{"id":912,"date":"2021-04-25T17:07:09","date_gmt":"2021-04-25T22:07:09","guid":{"rendered":"https:\/\/ankerinsurance.net\/?page_id=912"},"modified":"2022-03-28T22:17:12","modified_gmt":"2022-03-29T03:17:12","slug":"responsabilidad-legal-aplicacion-a-poliza-eo","status":"publish","type":"page","link":"https:\/\/ankerinsurance.net\/esp\/responsabilidad-legal-aplicacion-a-poliza-eo\/","title":{"rendered":"Responsabilidad Legal \/ Aplicaci\u00f3n a P\u00f3liza E&#038;O"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row wrap_container=\u00bbyes\u00bb css=\u00bb.vc_custom_1619389905113{margin-top: 50px !important;}\u00bb][vc_column]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/esp\/wp-json\/wp\/v2\/pages\/912' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_5_2\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_2\"><h2 class=\"gsection_title\">1. Informaci\u00f3n general<\/h2><\/li><li id=\"field_5_1\"  class=\"gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_1\"><label class='gfield_label' for='input_5_1' >Nombre de a Compa\u00f1\u00eda<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_3\"  class=\"gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_3\"><label class='gfield_label' for='input_5_3' >Direcci\u00f3n de la Compa\u00f1\u00eda<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_4\"  class=\"gfield gf_left_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_4\"><label class='gfield_label' for='input_5_4' >Contacto de Persona<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_5\"  class=\"gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_5\"><label class='gfield_label' for='input_5_5' >Tel\u00e9fono<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_5_5' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_6\"  class=\"gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_6\"><label class='gfield_label' for='input_5_6' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_5_6' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_7\"  class=\"gfield gf_left_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_7\"><label class='gfield_label' for='input_5_7' >A\u00f1os del negocio<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_5_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_9\"  class=\"gfield gf_middle_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_9\"><label class='gfield_label' for='input_5_9' >No. de empleados<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_10\"  class=\"gfield gf_right_third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_10\"><label class='gfield_label' for='input_5_10' >Fecha de vigencia de la p\u00f3liza<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_5_10' type='text' value='' class='datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_5_10_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_10_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_10' class='gform_hidden' value='https:\/\/ankerinsurance.net\/esp\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_11\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_11\"><label class='gfield_label' for='input_5_11' >Enumere todas las asociaciones\/organizaciones de las que su empresa es miembro:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_5_11' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_12\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_12\"><h2 class=\"gsection_title\">2. Control de p\u00e9rdidas<\/h2><\/li><li id=\"field_5_13\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_13\"><label class='gfield_label' for='input_5_13' >\u00bfEmplea un oficial de seguridad o un administrador de riesgos? Indique nombre y a\u00f1os de experiencia.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_5_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_82\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_82\"><label class='gfield_label' for='input_5_82' >\u00bfExiste alg\u00fan programa de prevenci\u00f3n\/control de p\u00e9rdidas para los empleados? Indique los requisitos de capacitaci\u00f3n.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_5_82' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_14\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_14\"><h2 class=\"gsection_title\">3. Operaciones y servicios de la empresa<\/h2><\/li><li id=\"field_5_83\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_83\"><label class='gfield_label gfield_label_before_complex'  >Servicios prestados<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_83'><li class='gchoice gchoice_5_83_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.1' type='checkbox'  value='\u00bfSu empresa ofrece Carga Todo Riesgo (inter\u00e9s de los cargadores) a trav\u00e9s de su Compa\u00f1\u00eda de Seguros?'  id='choice_5_83_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_1' id='label_5_83_1'>\u00bfSu empresa ofrece Carga Todo Riesgo (inter\u00e9s de los cargadores) a trav\u00e9s de su Compa\u00f1\u00eda de Seguros?<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.2' type='checkbox'  value='Agente de carga\/agente de transporte'  id='choice_5_83_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_2' id='label_5_83_2'>Agente de carga\/agente de transporte<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.3' type='checkbox'  value='Corredor de aduanas'  id='choice_5_83_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_3' id='label_5_83_3'>Corredor de aduanas<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.4' type='checkbox'  value='NVOCC'  id='choice_5_83_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_4' id='label_5_83_4'>NVOCC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.5' type='checkbox'  value='Transportista A\u00e9reo Indirecto'  id='choice_5_83_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_5' id='label_5_83_5'>Transportista A\u00e9reo Indirecto<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.6' type='checkbox'  value='Transportista de camiones de motor'  id='choice_5_83_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_6' id='label_5_83_6'>Transportista de camiones de motor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_83_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.7' type='checkbox'  value='Servicios de almacenamiento'  id='choice_5_83_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_83_7' id='label_5_83_7'>Servicios de almacenamiento<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_86\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_86\"><label class='gfield_label gfield_label_before_complex'  >Pol\u00edticas Actuales<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_86'><li class='gchoice gchoice_5_86_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.1' type='checkbox'  value='Inter\u00e9s de Carga a Cargadores (Oce\u00e1nico, Interior y A\u00e9reo)'  id='choice_5_86_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_1' id='label_5_86_1'>Inter\u00e9s de Carga a Cargadores (Oce\u00e1nico, Interior y A\u00e9reo)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.2' type='checkbox'  value='Almac\u00e9n \/ almacenamiento (bienes de otros)'  id='choice_5_86_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_2' id='label_5_86_2'>Almac\u00e9n \/ almacenamiento (bienes de otros)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.3' type='checkbox'  value='Agentes de Carga Legal (Carga Contingente Legal)'  id='choice_5_86_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_3' id='label_5_86_3'>Agentes de Carga Legal (Carga Contingente Legal)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.4' type='checkbox'  value='Agentes de Carga de Error &amp; Omisiones'  id='choice_5_86_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_4' id='label_5_86_4'>Agentes de Carga de Error & Omisiones<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.5' type='checkbox'  value='Operadoras legales (MTCLL, NVOCC y a\u00e9reo indirecto)'  id='choice_5_86_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_5' id='label_5_86_5'>Operadoras legales (MTCLL, NVOCC y a\u00e9reo indirecto)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.6' type='checkbox'  value='Responsabilidad Legal de Almac\u00e9n'  id='choice_5_86_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_6' id='label_5_86_6'>Responsabilidad Legal de Almac\u00e9n<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_86_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_86.7' type='checkbox'  value='Servicios de almacenamiento'  id='choice_5_86_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_86_7' id='label_5_86_7'>Servicios de almacenamiento<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_15\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_15\"><label class='gfield_label' for='input_5_15' >Compa\u00f1\u00eda de seguros actual:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_5_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_16\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_16\">Indique el porcentaje por medio de transporte com\u00fanmente utilizado por la Empresa (aproximado):<\/li><li id=\"field_5_19\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_19\"><label class='gfield_label' for='input_5_19' >Carga Mar\u00edtima %<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_20\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_20\"><label class='gfield_label' for='input_5_20' >A\u00e9reo internacional %<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_5_20' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_21\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_21\"><label class='gfield_label' for='input_5_21' >Terrestre dom\u00e9stico %<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_22\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_22\"><label class='gfield_label' for='input_5_22' >Tren dom\u00e9stico%<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_23\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_23\"><label class='gfield_label' for='input_5_23' >A\u00e9reo dom\u00e9stico %<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_24\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_24\"><label class='gfield_label' for='input_5_24' >Cami\u00f3n\/Tren Extranjero%<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_5_24' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_87\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_87\"><label class='gfield_label' for='input_5_87' >Porcentaje de Env\u00edos como Transportista (Principal) %<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_5_87' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_88\"  class=\"gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_88\"><label class='gfield_label' for='input_5_88' >Porcentaje de Env\u00edos como Corredor %<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_5_88' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_25\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_25\"><label class='gfield_label' for='input_5_25' >Porcentaje de Embarques Containerizados %<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_5_25' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_26\"  class=\"gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_26\"><label class='gfield_label' for='input_5_26' >Porcentaje de Env\u00edos a Granel %<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_5_26' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_27\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_27\">Indique porcentaje por tipo de carga (aproximado):<\/li><li id=\"field_5_28\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_28\"><label class='gfield_label' for='input_5_28' >Carga general %<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_29\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_29\"><label class='gfield_label' for='input_5_29' >Electr\u00f3nica y equipo electr\u00f3nico %<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_5_29' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_30\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_30\"><label class='gfield_label' for='input_5_30' >Temperatura controlada\/perecederos %<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_5_30' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_31\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_31\"><label class='gfield_label' for='input_5_31' >Equipo de Maquinaria %<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_5_31' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_32\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_32\"><label class='gfield_label' for='input_5_32' >Carga seca %<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_33\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_33\"><label class='gfield_label' for='input_5_33' >Carga mojada %<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_5_33' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_35\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_35\"><label class='gfield_label' for='input_5_35' >Carga de gran tama\u00f1o %<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_5_35' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_34\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_34\"><label class='gfield_label' for='input_5_34' >Productos qu\u00edmicos y materiales peligrosos %<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_5_34' type='text' value='' class='large'    placeholder='% \/ (por favor incluya detalles)'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_36\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_36\"><h6>\u00c1mbito geogr\u00e1fico<\/h6><\/li><li id=\"field_5_37\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_37\"><label class='gfield_label' for='input_5_37' >USA &amp; Canad\u00e1 %<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_5_37' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_38\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_38\"><label class='gfield_label' for='input_5_38' >China\/Jap\u00f3n %<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_5_38' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_39\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_39\"><label class='gfield_label' for='input_5_39' >M\u00e9xico %<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_5_39' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_40\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_40\"><label class='gfield_label' for='input_5_40' >Sureste de  Asia %<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_5_40' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_41\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_41\"><label class='gfield_label' for='input_5_41' >America central y sur %<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_5_41' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_42\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_42\"><label class='gfield_label' for='input_5_42' >India\/Pakist\u00e1n %<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_5_42' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_43\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_43\"><label class='gfield_label' for='input_5_43' >Europa %<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_5_43' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_44\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_44\"><label class='gfield_label' for='input_5_44' >Medio Oriente %<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_5_44' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_45\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_45\"><h2 class=\"gsection_title\">4. Transporte and Volumen<\/h2><\/li><li id=\"field_5_47\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_47\"><h6>Recibos de flete bruto<\/h6>\n(Ventas brutas totales menos impuestos)<\/li><li id=\"field_5_48\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_48\"><label class='gfield_label' for='input_5_48' >\u00daltimos 12 meses<\/label><div class='ginput_container ginput_container_number'><input name='input_48' id='input_5_48' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_52\"  class=\"gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_52\"><label class='gfield_label' for='input_5_52' >Pr\u00f3ximos 12 meses (estimado)<\/label><div class='ginput_container ginput_container_number'><input name='input_52' id='input_5_52' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_89\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_89\"><label class='gfield_label' for='input_5_89' >Porcentaje de Recibos como Corredor\/Agente %<\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_5_89' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_90\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_90\"><label class='gfield_label' for='input_5_90' >Porcentaje de Recibos como Transportista %<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_5_90' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_91\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_91\"><label class='gfield_label' for='input_5_91' >Porcentaje de Recibos como NVOCC %<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_5_91' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_92\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_92\"><label class='gfield_label' for='input_5_92' >Porcentaje de ingresos como Transportista A\u00e9reo indirecto %<\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_5_92' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_93\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_93\"><label class='gfield_label' for='input_5_93' >Porcentaje de Recibos como Almacenistas %<\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_5_93' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_103\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_103\"><h6>Env\u00edos Mar\u00edtimos<\/h6><\/li><li id=\"field_5_55\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_55\"><label class='gfield_label gfield_label_before_complex'  >\u00bfEmite conocimientos de embarque internos?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_55'><li class='gchoice gchoice_5_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Si'  id='choice_5_55_1'   aria-describedby=\"gfield_description_5_55\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_55_1' id='label_5_55_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='No'  id='choice_5_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_55_2' id='label_5_55_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_55'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_106\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_106\"><label class='gfield_label' for='input_5_106' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_106' id='input_5_106' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_106\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_106'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_106'><\/div><\/div><\/li><li id=\"field_5_105\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_105\"><label class='gfield_label gfield_label_before_complex'  >\u00bfTiene contratos vigentes con alg\u00fan remitente que lo responsabilice m\u00e1s all\u00e1 de lo especificado en su conocimiento de embarque?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_105'><li class='gchoice gchoice_5_105_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.1' type='checkbox'  value='Yes'  id='choice_5_105_1'   aria-describedby=\"gfield_description_5_105\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_105_1' id='label_5_105_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_105_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_105.2' type='checkbox'  value='No'  id='choice_5_105_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_105_2' id='label_5_105_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_105'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_107\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_107\"><label class='gfield_label' for='input_5_107' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_107' id='input_5_107' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_107\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_107'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_107'><\/div><\/div><\/li><li id=\"field_5_108\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_108\"><label class='gfield_label' for='input_5_108' >Porcentaje de env\u00edos bajo su propia Gu\u00eda de Carga %<\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_5_108' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_109\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_109\"><h6>Env\u00edos A\u00e9reos<\/h6><\/li><li id=\"field_5_110\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_110\"><label class='gfield_label gfield_label_before_complex'  >\u00bfEmite una gu\u00eda a\u00e9rea interna?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_110'><li class='gchoice gchoice_5_110_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.1' type='checkbox'  value='Yes'  id='choice_5_110_1'   aria-describedby=\"gfield_description_5_110\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_110_1' id='label_5_110_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_110_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_110.2' type='checkbox'  value='No'  id='choice_5_110_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_110_2' id='label_5_110_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_110'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_111\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_111\"><label class='gfield_label' for='input_5_111' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_111' id='input_5_111' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_111\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_111'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_111'><\/div><\/div><\/li><li id=\"field_5_112\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_112\"><label class='gfield_label gfield_label_before_complex'  >\u00bfTiene contratos vigentes con alg\u00fan remitente que lo responsabilice m\u00e1s all\u00e1 de lo especificado en su gu\u00eda a\u00e9rea?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_112'><li class='gchoice gchoice_5_112_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Yes'  id='choice_5_112_1'   aria-describedby=\"gfield_description_5_112\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_112_1' id='label_5_112_1'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_112_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.2' type='checkbox'  value='No'  id='choice_5_112_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_112_2' id='label_5_112_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_112'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_113\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_113\"><label class='gfield_label' for='input_5_113' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_113' id='input_5_113' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_113\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_113'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_113'><\/div><\/div><\/li><li id=\"field_5_114\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_114\"><label class='gfield_label' for='input_5_114' >Porcentaje de env\u00edos bajo su propia Gu\u00eda A\u00e9rea %<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_5_114' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_115\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_115\"><h6>Env\u00edos por Cami\u00f3n\/Tren<\/h6><\/li><li id=\"field_5_116\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_116\"><label class='gfield_label gfield_label_before_complex'  >\u00bfEmite facturas de embarque o recibos de carga para Camiones\/Trenes?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_116'><li class='gchoice gchoice_5_116_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_116.1' type='checkbox'  value='Si'  id='choice_5_116_1'   aria-describedby=\"gfield_description_5_116\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_116_1' id='label_5_116_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_116_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_116.2' type='checkbox'  value='No'  id='choice_5_116_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_116_2' id='label_5_116_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_116'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_117\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_117\"><label class='gfield_label' for='input_5_117' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_117' id='input_5_117' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_117\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_117'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_117'><\/div><\/div><\/li><li id=\"field_5_118\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_118\"><label class='gfield_label gfield_label_before_complex'  >\u00bfTiene contratos vigentes con alg\u00fan remitente que lo responsabilice m\u00e1s all\u00e1 de lo especificado en su conocimiento de embarque de Camiones\/Trenes?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_118'><li class='gchoice gchoice_5_118_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.1' type='checkbox'  value='Si'  id='choice_5_118_1'   aria-describedby=\"gfield_description_5_118\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_118_1' id='label_5_118_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_118_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_118.2' type='checkbox'  value='No'  id='choice_5_118_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_118_2' id='label_5_118_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_118'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_119\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_119\"><label class='gfield_label' for='input_5_119' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_119' id='input_5_119' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_119\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_119'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_119'><\/div><\/div><\/li><li id=\"field_5_120\"  class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_120\"><label class='gfield_label' for='input_5_120' >Porcentaje de env\u00edos bajo su propia Gu\u00eda de carga %<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_5_120' type='text' value='' class='medium'    placeholder='%'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_53\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_53\"><h6>Almacenamiento<\/h6><\/li><li id=\"field_5_104\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_104\"><label class='gfield_label gfield_label_before_complex'  >\u00bfEs propietario u opera Bodegas para el almacenamiento de terceros?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_104'><li class='gchoice gchoice_5_104_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.1' type='checkbox'  value='Si'  id='choice_5_104_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_104_1' id='label_5_104_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_104_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.2' type='checkbox'  value='No'  id='choice_5_104_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_104_2' id='label_5_104_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_54\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_54\"><label class='gfield_label gfield_label_before_complex'  >\u00bfProporciona su propio recibo de Almac\u00e9n?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_54'><li class='gchoice gchoice_5_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='Si'  id='choice_5_54_1'   aria-describedby=\"gfield_description_5_54\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_54_1' id='label_5_54_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='No'  id='choice_5_54_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_54_2' id='label_5_54_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_54'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_101\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_101\"><label class='gfield_label' for='input_5_101' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_101' id='input_5_101' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_101\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_101'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_101'><\/div><\/div><\/li><li id=\"field_5_56\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_56\"><label class='gfield_label gfield_label_before_complex'  >\u00bfProporciona instalaciones de almacenamiento abiertas?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_56'><li class='gchoice gchoice_5_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Si'  id='choice_5_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_56_1' id='label_5_56_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='No'  id='choice_5_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_56_2' id='label_5_56_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_57\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_57\"><label class='gfield_label gfield_label_before_complex'  >\u00bfProporcionan instalaciones de almacenamiento refrigerado?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_57'><li class='gchoice gchoice_5_57_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.1' type='checkbox'  value='Si'  id='choice_5_57_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_57_1' id='label_5_57_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_57_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_57.2' type='checkbox'  value='No'  id='choice_5_57_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_57_2' id='label_5_57_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_100\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_100\"><label class='gfield_label gfield_label_before_complex'  >\u00bfTiene contratos vigentes con alg\u00fan cliente que lo responsabilice m\u00e1s all\u00e1 de lo especificado en su recibo de dep\u00f3sito?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_100'><li class='gchoice gchoice_5_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='Si'  id='choice_5_100_1'   aria-describedby=\"gfield_description_5_100\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_100_1' id='label_5_100_1'>Si<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_100_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.2' type='checkbox'  value='No'  id='choice_5_100_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_100_2' id='label_5_100_2'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_100'>(Se debe adjuntar copia)<\/div><\/li><li id=\"field_5_102\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_102\"><label class='gfield_label' for='input_5_102' >Adjuntar archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_102' id='input_5_102' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_102\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gform_fileupload_rules' id='gfield_upload_rules_5_102'>Max. file size: 512 MB.<\/span><div class='validation_message validation_message--hidden-on-empty' id='live_validation_message_5_102'><\/div><\/div><\/li><li id=\"field_5_58\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_58\"><h6>Proporcione una lista de ubicaciones, informaci\u00f3n sobre construcci\u00f3n, incendios y seguridad, as\u00ed como valores m\u00e1ximos en un momento dado<\/h6><\/li><li id=\"field_5_61\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_61\">Indique el valor m\u00e1ximo por env\u00edo para:<\/li><li id=\"field_5_62\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_62\"><label class='gfield_label' for='input_5_62' >Env\u00edos de Carga Mar\u00edtima $<\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_5_62' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_63\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_63\"><label class='gfield_label' for='input_5_63' >Env\u00edos de Carga A\u00e9rea $<\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_5_63' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_64\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_64\"><label class='gfield_label' for='input_5_64' >Env\u00edos de carga por Cami\u00f3n\/Tren $<\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_5_64' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_65\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_65\"><label class='gfield_label' for='input_5_65' >Env\u00edos de art\u00edculos para el Hogar $<\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_5_65' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_66\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_66\"><label class='gfield_label' for='input_5_66' >Env\u00edos de productos perecederos\/temperatura controlada $<\/label><div class='ginput_container ginput_container_number'><input name='input_66' id='input_5_66' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_68\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_68\"><h2 class=\"gsection_title\">5. L\u00edmites y Deducibles<\/h2><\/li><li id=\"field_5_69\"  class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_69\">Indique los l\u00edmites de cobertura actuales:<\/li><li id=\"field_5_70\"  class=\"gfield gf_first_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_70\"><label class='gfield_label' for='input_5_70' >Intereses de los Transportistas de Carga Mar\u00edtima (Todo Riesgo) $<\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_5_70' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_71\"  class=\"gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_71\"><label class='gfield_label' for='input_5_71' >Intereses de Embarcadores en Tr\u00e1nsito Interior (Todo Riesgo) $<\/label><div class='ginput_container ginput_container_number'><input name='input_71' id='input_5_71' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_72\"  class=\"gfield gf_third_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_72\"><label class='gfield_label' for='input_5_72' >Almac\u00e9n Todo Riesgo (Bienes de Otros) $<\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_5_72' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\" aria-describedby=\"gfield_description_5_72\" \/><\/div><div class='gfield_description' id='gfield_description_5_72'>Incluya declaraci\u00f3n de valores<\/div><\/li><li id=\"field_5_125\"  class=\"gfield gf_fourth_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_125\"><label class='gfield_label' for='input_5_125' >Intereses de los Transportistas de Carga A\u00e9rea (Todo Riesgo)<\/label><div class='ginput_container ginput_container_number'><input name='input_125' id='input_5_125' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_94\"  class=\"gfield gf_first_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_94\"><label class='gfield_label' for='input_5_94' >Env\u00edos de Carga Mar\u00edtima (NVOCC) $<\/label><div class='ginput_container ginput_container_number'><input name='input_94' id='input_5_94' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_95\"  class=\"gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_95\"><label class='gfield_label' for='input_5_95' >Env\u00edos de Carga A\u00e9rea (transportista a\u00e9reo indirecto) $<\/label><div class='ginput_container ginput_container_number'><input name='input_95' id='input_5_95' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_96\"  class=\"gfield gf_third_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_96\"><label class='gfield_label' for='input_5_96' >Env\u00edos de Camiones Motorizados (Carga de Camiones Motorizados Legal) $<\/label><div class='ginput_container ginput_container_number'><input name='input_96' id='input_5_96' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_97\"  class=\"gfield gf_fourth_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_97\"><label class='gfield_label' for='input_5_97' >Env\u00edos de Camiones Motorizados (Carga de Camiones Motorizados Legal)$<\/label><div class='ginput_container ginput_container_number'><input name='input_97' id='input_5_97' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_98\"  class=\"gfield gf_first_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_98\"><label class='gfield_label' for='input_5_98' >Errores y Omisiones de los Agentes de Carga $<\/label><div class='ginput_container ginput_container_number'><input name='input_98' id='input_5_98' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_99\"  class=\"gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_99\"><label class='gfield_label' for='input_5_99' >Responsabilidad Legal de Almac\u00e9n $<\/label><div class='ginput_container ginput_container_number'><input name='input_99' id='input_5_99' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\" aria-describedby=\"gfield_description_5_99\" \/><\/div><div class='gfield_description' id='gfield_description_5_99'>Incluya la lista de ubicaciones y los l\u00edmites.<\/div><\/li><li id=\"field_5_73\"  class=\"gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_73\">Indique los deducibles actuales por cobertura:<\/li><li id=\"field_5_74\"  class=\"gfield gf_first_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_74\"><label class='gfield_label' for='input_5_74' >Intereses de los Transportistas de Carga Mar\u00edtima (Todo Riesgo) $<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_5_74' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_75\"  class=\"gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_75\"><label class='gfield_label' for='input_5_75' >Intereses de Embarcadores en Tr\u00e1nsito Interior (Todo Riesgo)$<\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_5_75' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_76\"  class=\"gfield gf_third_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_76\"><label class='gfield_label' for='input_5_76' >Almac\u00e9n Todo Riesgo (Bienes de Otros) $<\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_5_76' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_121\"  class=\"gfield gf_fourth_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_121\"><label class='gfield_label' for='input_5_121' >Responsabilidad Legal de los Transportistas $<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_5_121' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_122\"  class=\"gfield gf_first_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_122\"><label class='gfield_label' for='input_5_122' >Agentes de Carga Legales (Carga Contingente Legal) $<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_5_122' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_123\"  class=\"gfield gf_second_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_123\"><label class='gfield_label' for='input_5_123' >Agentes de Carga de Error &amp; Omisiones $<\/label><div class='ginput_container ginput_container_text'><input name='input_123' id='input_5_123' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_124\"  class=\"gfield gf_third_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_124\"><label class='gfield_label' for='input_5_124' >Responsabilidad Legal de Almac\u00e9n $<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_5_124' type='text' value='' class='medium'    placeholder='$'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_126\"  class=\"gfield gf_fourth_quarter field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_126\"><label class='gfield_label' for='input_5_126' >Intereses de los Transportistas de Carga A\u00e9rea (Todo Riesgo)<\/label><div class='ginput_container ginput_container_number'><input name='input_126' id='input_5_126' type='text'    value='' class='medium'    placeholder='$'  aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_5_79\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_5_79\"><h2 class=\"gsection_title\">6. 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