": [ { "value": "me", "label": "Just me" }, { "value": "couple", "label": "Me and my spouse or partner" }, { "value": "family", "label": "My family, including children" }, { "value": "someone_else", "label": "Someone else" } ] }, { "field": "dentalVision.type", "label": "Dental, vision or both?", "type": "one of the options", "required": true, "page": "Dental and vision", "options": [ { "value": "dental", "label": "Dental" }, { "value": "vision", "label": "Vision" }, { "value": "both", "label": "Both" } ] }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" } ] }, { "code": "umbrella", "name": "Umbrella", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=umbrella", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "prior.umbrella.insured", "label": "Umbrella: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "What would you like to insure?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.umbrella.carrier", "label": "Umbrella: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "prior.umbrella.renews", "label": "Umbrella: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "What would you like to insure?" }, { "field": "umbrella.limit", "label": "How much umbrella coverage?", "type": "one of the options", "required": true, "page": "Umbrella", "options": [ { "value": "1m", "label": "$1 million" }, { "value": "2m", "label": "$2 million" }, { "value": "3m_plus", "label": "$3 million or more" }, { "value": "not_sure", "label": "I'm not sure yet" } ] }, { "field": "umbrella.homeLiability", "label": "What is the liability limit on your home or renters policy?", "type": "one of the options", "required": true, "page": "Umbrella", "options": [ { "value": "100k", "label": "$100,000" }, { "value": "300k", "label": "$300,000" }, { "value": "500k", "label": "$500,000 or more" }, { "value": "none", "label": "I don't have home or renters insurance" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "It's on the declarations page, under personal liability." }, { "field": "umbrella.autoLiability", "label": "What are the bodily injury limits on your auto policy?", "type": "one of the options", "required": true, "page": "Umbrella", "options": [ { "value": "under_100_300", "label": "Less than $100,000 / $300,000" }, { "value": "100_300", "label": "$100,000 / $300,000" }, { "value": "250_500", "label": "$250,000 / $500,000" }, { "value": "500_plus", "label": "$500,000 or more" }, { "value": "none", "label": "I don't have auto insurance" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Per person / per accident, on the declarations page." }, { "field": "umbrella.vehicles", "label": "How many cars and trucks are in your household?", "type": "integer", "required": true, "page": "Umbrella" }, { "field": "umbrella.drivers", "label": "How many licensed drivers are in your household?", "type": "integer", "required": true, "page": "Umbrella" }, { "field": "umbrella.youngDrivers", "label": "Are any of them under 25?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Umbrella", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "umbrella.incidents", "label": "Has anyone in your household had an accident, a ticket or a DUI in the last 5 years?", "type": "one of the options", "required": true, "page": "Umbrella", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "umbrella.exposures", "label": "Do you have any of these?", "type": "a list of the options", "required": true, "page": "Umbrella", "options": [ { "value": "watercraft", "label": "A boat or jet ski" }, { "value": "recreational", "label": "A motorcycle, ATV or golf cart" }, { "value": "rental", "label": "A rental property you own" }, { "value": "pool", "label": "A swimming pool" }, { "value": "trampoline", "label": "A trampoline" }, { "value": "dog", "label": "A dog" }, { "value": "none", "label": "None of these" } ], "help": "Each is covered by the umbrella once the policy under it is in place." }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "valuables", "name": "Jewelry and Collectibles", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=valuables", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "valuables.items.N.kind", "label": "What kind of item is item 1?", "type": "one of the options", "required": true, "page": "Jewelry and collectibles", "options": [ { "value": "jewelry", "label": "Jewelry" }, { "value": "watch", "label": "Watch" }, { "value": "art", "label": "Fine art" }, { "value": "collectible", "label": "Collectible or memorabilia" }, { "value": "silver", "label": "Silverware" }, { "value": "instrument", "label": "Musical instrument" }, { "value": "camera", "label": "Camera equipment" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 8 } ] }, { "field": "valuables.items.N.description", "label": "What is item 1?", "type": "text", "required": true, "page": "Jewelry and collectibles", "repeat": [ { "placeholder": "N", "from": 1, "to": 8 } ] }, { "field": "valuables.items.N.value", "label": "What is item 1 worth?", "type": "dollar amount (number)", "required": true, "page": "Jewelry and collectibles", "repeat": [ { "placeholder": "N", "from": 1, "to": 8 } ] }, { "field": "valuables.items.N.appraisal", "label": "Does item 1 have an appraisal or receipt?", "type": "one of the options", "required": true, "page": "Jewelry and collectibles", "options": [ { "value": "recent", "label": "Appraisal in the last 5 years" }, { "value": "older", "label": "Older appraisal" }, { "value": "receipt", "label": "Receipt only" }, { "value": "none", "label": "Neither" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 8 } ] }, { "field": "valuables.items.N.safe", "label": "Is item 1 kept in a safe or bank vault?", "type": "one of the options", "required": false, "page": "Jewelry and collectibles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 8 } ] }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "About you" }, { "field": "applicant.dateOfBirth", "label": "What is your date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "About you" }, { "field": "losses.any5y", "label": "Have you experienced a loss or filed any insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "About you", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "losses.N.month", "label": "Claim 1: month", "type": "one of the options", "required": false, "whenApplies": true, "page": "About you", "options": [ { "value": "01", "label": "January" }, { "value": "02", "label": "February" }, { "value": "03", "label": "March" }, { "value": "04", "label": "April" }, { "value": "05", "label": "May" }, { "value": "06", "label": "June" }, { "value": "07", "label": "July" }, { "value": "08", "label": "August" }, { "value": "09", "label": "September" }, { "value": "10", "label": "October" }, { "value": "11", "label": "November" }, { "value": "12", "label": "December" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.year", "label": "Claim 1: year", "type": "year (number)", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] }, { "field": "losses.N.description", "label": "Claim 1: what happened", "type": "text", "required": false, "whenApplies": true, "page": "About you", "repeat": [ { "placeholder": "N", "from": 1, "to": 5 } ] } ] }, { "code": "pet", "name": "Pet", "kind": "personal", "start": "https://www.magnusonins.com/quote?lines=pet", "fields": [ { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "What would you like to insure?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "What would you like to insure?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "What would you like to insure?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "What would you like to insure?" }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "Your pets" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "Your pets" }, { "field": "pet.pets.N.name", "label": "What is pet 1's name?", "type": "text", "required": true, "page": "Your pets", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "pet.pets.N.species", "label": "Is pet 1 a dog or a cat?", "type": "one of the options", "required": true, "page": "Your pets", "options": [ { "value": "dog", "label": "Dog" }, { "value": "cat", "label": "Cat" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "pet.pets.N.breed", "label": "What breed is pet 1?", "type": "text", "required": true, "page": "Your pets", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "pet.pets.N.age", "label": "How old is pet 1?", "type": "one of the options", "required": true, "page": "Your pets", "options": [ { "value": "0", "label": "Under 1 year" }, { "value": "1", "label": "1 year" }, { "value": "2", "label": "2 years" }, { "value": "3", "label": "3 years" }, { "value": "4", "label": "4 years" }, { "value": "5", "label": "5 years" }, { "value": "6", "label": "6 years" }, { "value": "7", "label": "7 years" }, { "value": "8", "label": "8 years" }, { "value": "9", "label": "9 years" }, { "value": "10", "label": "10 years" }, { "value": "11", "label": "11 years" }, { "value": "12", "label": "12 years" }, { "value": "13", "label": "13 years" }, { "value": "14", "label": "14 years" }, { "value": "15", "label": "15 years" }, { "value": "16", "label": "16 years" }, { "value": "17", "label": "17 years" }, { "value": "18", "label": "18 years" }, { "value": "19", "label": "19 years" }, { "value": "20", "label": "20 years or older" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "pet.pets.N.sex", "label": "Is pet 1 male or female?", "type": "one of the options", "required": true, "page": "Your pets", "options": [ { "value": "male", "label": "Male" }, { "value": "female", "label": "Female" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "pet.pets.N.fixed", "label": "Is pet 1 spayed or neutered?", "type": "one of the options", "required": true, "page": "Your pets", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] } ] }, { "code": "bop", "name": "Business Owner's Policy (BOP)", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=bop", "fields": [ { "field": "ops.subcontractors", "label": "Do you use subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.subcontractorCost", "label": "What do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your business liability" }, { "field": "ops.subcontractorCertificates", "label": "Do subcontractors give you certificates of insurance with limits that match or are higher than yours?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "all", "label": "Yes, all of them, with limits that match or are higher than ours" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" } ] }, { "field": "ops.hazards", "label": "Which higher-risk operations do you have?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "excavation", "label": "Excavation, demolition or blasting" }, { "value": "alcohol", "label": "Serving or selling alcohol" }, { "value": "hazmat", "label": "Hazardous materials or waste" }, { "value": "hemp", "label": "Hemp, CBD or cannabis products" }, { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "none", "label": "None of these" } ] }, { "field": "gl.limit", "label": "What liability limit do you want?", "type": "one of the options", "required": true, "page": "Your business liability", "options": [ { "value": "100k", "label": "$100,000" }, { "value": "250k", "label": "$250,000" }, { "value": "500k", "label": "$500,000" }, { "value": "1m", "label": "$1 million" }, { "value": "2m", "label": "$2 million" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "liab.umbrella", "label": "Yes, I'm also interested in an umbrella policy, which adds liability coverage on top of the policy above.", "type": "boolean", "required": false, "page": "Your business liability" }, { "field": "premises.buildingValue", "label": "What would it cost to rebuild the building?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Your building and property", "help": "The rebuilding cost, not what it would sell for. Leave it blank and your agent will estimate it." }, { "field": "premises.improvementsValue", "label": "What are your tenant improvements worth?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Your building and property", "help": "What you've spent improving the space you rent, such as built-in counters, flooring or lighting." }, { "field": "premises.otherTenants", "label": "Are there other tenants in the building?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "premises.squareFeet", "label": "How many square feet do you use?", "type": "integer", "required": false, "page": "Your building and property" }, { "field": "building.construction", "label": "What is the building made of?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "masonry", "label": "Concrete block or brick" }, { "value": "fire_resistive", "label": "Reinforced concrete or protected steel" }, { "value": "metal", "label": "Metal building" }, { "value": "frame", "label": "Wood frame" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "building.yearBuilt", "label": "About what year was the building built?", "type": "year (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "building.stories", "label": "How many stories is the building?", "type": "integer", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "building.roofYear", "label": "What year was the roof last replaced?", "type": "year (number)", "required": false, "whenApplies": true, "page": "Your building and property" }, { "field": "building.sprinklers", "label": "Does the building have fire sprinklers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "building.alarm", "label": "Does the building have an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "pei.equipment", "label": "Which equipment do you have?", "type": "a list of the options", "required": true, "page": "Your building and property", "options": [ { "value": "office", "label": "Office furniture, computers and electronics" }, { "value": "machinery", "label": "Machinery, shop equipment and tools" }, { "value": "kitchen", "label": "Restaurant and kitchen equipment" }, { "value": "medical", "label": "Medical, dental, salon or spa equipment" }, { "value": "contractor", "label": "Contractors' tools that travel to job sites" }, { "value": "signs", "label": "Signs, fixtures and displays" }, { "value": "other", "label": "Other equipment" }, { "value": "none", "label": "None of these" } ] }, { "field": "pei.equipment.office", "label": "About what would all your office and electronic equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.machinery", "label": "About what would all your machinery and tools cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.kitchen", "label": "About what would all your kitchen equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.medical", "label": "About what would all your medical, dental or salon equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.contractor", "label": "About what would all your job-site tools cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.signs", "label": "About what would all your signs and fixtures cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.other", "label": "About what would all your other equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory", "label": "Which inventory do you carry?", "type": "a list of the options", "required": true, "page": "Your building and property", "options": [ { "value": "retail", "label": "Goods for sale" }, { "value": "materials", "label": "Raw materials and supplies" }, { "value": "finished", "label": "Finished products you made" }, { "value": "food", "label": "Food, drink and perishables" }, { "value": "parts", "label": "Parts and spare stock" }, { "value": "other", "label": "Other inventory" }, { "value": "none", "label": "None of these" } ] }, { "field": "pei.inventory.retail", "label": "About what are all your goods for sale worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.materials", "label": "About what are all your raw materials and supplies worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.finished", "label": "About what are all your finished products worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.food", "label": "About what are all your food, drink and perishables worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.parts", "label": "About what are all your parts and spare stock worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.other", "label": "About what is all your other inventory worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" } ] }, { "code": "general_liability", "name": "General Liability", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=general_liability", "fields": [ { "field": "ops.subcontractors", "label": "Do you use subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.subcontractorCost", "label": "What do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your business liability" }, { "field": "ops.subcontractorCertificates", "label": "Do subcontractors give you certificates of insurance with limits that match or are higher than yours?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "all", "label": "Yes, all of them, with limits that match or are higher than ours" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" } ] }, { "field": "ops.hazards", "label": "Which higher-risk operations do you have?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "excavation", "label": "Excavation, demolition or blasting" }, { "value": "alcohol", "label": "Serving or selling alcohol" }, { "value": "hazmat", "label": "Hazardous materials or waste" }, { "value": "hemp", "label": "Hemp, CBD or cannabis products" }, { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "none", "label": "None of these" } ] }, { "field": "gl.limit", "label": "What liability limit do you want?", "type": "one of the options", "required": true, "page": "Your business liability", "options": [ { "value": "100k", "label": "$100,000" }, { "value": "250k", "label": "$250,000" }, { "value": "500k", "label": "$500,000" }, { "value": "1m", "label": "$1 million" }, { "value": "2m", "label": "$2 million" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "liab.umbrella", "label": "Yes, I'm also interested in an umbrella policy, which adds liability coverage on top of the policy above.", "type": "boolean", "required": false, "page": "Your business liability" } ] }, { "code": "professional", "name": "Professional Liability (E&O)", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=professional", "fields": [ { "field": "ops.subcontractors", "label": "Do you use subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.subcontractorCost", "label": "What do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your business liability" }, { "field": "ops.subcontractorCertificates", "label": "Do subcontractors give you certificates of insurance with limits that match or are higher than yours?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "all", "label": "Yes, all of them, with limits that match or are higher than ours" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" } ] }, { "field": "ops.hazards", "label": "Which higher-risk operations do you have?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "excavation", "label": "Excavation, demolition or blasting" }, { "value": "alcohol", "label": "Serving or selling alcohol" }, { "value": "hazmat", "label": "Hazardous materials or waste" }, { "value": "hemp", "label": "Hemp, CBD or cannabis products" }, { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "none", "label": "None of these" } ] }, { "field": "liab.umbrella", "label": "Yes, I'm also interested in an umbrella policy, which adds liability coverage on top of the policy above.", "type": "boolean", "required": false, "page": "Your business liability" } ] }, { "code": "cyber", "name": "Cyber", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=cyber", "fields": [ { "field": "ops.subcontractors", "label": "Do you use subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.subcontractorCost", "label": "What do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your business liability" }, { "field": "ops.subcontractorCertificates", "label": "Do subcontractors give you certificates of insurance with limits that match or are higher than yours?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "all", "label": "Yes, all of them, with limits that match or are higher than ours" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" } ] }, { "field": "ops.hazards", "label": "Which higher-risk operations do you have?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "excavation", "label": "Excavation, demolition or blasting" }, { "value": "alcohol", "label": "Serving or selling alcohol" }, { "value": "hazmat", "label": "Hazardous materials or waste" }, { "value": "hemp", "label": "Hemp, CBD or cannabis products" }, { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "none", "label": "None of these" } ] }, { "field": "liab.umbrella", "label": "Yes, I'm also interested in an umbrella policy, which adds liability coverage on top of the policy above.", "type": "boolean", "required": false, "page": "Your business liability" }, { "field": "cyber.records", "label": "How many private records do you keep?", "type": "one of the options", "required": true, "page": "Your business liability", "options": [ { "value": "lt1k", "label": "Fewer than 1,000" }, { "value": "1k-10k", "label": "1,000 to 10,000" }, { "value": "10k-100k", "label": "10,000 to 100,000" }, { "value": "gt100k", "label": "More than 100,000" } ], "help": "Customers', patients' or employees' ID numbers, card or bank details, health information or passwords." }, { "field": "cyber.takesCards", "label": "Do you accept credit or debit cards?", "type": "one of the options", "required": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cyber.controls", "label": "Which security controls do you use?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "mfa", "label": "A second sign-in step (like a code sent to a phone) for email and remote access" }, { "value": "backups", "label": "Backups kept offline or apart from the main network" }, { "value": "endpoint", "label": "Security software on every computer" }, { "value": "training", "label": "Training employees to spot scam emails" }, { "value": "none", "label": "None of these, or I'm not sure" } ] }, { "field": "cyber.incidents3y", "label": "Have you had a data breach, ransomware or a payment scam in the last 3 years?", "type": "one of the options", "required": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] } ] }, { "code": "commercial_umbrella", "name": "Commercial Umbrella", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=commercial_umbrella", "fields": [ { "field": "ops.subcontractors", "label": "Do you use subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.subcontractorCost", "label": "What do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your business liability" }, { "field": "ops.subcontractorCertificates", "label": "Do subcontractors give you certificates of insurance with limits that match or are higher than yours?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your business liability", "options": [ { "value": "all", "label": "Yes, all of them, with limits that match or are higher than ours" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" } ] }, { "field": "ops.hazards", "label": "Which higher-risk operations do you have?", "type": "a list of the options", "required": true, "page": "Your business liability", "options": [ { "value": "excavation", "label": "Excavation, demolition or blasting" }, { "value": "alcohol", "label": "Serving or selling alcohol" }, { "value": "hazmat", "label": "Hazardous materials or waste" }, { "value": "hemp", "label": "Hemp, CBD or cannabis products" }, { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "none", "label": "None of these" } ] }, { "field": "liab.umbrella", "label": "Yes, I'm also interested in an umbrella policy, which adds liability coverage on top of the policy above.", "type": "boolean", "required": false, "page": "Your business liability" } ] }, { "code": "commercial_property", "name": "Commercial Property", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=commercial_property", "fields": [ { "field": "premises.buildingValue", "label": "What would it cost to rebuild the building?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Your building and property", "help": "The rebuilding cost, not what it would sell for. Leave it blank and your agent will estimate it." }, { "field": "premises.improvementsValue", "label": "What are your tenant improvements worth?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Your building and property", "help": "What you've spent improving the space you rent, such as built-in counters, flooring or lighting." }, { "field": "premises.otherTenants", "label": "Are there other tenants in the building?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "premises.squareFeet", "label": "How many square feet do you use?", "type": "integer", "required": false, "page": "Your building and property" }, { "field": "building.construction", "label": "What is the building made of?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "masonry", "label": "Concrete block or brick" }, { "value": "fire_resistive", "label": "Reinforced concrete or protected steel" }, { "value": "metal", "label": "Metal building" }, { "value": "frame", "label": "Wood frame" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "building.yearBuilt", "label": "About what year was the building built?", "type": "year (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "building.stories", "label": "How many stories is the building?", "type": "integer", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "building.roofYear", "label": "What year was the roof last replaced?", "type": "year (number)", "required": false, "whenApplies": true, "page": "Your building and property" }, { "field": "building.sprinklers", "label": "Does the building have fire sprinklers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "building.alarm", "label": "Does the building have an alarm monitored by an alarm company?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Your building and property", "options": [ { "value": "burglar_fire", "label": "Burglar and fire" }, { "value": "burglar", "label": "Burglar only" }, { "value": "fire", "label": "Fire only" }, { "value": "none", "label": "No monitored alarm" } ] }, { "field": "pei.equipment", "label": "Which equipment do you have?", "type": "a list of the options", "required": true, "page": "Your building and property", "options": [ { "value": "office", "label": "Office furniture, computers and electronics" }, { "value": "machinery", "label": "Machinery, shop equipment and tools" }, { "value": "kitchen", "label": "Restaurant and kitchen equipment" }, { "value": "medical", "label": "Medical, dental, salon or spa equipment" }, { "value": "contractor", "label": "Contractors' tools that travel to job sites" }, { "value": "signs", "label": "Signs, fixtures and displays" }, { "value": "other", "label": "Other equipment" }, { "value": "none", "label": "None of these" } ] }, { "field": "pei.equipment.office", "label": "About what would all your office and electronic equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.machinery", "label": "About what would all your machinery and tools cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.kitchen", "label": "About what would all your kitchen equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.medical", "label": "About what would all your medical, dental or salon equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.contractor", "label": "About what would all your job-site tools cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.signs", "label": "About what would all your signs and fixtures cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.equipment.other", "label": "About what would all your other equipment cost to replace?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory", "label": "Which inventory do you carry?", "type": "a list of the options", "required": true, "page": "Your building and property", "options": [ { "value": "retail", "label": "Goods for sale" }, { "value": "materials", "label": "Raw materials and supplies" }, { "value": "finished", "label": "Finished products you made" }, { "value": "food", "label": "Food, drink and perishables" }, { "value": "parts", "label": "Parts and spare stock" }, { "value": "other", "label": "Other inventory" }, { "value": "none", "label": "None of these" } ] }, { "field": "pei.inventory.retail", "label": "About what are all your goods for sale worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.materials", "label": "About what are all your raw materials and supplies worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.finished", "label": "About what are all your finished products worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.food", "label": "About what are all your food, drink and perishables worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.parts", "label": "About what are all your parts and spare stock worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" }, { "field": "pei.inventory.other", "label": "About what is all your other inventory worth, at cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Your building and property" } ] }, { "code": "commercial_flood", "name": "Flood", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=commercial_flood", "fields": [ { "field": "cflood.buildingCoverage", "label": "How much building coverage do you want?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Flood coverage", "help": "Leave it blank and your agent will suggest an amount." }, { "field": "cflood.contentsCoverage", "label": "How much coverage for equipment, inventory and improvements?", "type": "dollar amount (number)", "required": false, "page": "Flood coverage" }, { "field": "cflood.foundation", "label": "What does the building sit on?", "type": "one of the options", "required": true, "page": "Flood coverage", "options": [ { "value": "slab", "label": "A concrete slab on the ground" }, { "value": "crawlspace", "label": "A crawlspace" }, { "value": "elevated", "label": "Raised on piers, posts or pilings" }, { "value": "basement", "label": "A basement" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "cflood.elevationCertificate", "label": "Do you have an elevation certificate?", "type": "one of the options", "required": true, "page": "Flood coverage", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "A surveyor's form showing how high the building sits. It can lower the price." } ] }, { "code": "builders_risk", "name": "Builder's Risk", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=builders_risk", "fields": [ { "field": "builders.projectType", "label": "What kind of project is it?", "type": "one of the options", "required": true, "page": "Tell us about the construction project", "options": [ { "value": "new", "label": "New construction" }, { "value": "renovation", "label": "A renovation or addition" } ] }, { "field": "builders.role", "label": "Who are you in this project?", "type": "one of the options", "required": true, "page": "Tell us about the construction project", "options": [ { "value": "owner", "label": "The property owner" }, { "value": "contractor", "label": "The general contractor" } ] }, { "field": "builders.buildingType", "label": "What is being built?", "type": "one of the options", "required": true, "page": "Tell us about the construction project", "options": [ { "value": "house", "label": "A single-family home" }, { "value": "multifamily", "label": "Apartments, townhomes or condos" }, { "value": "commercial", "label": "A commercial building" }, { "value": "other", "label": "Something else" } ] }, { "field": "builders.atAddress", "label": "Is the project at your address?", "type": "one of the options", "required": true, "page": "Tell us about the construction project", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "builders.projectAddress", "label": "What is the project address?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the construction project" }, { "field": "builders.construction", "label": "What will it be made of?", "type": "one of the options", "required": true, "page": "Tell us about the construction project", "options": [ { "value": "masonry", "label": "Concrete block or brick" }, { "value": "fire_resistive", "label": "Reinforced concrete or protected steel" }, { "value": "metal", "label": "Metal building" }, { "value": "frame", "label": "Wood frame" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "builders.stories", "label": "How many stories?", "type": "integer", "required": true, "page": "Tell us about the construction project" }, { "field": "builders.completedValue", "label": "What will the completed project cost?", "type": "dollar amount (number)", "required": true, "page": "Tell us about the construction project", "help": "Materials and labor for the whole project. Don't include the land." }, { "field": "builders.existingValue", "label": "What is the existing building worth?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Tell us about the construction project" }, { "field": "builders.startDate", "label": "When does construction start?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Tell us about the construction project", "help": "If it has already started, enter the start date." }, { "field": "builders.months", "label": "How many months will construction take?", "type": "integer", "required": true, "page": "Tell us about the construction project" } ] }, { "code": "hoa", "name": "HOA or Condo Association", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=hoa", "fields": [ { "field": "assoc.name", "label": "What is the association's name?", "type": "text", "required": true, "page": "Tell us about the association" }, { "field": "assoc.type", "label": "What kind of association is it?", "type": "one of the options", "required": true, "page": "Tell us about the association", "options": [ { "value": "condo", "label": "Condominium association" }, { "value": "hoa", "label": "Homeowners association (HOA)" }, { "value": "other", "label": "Another kind of association" } ] }, { "field": "assoc.units", "label": "How many units or homes are there?", "type": "integer", "required": true, "page": "Tell us about the association" }, { "field": "assoc.buildings", "label": "How many buildings need coverage?", "type": "integer", "required": true, "page": "Tell us about the association", "help": "How many buildings the association insures. Enter 0 if it insures only common areas, like a pool or a clubhouse's contents." }, { "field": "assoc.stories", "label": "How many stories is the tallest building?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the association" }, { "field": "assoc.yearBuilt", "label": "About what year was the oldest building built?", "type": "year (number)", "required": true, "whenApplies": true, "page": "Tell us about the association" }, { "field": "assoc.construction", "label": "What are the buildings made of?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the association", "options": [ { "value": "masonry", "label": "Concrete block or brick" }, { "value": "fire_resistive", "label": "Reinforced concrete or protected steel" }, { "value": "metal", "label": "Metal building" }, { "value": "frame", "label": "Wood frame" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "assoc.milestoneInspection", "label": "Has a milestone inspection been done?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the association", "options": [ { "value": "done", "label": "Yes, it's done" }, { "value": "pending", "label": "Not yet" }, { "value": "not_due", "label": "It isn't due yet for our buildings" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Florida requires it for condominium and cooperative buildings three or more stories tall (F.S. 553.899)." }, { "field": "assoc.reserveStudy", "label": "Has a structural reserve study been done?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the association", "options": [ { "value": "done", "label": "Yes, it's done" }, { "value": "pending", "label": "Not yet" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Florida requires it for condominium buildings three or more stories tall (F.S. 718.112)." }, { "field": "assoc.roofYear", "label": "What year was the oldest roof last replaced?", "type": "year (number)", "required": false, "whenApplies": true, "page": "Tell us about the association" }, { "field": "assoc.amenities", "label": "What amenities does the community have?", "type": "a list of the options", "required": true, "page": "Tell us about the association", "options": [ { "value": "pool", "label": "Swimming pool" }, { "value": "clubhouse", "label": "Clubhouse" }, { "value": "fitness", "label": "Fitness room" }, { "value": "playground", "label": "Playground" }, { "value": "docks", "label": "Docks, a marina or a boat ramp" }, { "value": "ponds", "label": "Lakes or retention ponds" }, { "value": "gated", "label": "Gated entry or security staff" }, { "value": "none", "label": "None of these" } ] }, { "field": "assoc.management", "label": "Who manages the association?", "type": "one of the options", "required": true, "page": "Tell us about the association", "options": [ { "value": "company", "label": "A management company" }, { "value": "self", "label": "The board manages it" } ] }, { "field": "assoc.directorsAndOfficers", "label": "Do you want directors and officers coverage?", "type": "one of the options", "required": true, "page": "Tell us about the association", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "It covers board members against claims over their decisions." }, { "field": "assoc.annualBudget", "label": "What is the annual association budget?", "type": "dollar amount (number)", "required": false, "page": "Tell us about the association", "help": "It helps price board and crime coverage." } ] }, { "code": "commercial_auto", "name": "Commercial Auto", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=commercial_auto", "fields": [ { "field": "cauto.hasUsdot", "label": "Do you have a number issued by the USDOT?", "type": "one of the options", "required": true, "page": "Your USDOT number", "options": [ { "value": "yes", "label": "Yes" }, { "value": "not_yet", "label": "No, not yet" }, { "value": "no", "label": "No" } ], "help": "A USDOT number identifies your business with the Federal Motor Carrier Safety Administration. It's on the side of the truck and on your registration." }, { "field": "cauto.usdotNumber", "label": "What is your USDOT number?", "type": "text", "required": true, "whenApplies": true, "page": "Your USDOT number", "help": "We'll fill in what FMCSA has on file for it; you can change anything that's wrong." }, { "field": "cvehicles.N.vin", "label": "What is the vehicle's VIN?", "type": "17-character VIN", "required": false, "page": "Vehicles", "help": "It's on the registration or insurance card. We'll fill in the year, make and model from it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.year", "label": "What year is it?", "type": "year (number)", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.make", "label": "What make is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.model", "label": "What model is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.type", "label": "What type of vehicle is it?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "car", "label": "Car or SUV" }, { "value": "pickup", "label": "Pickup truck" }, { "value": "van", "label": "Van" }, { "value": "box", "label": "Box truck or straight truck" }, { "value": "tractor", "label": "Semi tractor" }, { "value": "trailer", "label": "Trailer" }, { "value": "dump", "label": "Dump truck" }, { "value": "tow", "label": "Tow truck or wrecker" }, { "value": "bus", "label": "Bus or shuttle" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.weight", "label": "What is its gross vehicle weight?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "light", "label": "10,000 pounds or less" }, { "value": "medium", "label": "10,001 to 20,000 pounds" }, { "value": "heavy", "label": "20,001 to 45,000 pounds" }, { "value": "extra_heavy", "label": "More than 45,000 pounds" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "How much it can weigh fully loaded (GVWR), on the sticker inside the driver's door.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.use", "label": "What is its main use?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "service", "label": "Sales or service calls" }, { "value": "delivery", "label": "Deliveries" }, { "value": "hauling", "label": "Hauling cargo for others" }, { "value": "passengers", "label": "Carrying passengers" }, { "value": "commuting", "label": "Employee commuting" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.radius", "label": "How far does it operate from its base?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "local", "label": "Within 50 miles" }, { "value": "intermediate", "label": "50 to 200 miles" }, { "value": "long", "label": "More than 200 miles" } ], "help": "How far from where it's kept it usually goes.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.ownership", "label": "Do you own it, or is it financed or leased?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "owned", "label": "Owned outright" }, { "value": "financed", "label": "Financed" }, { "value": "leased", "label": "Leased" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.physicalDamage", "label": "Do you want coverage for damage to it?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No, liability only" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Comprehensive and collision coverage. Lenders and leasing companies require it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.value", "label": "What is its estimated value?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Vehicles", "help": "With any equipment on it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.garagedAtAddress", "label": "Is it kept overnight at the business address?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.garagingZip", "label": "What ZIP code is it kept in overnight?", "type": "5-digit ZIP code", "required": true, "whenApplies": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cauto.employeesOwnCars", "label": "Do employees use their own vehicles for work, such as errands or client visits?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cauto.forHire", "label": "Do you haul goods or people for others, for pay?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "truck.cargo", "label": "What cargo do you haul?", "type": "text", "required": true, "whenApplies": true, "page": "Vehicles", "help": "For example, general freight, produce, building materials or cars." }, { "field": "truck.interstate", "label": "Where do the trucks run?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "florida", "label": "Only in Florida" }, { "value": "interstate", "label": "In Florida and other states" } ] }, { "field": "truck.authority", "label": "Whose operating authority do the trucks run under?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "own", "label": "Our own authority" }, { "value": "leased", "label": "Leased on to another carrier" }, { "value": "new", "label": "We're applying for authority now" } ] }, { "field": "truck.mcNumber", "label": "What is your MC number?", "type": "text", "required": false, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.leasedTo", "label": "Which motor carrier are you leased to?", "type": "text", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.leasedToDot", "label": "Their USDOT number, if you know it", "type": "text", "required": false, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.leaseType", "label": "What kind of lease is it?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "permanent", "label": "A permanent lease" }, { "value": "trip", "label": "Trip leases" }, { "value": "both", "label": "Both" } ] }, { "field": "hot.primaryLiability", "label": "Under dispatch, whose policy covers liability?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "carrier", "label": "The motor carrier's" }, { "value": "own", "label": "This policy" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "hot.leaseWritten", "label": "Do you have a written lease agreement?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "The agent asks for a copy before a quote is final." }, { "field": "hot.leasedNeeds", "label": "What do you need covered?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "ntl", "label": "Non-trucking (bobtail) liability" }, { "value": "pd", "label": "Physical damage on the truck and trailer" }, { "value": "interchange", "label": "Trailer interchange" }, { "value": "cargo", "label": "Cargo" }, { "value": "occ_acc", "label": "Occupational accident" } ], "help": "The motor carrier's policy usually covers liability while the truck is under dispatch; this policy covers the rest." }, { "field": "hot.filings", "label": "Will the policy need an insurance filing (MCS-90, BMC-91, Form E or Form H)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "hot.cdlYears", "label": "How many years has the main driver held a CDL?", "type": "integer", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.trailers", "label": "What do you pull?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "gooseneck", "label": "A gooseneck or hotshot trailer" }, { "value": "flatbed", "label": "A flatbed or step deck" }, { "value": "dry_van", "label": "A dry van" }, { "value": "reefer", "label": "A reefer" }, { "value": "car_hauler", "label": "A car hauler" }, { "value": "dump", "label": "A dump or end dump" }, { "value": "tanker", "label": "A tanker" }, { "value": "carriers", "label": "The motor carrier's trailers" } ] }, { "field": "hot.cargoMaxValue", "label": "What's the most valuable load on one trip?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Vehicles", "help": "The value of the freight, not the truck." }, { "field": "hot.hazmat", "label": "Do any loads need a hazardous materials placard?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "no", "label": "No" }, { "value": "some", "label": "Yes, a few" }, { "value": "most", "label": "Yes, most loads" } ] }, { "field": "hot.hazmatWhat", "label": "What placarded materials?", "type": "text", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.oversize", "label": "Do you haul oversize or overweight loads under a permit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.target", "label": "Do you haul electronics, pharmaceuticals, liquor, tobacco, meat or seafood, or copper and other metals?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.longestTrip", "label": "How far is the longest regular one-way trip?", "type": "integer", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.metros", "label": "Which big cities do you drive into regularly?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "miami", "label": "Miami and Fort Lauderdale" }, { "value": "tampa", "label": "Tampa Bay" }, { "value": "orlando", "label": "Orlando" }, { "value": "jacksonville", "label": "Jacksonville" }, { "value": "atlanta", "label": "Atlanta" }, { "value": "other", "label": "Other cities of a million or more outside Florida" }, { "value": "none", "label": "None regularly" } ] }, { "field": "hot.mvrs", "label": "Do you pull a motor vehicle record on every driver before they start, and at least once a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.maintenance", "label": "Do you keep maintenance records and do pre-trip and post-trip inspections?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.unattended", "label": "Is a loaded truck ever left unattended overnight outside a fenced yard?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.tech", "label": "Which of these do you run?", "type": "a list of the options", "required": false, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "eld", "label": "An electronic logging device" }, { "value": "dashcam", "label": "A dash camera" }, { "value": "gps", "label": "GPS tracking" }, { "value": "none", "label": "None of these" } ] }, { "field": "cdrivers.N.firstName", "label": "First name", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.lastName", "label": "Last name", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.dateOfBirth", "label": "What is the driver's date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.role", "label": "What is the driver's role?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "owner", "label": "Owner" }, { "value": "employee", "label": "Employee" }, { "value": "family", "label": "Family member" }, { "value": "other", "label": "Someone else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.licenseState", "label": "What state issued the license?", "type": "2-letter state code", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.licenseNumber", "label": "What is the driver's license number?", "type": "text", "required": false, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.cdl", "label": "Does the driver have a CDL?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.incidents", "label": "How many accidents or tickets in the last 3 years?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "0", "label": "None" }, { "value": "1", "label": "1" }, { "value": "2", "label": "2" }, { "value": "3+", "label": "3 or more" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] } ] }, { "code": "trucking", "name": "Trucking", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=trucking", "fields": [ { "field": "cauto.hasUsdot", "label": "Do you have a number issued by the USDOT?", "type": "one of the options", "required": true, "page": "Your USDOT number", "options": [ { "value": "yes", "label": "Yes" }, { "value": "not_yet", "label": "No, not yet" }, { "value": "no", "label": "No" } ], "help": "A USDOT number identifies your business with the Federal Motor Carrier Safety Administration. It's on the side of the truck and on your registration." }, { "field": "cauto.usdotNumber", "label": "What is your USDOT number?", "type": "text", "required": true, "whenApplies": true, "page": "Your USDOT number", "help": "We'll fill in what FMCSA has on file for it; you can change anything that's wrong." }, { "field": "cvehicles.N.vin", "label": "What is the vehicle's VIN?", "type": "17-character VIN", "required": false, "page": "Vehicles", "help": "It's on the registration or insurance card. We'll fill in the year, make and model from it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.year", "label": "What year is it?", "type": "year (number)", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.make", "label": "What make is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.model", "label": "What model is it?", "type": "text", "required": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.type", "label": "What type of vehicle is it?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "car", "label": "Car or SUV" }, { "value": "pickup", "label": "Pickup truck" }, { "value": "van", "label": "Van" }, { "value": "box", "label": "Box truck or straight truck" }, { "value": "tractor", "label": "Semi tractor" }, { "value": "trailer", "label": "Trailer" }, { "value": "dump", "label": "Dump truck" }, { "value": "tow", "label": "Tow truck or wrecker" }, { "value": "bus", "label": "Bus or shuttle" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.weight", "label": "What is its gross vehicle weight?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "light", "label": "10,000 pounds or less" }, { "value": "medium", "label": "10,001 to 20,000 pounds" }, { "value": "heavy", "label": "20,001 to 45,000 pounds" }, { "value": "extra_heavy", "label": "More than 45,000 pounds" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "How much it can weigh fully loaded (GVWR), on the sticker inside the driver's door.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.use", "label": "What is its main use?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "service", "label": "Sales or service calls" }, { "value": "delivery", "label": "Deliveries" }, { "value": "hauling", "label": "Hauling cargo for others" }, { "value": "passengers", "label": "Carrying passengers" }, { "value": "commuting", "label": "Employee commuting" }, { "value": "other", "label": "Something else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.radius", "label": "How far does it operate from its base?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "local", "label": "Within 50 miles" }, { "value": "intermediate", "label": "50 to 200 miles" }, { "value": "long", "label": "More than 200 miles" } ], "help": "How far from where it's kept it usually goes.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.ownership", "label": "Do you own it, or is it financed or leased?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "owned", "label": "Owned outright" }, { "value": "financed", "label": "Financed" }, { "value": "leased", "label": "Leased" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.physicalDamage", "label": "Do you want coverage for damage to it?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No, liability only" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Comprehensive and collision coverage. Lenders and leasing companies require it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.value", "label": "What is its estimated value?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Vehicles", "help": "With any equipment on it.", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.garagedAtAddress", "label": "Is it kept overnight at the business address?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cvehicles.N.garagingZip", "label": "What ZIP code is it kept in overnight?", "type": "5-digit ZIP code", "required": true, "whenApplies": true, "page": "Vehicles", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cauto.employeesOwnCars", "label": "Do employees use their own vehicles for work, such as errands or client visits?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "truck.cargo", "label": "What cargo do you haul?", "type": "text", "required": true, "page": "Vehicles", "help": "For example, general freight, produce, building materials or cars." }, { "field": "truck.interstate", "label": "Where do the trucks run?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "florida", "label": "Only in Florida" }, { "value": "interstate", "label": "In Florida and other states" } ] }, { "field": "truck.authority", "label": "Whose operating authority do the trucks run under?", "type": "one of the options", "required": true, "page": "Vehicles", "options": [ { "value": "own", "label": "Our own authority" }, { "value": "leased", "label": "Leased on to another carrier" }, { "value": "new", "label": "We're applying for authority now" } ] }, { "field": "truck.mcNumber", "label": "What is your MC number?", "type": "text", "required": false, "page": "Vehicles" }, { "field": "hot.leasedTo", "label": "Which motor carrier are you leased to?", "type": "text", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.leasedToDot", "label": "Their USDOT number, if you know it", "type": "text", "required": false, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.leaseType", "label": "What kind of lease is it?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "permanent", "label": "A permanent lease" }, { "value": "trip", "label": "Trip leases" }, { "value": "both", "label": "Both" } ] }, { "field": "hot.primaryLiability", "label": "Under dispatch, whose policy covers liability?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "carrier", "label": "The motor carrier's" }, { "value": "own", "label": "This policy" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "hot.leaseWritten", "label": "Do you have a written lease agreement?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "The agent asks for a copy before a quote is final." }, { "field": "hot.leasedNeeds", "label": "What do you need covered?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "ntl", "label": "Non-trucking (bobtail) liability" }, { "value": "pd", "label": "Physical damage on the truck and trailer" }, { "value": "interchange", "label": "Trailer interchange" }, { "value": "cargo", "label": "Cargo" }, { "value": "occ_acc", "label": "Occupational accident" } ], "help": "The motor carrier's policy usually covers liability while the truck is under dispatch; this policy covers the rest." }, { "field": "hot.filings", "label": "Will the policy need an insurance filing (MCS-90, BMC-91, Form E or Form H)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "hot.cdlYears", "label": "How many years has the main driver held a CDL?", "type": "integer", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.trailers", "label": "What do you pull?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "gooseneck", "label": "A gooseneck or hotshot trailer" }, { "value": "flatbed", "label": "A flatbed or step deck" }, { "value": "dry_van", "label": "A dry van" }, { "value": "reefer", "label": "A reefer" }, { "value": "car_hauler", "label": "A car hauler" }, { "value": "dump", "label": "A dump or end dump" }, { "value": "tanker", "label": "A tanker" }, { "value": "carriers", "label": "The motor carrier's trailers" } ] }, { "field": "hot.cargoMaxValue", "label": "What's the most valuable load on one trip?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Vehicles", "help": "The value of the freight, not the truck." }, { "field": "hot.hazmat", "label": "Do any loads need a hazardous materials placard?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "no", "label": "No" }, { "value": "some", "label": "Yes, a few" }, { "value": "most", "label": "Yes, most loads" } ] }, { "field": "hot.hazmatWhat", "label": "What placarded materials?", "type": "text", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.oversize", "label": "Do you haul oversize or overweight loads under a permit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.target", "label": "Do you haul electronics, pharmaceuticals, liquor, tobacco, meat or seafood, or copper and other metals?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.longestTrip", "label": "How far is the longest regular one-way trip?", "type": "integer", "required": true, "whenApplies": true, "page": "Vehicles" }, { "field": "hot.metros", "label": "Which big cities do you drive into regularly?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "miami", "label": "Miami and Fort Lauderdale" }, { "value": "tampa", "label": "Tampa Bay" }, { "value": "orlando", "label": "Orlando" }, { "value": "jacksonville", "label": "Jacksonville" }, { "value": "atlanta", "label": "Atlanta" }, { "value": "other", "label": "Other cities of a million or more outside Florida" }, { "value": "none", "label": "None regularly" } ] }, { "field": "hot.mvrs", "label": "Do you pull a motor vehicle record on every driver before they start, and at least once a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.maintenance", "label": "Do you keep maintenance records and do pre-trip and post-trip inspections?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.unattended", "label": "Is a loaded truck ever left unattended overnight outside a fenced yard?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hot.tech", "label": "Which of these do you run?", "type": "a list of the options", "required": false, "whenApplies": true, "page": "Vehicles", "options": [ { "value": "eld", "label": "An electronic logging device" }, { "value": "dashcam", "label": "A dash camera" }, { "value": "gps", "label": "GPS tracking" }, { "value": "none", "label": "None of these" } ] }, { "field": "cdrivers.N.firstName", "label": "First name", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.lastName", "label": "Last name", "type": "text", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.dateOfBirth", "label": "What is the driver's date of birth?", "type": "date (YYYY-MM-DD)", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.role", "label": "What is the driver's role?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "owner", "label": "Owner" }, { "value": "employee", "label": "Employee" }, { "value": "family", "label": "Family member" }, { "value": "other", "label": "Someone else" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.licenseState", "label": "What state issued the license?", "type": "2-letter state code", "required": true, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.licenseNumber", "label": "What is the driver's license number?", "type": "text", "required": false, "page": "Drivers", "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.cdl", "label": "Does the driver have a CDL?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] }, { "field": "cdrivers.N.incidents", "label": "How many accidents or tickets in the last 3 years?", "type": "one of the options", "required": true, "page": "Drivers", "options": [ { "value": "0", "label": "None" }, { "value": "1", "label": "1" }, { "value": "2", "label": "2" }, { "value": "3+", "label": "3 or more" } ], "repeat": [ { "placeholder": "N", "from": 1, "to": 6 } ] } ] }, { "code": "workers_comp", "name": "Workers' Compensation", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=workers_comp", "fields": [ { "field": "wc.clericalPayroll", "label": "How much of the payroll is clerical?", "type": "dollar amount (number)", "required": false, "page": "Employees and payroll", "help": "The part of the payroll on the business page for employees who only do office work. Office work costs much less to cover." }, { "field": "wc.duties", "label": "What do your employees do?", "type": "text", "required": true, "page": "Employees and payroll", "help": "For example: \"Two installers hang drywall. One estimator visits job sites.\"" }, { "field": "wc.construction", "label": "Do you do construction work?", "type": "one of the options", "required": true, "page": "Employees and payroll", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "wc.ownersCovered", "label": "Are the owners covered?", "type": "one of the options", "required": true, "page": "Employees and payroll", "options": [ { "value": "yes", "label": "Yes" }, { "value": "exempt", "label": "No, the owners have or will file an exemption" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "In Florida, corporate officers and LLC members can file for an exemption with the state's Division of Workers' Compensation. Your agent will explain whether that fits you." }, { "field": "wc.usesSubcontractors", "label": "Do you pay subcontractors or 1099 workers?", "type": "one of the options", "required": true, "page": "Employees and payroll", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "wc.subcontractorsCovered", "label": "Do subcontractors have their own workers' comp or a state exemption?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Employees and payroll", "options": [ { "value": "all", "label": "Yes, all of them" }, { "value": "some", "label": "Some of them" }, { "value": "none", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "wc.experienceMod", "label": "What is your experience modification factor?", "type": "text", "required": false, "page": "Employees and payroll", "help": "It's on your current workers' comp policy, like 0.95. Most small businesses don't have one." } ] }, { "code": "crime", "name": "Crime and Employee Dishonesty", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=crime", "fields": [ { "field": "crime.coverages", "label": "What do you want covered?", "type": "a list of the options", "required": true, "page": "Crime and employee dishonesty", "options": [ { "value": "employee_theft", "label": "Theft by employees" }, { "value": "forgery", "label": "Forged or altered checks" }, { "value": "funds_transfer", "label": "Computer and funds transfer fraud" }, { "value": "money", "label": "Money and securities" }, { "value": "client_property", "label": "Theft from clients by employees" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "crime.moneyHandlers", "label": "How many employees handle money, sign checks or approve payments?", "type": "integer", "required": true, "page": "Crime and employee dishonesty" }, { "field": "crime.controls", "label": "Does someone other than the person who writes checks reconcile the bank statements?", "type": "one of the options", "required": true, "page": "Crime and employee dishonesty", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "crime.limit", "label": "How much coverage do you want?", "type": "dollar amount (number)", "required": false, "page": "Crime and employee dishonesty" }, { "field": "crime.losses5y", "label": "Have you had theft or fraud losses in the last 5 years?", "type": "one of the options", "required": true, "page": "Crime and employee dishonesty", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] } ] }, { "code": "bonds", "name": "Surety or Fidelity Bond", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=bonds", "fields": [ { "field": "bond.type", "label": "What type of bond do you need?", "type": "one of the options", "required": true, "page": "Tell us about the bond", "options": [ { "value": "notary", "label": "Notary bond" }, { "value": "license", "label": "License or permit bond" }, { "value": "contract", "label": "Bid, performance or payment bond" }, { "value": "court", "label": "Court or probate bond" }, { "value": "fidelity", "label": "Employee dishonesty (fidelity) bond" }, { "value": "other", "label": "Something else" } ] }, { "field": "lbond.license", "label": "What license or permit needs a bond?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the bond", "help": "For example, a contractor, auto dealer, mortgage broker or alcohol license." }, { "field": "bond.obligee", "label": "Who requires the bond?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the bond", "help": "Usually a state agency, county, city, court or project owner." }, { "field": "bond.amount", "label": "What is the bond amount?", "type": "dollar amount (number)", "required": false, "page": "Tell us about the bond", "help": "Florida notary bonds are $7,500." }, { "field": "bond.contractAmount", "label": "What is the contract amount?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the bond" }, { "field": "bond.details", "label": "What else should we know about the bond?", "type": "text", "required": false, "page": "Tell us about the bond", "help": "For example, the license number or the project name." } ] }, { "code": "license_bond", "name": "License Bond", "kind": "commercial", "start": "https://www.magnusonins.com/quote?lines=license_bond", "fields": [ { "field": "bond.type", "label": "What type of bond do you need?", "type": "one of the options", "required": true, "page": "Tell us about the bond", "options": [ { "value": "notary", "label": "Notary bond" }, { "value": "license", "label": "License or permit bond" }, { "value": "contract", "label": "Bid, performance or payment bond" }, { "value": "court", "label": "Court or probate bond" }, { "value": "fidelity", "label": "Employee dishonesty (fidelity) bond" }, { "value": "other", "label": "Something else" } ] }, { "field": "lbond.license", "label": "What license or permit needs a bond?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the bond", "help": "For example, a contractor, auto dealer, mortgage broker or alcohol license." }, { "field": "bond.obligee", "label": "Who requires the bond?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the bond", "help": "Usually a state agency, county, city, court or project owner." }, { "field": "bond.amount", "label": "What is the bond amount?", "type": "dollar amount (number)", "required": false, "page": "Tell us about the bond", "help": "Florida notary bonds are $7,500." }, { "field": "bond.contractAmount", "label": "What is the contract amount?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the bond" }, { "field": "bond.details", "label": "What else should we know about the bond?", "type": "text", "required": false, "page": "Tell us about the bond", "help": "For example, the license number or the project name." } ] } ], "businessCommon": { "note": "Every business request also takes these, before its lines' own fields.", "fields": [ { "field": "business.name", "label": "Business name", "type": "text", "required": true, "page": "Where is the business located?" }, { "field": "location.street", "label": "Street address", "type": "text", "required": true, "page": "Where is the business located?" }, { "field": "location.unit", "label": "Apartment, unit or suite", "type": "text", "required": false, "page": "Where is the business located?" }, { "field": "location.city", "label": "City", "type": "text", "required": true, "page": "Where is the business located?" }, { "field": "location.state", "label": "State", "type": "2-letter state code", "required": true, "page": "Where is the business located?" }, { "field": "location.zip", "label": "ZIP code", "type": "5-digit ZIP code", "required": true, "page": "Where is the business located?" }, { "field": "business.industry", "label": "What industry is the business in?", "type": "one of the options", "required": true, "page": "Tell us about the business", "options": [ { "value": "construction", "label": "Construction and Contracting" }, { "value": "restaurant", "label": "Restaurant and Food Service" }, { "value": "manufacturing", "label": "Manufacturing and Production" }, { "value": "retail", "label": "Retail and Wholesale" }, { "value": "realestate", "label": "Real Estate and Property Management" }, { "value": "professional", "label": "Professional and Business Services" }, { "value": "healthcare", "label": "Healthcare and Personal Services" }, { "value": "transportation", "label": "Transportation and Delivery" }, { "value": "homeservices", "label": "Landscaping and Home Services" }, { "value": "other", "label": "Something else" } ] }, { "field": "business.type", "label": "What type of business is it?", "type": "text", "required": true, "page": "Tell us about the business", "help": "Start typing to search the industry list (U.S. Census NAICS), narrowed to the industry above, or enter your own." }, { "field": "business.description", "label": "What products or services do you advertise?", "type": "text", "required": true, "page": "Tell us about the business", "help": "A sentence or two is plenty. For example: \"We install and repair residential air conditioning.\"" }, { "field": "business.website", "label": "What is your website?", "type": "text", "required": false, "page": "Tell us about the business" }, { "field": "ind.con.trades", "label": "Which trades do you perform?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "ac_refrigeration", "label": "A/C & Refrigeration" }, { "value": "appliance_install", "label": "Appliance & Accessories Installation" }, { "value": "carpentry_framing", "label": "Carpentry (Framing)" }, { "value": "carpentry_interior", "label": "Carpentry (Interior/Woodwork/Shop)" }, { "value": "carpet_cleaning", "label": "Carpet Cleaning" }, { "value": "cleaning_outside", "label": "Cleaning (Outside Building)" }, { "value": "concrete_flat", "label": "Concrete (Flat)" }, { "value": "concrete_foundations", "label": "Concrete (Foundations - No Repair)" }, { "value": "debris_removal", "label": "Debris Removal (Construction Site)" }, { "value": "demolition_nonstructural", "label": "Demolition - Non Structural" }, { "value": "demolition_structural", "label": "Demolition - Structural" }, { "value": "door_overhead", "label": "Door Installation – Overhead Doors" }, { "value": "door_window", "label": "Door/Window Installation" }, { "value": "drywall", "label": "Drywall" }, { "value": "electrical", "label": "Electrical" }, { "value": "equipment_rental", "label": "Equipment Rental (w/Operator)" }, { "value": "excavation", "label": "Excavation" }, { "value": "fencing", "label": "Fencing" }, { "value": "floor_covering", "label": "Floor Covering Installation" }, { "value": "garage_door", "label": "Garage Door Installation" }, { "value": "gc_new_commercial", "label": "General Contractor (New Commercial)" }, { "value": "gc_new_residential", "label": "General Contractor (New Residential)" }, { "value": "gc_remodel_commercial", "label": "General Contractor (Remodel Commercial)" }, { "value": "gc_remodel_residential", "label": "General Contractor (Remodel Residential)" }, { "value": "gc_remodel_investor", "label": "General Contractor (Remodel/Real Estate Investor)" }, { "value": "glass_glazing", "label": "Glass Installation/Glazing" }, { "value": "grading", "label": "Grading" }, { "value": "guniting", "label": "Guniting" }, { "value": "handyman", "label": "Handyman" }, { "value": "home_inspection", "label": "Home Inspection" }, { "value": "furniture_fixtures", "label": "Household Furniture or Fixtures Installation" }, { "value": "hvac", "label": "HVAC" }, { "value": "insulation", "label": "Insulation" }, { "value": "janitorial_commercial", "label": "Janitorial (Commercial - No Floor Waxing)" }, { "value": "janitorial_residential", "label": "Janitorial (Residential - No Floor Waxing)" }, { "value": "landscape", "label": "Landscape" }, { "value": "low_voltage", "label": "Low Voltage Electrical (No underground operations)" }, { "value": "masonry", "label": "Masonry" }, { "value": "masonry_chimney", "label": "Masonry Including Chimney repair" }, { "value": "metal_decorative", "label": "Metal Erection (Decorative)" }, { "value": "metal_structural", "label": "Metal Erection (Structural)" }, { "value": "painting_exterior", "label": "Painting (Exterior)" }, { "value": "painting_interior", "label": "Painting (Interior)" }, { "value": "parking_lot_paving", "label": "Parking Lot/Driveway Paving & Repair (no street or road)" }, { "value": "plastering_stucco", "label": "Plastering/Stucco" }, { "value": "plumbing_commercial", "label": "Plumbing (Commercial)" }, { "value": "plumbing_residential", "label": "Plumbing (Residential)" }, { "value": "prefab_homes", "label": "Pre-Fab Homes" }, { "value": "pressure_washing", "label": "Pressure Washing" }, { "value": "project_manager", "label": "Project Manager" }, { "value": "property_preservation", "label": "Property preservation" }, { "value": "rebar", "label": "Rebar Installation" }, { "value": "roof_cleaning", "label": "Roof cleaning (without using high pressure)" }, { "value": "roofing_new_commercial", "label": "Roofing (New Commercial)" }, { "value": "roofing_new_residential", "label": "Roofing (New Residential)" }, { "value": "roofing_repair_commercial", "label": "Roofing (Repair Commercial)" }, { "value": "roofing_repair_residential", "label": "Roofing (Repair Residential)" }, { "value": "sandblasting", "label": "Sandblasting" }, { "value": "septic", "label": "Septic Tank (Install/Service/Repair)" }, { "value": "sheet_metal", "label": "Sheet Metal" }, { "value": "siding_decking", "label": "Siding and Decking" }, { "value": "sign_install", "label": "Sign Installation" }, { "value": "solar", "label": "Solar Installation/Repair" }, { "value": "street_paving", "label": "Street/Road Paving (Commercial)" }, { "value": "pool_cleaning", "label": "Swimming Pool Cleaning" }, { "value": "pool_install", "label": "Swimming Pool Installation & Repair" }, { "value": "tile_marble", "label": "Tile & Marble Installation" }, { "value": "tree_trimmer", "label": "Tree Trimmer" }, { "value": "water_sewer_mains", "label": "Water & Sewer Mains" }, { "value": "water_fire_restoration", "label": "Water/ Fire Damage restoration" }, { "value": "welding_nonstructural", "label": "Welding (Non-Structural)" }, { "value": "welding_structural", "label": "Welding (Structural)" }, { "value": "other", "label": "Other Trade" } ], "help": "Use + to add another. We start with the one that matches your business type." }, { "field": "ind.con.height", "label": "How tall is your tallest exterior work?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "low", "label": "One or two stories" }, { "value": "three", "label": "Three stories" }, { "value": "high", "label": "Four stories or more" } ] }, { "field": "ind.con.subcontractorCost", "label": "About how much do you spend on subcontractors each year?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "ind.con.noSubs", "label": "The applicant doesn't hire subcontractors.", "type": "boolean", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "ind.rest.alcohol", "label": "What share of your sales is alcohol?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "lt25", "label": "Under 25% of sales" }, { "value": "25-50", "label": "25% to 50% of sales" }, { "value": "gt50", "label": "Over 50% of sales" } ] }, { "field": "ind.rest.cooking", "label": "Do you use deep fryers or open-flame cooking?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.rest.hood", "label": "Is there an automatic fire suppression system over the cooking line?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "ind.rest.late", "label": "Are you open after midnight?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.rest.delivery", "label": "Do you offer delivery, with your own drivers or a delivery app?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.mfg.process", "label": "Which processes do you use?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "welding", "label": "Welding or metalwork" }, { "value": "chemicals", "label": "Chemicals, coatings or plastics" }, { "value": "wood", "label": "Woodworking" }, { "value": "food", "label": "Food or beverage processing" }, { "value": "assembly", "label": "Assembly only" }, { "value": "other", "label": "Something else" } ] }, { "field": "ind.mfg.buyers", "label": "Who buys your products?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "consumers", "label": "Consumers" }, { "value": "businesses", "label": "Other businesses" }, { "value": "both", "label": "Both" } ] }, { "field": "ind.mfg.export", "label": "What share of your sales is outside the U.S.?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "lt25", "label": "Under 25% of sales" }, { "value": "25-50", "label": "25% to 50% of sales" }, { "value": "gt50", "label": "Over 50% of sales" } ] }, { "field": "ind.mfg.procedures", "label": "Do you have written inspection, testing or recall procedures?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.ret.channel", "label": "Where do you sell?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "store", "label": "Brick & Mortar" }, { "value": "online", "label": "Online" }, { "value": "social", "label": "Social Media" }, { "value": "wholesale", "label": "Wholesale" }, { "value": "other", "label": "Other" } ] }, { "field": "ind.ret.imports", "label": "Do you import products?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.ret.restricted", "label": "Which high-risk products do you sell?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "firearms", "label": "Firearms or ammunition" }, { "value": "tobacco", "label": "Tobacco or vaping products" }, { "value": "alcohol", "label": "Alcohol" }, { "value": "hemp", "label": "Hemp or CBD products" }, { "value": "supplements", "label": "Dietary supplements" }, { "value": "none", "label": "None of these" } ] }, { "field": "ind.re.type", "label": "What types of property do you handle?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "residential", "label": "Residential" }, { "value": "commercial", "label": "Commercial" }, { "value": "vacation", "label": "Vacation rentals" }, { "value": "association", "label": "Condo or HOA communities" } ] }, { "field": "ind.re.unitsManaged", "label": "How many properties or units do you manage?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "ind.re.salesOnly", "label": "Sales only. The applicant doesn't manage properties.", "type": "boolean", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "ind.re.owns", "label": "Do you manage properties you also own?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.pro.contracts", "label": "Do you use written contracts with clients?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.hc.services", "label": "What services do you offer?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "medical", "label": "Medical or dental care" }, { "value": "therapy", "label": "Therapy or counseling" }, { "value": "cosmetic", "label": "Cosmetic or aesthetic procedures" }, { "value": "salon", "label": "Hair, nails, spa or massage" }, { "value": "fitness", "label": "Fitness or training" }, { "value": "other", "label": "Something else" } ] }, { "field": "ind.hc.licensed", "label": "Do you have licensed practitioners, such as doctors, dentists, therapists or cosmetologists?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.tr.type", "label": "What type of service do you provide?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "delivery", "label": "Local delivery" }, { "value": "freight", "label": "Freight hauling" }, { "value": "passenger", "label": "Passenger transport" }, { "value": "moving", "label": "Moving" }, { "value": "towing", "label": "Towing or roadside" }, { "value": "other", "label": "Something else" } ] }, { "field": "ind.tr.interstate", "label": "Do you operate outside Florida?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.hs.type", "label": "What services do you offer?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lawn", "label": "Lawn care or landscaping" }, { "value": "cleaning", "label": "Cleaning" }, { "value": "pest", "label": "Pest control" }, { "value": "pool", "label": "Pool service" }, { "value": "handyman", "label": "Handyman or repairs" }, { "value": "pressure", "label": "Pressure washing" }, { "value": "other", "label": "Something else" } ] }, { "field": "ind.hs.chemicals", "label": "Do you use chemicals or pesticides?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ind.hs.heights", "label": "Do you work on roofs or tall ladders?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "con.mix.res.new", "label": "What percent of your work is residential new build?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.res.remodel", "label": "What percent of your work is residential remodel or repair?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.res.demo", "label": "What percent of your work is residential demolition?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.com.new", "label": "What percent of your work is commercial new build?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.com.remodel", "label": "What percent of your work is commercial remodel or repair?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.com.demo", "label": "What percent of your work is commercial demolition?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.ind.new", "label": "What percent of your work is industrial new build?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.ind.remodel", "label": "What percent of your work is industrial remodel or repair?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.mix.ind.demo", "label": "What percent of your work is industrial demolition?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.insuredSubTrades", "label": "Which trades do insured subcontractors do?", "type": "a list of the options", "required": false, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "ac_refrigeration", "label": "A/C & Refrigeration" }, { "value": "appliance_install", "label": "Appliance & Accessories Installation" }, { "value": "carpentry_framing", "label": "Carpentry (Framing)" }, { "value": "carpentry_interior", "label": "Carpentry (Interior/Woodwork/Shop)" }, { "value": "carpet_cleaning", "label": "Carpet Cleaning" }, { "value": "cleaning_outside", "label": "Cleaning (Outside Building)" }, { "value": "concrete_flat", "label": "Concrete (Flat)" }, { "value": "concrete_foundations", "label": "Concrete (Foundations - No Repair)" }, { "value": "debris_removal", "label": "Debris Removal (Construction Site)" }, { "value": "demolition_nonstructural", "label": "Demolition - Non Structural" }, { "value": "demolition_structural", "label": "Demolition - Structural" }, { "value": "door_overhead", "label": "Door Installation – Overhead Doors" }, { "value": "door_window", "label": "Door/Window Installation" }, { "value": "drywall", "label": "Drywall" }, { "value": "electrical", "label": "Electrical" }, { "value": "equipment_rental", "label": "Equipment Rental (w/Operator)" }, { "value": "excavation", "label": "Excavation" }, { "value": "fencing", "label": "Fencing" }, { "value": "floor_covering", "label": "Floor Covering Installation" }, { "value": "garage_door", "label": "Garage Door Installation" }, { "value": "gc_new_commercial", "label": "General Contractor (New Commercial)" }, { "value": "gc_new_residential", "label": "General Contractor (New Residential)" }, { "value": "gc_remodel_commercial", "label": "General Contractor (Remodel Commercial)" }, { "value": "gc_remodel_residential", "label": "General Contractor (Remodel Residential)" }, { "value": "gc_remodel_investor", "label": "General Contractor (Remodel/Real Estate Investor)" }, { "value": "glass_glazing", "label": "Glass Installation/Glazing" }, { "value": "grading", "label": "Grading" }, { "value": "guniting", "label": "Guniting" }, { "value": "handyman", "label": "Handyman" }, { "value": "home_inspection", "label": "Home Inspection" }, { "value": "furniture_fixtures", "label": "Household Furniture or Fixtures Installation" }, { "value": "hvac", "label": "HVAC" }, { "value": "insulation", "label": "Insulation" }, { "value": "janitorial_commercial", "label": "Janitorial (Commercial - No Floor Waxing)" }, { "value": "janitorial_residential", "label": "Janitorial (Residential - No Floor Waxing)" }, { "value": "landscape", "label": "Landscape" }, { "value": "low_voltage", "label": "Low Voltage Electrical (No underground operations)" }, { "value": "masonry", "label": "Masonry" }, { "value": "masonry_chimney", "label": "Masonry Including Chimney repair" }, { "value": "metal_decorative", "label": "Metal Erection (Decorative)" }, { "value": "metal_structural", "label": "Metal Erection (Structural)" }, { "value": "painting_exterior", "label": "Painting (Exterior)" }, { "value": "painting_interior", "label": "Painting (Interior)" }, { "value": "parking_lot_paving", "label": "Parking Lot/Driveway Paving & Repair (no street or road)" }, { "value": "plastering_stucco", "label": "Plastering/Stucco" }, { "value": "plumbing_commercial", "label": "Plumbing (Commercial)" }, { "value": "plumbing_residential", "label": "Plumbing (Residential)" }, { "value": "prefab_homes", "label": "Pre-Fab Homes" }, { "value": "pressure_washing", "label": "Pressure Washing" }, { "value": "project_manager", "label": "Project Manager" }, { "value": "property_preservation", "label": "Property preservation" }, { "value": "rebar", "label": "Rebar Installation" }, { "value": "roof_cleaning", "label": "Roof cleaning (without using high pressure)" }, { "value": "roofing_new_commercial", "label": "Roofing (New Commercial)" }, { "value": "roofing_new_residential", "label": "Roofing (New Residential)" }, { "value": "roofing_repair_commercial", "label": "Roofing (Repair Commercial)" }, { "value": "roofing_repair_residential", "label": "Roofing (Repair Residential)" }, { "value": "sandblasting", "label": "Sandblasting" }, { "value": "septic", "label": "Septic Tank (Install/Service/Repair)" }, { "value": "sheet_metal", "label": "Sheet Metal" }, { "value": "siding_decking", "label": "Siding and Decking" }, { "value": "sign_install", "label": "Sign Installation" }, { "value": "solar", "label": "Solar Installation/Repair" }, { "value": "street_paving", "label": "Street/Road Paving (Commercial)" }, { "value": "pool_cleaning", "label": "Swimming Pool Cleaning" }, { "value": "pool_install", "label": "Swimming Pool Installation & Repair" }, { "value": "tile_marble", "label": "Tile & Marble Installation" }, { "value": "tree_trimmer", "label": "Tree Trimmer" }, { "value": "water_sewer_mains", "label": "Water & Sewer Mains" }, { "value": "water_fire_restoration", "label": "Water/ Fire Damage restoration" }, { "value": "welding_nonstructural", "label": "Welding (Non-Structural)" }, { "value": "welding_structural", "label": "Welding (Structural)" }, { "value": "other", "label": "Other Trade" } ] }, { "field": "con.uninsuredSubTrades", "label": "Which trades do uninsured subcontractors do?", "type": "a list of the options", "required": false, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "ac_refrigeration", "label": "A/C & Refrigeration" }, { "value": "appliance_install", "label": "Appliance & Accessories Installation" }, { "value": "carpentry_framing", "label": "Carpentry (Framing)" }, { "value": "carpentry_interior", "label": "Carpentry (Interior/Woodwork/Shop)" }, { "value": "carpet_cleaning", "label": "Carpet Cleaning" }, { "value": "cleaning_outside", "label": "Cleaning (Outside Building)" }, { "value": "concrete_flat", "label": "Concrete (Flat)" }, { "value": "concrete_foundations", "label": "Concrete (Foundations - No Repair)" }, { "value": "debris_removal", "label": "Debris Removal (Construction Site)" }, { "value": "demolition_nonstructural", "label": "Demolition - Non Structural" }, { "value": "demolition_structural", "label": "Demolition - Structural" }, { "value": "door_overhead", "label": "Door Installation – Overhead Doors" }, { "value": "door_window", "label": "Door/Window Installation" }, { "value": "drywall", "label": "Drywall" }, { "value": "electrical", "label": "Electrical" }, { "value": "equipment_rental", "label": "Equipment Rental (w/Operator)" }, { "value": "excavation", "label": "Excavation" }, { "value": "fencing", "label": "Fencing" }, { "value": "floor_covering", "label": "Floor Covering Installation" }, { "value": "garage_door", "label": "Garage Door Installation" }, { "value": "gc_new_commercial", "label": "General Contractor (New Commercial)" }, { "value": "gc_new_residential", "label": "General Contractor (New Residential)" }, { "value": "gc_remodel_commercial", "label": "General Contractor (Remodel Commercial)" }, { "value": "gc_remodel_residential", "label": "General Contractor (Remodel Residential)" }, { "value": "gc_remodel_investor", "label": "General Contractor (Remodel/Real Estate Investor)" }, { "value": "glass_glazing", "label": "Glass Installation/Glazing" }, { "value": "grading", "label": "Grading" }, { "value": "guniting", "label": "Guniting" }, { "value": "handyman", "label": "Handyman" }, { "value": "home_inspection", "label": "Home Inspection" }, { "value": "furniture_fixtures", "label": "Household Furniture or Fixtures Installation" }, { "value": "hvac", "label": "HVAC" }, { "value": "insulation", "label": "Insulation" }, { "value": "janitorial_commercial", "label": "Janitorial (Commercial - No Floor Waxing)" }, { "value": "janitorial_residential", "label": "Janitorial (Residential - No Floor Waxing)" }, { "value": "landscape", "label": "Landscape" }, { "value": "low_voltage", "label": "Low Voltage Electrical (No underground operations)" }, { "value": "masonry", "label": "Masonry" }, { "value": "masonry_chimney", "label": "Masonry Including Chimney repair" }, { "value": "metal_decorative", "label": "Metal Erection (Decorative)" }, { "value": "metal_structural", "label": "Metal Erection (Structural)" }, { "value": "painting_exterior", "label": "Painting (Exterior)" }, { "value": "painting_interior", "label": "Painting (Interior)" }, { "value": "parking_lot_paving", "label": "Parking Lot/Driveway Paving & Repair (no street or road)" }, { "value": "plastering_stucco", "label": "Plastering/Stucco" }, { "value": "plumbing_commercial", "label": "Plumbing (Commercial)" }, { "value": "plumbing_residential", "label": "Plumbing (Residential)" }, { "value": "prefab_homes", "label": "Pre-Fab Homes" }, { "value": "pressure_washing", "label": "Pressure Washing" }, { "value": "project_manager", "label": "Project Manager" }, { "value": "property_preservation", "label": "Property preservation" }, { "value": "rebar", "label": "Rebar Installation" }, { "value": "roof_cleaning", "label": "Roof cleaning (without using high pressure)" }, { "value": "roofing_new_commercial", "label": "Roofing (New Commercial)" }, { "value": "roofing_new_residential", "label": "Roofing (New Residential)" }, { "value": "roofing_repair_commercial", "label": "Roofing (Repair Commercial)" }, { "value": "roofing_repair_residential", "label": "Roofing (Repair Residential)" }, { "value": "sandblasting", "label": "Sandblasting" }, { "value": "septic", "label": "Septic Tank (Install/Service/Repair)" }, { "value": "sheet_metal", "label": "Sheet Metal" }, { "value": "siding_decking", "label": "Siding and Decking" }, { "value": "sign_install", "label": "Sign Installation" }, { "value": "solar", "label": "Solar Installation/Repair" }, { "value": "street_paving", "label": "Street/Road Paving (Commercial)" }, { "value": "pool_cleaning", "label": "Swimming Pool Cleaning" }, { "value": "pool_install", "label": "Swimming Pool Installation & Repair" }, { "value": "tile_marble", "label": "Tile & Marble Installation" }, { "value": "tree_trimmer", "label": "Tree Trimmer" }, { "value": "water_sewer_mains", "label": "Water & Sewer Mains" }, { "value": "water_fire_restoration", "label": "Water/ Fire Damage restoration" }, { "value": "welding_nonstructural", "label": "Welding (Non-Structural)" }, { "value": "welding_structural", "label": "Welding (Structural)" }, { "value": "other", "label": "Other Trade" } ] }, { "field": "con.practices", "label": "Do you confirm that all of these are true?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "con.writtenContract", "label": "Do you always use a written contract with customers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "con.subHoldHarmless", "label": "Do your subcontractor contracts include a hold harmless agreement in your favor?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "con.subAdditionalInsured", "label": "Are you named as an additional insured on every subcontractor's certificate?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "con.subLimits", "label": "What liability limits do you require of subcontractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "No set requirement" }, { "value": "100k", "label": "$100,000" }, { "value": "300k", "label": "$300,000" }, { "value": "500k", "label": "$500,000" }, { "value": "1m", "label": "$1 million" }, { "value": "2m", "label": "$2 million" } ] }, { "field": "con.subCertKept", "label": "How long do you keep subcontractor certificates?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "We don't keep them" }, { "value": "lt1", "label": "Less than 1 year" }, { "value": "1", "label": "1 year" }, { "value": "2", "label": "2 years" }, { "value": "3plus", "label": "3 years or more" } ] }, { "field": "con.condo", "label": "Do you work on condos, townhouses or tract homes?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "Tract homes are many similar houses built by one builder in the same development." }, { "field": "con.condoUnits", "label": "How many units are involved?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.condoWork", "label": "Where is the work, and what do you do on it?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.condoFor", "label": "Who is the work for?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "owners", "label": "Individual unit owners" }, { "value": "association", "label": "Contract with the association" }, { "value": "both", "label": "Both" } ] }, { "field": "con.defect", "label": "Have you had a construction defect loss, claim or lawsuit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "Any construction defect loss or claim, a class action construction defect suit, or pending litigation you know of." }, { "field": "con.defectDetails", "label": "What happened, when, and where does it stand?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "con.exposures", "label": "Have you or your subcontractors ever done any of this work?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "airports", "label": "Airports" }, { "value": "alarm", "label": "Alarm monitoring or security system work" }, { "value": "architecture", "label": "Architecture/Design" }, { "value": "asbestos", "label": "Asbestos removal" }, { "value": "blasting", "label": "Blasting" }, { "value": "piles", "label": "Caisson or pile driving" }, { "value": "chinese_drywall", "label": "Chinese drywall remediation" }, { "value": "cofferdam", "label": "Cofferdam" }, { "value": "dams", "label": "Dams/Reservoirs" }, { "value": "fire_water", "label": "Fire/Water restoration" }, { "value": "fireproofing", "label": "Fireproofing" }, { "value": "hospitals", "label": "Hospitals/Operating rooms" }, { "value": "lead", "label": "Lead abatement" }, { "value": "mold", "label": "Mold remediation" }, { "value": "oil_gas", "label": "Oil or gas fields" }, { "value": "radon", "label": "Radon mitigation" }, { "value": "tanks", "label": "Removal/Installation of underground tanks" }, { "value": "sewer", "label": "Sewer mains" }, { "value": "sprinklers", "label": "Sprinklers/Fire prevention" }, { "value": "eifs", "label": "Synthetic stucco (EIFS)" }, { "value": "underpinning", "label": "Underpinning" }, { "value": "cranes", "label": "Use of cranes/hoists" }, { "value": "plants", "label": "Work in clean rooms or manufacturing plants" }, { "value": "facilities", "label": "Work in correctional or medical facilities, including nursing homes and assisted living" }, { "value": "power_plants", "label": "Work in power plants" }, { "value": "schools", "label": "Work in schools" }, { "value": "below_grade", "label": "Work performed below grade level" }, { "value": "none", "label": "None of these" } ] }, { "field": "con.exposuresDetails", "label": "Can you describe that work?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.municipal", "label": "Do you do work for cities, counties, schools or other public bodies?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.mix.new", "label": "What percent of your work is new construction?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.mix.remodel", "label": "What percent of your work is remodel or alteration?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.mix.service", "label": "What percent of your work is service and repair?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.institutional", "label": "Do you work in any of these places?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "medical", "label": "Hospitals, clinics or assisted living" }, { "value": "plants", "label": "Clean rooms or manufacturing plants" }, { "value": "airports", "label": "Airports or power plants" }, { "value": "schools", "label": "Schools" }, { "value": "none", "label": "None of these" } ] }, { "field": "trade.abatement", "label": "Do you remove or disturb asbestos, lead paint or mold?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.otherWork", "label": "Do you do any work besides the trades listed above?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.otherWorkDetails", "label": "What other work?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.worksAsSub", "label": "Do you work as a subcontractor for general contractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "never", "label": "Never" }, { "value": "some", "label": "Some of the time" }, { "value": "most", "label": "Most of the time" } ] }, { "field": "trade.largestJob", "label": "What was the largest job in the last three years?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business", "help": "A few words on what it was. The agent asks about the next two on the call." }, { "field": "trade.largestJobCost", "label": "About what did that job cost?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.outOfState", "label": "Do you work outside Florida?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.states", "label": "Which states?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.jobRecords", "label": "Do you keep a record of each job with the materials and equipment used?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.gas", "label": "Do you install or repair gas lines or gas connections, now or in the past?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.boilers", "label": "Do you work on boilers or other high-pressure systems?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "low", "label": "Low-pressure boilers and water heaters only" }, { "value": "high", "label": "High-pressure boilers" } ], "help": "High pressure means over 15 psi of steam or 30 psi of hot water." }, { "field": "trade.plumb.septic", "label": "Do you install or service septic systems?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.trench", "label": "How deep do you dig?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "No digging" }, { "value": "lt4", "label": "Up to 4 feet" }, { "value": "4-10", "label": "4 to 10 feet" }, { "value": "gt10", "label": "Deeper than 10 feet" } ] }, { "field": "trade.plumb.trenchProtection", "label": "Do you use trench boxes or shoring below 4 feet?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.torch", "label": "After soldering or sweating pipe, does someone stay on site at least 30 minutes?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.processPiping", "label": "Do you do process piping or medical gas work, such as in hospitals, food plants, pharmaceutical or industrial sites?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.processWhere", "label": "Where?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.plumb.ductCleaning", "label": "Do you clean air ducts or vents?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.plumb.emergency", "label": "Do you offer 24-hour emergency service?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.hvac.systems", "label": "Which of these do you install or service?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "central", "label": "Central air and heat pumps" }, { "value": "gas", "label": "Gas furnaces or gas connections" }, { "value": "propane", "label": "LP (propane) systems" }, { "value": "boilers", "label": "Boilers" }, { "value": "refrigeration", "label": "Commercial refrigeration or walk-in coolers" }, { "value": "rooftop", "label": "Rooftop units" }, { "value": "solar_wood", "label": "Solar or wood heating" }, { "value": "ductwork", "label": "Ductwork only" } ] }, { "field": "trade.hvac.boilerPressure", "label": "Are any of the boilers high-pressure (over 15 psi of steam or 30 psi of hot water)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.hvac.crane", "label": "Do any installations need a crane or lift?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.hvac.also", "label": "Do you also do plumbing or electrical work?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "plumbing", "label": "Plumbing" }, { "value": "electrical", "label": "Electrical" }, { "value": "none", "label": "Neither" } ] }, { "field": "trade.hvac.trench", "label": "Do you dig trenches for lines or equipment pads?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "lt4", "label": "Yes, under 4 feet" }, { "value": "gte4", "label": "Yes, 4 feet or deeper" } ] }, { "field": "trade.hvac.soldNotInstalled", "label": "Do you sell equipment without installing it?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.hvac.ductCleaning", "label": "Do you also clean air ducts or vents?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.hvac.emergency", "label": "Do you offer 24-hour emergency service for heating and air?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.elec.work", "label": "Which of these do you do?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "wiring", "label": "Wiring in homes and buildings" }, { "value": "industrial", "label": "Industrial machinery or equipment" }, { "value": "generators", "label": "Generators and backup power" }, { "value": "alarms", "label": "Fire or burglar alarms" }, { "value": "traffic", "label": "Traffic signals or parking-lot lighting" }, { "value": "solar", "label": "Solar systems" }, { "value": "low_voltage", "label": "Low-voltage, phone or data only" }, { "value": "outside", "label": "Work outside buildings (poles, lines, underground)" } ] }, { "field": "trade.elec.hazardous", "label": "Do you wire explosion-proof, wet or dusty locations (such as fuel sites, plants or marinas)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.elec.highVoltage", "label": "Do you work on systems over 480 volts?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.elec.aluminum", "label": "Do you repair aluminum branch wiring?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.elec.aluminumHow", "label": "How is it repaired?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "trade.elec.appliances", "label": "Do you repair gas or electric appliances?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.elec.equipment", "label": "Do you own any of this equipment?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "bucket", "label": "A bucket truck or cherry picker" }, { "value": "lift", "label": "A motorized lift" }, { "value": "backhoe", "label": "A backhoe, excavator or trencher" }, { "value": "none", "label": "None of these" } ] }, { "field": "trade.paint.exterior", "label": "About what share of your painting is exterior?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "lt25", "label": "Under 25%" }, { "value": "25-50", "label": "25% to 50%" }, { "value": "gt50", "label": "Over 50%" } ] }, { "field": "trade.paint.structures", "label": "Do you paint any of these?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "bridges", "label": "Bridges, towers or tanks" }, { "value": "steel", "label": "Steel structures" }, { "value": "hulls", "label": "Ship hulls" }, { "value": "striping", "label": "Pavement or parking-lot striping" }, { "value": "none", "label": "None of these" } ] }, { "field": "trade.paint.blasting", "label": "Do you sandblast or use chemical strippers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "blasting", "label": "Sandblasting or abrasive blasting" }, { "value": "chemical", "label": "Chemical stripping" }, { "value": "both", "label": "Both" } ] }, { "field": "trade.paint.coatings", "label": "Do you do any of these?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "waterproofing", "label": "Waterproofing or roof coatings" }, { "value": "epoxy", "label": "Epoxy or floor coatings" }, { "value": "fireproofing", "label": "Fireproofing or insulation" }, { "value": "repair", "label": "Drywall or carpentry repair" }, { "value": "none", "label": "None of these" } ] }, { "field": "trade.paint.spray", "label": "Do you spray paint?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "outdoors", "label": "Outdoors only" }, { "value": "shop", "label": "In a shop or booth" }, { "value": "both", "label": "Both" } ] }, { "field": "trade.paint.boothControls", "label": "Does the booth have automatic fire suppression and explosion-proof lighting?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "trade.paint.overspray", "label": "When spraying outdoors, do you use containment screens and stop in wind?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.paint.pressureWashing", "label": "Do you pressure wash beyond prep for painting?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "trade.paint.waste", "label": "How do you store and dispose of paint, solvents and rags?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "hm.work", "label": "What kind of work do you do?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "repairs", "label": "Small repairs and maintenance" }, { "value": "painting", "label": "Painting" }, { "value": "drywall", "label": "Drywall and trim" }, { "value": "doors", "label": "Doors, windows and locks" }, { "value": "fixtures", "label": "Fixtures (faucets, lights, fans)" }, { "value": "decks", "label": "Decks and fences" }, { "value": "flooring", "label": "Tile and flooring" }, { "value": "mounting", "label": "Furniture and TV mounting" }, { "value": "pressure", "label": "Pressure washing" }, { "value": "gutters", "label": "Gutter cleaning" }, { "value": "other", "label": "Other" } ] }, { "field": "hm.workOther", "label": "What other work?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "hm.licensedTrades", "label": "Do you take jobs of $2,500 or more, or do any wiring, plumbing, air conditioning, roofing or structural work?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ], "help": "Florida exempts casual, minor or inconsequential jobs under $2,500 in total labor and materials, unless the job is part of a larger project or whoever does it advertises as a contractor. Electrical contracting has no dollar exemption." }, { "field": "hm.roofing", "label": "Do you do any roof work?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "patching", "label": "Patching a leak while already on site" }, { "value": "repairs", "label": "Roof repairs or replacements" } ] }, { "field": "hm.newResidential", "label": "Do you work on new homes, additions, condos or apartments under construction?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hm.hazards", "label": "Do any of these come up in your work?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "demolition", "label": "Demolition beyond interior non-load-bearing walls" }, { "value": "retaining", "label": "Retaining walls over 3 feet" }, { "value": "pools", "label": "Swimming pools or spas" }, { "value": "eifs", "label": "Synthetic stucco (EIFS)" }, { "value": "garage_doors", "label": "Garage doors" }, { "value": "alarms", "label": "Alarm or security systems" }, { "value": "gas", "label": "Gas lines or propane" }, { "value": "sprinklers", "label": "Fire sprinklers" }, { "value": "foundations", "label": "Foundations, waterproofing or chimneys" }, { "value": "digging", "label": "Digging more than 6 feet deep" }, { "value": "none", "label": "None of these" } ] }, { "field": "hm.contracts", "label": "Do customers sign a written work order or contract before work starts?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hm.jobsPerYear", "label": "About how many jobs do you do in a year?", "type": "integer", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "hm.flips", "label": "Do you buy properties to renovate and sell or rent?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "hm.propertyManagers", "label": "Do you work under a contract with a property manager or real estate company?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pw.surfaces", "label": "What do you clean?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "homes", "label": "House siding, driveways and pool decks" }, { "value": "roofs", "label": "Roofs (soft wash)" }, { "value": "decks", "label": "Decks and fences" }, { "value": "commercial", "label": "Commercial buildings and parking lots" }, { "value": "fleets", "label": "Fleets or heavy equipment" }, { "value": "tank_exteriors", "label": "Tank exteriors" }, { "value": "tank_interiors", "label": "Tank interiors" }, { "value": "boats", "label": "Boats, ship hulls or aircraft" }, { "value": "graffiti", "label": "Graffiti removal" }, { "value": "other", "label": "Other" } ] }, { "field": "pw.surfacesOther", "label": "What else?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pw.pressure", "label": "What is the highest pressure your equipment runs at?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt2500", "label": "Under 2,500 psi" }, { "value": "2500-4000", "label": "2,500 to 4,000 psi" }, { "value": "gt4000", "label": "Over 4,000 psi, or hot water" } ], "help": "The rating on your pump or machine is fine." }, { "field": "pw.gpm", "label": "How many gallons a minute does your biggest machine put out?", "type": "integer", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pw.chemicals", "label": "What goes in the water?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "water", "label": "Water only" }, { "value": "soap", "label": "Soaps and detergents" }, { "value": "bleach", "label": "Bleach (sodium hypochlorite) soft-wash mix" }, { "value": "degreasers", "label": "Degreasers or acids" }, { "value": "strippers", "label": "Paint strippers or solvents" } ] }, { "field": "pw.protection", "label": "How do you protect people and property on the job?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "plants", "label": "Pre-wet and rinse plants" }, { "value": "cover", "label": "Cover outlets, windows and fixtures" }, { "value": "cones", "label": "Cones, signs or barriers" }, { "value": "weather", "label": "Check wind and weather before spraying" }, { "value": "runoff", "label": "Capture or divert the runoff" }, { "value": "none", "label": "None of these" } ] }, { "field": "pw.runoff", "label": "Do you keep wash water out of storm drains (reclaim, berms or diverting to landscaping)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "pw.sealing", "label": "Do you also seal, stain or paint after washing?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pw.custody", "label": "Do you wash vehicles, boats or equipment that belong to customers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pw.equipmentValue", "label": "What are your rigs and equipment worth, roughly?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.contracts", "label": "Who do you deliver for?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "amazon", "label": "Amazon (DSP, Flex or Relay)" }, { "value": "fedex_ground", "label": "FedEx Ground pickup and delivery" }, { "value": "fedex_linehaul", "label": "FedEx or other linehaul" }, { "value": "dhl", "label": "DHL" }, { "value": "usps", "label": "USPS contract routes" }, { "value": "medical", "label": "Medical, lab or pharmacy deliveries" }, { "value": "food", "label": "Food and grocery platforms" }, { "value": "appliances", "label": "Appliance or furniture delivery with installation" }, { "value": "own", "label": "Our own customers (documents, parts, catering)" }, { "value": "other", "label": "Other" } ] }, { "field": "cour.contractsOther", "label": "Who else?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.station", "label": "Which station or city do you run out of?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.who.homes", "label": "What percent is to homes?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.who.businesses", "label": "What percent is to businesses?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.how.routes", "label": "What percent is scheduled routes?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.how.on_demand", "label": "What percent is on-demand calls?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.inside", "label": "Do drivers go inside homes or businesses to set up or install what they deliver?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cour.routeMiles", "label": "How many miles does a typical route cover in a day?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.goods", "label": "What do you carry, and is any of it high value (lab specimens, medicines, electronics)?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.cargoLimit", "label": "Does your contract require a cargo limit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "10k", "label": "$10,000" }, { "value": "25k", "label": "$25,000" }, { "value": "50k", "label": "$50,000" }, { "value": "100k", "label": "$100,000" }, { "value": "other", "label": "A different amount" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "cour.cargoLimitOther", "label": "What cargo limit?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.vehiclesSoon", "label": "How many vans do you expect to run six months from now?", "type": "integer", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.parking", "label": "Where do the vans sit overnight?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "fenced", "label": "A fenced lot with a locked gate" }, { "value": "cameras", "label": "A lot with cameras" }, { "value": "guarded", "label": "A guarded or patrolled lot" }, { "value": "home", "label": "Drivers take them home" }, { "value": "street", "label": "On the street" } ] }, { "field": "cour.screening", "label": "Which of these do you do before a driver starts?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "mvr", "label": "Motor vehicle record" }, { "value": "mvr_yearly", "label": "Record re-pulled every year" }, { "value": "background", "label": "Criminal background check" }, { "value": "drug", "label": "Drug test" }, { "value": "none", "label": "None yet" } ] }, { "field": "cour.telematics", "label": "Do the vans have telematics or cameras?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cour.subcontract", "label": "Do you hand any deliveries to other couriers or contract drivers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cour.subcontractPct", "label": "About what percent of deliveries?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "cour.guarantee", "label": "Do you guarantee delivery times or promise compensation for a late or lost delivery?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "cour.lostContract", "label": "Have you ever lost a delivery contract over service standards?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.services", "label": "What do you do?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "local", "label": "Local household moves" }, { "value": "long_distance", "label": "Long-distance household moves" }, { "value": "commercial", "label": "Office and commercial moves" }, { "value": "packing", "label": "Packing and unpacking" }, { "value": "warehouse", "label": "Storage in our own warehouse" }, { "value": "sit", "label": "Storage in transit" }, { "value": "specialty", "label": "Pianos, safes or other specialty items" }, { "value": "rigging", "label": "Rigging or machinery moving" }, { "value": "labor", "label": "Labor only (customers rent the truck)" }, { "value": "junk", "label": "Junk removal" } ] }, { "field": "move.vanLine", "label": "Are you an agent for a national van line?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.vanLineName", "label": "Which van line?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.vanLineCovers", "label": "Which of these does the van line's insurance cover on their loads?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "auto", "label": "Auto liability" }, { "value": "cargo", "label": "Cargo" }, { "value": "wc", "label": "Workers' comp" }, { "value": "gl", "label": "General liability" }, { "value": "none", "label": "None of these" } ] }, { "field": "move.fdacs", "label": "What is your Florida mover registration number?", "type": "text", "required": false, "whenApplies": true, "page": "Tell us about the business", "help": "Movers doing household moves that start and end in Florida register with the Florida Department of Agriculture and Consumer Services." }, { "field": "move.revenue.local", "label": "What percent is local moves?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.revenue.long_distance", "label": "What percent is long-distance moves?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.revenue.commercial", "label": "What percent is commercial moves?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.revenue.packing", "label": "What percent is packing and materials?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.revenue.storage", "label": "What percent is storage?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.revenue.other", "label": "What percent is other?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.maxValue", "label": "What's the most valuable load on one truck?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.valuation", "label": "What valuation do you offer customers?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "released", "label": "Minimum valuation only (60 cents per pound per article)" }, { "value": "full", "label": "Full-value protection as an option" }, { "value": "both", "label": "Both, on the bill of lading" } ], "help": "Florida doesn't let a mover limit its liability below 60 cents per pound per article, and any limit must be disclosed in writing with the estimate and contract." }, { "field": "move.billOfLading", "label": "Does every move get a written estimate and bill of lading?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.radius.lt100", "label": "What percent is under 100 miles?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.radius.100-200", "label": "What percent is 100 to 200 miles?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.radius.200-500", "label": "What percent is 200 to 500 miles?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.radius.gt500", "label": "What percent is over 500 miles?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.warehouse", "label": "Do you store customers' goods in a building you run?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.warehouseSqft", "label": "How big is the warehouse?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.warehouseValue", "label": "What is the average value of customers' goods inside?", "type": "dollar amount (number)", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "move.warehouseProtection", "label": "How is the warehouse protected?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "sprinklers", "label": "Sprinklers" }, { "value": "fire_alarm", "label": "Central-station fire alarm" }, { "value": "burglar_alarm", "label": "Central-station burglar alarm" }, { "value": "cameras", "label": "Cameras" }, { "value": "fenced", "label": "Fenced lot" }, { "value": "none", "label": "None of these" } ] }, { "field": "move.warehouseGoods", "label": "What is stored there?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "household", "label": "Customers' household goods only" }, { "value": "records", "label": "Business records" }, { "value": "commercial", "label": "Commercial goods for other companies" }, { "value": "refrigerated", "label": "Refrigerated goods" }, { "value": "vehicles", "label": "Vehicles or boats" } ] }, { "field": "move.dayLabor", "label": "How many moves use temp or day labor?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "lt10", "label": "Fewer than 1 in 10" }, { "value": "gte10", "label": "1 in 10 or more" } ] }, { "field": "move.liftTraining", "label": "Do crews get formal safe-lifting training?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.ownerOps", "label": "Do independent owner-operators drive for you?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.ownerOpsWc", "label": "Do they carry their own workers' comp?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "move.driverPay", "label": "How are drivers paid?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "hourly", "label": "Hourly or salary" }, { "value": "per_move", "label": "Per move or per load" }, { "value": "mix", "label": "A mix" } ] }, { "field": "move.driverExp", "label": "Do all your drivers have at least three years of commercial driving?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "move.government", "label": "Do you do military or government moves?", "type": "one of the options", "required": false, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pax.service", "label": "What do you run?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "limo", "label": "Limousine or black car" }, { "value": "taxi", "label": "Taxi or ride fleet" }, { "value": "shuttle", "label": "Airport or hotel shuttle" }, { "value": "bus", "label": "Charter bus or minibus" }, { "value": "school", "label": "School or childcare transport" }, { "value": "nemt", "label": "Non-emergency medical transport (wheelchair or stretcher)" }, { "value": "ambulance", "label": "Ambulance (basic or advanced life support)" }, { "value": "party", "label": "Party bus" }, { "value": "other", "label": "Other" } ], "help": "Florida requires taxicabs to carry liability of at least $125,000 per person, $250,000 per accident and $50,000 for property damage." }, { "field": "pax.serviceOther", "label": "What else?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.largestVehicle", "label": "How many passengers does your largest vehicle seat?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lte8", "label": "Up to 8" }, { "value": "9-15", "label": "9 to 15" }, { "value": "gte16", "label": "16 or more" } ], "help": "Seating 16 or more, driver included, usually calls for a driver with a CDL and a passenger endorsement." }, { "field": "pax.dispatch", "label": "How do trips come in?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "prearranged", "label": "All pre-arranged (reservations, contracts, brokers)" }, { "value": "mix", "label": "A mix" }, { "value": "on_demand", "label": "Mostly on-demand calls, app requests or street hails" } ] }, { "field": "pax.passengers", "label": "Who are the passengers?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "public", "label": "General public" }, { "value": "children", "label": "Children" }, { "value": "elderly", "label": "Elderly or disabled riders" }, { "value": "patients", "label": "Patients" }, { "value": "students", "label": "Students or school groups" } ] }, { "field": "pax.hours", "label": "When do you operate?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "day", "label": "Daytime only" }, { "value": "evening", "label": "Evenings, done by midnight" }, { "value": "late", "label": "Late nights or 24 hours" } ] }, { "field": "pax.driverStatus", "label": "Are your drivers employees or independent contractors?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "employees", "label": "Employees" }, { "value": "contractors", "label": "Independent contractors" }, { "value": "both", "label": "Both" } ] }, { "field": "pax.screening", "label": "Which of these do you do for drivers?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "mvr", "label": "Motor vehicle record before hire" }, { "value": "mvr_periodic", "label": "Record re-pulled every 6 or 12 months" }, { "value": "background", "label": "Criminal background check" }, { "value": "drug", "label": "Drug and alcohol testing" }, { "value": "road_test", "label": "Road test" }, { "value": "training", "label": "Defensive driving or passenger-assistance training" }, { "value": "cpr", "label": "CPR or first aid" }, { "value": "none", "label": "None yet" } ] }, { "field": "pax.maintenance", "label": "Do you have a written maintenance program with daily pre-trip inspections?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pax.personalUse", "label": "Can drivers use the vehicles off the clock?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pax.cameras", "label": "Are there cameras in the vehicles?", "type": "one of the options", "required": false, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pax.permits", "label": "Which county or city permits do you hold for vehicles for hire?", "type": "text", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.nemtMix.ambulatory", "label": "What percent is ambulatory?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.nemtMix.wheelchair", "label": "What percent is wheelchair?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.nemtMix.stretcher", "label": "What percent is stretcher or gurney?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.lifts", "label": "Do your vehicles have lifts or ramps with wheelchair securement, and written procedures for using them?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "pax.emergency", "label": "Do you run with lights and sirens?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "some", "label": "Yes, some runs" }, { "value": "911", "label": "Yes, 911 response" } ] }, { "field": "pax.medicalStaff", "label": "Who is on board besides the driver?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "Nobody, drivers only" }, { "value": "emts", "label": "EMTs" }, { "value": "paramedics", "label": "Paramedics" }, { "value": "nurses", "label": "Nurses" } ], "help": "An ambulance service names its medical director on the call." }, { "field": "pax.brokers", "label": "Which brokers or health plans send you trips?", "type": "text", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "pax.licenses", "label": "What is your ambulance service license number, and which counties issued your certificates of public convenience and necessity?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business", "help": "Florida requires a Department of Health license, and a certificate of public convenience and necessity from each county served, before offering basic or advanced life support transport." }, { "field": "wash.type", "label": "What kind of wash is it?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "self_unattended", "label": "Self-serve bays (unattended)" }, { "value": "self_attended", "label": "Self-serve bays (attended)" }, { "value": "tunnel", "label": "Automatic or tunnel" }, { "value": "hand", "label": "Hand wash" }, { "value": "detailing", "label": "Detailing" }, { "value": "mobile", "label": "Mobile detailing at the customer's location" } ] }, { "field": "wash.drive", "label": "Do employees drive customers' vehicles?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No, customers stay in or drive through" }, { "value": "lot", "label": "Yes, on the lot only" }, { "value": "pickup", "label": "Yes, including pick-up and delivery" } ] }, { "field": "wash.radius", "label": "How far for pick-up and delivery?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt10", "label": "Within 10 miles" }, { "value": "10-25", "label": "10 to 25 miles" }, { "value": "gt25", "label": "Farther" } ] }, { "field": "wash.maxValue", "label": "What is the most valuable vehicle likely to come through?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt50k", "label": "Under $50,000" }, { "value": "50-100k", "label": "$50,000 to $100,000" }, { "value": "100-250k", "label": "$100,000 to $250,000" }, { "value": "gt250k", "label": "Over $250,000" } ] }, { "field": "wash.overnight", "label": "Do customers' vehicles stay overnight?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "wash.security", "label": "How are they kept?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "building", "label": "Inside a locked building" }, { "value": "fenced", "label": "Fenced and gated lot" }, { "value": "cameras", "label": "Cameras" }, { "value": "alarm", "label": "Alarm" }, { "value": "lighting", "label": "Lighting" }, { "value": "open", "label": "Open lot" } ] }, { "field": "wash.keys", "label": "Where are customers' keys kept?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "locked", "label": "Locked box or office" }, { "value": "attendant", "label": "With the attendant" }, { "value": "vehicle", "label": "Left in the vehicle" } ] }, { "field": "wash.fuel", "label": "Do you sell fuel or run a convenience store too?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "wash.paint", "label": "Do you do any paint, wrap, tint or windshield repair?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "tint", "label": "Window tint" }, { "value": "wraps", "label": "Wraps or decals" }, { "value": "windshield", "label": "Windshield chip repair" }, { "value": "paint", "label": "Paint touch-up or clear coat" }, { "value": "none", "label": "None of these" } ] }, { "field": "wash.water", "label": "How is wash water handled?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "reclaim", "label": "Reclaim system" }, { "value": "sewer", "label": "Sanitary sewer" }, { "value": "storm", "label": "Storm drain or ground" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "wash.vehiclesPerYear", "label": "About how many vehicles a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt5k", "label": "Under 5,000" }, { "value": "5-25k", "label": "5,000 to 25,000" }, { "value": "25-100k", "label": "25,000 to 100,000" }, { "value": "gt100k", "label": "More than 100,000" } ] }, { "field": "ent.work", "label": "What do you do?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "photo", "label": "Photography" }, { "value": "video", "label": "Video" }, { "value": "dj", "label": "DJ or MC" }, { "value": "live", "label": "Live music or performance" }, { "value": "booth", "label": "Photo booth" }, { "value": "drone", "label": "Drone photography or video" } ] }, { "field": "ent.events", "label": "About how many jobs or events a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt20", "label": "Under 20" }, { "value": "20-50", "label": "20 to 50" }, { "value": "51-150", "label": "51 to 150" }, { "value": "gt150", "label": "More than 150" } ] }, { "field": "ent.venues", "label": "Where do you mostly work?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "private", "label": "Private events (weddings, parties)" }, { "value": "bars", "label": "Bars, clubs and restaurants" }, { "value": "community", "label": "Schools, churches and community venues" }, { "value": "corporate", "label": "Corporate and studio work" }, { "value": "outdoor", "label": "Outdoor festivals and fairs" } ] }, { "field": "ent.drone", "label": "Do you fly a drone for work?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ent.droneLicense", "label": "Does the pilot hold an FAA Part 107 certificate?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ent.equipment", "label": "About what is your equipment worth?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt10k", "label": "Under $10,000" }, { "value": "10-25k", "label": "$10,000 to $25,000" }, { "value": "25-75k", "label": "$25,000 to $75,000" }, { "value": "gt75k", "label": "Over $75,000" } ] }, { "field": "ent.equipmentTopItem", "label": "What is the single most valuable item worth?", "type": "dollar amount (number)", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "ent.helpers", "label": "Who works with you?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "owner", "label": "Nobody, just the owner" }, { "value": "employees", "label": "Employees" }, { "value": "per_job", "label": "Second shooters, assistants or other performers hired per job" } ] }, { "field": "ent.contracts", "label": "Do you use a written contract with clients?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "always", "label": "Always" }, { "value": "mostly", "label": "Most of the time" }, { "value": "sometimes", "label": "Sometimes" }, { "value": "never", "label": "Never" } ] }, { "field": "ent.effects", "label": "Do you use any of these at events?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "fog", "label": "Fog, haze or CO2" }, { "value": "pyro", "label": "Pyrotechnics, sparklers or open flame" }, { "value": "lasers", "label": "Lasers" }, { "value": "staging", "label": "Inflatables or staging of your own" }, { "value": "trusses", "label": "Rented lighting trusses" }, { "value": "none", "label": "None of these" } ] }, { "field": "ent.travel", "label": "Do you work outside Florida or outside the U.S.?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "florida", "label": "Florida only" }, { "value": "states", "label": "Other states too" }, { "value": "abroad", "label": "Outside the U.S. too" } ] }, { "field": "ent.vehicles", "label": "Do you rent vans or trucks for jobs, or have staff drive their own cars for the business?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ent.alcohol", "label": "Do you ever sell or serve alcohol at events?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "store.salesMix.alcohol", "label": "What percent is beer, wine and liquor?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.salesMix.tobacco", "label": "What percent is tobacco and vape?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.salesMix.gasoline", "label": "What percent is gasoline?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.salesMix.lottery", "label": "What percent is lottery?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.salesMix.food", "label": "What percent is prepared food?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.salesMix.other", "label": "What percent is everything else?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.license", "label": "What is your Florida alcoholic beverage license?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "2aps", "label": "2APS (beer, package only)" }, { "value": "2cop", "label": "2COP (beer and wine)" }, { "value": "3ps", "label": "3PS (beer and wine, package only)" }, { "value": "4cop", "label": "4COP or quota (liquor)" }, { "value": "other", "label": "Other" } ] }, { "field": "store.licenseNumber", "label": "What is the license number?", "type": "text", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.hours", "label": "When are you open?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "day", "label": "Daytime and evening" }, { "value": "midnight", "label": "Until midnight" }, { "value": "late", "label": "Later than midnight" }, { "value": "24h", "label": "24 hours" } ] }, { "field": "store.alcoholCutoff", "label": "What time do alcohol sales stop?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "midnight", "label": "By midnight" }, { "value": "2am", "label": "Midnight to 2 a.m." }, { "value": "later", "label": "After 2 a.m." } ] }, { "field": "store.idChecks", "label": "How do you check IDs for alcohol and tobacco?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "under30", "label": "Everyone who looks under 30" }, { "value": "everyone", "label": "Everyone" }, { "value": "scanner", "label": "An ID scanner" }, { "value": "signs", "label": "Posted minimum-age signs" }, { "value": "training", "label": "Staff have completed a responsible-vendor course" } ] }, { "field": "store.violations", "label": "Any alcohol or tobacco citations, fines or license actions in the last five years?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "store.violationsDetails", "label": "What happened?", "type": "text", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.onPremises", "label": "Is any alcohol consumed on the premises (bar, tastings, events)?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "store.delivery", "label": "Do you deliver, use a drive-through, or sell online?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "delivery", "label": "Delivery" }, { "value": "drive_through", "label": "Drive-through" }, { "value": "online", "label": "Online orders" }, { "value": "none", "label": "None of these" } ] }, { "field": "store.fuel", "label": "Do you sell fuel?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "store.pumps", "label": "How many pumps?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "store.fuelService", "label": "Self-service or full service?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "self", "label": "Self-service" }, { "value": "full", "label": "Full service" }, { "value": "both", "label": "Both" } ] }, { "field": "store.propane", "label": "Propane?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "none", "label": "None" }, { "value": "exchange", "label": "Tank exchange only" }, { "value": "fill", "label": "We fill tanks" } ] }, { "field": "store.cooking", "label": "Do you cook or prepare food?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "light", "label": "Microwave or hot dogs only" }, { "value": "fryer", "label": "Fryer, grill or pizza oven" } ] }, { "field": "store.hood", "label": "Is there a hood with automatic fire suppression, serviced twice a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "store.security", "label": "Which of these do you have?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "alarm", "label": "Central-station burglar alarm" }, { "value": "cameras", "label": "Cameras inside and out" }, { "value": "panic", "label": "Panic button" }, { "value": "safe", "label": "Drop safe" }, { "value": "guard", "label": "Security guard" }, { "value": "none", "label": "None of these" } ] }, { "field": "store.firearms", "label": "Are there firearms on the premises, or armed security?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "store.otherServices", "label": "Anything else at the location?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "car_wash", "label": "Car wash" }, { "value": "auto_repair", "label": "Auto repair" }, { "value": "atm", "label": "ATM" }, { "value": "check_cashing", "label": "Check cashing" }, { "value": "apartments", "label": "Apartments or rooms upstairs" }, { "value": "leased", "label": "Space leased to another business" }, { "value": "none", "label": "None of these" } ] }, { "field": "food.units", "label": "What do you cook or serve from?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "truck", "label": "Food truck" }, { "value": "trailer", "label": "Food trailer" }, { "value": "cart", "label": "Cart or tent" }, { "value": "kitchen", "label": "A commercial kitchen (catering)" }, { "value": "hall", "label": "A hall or venue we own" }, { "value": "stand", "label": "Concession stand at a venue" } ] }, { "field": "food.unitCount", "label": "How many trucks or trailers?", "type": "integer", "required": true, "whenApplies": true, "page": "Tell us about the business" }, { "field": "food.where", "label": "Where do you usually serve?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "spots", "label": "Set spots (lots, breweries, offices)" }, { "value": "festivals", "label": "Festivals and fairs" }, { "value": "private", "label": "Private events and weddings" }, { "value": "street", "label": "Street vending" }, { "value": "sites", "label": "Construction sites or job sites" } ] }, { "field": "food.eventsPerYear", "label": "About how many events a year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt25", "label": "Under 25" }, { "value": "25-100", "label": "25 to 100" }, { "value": "gt100", "label": "More than 100" }, { "value": "daily", "label": "We serve daily" } ] }, { "field": "food.kitchen", "label": "Where is the food prepared?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "unit", "label": "Entirely on the truck" }, { "value": "commissary", "label": "A licensed commissary" }, { "value": "own", "label": "Our own commercial kitchen" }, { "value": "rented", "label": "A rented kitchen" } ] }, { "field": "food.commissaryName", "label": "Which commissary?", "type": "text", "required": false, "whenApplies": true, "page": "Tell us about the business" }, { "field": "food.cooking", "label": "What do you cook with?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "fryer", "label": "Deep fryer" }, { "value": "grill", "label": "Grill or flat top" }, { "value": "range", "label": "Range or oven" }, { "value": "smoker", "label": "Smoker or charcoal" }, { "value": "warming", "label": "Warming only" } ] }, { "field": "food.suppressionService", "label": "When was the fire suppression system last serviced?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lt6m", "label": "Within 6 months" }, { "value": "6-12m", "label": "6 to 12 months ago" }, { "value": "longer", "label": "Longer" }, { "value": "none", "label": "There isn't one" } ] }, { "field": "food.propane", "label": "Do you use propane on the unit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "food.propaneSize", "label": "How big are the tanks?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "lte40", "label": "Up to 40 lb" }, { "value": "41-100", "label": "41 to 100 lb" }, { "value": "larger", "label": "Larger" } ] }, { "field": "food.propaneInspected", "label": "Has the system been inspected in the last year?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "food.generator", "label": "Do you run a generator?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "no", "label": "No" }, { "value": "unit", "label": "Yes, on the unit" }, { "value": "portable", "label": "Yes, towed or portable" } ] }, { "field": "food.fireInspection", "label": "Has the fire department inspected the unit?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "passed", "label": "Yes, passed" }, { "value": "items", "label": "Yes, with items to fix" }, { "value": "not_yet", "label": "Not yet" } ] }, { "field": "food.liquorCarried", "label": "Do you carry liquor liability now?", "type": "one of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "food.security", "label": "Do you hire security or bartenders for events?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "guards", "label": "Security guards" }, { "value": "bartenders", "label": "Bartenders" }, { "value": "valet", "label": "Valet" }, { "value": "none", "label": "None of these" } ] }, { "field": "food.products", "label": "Do you sell anything besides food and drink?", "type": "a list of the options", "required": true, "whenApplies": true, "page": "Tell us about the business", "options": [ { "value": "merch", "label": "Merchandise" }, { "value": "packaged", "label": "Packaged food under our own label" }, { "value": "none", "label": "Nothing else" } ] }, { "field": "business.entityType", "label": "What type of entity is the business?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "llc", "label": "LLC" }, { "value": "corporation", "label": "Corporation" }, { "value": "sole_proprietor", "label": "Sole proprietor" }, { "value": "partnership", "label": "Partnership" }, { "value": "nonprofit", "label": "Nonprofit" } ] }, { "field": "business.fein", "label": "What is your FEIN?", "type": "text", "required": false, "page": "A few more details about the business", "help": "Federal Employer Identification Number. Your agent needs it before a policy can start." }, { "field": "business.licensed", "label": "Does the business or its owner hold a contractor or professional license for this work?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.licenseNumber", "label": "What is your license number?", "type": "text", "required": false, "whenApplies": true, "page": "A few more details about the business", "help": "A license number is public record, and your agent will check it with the state." }, { "field": "business.licenseAction", "label": "Has a licensing authority taken action against the business or its owner?", "type": "one of the options", "required": true, "whenApplies": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.licenseLending", "label": "Do you let others use your license to get permits without your supervision on the job?", "type": "one of the options", "required": true, "whenApplies": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.yearStarted", "label": "What year did the business start?", "type": "year (number)", "required": true, "page": "A few more details about the business" }, { "field": "business.ownerExperienceYears", "label": "How many years has the owner worked in this field?", "type": "integer", "required": true, "page": "A few more details about the business", "help": "Count time working for others too. Enter 0 if it's new to them." }, { "field": "owners.N.name", "label": "Owner or officer 1: name", "type": "text", "required": false, "page": "A few more details about the business", "repeat": [ { "placeholder": "N", "from": 0, "to": 3 } ] }, { "field": "owners.N.title", "label": "Owner or officer 1: title", "type": "one of the options", "required": false, "page": "A few more details about the business", "options": [ { "value": "owner", "label": "Owner" }, { "value": "president", "label": "President" }, { "value": "vice_president", "label": "Vice president" }, { "value": "secretary", "label": "Secretary" }, { "value": "treasurer", "label": "Treasurer" }, { "value": "director", "label": "Director" }, { "value": "chair", "label": "Chair" }, { "value": "ceo", "label": "Chief executive officer" }, { "value": "cfo", "label": "Chief financial officer" }, { "value": "managing_member", "label": "Managing member" }, { "value": "authorized_member", "label": "Authorized member" }, { "value": "member", "label": "Member" }, { "value": "manager", "label": "Manager" }, { "value": "partner", "label": "Partner" }, { "value": "authorized_person", "label": "Authorized person" }, { "value": "other", "label": "Other" } ], "repeat": [ { "placeholder": "N", "from": 0, "to": 3 } ] }, { "field": "owners.N.active", "label": "Owner or officer 1: active owner", "type": "one of the options", "required": false, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "repeat": [ { "placeholder": "N", "from": 0, "to": 3 } ] }, { "field": "business.priorNames", "label": "Has the business operated or been licensed under another name in the past 10 years?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.priorNamesDetails", "label": "What were those names, and what did the business do under each?", "type": "text", "required": true, "whenApplies": true, "page": "A few more details about the business" }, { "field": "business.otherVentures", "label": "Do you own other businesses that aren't part of this request?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.otherVenturesDetails", "label": "What are those businesses, and who insures them?", "type": "text", "required": true, "whenApplies": true, "page": "A few more details about the business" }, { "field": "business.leasesEquipment", "label": "Do you lease or rent equipment to others?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "business.casualLabor", "label": "Do you use casual laborers?", "type": "one of the options", "required": true, "page": "A few more details about the business", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "Include their pay in the payroll below." }, { "field": "business.priorRevenue", "label": "What was your gross revenue in the last 12 months?", "type": "dollar amount (number)", "required": true, "page": "A few more details about the business" }, { "field": "business.annualRevenue", "label": "What gross revenue do you expect in the next 12 months?", "type": "dollar amount (number)", "required": false, "page": "A few more details about the business" }, { "field": "business.fullTimeEmployees", "label": "How many full-time employees do you have?", "type": "integer", "required": true, "page": "A few more details about the business" }, { "field": "business.fullTimePayroll", "label": "What is your annual payroll for full-time employees?", "type": "dollar amount (number)", "required": true, "page": "A few more details about the business" }, { "field": "business.partTimeEmployees", "label": "How many part-time employees do you have?", "type": "integer", "required": true, "page": "A few more details about the business" }, { "field": "business.partTimePayroll", "label": "What is your annual payroll for part-time employees?", "type": "dollar amount (number)", "required": true, "page": "A few more details about the business" }, { "field": "business.activeOwners", "label": "How many owners work in the business?", "type": "integer", "required": true, "whenApplies": true, "page": "A few more details about the business" }, { "field": "premises.ownership", "label": "Where does the business operate?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "own", "label": "In a building we own" }, { "value": "lease", "label": "In space we rent or lease" }, { "value": "home", "label": "From my home" }, { "value": "mobile", "label": "No fixed location" } ] }, { "field": "needs.contents", "label": "Does the business own equipment, inventory, tools or furniture worth insuring?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "needs.vehicles", "label": "Which vehicles are used for the business?", "type": "a list of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "owned", "label": "Vehicles the business owns or leases" }, { "value": "employees", "label": "Employees or owners drive their own cars for work" }, { "value": "none", "label": "None" } ] }, { "field": "ops.customersVisit", "label": "Do customers visit your location?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.offsiteWork", "label": "Do you work at customers’ homes, job sites or other places?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "ops.products", "label": "Do you make or sell products?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "no", "label": "No" }, { "value": "resell", "label": "We sell products made by others" }, { "value": "make", "label": "We make, assemble or relabel products" } ] }, { "field": "needs.advice", "label": "Do clients rely on your professional advice, designs or specialized services?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ], "help": "For example, accounting, engineering, consulting, design, IT, real estate or health services, where a mistake could cost a client money." }, { "field": "needs.records", "label": "Which of these does the business handle?", "type": "a list of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "records", "label": "Customer, patient or employee records with private details" }, { "value": "cards", "label": "Credit or debit card payments" }, { "value": "online", "label": "Online sales, bookings or accounts" }, { "value": "none", "label": "None of these" } ] }, { "field": "needs.contracts", "label": "Do customers, landlords or contracts require you to carry insurance?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "coi", "label": "Yes, they ask for a certificate of insurance" }, { "value": "high", "label": "Yes, and some require more than $1 million in coverage" }, { "value": "no", "label": "No" }, { "value": "not_sure", "label": "I'm not sure" } ] }, { "field": "needs.bond", "label": "Do you need a bond for a license, permit or contract?", "type": "one of the options", "required": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "needs.project", "label": "Do you have a building project to insure while it's under construction?", "type": "one of the options", "required": true, "whenApplies": true, "page": "What does the business have?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "needs.other", "label": "Anything else to protect against?", "type": "a list of the options", "required": false, "page": "What does the business have?", "options": [ { "value": "crime", "label": "Theft by employees, forged checks or fraudulent transfers" }, { "value": "none", "label": "Nothing else" } ] }, { "field": "applicant.firstName", "label": "First name", "type": "text", "required": true, "page": "Who should we send your quotes to?" }, { "field": "applicant.lastName", "label": "Last name", "type": "text", "required": true, "page": "Who should we send your quotes to?" }, { "field": "priorPolicy.hasCurrent", "label": "Do you have any of this insurance now?", "type": "one of the options", "required": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.general_liability.insured", "label": "General Liability: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.general_liability.carrier", "label": "General Liability: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.general_liability.renews", "label": "General Liability: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.bop.insured", "label": "Business Owner's Policy (BOP): insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.bop.carrier", "label": "Business Owner's Policy (BOP): insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.bop.renews", "label": "Business Owner's Policy (BOP): renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.workers_comp.insured", "label": "Workers' Compensation: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.workers_comp.carrier", "label": "Workers' Compensation: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.workers_comp.renews", "label": "Workers' Compensation: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_auto.insured", "label": "Commercial Auto: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.commercial_auto.carrier", "label": "Commercial Auto: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_auto.renews", "label": "Commercial Auto: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.trucking.insured", "label": "Trucking: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.trucking.carrier", "label": "Trucking: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.trucking.renews", "label": "Trucking: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_property.insured", "label": "Commercial Property: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.commercial_property.carrier", "label": "Commercial Property: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_property.renews", "label": "Commercial Property: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.professional.insured", "label": "Professional Liability (E&O): insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.professional.carrier", "label": "Professional Liability (E&O): insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.professional.renews", "label": "Professional Liability (E&O): renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.cyber.insured", "label": "Cyber: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.cyber.carrier", "label": "Cyber: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.cyber.renews", "label": "Cyber: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_umbrella.insured", "label": "Commercial Umbrella: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.commercial_umbrella.carrier", "label": "Commercial Umbrella: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_umbrella.renews", "label": "Commercial Umbrella: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.builders_risk.insured", "label": "Builder's Risk: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.builders_risk.carrier", "label": "Builder's Risk: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.builders_risk.renews", "label": "Builder's Risk: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.crime.insured", "label": "Crime and Employee Dishonesty: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.crime.carrier", "label": "Crime and Employee Dishonesty: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.crime.renews", "label": "Crime and Employee Dishonesty: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.hoa.insured", "label": "HOA or Condo Association: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.hoa.carrier", "label": "HOA or Condo Association: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.hoa.renews", "label": "HOA or Condo Association: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_flood.insured", "label": "Flood: insured now", "type": "one of the options", "required": true, "whenApplies": true, "page": "Who should we send your quotes to?", "options": [ { "value": "yes", "label": "Yes" }, { "value": "no", "label": "No" } ] }, { "field": "prior.commercial_flood.carrier", "label": "Flood: insurance company", "type": "text", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "prior.commercial_flood.renews", "label": "Flood: renews on", "type": "date (YYYY-MM-DD)", "required": false, "whenApplies": true, "page": "Who should we send your quotes to?" }, { "field": "business.claims5y", "label": "How many insurance claims in the last 5 years?", "type": "one of the options", "required": true, "page": "Who should we send your quotes to?", "options": [ { "value": "0", "label": "None" }, { "value": "1", "label": "1" }, { "value": "2", "label": "2" }, { "value": "3+", "label": "3 or more" } ], "help": "Count claims on any business policy." } ] } }