{"id":1798,"date":"2024-05-29T10:22:53","date_gmt":"2024-05-29T08:22:53","guid":{"rendered":"https:\/\/nueva.segurosaviacion.es\/?p=1798"},"modified":"2024-06-20T17:23:25","modified_gmt":"2024-06-20T15:23:25","slug":"charter-aviation-aviation-charter","status":"publish","type":"post","link":"https:\/\/segurosaviacion.es\/en\/charter-aviation-aviation-charter\/","title":{"rendered":"Aviation Charter"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1798\" class=\"elementor elementor-1798\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2093977 elementor-section-boxed elementor-section-height-default elementor-section-height-default sc_fly_static\" data-id=\"2093977\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column 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class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/en\/wp-json\/wp\/v2\/posts\/1798' data-formid='17' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_17_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_88'>Nombre del negocio o cliente \/ Business or client name:<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_17_88' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_89\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_89'>Direcci\u00f3n principal del negocio \/ Main business address:<\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_17_89' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_404\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_404'>Correo electr\u00f3nico<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_404' id='input_17_404' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_17_337\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_17_337'>E-mail<\/label><div class='ginput_container ginput_container_text'><input name='input_337' id='input_17_337' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_338\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_338'>Sitio Web \/ Website<\/label><div class='ginput_container ginput_container_text'><input name='input_338' id='input_17_338' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_339\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_339'>Tel\u00e9fono \/ Telephone<\/label><div class='ginput_container ginput_container_text'><input name='input_339' id='input_17_339' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_258\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">1. Informaci\u00f3n general \/ General information<\/h3><\/div><div id=\"field_17_340\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_340'>a. Fecha de establecimiento \/ Date established<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_340' id='input_17_340' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_17_340_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_17_340_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_17_340' class='gform_hidden' value='https:\/\/segurosaviacion.es\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_17_341\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >b. Nombre y direcci\u00f3n de cualquier subsidiaria, compa\u00f1\u00eda afiliada, asociada o sucursales que desee cubrir \/ Name and address of any subsidiary, affiliated, associated companies or branch offices you wish to cover<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nombre \/ Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Direcci\u00f3n \/ Address<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Actividad Principal \/ Main Activity<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_341_cell1 gform-grid-col' data-label='Nombre \/ Name'><input aria-invalid='false'   aria-label='Nombre \/ Name, Row 1' data-aria-label-template='Nombre \/ Name, Row {0}' type='text' name='input_341[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_341_cell2 gform-grid-col' data-label='Direcci\u00f3n \/ Address'><input aria-invalid='false'   aria-label='Direcci\u00f3n \/ Address, Row 1' data-aria-label-template='Direcci\u00f3n \/ Address, Row {0}' type='text' name='input_341[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_341_cell3 gform-grid-col' data-label='Actividad Principal \/ Main Activity'><input aria-invalid='false'   aria-label='Actividad Principal \/ Main Activity, Row 1' data-aria-label-template='Actividad Principal \/ Main Activity, Row {0}' type='text' name='input_341[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_17_342\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_342'>c. N\u00famero de Directores\/Socios \/ Number of Directors\/Partners<\/label><div class='ginput_container ginput_container_number'><input name='input_342' id='input_17_342' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_17_343\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_343'>N\u00famero total de empleados \/ Total number of staff<\/label><div class='ginput_container ginput_container_number'><input name='input_343' id='input_17_343' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_17_344\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >d. Nombres, cargos, calificaciones profesionales y a\u00f1os de experiencia de Directores\/Socios y Gerentes Senior \/ Names, positions, professional qualifications and number of years\u2019 experience of Directors\/Partners and Senior Managers<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nombres \/ Names<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Cargos \/ Positions<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Calificaciones profesionales \/ Professional qualifications<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">N\u00famero de a\u00f1os de experiencia \/ Number of years experience<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_344_cell1 gform-grid-col' data-label='Nombres \/ Names'><input aria-invalid='false'   aria-label='Nombres \/ Names, Row 1' data-aria-label-template='Nombres \/ Names, Row {0}' type='text' name='input_344[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_344_cell2 gform-grid-col' data-label='Cargos \/ Positions'><input aria-invalid='false'   aria-label='Cargos \/ Positions, Row 1' data-aria-label-template='Cargos \/ Positions, Row {0}' type='text' name='input_344[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_344_cell3 gform-grid-col' data-label='Calificaciones profesionales \/ Professional qualifications'><input aria-invalid='false'   aria-label='Calificaciones profesionales \/ Professional qualifications, Row 1' data-aria-label-template='Calificaciones profesionales \/ Professional qualifications, Row {0}' type='text' name='input_344[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_344_cell4 gform-grid-col' data-label='N\u00famero de a\u00f1os de experiencia \/ Number of years experience'><input aria-invalid='false'   aria-label='N\u00famero de a\u00f1os de experiencia \/ Number of years experience, Row 1' data-aria-label-template='N\u00famero de a\u00f1os de experiencia \/ Number of years experience, Row {0}' type='text' name='input_344[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_17_345\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Declaraci\u00f3n del Beneficiario Final (UBO) \/ Ultimate Beneficial Owner (UBO) Declaration<\/h3><div class='gsection_description' id='gfield_description_17_345'>(Aplicable solo a miembros ubicados en el \u00c1rea Econ\u00f3mica Europea (EEA) \/ Applicable to members located in the European Economic Area (EEA) only)<\/div><\/div><fieldset id=\"field_17_346\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. El Solicitante (nombre de la empresa como se muestra arriba) confirma que no hay ning\u00fan individuo o grupo de individuos actuando en concierto que tenga o controle un inter\u00e9s econ\u00f3mico del 25% o m\u00e1s en el solicitante. Si esta declaraci\u00f3n es verdadera, contin\u00fae con la Secci\u00f3n 2 a continuaci\u00f3n. \/ The Applicant (company name as shown above) confirms that there is no individual or group of individuals acting in concert who has or controls an economic interest of 25% or more in the applicant. If this statement is true please continue to Section 2 below<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_346'>\n\t\t\t<div class='gchoice gchoice_17_346_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_346' type='radio' value='Verdadero \/ True'  id='choice_17_346_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_346_0' id='label_17_346_0' class='gform-field-label gform-field-label--type-inline'>Verdadero \/ True<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_346_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_346' type='radio' value='Falso \/ False'  id='choice_17_346_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_346_1' id='label_17_346_1' class='gform-field-label gform-field-label--type-inline'>Falso \/ False<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_347\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >b. El Solicitante (nombre de la empresa como se muestra arriba) confirma que los siguientes individuos o grupo de individuos tienen o controlan un inter\u00e9s econ\u00f3mico del 25% o m\u00e1s en el Solicitante. Si esta declaraci\u00f3n es verdadera, complete la tabla a continuaci\u00f3n. \/ The Applicant (company name as shown above) confirms that the following individuals or group of individuals have or control an economic interest of 25% or more in the Applicant. If this statement is true please complete table below.<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_347'>\n\t\t\t<div class='gchoice gchoice_17_347_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_347' type='radio' value='Verdadero \/ True'  id='choice_17_347_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_347_0' id='label_17_347_0' class='gform-field-label gform-field-label--type-inline'>Verdadero \/ True<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_347_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_347' type='radio' value='Falso \/ False'  id='choice_17_347_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_347_1' id='label_17_347_1' class='gform-field-label gform-field-label--type-inline'>Falso \/ False<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_348\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Tabla<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nombre \/ Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nacionalidad \/ Nationality<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">A\u00f1o de nacimiento \/ Year of birth**<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_348_cell1 gform-grid-col' data-label='Nombre \/ Name'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_348\" aria-label='Nombre \/ Name, Row 1' data-aria-label-template='Nombre \/ Name, Row {0}' type='text' name='input_348[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_348_cell2 gform-grid-col' data-label='Nacionalidad \/ Nationality'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_348\" aria-label='Nacionalidad \/ Nationality, Row 1' data-aria-label-template='Nacionalidad \/ Nationality, Row {0}' type='text' name='input_348[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_348_cell3 gform-grid-col' data-label='A\u00f1o de nacimiento \/ Year of birth**'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_348\" aria-label='A\u00f1o de nacimiento \/ Year of birth**, Row 1' data-aria-label-template='A\u00f1o de nacimiento \/ Year of birth**, Row {0}' type='text' name='input_348[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_17_348'>Por favor, a\u00f1ada nombres\/filas adicionales si es aplicable. *En esta etapa solo pedimos el a\u00f1o de nacimiento para reducir el riesgo de tener cualquier dato personal identificable innecesario. \/ \n\nPlease add additional names\/rows if applicable. *At this stage we only ask for year of birth in order to reduce the risk of us holding any unnecessary personal identifiable data.<\/div><\/fieldset><div id=\"field_17_402\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p> Si no se ingresan datos de UBO en este formulario, se considerar\u00e1 que est\u00e1 certificando seg\u00fan la Opci\u00f3n 1, es decir, que no hay ninguno que declarar. \/ If no UBO data is entered onto this form it will be deemed that you have certifying as per Option 1, i.e. that there are none to declare.<\/p><\/div><div id=\"field_17_259\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">2. Certificados de operador a\u00e9reo (AOC) \/ Air operators certificates (AOC)<\/h3><\/div><fieldset id=\"field_17_349\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. \u00bfTiene un *AOC con alguna autoridad de aviaci\u00f3n nacional? \/ Do you hold an *AOC with any national aviation authority?<\/legend><div class='gfield_description' id='gfield_description_17_349'>Si la respuesta es s\u00ed, proporcione detalles completos de todas las aeronaves, su marca y modelo a los que se aplica el AOC. \/ If yes, please provide full details of all aircraft, their make and model to which the AOC applies.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_349'>\n\t\t\t<div class='gchoice gchoice_17_349_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_349' type='radio' value='Si \/ Yes'  id='choice_17_349_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_17_349\"   \/>\n\t\t\t\t\t<label for='choice_17_349_0' id='label_17_349_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_349_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_349' type='radio' value='No'  id='choice_17_349_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_349_1' id='label_17_349_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_350\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Tabla 2<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Aeronave \/ Aircraft<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Marca \/ Make<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Modelo \/ Model<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_350_cell1 gform-grid-col' data-label='Aeronave \/ Aircraft'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_350\" aria-label='Aeronave \/ Aircraft, Row 1' data-aria-label-template='Aeronave \/ Aircraft, Row {0}' type='text' name='input_350[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_350_cell2 gform-grid-col' data-label='Marca \/ Make'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_350\" aria-label='Marca \/ Make, Row 1' data-aria-label-template='Marca \/ Make, Row {0}' type='text' name='input_350[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_350_cell3 gform-grid-col' data-label='Modelo \/ Model'><input aria-invalid='false'  aria-describedby=\"gfield_description_17_350\" aria-label='Modelo \/ Model, Row 1' data-aria-label-template='Modelo \/ Model, Row {0}' type='text' name='input_350[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_17_350'>Nota explicativa: la cobertura proporcionada por ITIC est\u00e1 dise\u00f1ada para cubrir reclamaciones que surjan de la prestaci\u00f3n de servicios por parte del Asegurado a otros, ya sea en relaci\u00f3n con el uso y\/o la operaci\u00f3n de aeronaves o para quienes est\u00e1n involucrados en la industria del transporte a\u00e9reo. No est\u00e1 destinada a cubrir riesgos operacionales que surjan del uso y operaci\u00f3n de aeronaves, independientemente de si el Asegurado es titular de un AOC. \/ Explanatory Note: the cover provided by ITIC is designed to cover claims arising out of the supply of services by the Assured to others either in connection with the use and\/or operation of aircraft or who are involved in the air transport industry. It is not intended to cover any operational risks arising out of the use and operation of aircraft, regardless of whether the Assured is a holder of an AOC.<\/div><\/fieldset><div id=\"field_17_260\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">3. Aprobaciones de la autoridad de aviaci\u00f3n \/ Aviation authority approvals<\/h3><\/div><fieldset id=\"field_17_351\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. \u00bfTiene alguna autorizaci\u00f3n emitida por alg\u00fan organismo regulador de aviaci\u00f3n nacional, relacionada con la operaci\u00f3n, gesti\u00f3n, mantenimiento y\/o dise\u00f1o de aeronaves? \/ Do you hold any authorisations issued by any national aviation regulatory body, pertaining to the operation, management, maintenance and\/or design of aircraft?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_351'>\n\t\t\t<div class='gchoice gchoice_17_351_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_351' type='radio' value='Si \/ Yes'  id='choice_17_351_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_351_0' id='label_17_351_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_351_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_351' type='radio' value='No'  id='choice_17_351_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_351_1' id='label_17_351_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_352\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_352'>Si la respuesta es &quot;S\u00ed&quot;, por favor d\u00e9 detalles: \/ If \u201cYes\u201d please give details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_352' id='input_17_352' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_153\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">4.  Ingreso anual bruto \/ Gross annual income<\/h3><\/div><div id=\"field_17_354\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Por favor, describa el margen entre lo que se paga por el charter y lo que se cobra al cliente final del charter, y\/o cualquier comisi\u00f3n ganada. \/ Please outline the margin between what is being paid to charter in and what is being charged out to the end chartering customer, and\/or any commission earned.<\/h3><div class='gsection_description' id='gfield_description_17_354'>Por favor, indique la moneda, por ejemplo, US$ \/ Please indicate currency e.g., US$<\/div><\/div><div id=\"field_17_357\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_357'>a. \u00daltimo a\u00f1o fiscal \/ Last financial year<\/label><div class='ginput_container ginput_container_text'><input name='input_357' id='input_17_357' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_358\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_358'>b. Estimaci\u00f3n para este a\u00f1o fiscal \/ Estimate for this financial year<\/label><div class='ginput_container ginput_container_text'><input name='input_358' id='input_17_358' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_359\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_359'>c. Estimaci\u00f3n para el pr\u00f3ximo a\u00f1o fiscal \/ Estimate for next financial year<\/label><div class='ginput_container ginput_container_text'><input name='input_359' id='input_17_359' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_360\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_360'>d. De los cuales ingresos estimados de su pa\u00eds de domicilio \/ Of which estimated income from your country of domicile<\/label><div class='ginput_container ginput_container_text'><input name='input_360' id='input_17_360' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_361\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_361'>e. \u00bfCu\u00e1ntos charters realiza en promedio durante el a\u00f1o? \/ How many charters do you average throughout the year?<\/label><div class='ginput_container ginput_container_text'><input name='input_361' id='input_17_361' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_362\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >f. Por favor, indique el porcentaje de su ingreso anual bruto ganado de las siguientes actividades a asegurar: \/ Please indicate the percentage of your gross annual income earned from the following activities to be insured:<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Corretaje de aviaci\u00f3n (venta de aeronaves y corretaje de adquisiciones) \/ Aviation broking (aircraft sales and acquisition broker)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Charter de aviaci\u00f3n (corretaje de charter y arrendamiento de aeronaves) \/ Aviation charter (aircraft charter &amp; lease broking)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Corretaje de carga a\u00e9rea \/ Air Freight broking<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Consultor\u00eda de aviaci\u00f3n \/ Aviation consultancy<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_362_cell1 gform-grid-col' data-label='Corretaje de aviaci\u00f3n (venta de aeronaves y corretaje de adquisiciones) \/ Aviation broking (aircraft sales and acquisition broker)'><input aria-invalid='false'   aria-label='Corretaje de aviaci\u00f3n (venta de aeronaves y corretaje de adquisiciones) \/ Aviation broking (aircraft sales and acquisition broker), Row 1' data-aria-label-template='Corretaje de aviaci\u00f3n (venta de aeronaves y corretaje de adquisiciones) \/ Aviation broking (aircraft sales and acquisition broker), Row {0}' type='text' name='input_362[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_362_cell2 gform-grid-col' data-label='Charter de aviaci\u00f3n (corretaje de charter y arrendamiento de aeronaves) \/ Aviation charter (aircraft charter &amp; lease broking)'><input aria-invalid='false'   aria-label='Charter de aviaci\u00f3n (corretaje de charter y arrendamiento de aeronaves) \/ Aviation charter (aircraft charter &amp; lease broking), Row 1' data-aria-label-template='Charter de aviaci\u00f3n (corretaje de charter y arrendamiento de aeronaves) \/ Aviation charter (aircraft charter &amp; lease broking), Row {0}' type='text' name='input_362[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_362_cell3 gform-grid-col' data-label='Corretaje de carga a\u00e9rea \/ Air Freight broking'><input aria-invalid='false'   aria-label='Corretaje de carga a\u00e9rea \/ Air Freight broking, Row 1' data-aria-label-template='Corretaje de carga a\u00e9rea \/ Air Freight broking, Row {0}' type='text' name='input_362[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_362_cell4 gform-grid-col' data-label='Consultor\u00eda de aviaci\u00f3n \/ Aviation consultancy'><input aria-invalid='false'   aria-label='Consultor\u00eda de aviaci\u00f3n \/ Aviation consultancy, Row 1' data-aria-label-template='Consultor\u00eda de aviaci\u00f3n \/ Aviation consultancy, Row {0}' type='text' name='input_362[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_363\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >g. Por favor confirme el porcentaje de su facturaci\u00f3n total\/honorarios en el \u00faltimo a\u00f1o fiscal de contratos donde haya acordado proporcionar lo siguiente, ya sea directamente o a trav\u00e9s de sus subcontratistas: \/ Please confirm the percentage of your total turnover\/fees in the last financial year from contracts where you have agreed to provide the following, either directly or through your subcontractors:<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Servicios de dise\u00f1o \/ Design services<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Servicios de supervisi\u00f3n t\u00e9cnica \/ Technical supervision services<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Servicios de construcci\u00f3n\/fabricaci\u00f3n\/instalaci\u00f3n\/mantenimiento \/ Construction\/manufacture\/installation\/maintenance services<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Suministro de materiales, equipos o productos \/ Supply of materials, equipment or products<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_363_cell1 gform-grid-col' data-label='Servicios de dise\u00f1o \/ Design services'><input aria-invalid='false'   aria-label='Servicios de dise\u00f1o \/ Design services, Row 1' data-aria-label-template='Servicios de dise\u00f1o \/ Design services, Row {0}' type='text' name='input_363[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_363_cell2 gform-grid-col' data-label='Servicios de supervisi\u00f3n t\u00e9cnica \/ Technical supervision services'><input aria-invalid='false'   aria-label='Servicios de supervisi\u00f3n t\u00e9cnica \/ Technical supervision services, Row 1' data-aria-label-template='Servicios de supervisi\u00f3n t\u00e9cnica \/ Technical supervision services, Row {0}' type='text' name='input_363[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_363_cell3 gform-grid-col' data-label='Servicios de construcci\u00f3n\/fabricaci\u00f3n\/instalaci\u00f3n\/mantenimiento \/ Construction\/manufacture\/installation\/maintenance services'><input aria-invalid='false'   aria-label='Servicios de construcci\u00f3n\/fabricaci\u00f3n\/instalaci\u00f3n\/mantenimiento \/ Construction\/manufacture\/installation\/maintenance services, Row 1' data-aria-label-template='Servicios de construcci\u00f3n\/fabricaci\u00f3n\/instalaci\u00f3n\/mantenimiento \/ Construction\/manufacture\/installation\/maintenance services, Row {0}' type='text' name='input_363[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_363_cell4 gform-grid-col' data-label='Suministro de materiales, equipos o productos \/ Supply of materials, equipment or products'><input aria-invalid='false'   aria-label='Suministro de materiales, equipos o productos \/ Supply of materials, equipment or products, Row 1' data-aria-label-template='Suministro de materiales, equipos o productos \/ Supply of materials, equipment or products, Row {0}' type='text' name='input_363[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_364\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >h. Por favor indique los honorarios brutos pagados a subcontratistas, e indique la moneda, por ejemplo, US$ \/ Please advise gross fees paid to sub-contractors, and indicate currency, e.g. US$<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">\u00daltimo a\u00f1o fiscal \/ Last financial year<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">A\u00f1o fiscal anterior \/ Previous financial year<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Estimaci\u00f3n para el pr\u00f3ximo a\u00f1o fiscal \/ Estimate for next financial year<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_364_cell1 gform-grid-col' data-label='\u00daltimo a\u00f1o fiscal \/ Last financial year'><input aria-invalid='false'   aria-label='\u00daltimo a\u00f1o fiscal \/ Last financial year, Row 1' data-aria-label-template='\u00daltimo a\u00f1o fiscal \/ Last financial year, Row {0}' type='text' name='input_364[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_364_cell2 gform-grid-col' data-label='A\u00f1o fiscal anterior \/ Previous financial year'><input aria-invalid='false'   aria-label='A\u00f1o fiscal anterior \/ Previous financial year, Row 1' data-aria-label-template='A\u00f1o fiscal anterior \/ Previous financial year, Row {0}' type='text' name='input_364[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_364_cell3 gform-grid-col' data-label='Estimaci\u00f3n para el pr\u00f3ximo a\u00f1o fiscal \/ Estimate for next financial year'><input aria-invalid='false'   aria-label='Estimaci\u00f3n para el pr\u00f3ximo a\u00f1o fiscal \/ Estimate for next financial year, Row 1' data-aria-label-template='Estimaci\u00f3n para el pr\u00f3ximo a\u00f1o fiscal \/ Estimate for next financial year, Row {0}' type='text' name='input_364[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_17_365\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_365'>i.  \u00bfCu\u00e1l es la naturaleza del trabajo realizado por sus subcontratistas? \/ What is the nature of the work undertaken by your sub-contractors?<\/label><div class='ginput_container ginput_container_text'><input name='input_365' id='input_17_365' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_366\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >j. \u00bfSus actividades tambi\u00e9n implican la provisi\u00f3n de actividades de apoyo de vuelo? (por ejemplo, organizar permisos de sobrevuelo y aterrizaje, designar FBO&#039;s, organizar estacionamiento de aeronaves y\/o reposicionamiento?) \/ Do your activities also involve the provision of flight support activities? (for e.g. arranging overflight and landing permits, appointing FBO\u2019s, arranging aircraft parking and\/or re-positioning?)<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_366'>\n\t\t\t<div class='gchoice gchoice_17_366_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_366' type='radio' value='Si \/ Yes'  id='choice_17_366_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_366_0' id='label_17_366_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_366_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_366' type='radio' value='No'  id='choice_17_366_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_366_1' id='label_17_366_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_367\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_367'>Por favor proporcione detalles \/ please provide details:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_367' id='input_17_367' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_261\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">5. Pr\u00e1cticas de contrataci\u00f3n \/ Contracting practices<\/h3><\/div><div id=\"field_17_371\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p> Donde los contratos son consecutivos \/ Where contracts are back-to-back<\/p><\/div><div id=\"field_17_368\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_368'>a. \u00bfQu\u00e9 pasos toma para asegurarse de que el contrato entre usted y el Fletador est\u00e9 en una base completamente consecutiva con los t\u00e9rminos y condiciones del contrato entre usted y el Operador? \/ What steps are taken by you to ensure that the contract between you and the Charterer is on a fully back to-back basis with the terms and conditions of the contract between you and the Operator?<\/label><div class='ginput_container ginput_container_text'><input name='input_368' id='input_17_368' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_369\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_369'>b. Seg\u00fan los t\u00e9rminos del contrato entre usted y el Fletador, \u00bfcu\u00e1les ser\u00edan las consecuencias del incumplimiento del charter por parte del Operador cuando el incumplimiento sea resultado de la negligencia, error u omisi\u00f3n del Operador? \/ Based on the terms of the contract between you and the Charterer, what would be the consequences of the Operator\u2019s failure to perform the charter where the failure was the result of the Operator\u2019s negligence, error or omission?<\/label><div class='ginput_container ginput_container_text'><input name='input_369' id='input_17_369' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_370\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_370'>c. Seg\u00fan los t\u00e9rminos del contrato entre usted y el Fletador, \u00bfcu\u00e1les ser\u00edan las consecuencias del incumplimiento del charter por parte del Operador cuando el incumplimiento sea resultado de su negligencia, error u omisi\u00f3n? \/ Based on the terms of the contract between you and the Charterer, what would be the consequences of Operator\u2019s failure to perform the charter where the failure was the result of your negligence, error or omission?<\/label><div class='ginput_container ginput_container_text'><input name='input_370' id='input_17_370' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_372\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Donde usted act\u00faa como un verdadero intermediario \/ Where you act as a true intermediary<\/div><fieldset id=\"field_17_373\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >d. \u00bfEst\u00e1 usted nombrado como Corredor en el contrato de charter? \/ Are you named as Broker in the charter agreement?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_373'>\n\t\t\t<div class='gchoice gchoice_17_373_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_373' type='radio' value='Si \/ Yes'  id='choice_17_373_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_373_0' id='label_17_373_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_373_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_373' type='radio' value='No'  id='choice_17_373_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_373_1' id='label_17_373_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_374\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >e. \u00bfEst\u00e1n claramente indicadas las identidades del Operador y el Fletador? \/ Are the identities of the Operator and Charterer clearly stated?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_374'>\n\t\t\t<div class='gchoice gchoice_17_374_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='Si \/ Yes'  id='choice_17_374_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_374_0' id='label_17_374_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_374_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_374' type='radio' value='No'  id='choice_17_374_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_374_1' id='label_17_374_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_375\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >f. \u00bfEst\u00e1 claro que usted recibe una comisi\u00f3n como remuneraci\u00f3n por su trabajo? \/ Is it made clear that you are receiving commission in remuneration for your work?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_375'>\n\t\t\t<div class='gchoice gchoice_17_375_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_375' type='radio' value='Si \/ Yes'  id='choice_17_375_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_375_0' id='label_17_375_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_375_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_375' type='radio' value='No'  id='choice_17_375_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_375_1' id='label_17_375_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_173\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">6. Principales \/ Principals<\/h3><\/div><fieldset id=\"field_17_376\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. \u00bfTiene alg\u00fan inter\u00e9s financiero en alguna de las empresas de sus principales? \/ Do you have any financial interest in any of your principals&#039; companies?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_376'>\n\t\t\t<div class='gchoice gchoice_17_376_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='Si \/ Yes'  id='choice_17_376_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_376_0' id='label_17_376_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_376_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_376' type='radio' value='No'  id='choice_17_376_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_376_1' id='label_17_376_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_377\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >b. \u00bfTienen sus principales alg\u00fan inter\u00e9s financiero en su empresa? \/ Do your principals have any financial interest in your company?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_377'>\n\t\t\t<div class='gchoice gchoice_17_377_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_377' type='radio' value='Si \/ Yes'  id='choice_17_377_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_377_0' id='label_17_377_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_377_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_377' type='radio' value='No'  id='choice_17_377_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_377_1' id='label_17_377_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_194\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">7. Otras aseguranzas de aviaci\u00f3n \/ Other aviation insurances<\/h3><div class='gsection_description' id='gfield_description_17_194'>Por favor, indique si tiene alguna de las p\u00f3lizas de seguro enumeradas a continuaci\u00f3n \/ Please advise if you hold any of the insurance policies listed below<\/div><\/div><fieldset id=\"field_17_378\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. Seguro de casco y responsabilidad civil de aeronaves no propias \/ Non-owned aircraft hull &amp; liability insurance<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_378'>\n\t\t\t<div class='gchoice gchoice_17_378_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='Si \/ Yes'  id='choice_17_378_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_378_0' id='label_17_378_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_378_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_378' type='radio' value='No'  id='choice_17_378_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_378_1' id='label_17_378_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_381\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_381'>L\u00edmite de Indemnizaci\u00f3n \/ Limit of Indemnity<\/label><div class='ginput_container ginput_container_text'><input name='input_381' id='input_17_381' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_380\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >b. Otros \/ Other<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_380'>\n\t\t\t<div class='gchoice gchoice_17_380_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='Si \/ Yes'  id='choice_17_380_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_380_0' id='label_17_380_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_380_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_380' type='radio' value='No'  id='choice_17_380_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_380_1' id='label_17_380_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_382\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_382'>por favor especifique \/ please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_382' id='input_17_382' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_383\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_383'>L\u00edmite de Indemnizaci\u00f3n \/ Limit of Indemnity<\/label><div class='ginput_container ginput_container_text'><input name='input_383' id='input_17_383' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_191\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">8. Historial de reclamaciones \/ Claims history<\/h3><\/div><fieldset id=\"field_17_384\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >a. \u00bfSe han presentado reclamaciones en su contra, o ha habido circunstancias que puedan dar lugar a una reclamaci\u00f3n en su contra, en los \u00faltimos 5 a\u00f1os? \/ Have any claims been made against you, or have there been any circumstances likely to give rise to a claim being made against you, in the last 5 years?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_384'>\n\t\t\t<div class='gchoice gchoice_17_384_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='Si \/ Yes'  id='choice_17_384_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_384_0' id='label_17_384_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_384_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_384' type='radio' value='No'  id='choice_17_384_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_384_1' id='label_17_384_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_385\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_385'>Por favor d\u00e9 detalles: \/ Please give details:<\/label><div class='ginput_container ginput_container_text'><input name='input_385' id='input_17_385' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_386\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>b. \u00bfAlg\u00fan asegurador ha... \/ Has any insurer...<\/p><\/div><fieldset id=\"field_17_287\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Se ha negado a asegurarlo \/ Declined to insure you<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_287'>\n\t\t\t<div class='gchoice gchoice_17_287_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='Si \/ Yes'  id='choice_17_287_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_287_0' id='label_17_287_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_287_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='No'  id='choice_17_287_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_287_1' id='label_17_287_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_387\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Cancelado su seguro \/ Cancelled your insurance<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_387'>\n\t\t\t<div class='gchoice gchoice_17_387_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_387' type='radio' value='Si \/ Yes'  id='choice_17_387_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_387_0' id='label_17_387_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_387_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_387' type='radio' value='No'  id='choice_17_387_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_387_1' id='label_17_387_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_288\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Se ha negado a renovar su seguro \/ Refused to renew your insurance<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_288'>\n\t\t\t<div class='gchoice gchoice_17_288_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_288' type='radio' value='Si \/ Yes'  id='choice_17_288_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_288_0' id='label_17_288_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_288_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_288' type='radio' value='No'  id='choice_17_288_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_288_1' id='label_17_288_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_289\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Impuso sanciones o t\u00e9rminos especiales \/ Imposed penalties or special terms<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_289'>\n\t\t\t<div class='gchoice gchoice_17_289_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='Si \/ Yes'  id='choice_17_289_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_289_0' id='label_17_289_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_289_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_289' type='radio' value='No'  id='choice_17_289_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_289_1' id='label_17_289_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_290\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_290'>Proporcione todos los detalles \/ Provide full details<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_290' id='input_17_290' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_17_388\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >c. \u00bfEst\u00e1 actualmente asegurado contra los riesgos cubiertos por ITIC? \/ Are you currently insured against the risks covered by ITIC?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_388'>\n\t\t\t<div class='gchoice gchoice_17_388_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_388' type='radio' value='Si \/ Yes'  id='choice_17_388_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_388_0' id='label_17_388_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_388_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_388' type='radio' value='No'  id='choice_17_388_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_388_1' id='label_17_388_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_389\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_389'>\u00bfCon qui\u00e9n? \/ With whom?<\/label><div class='ginput_container ginput_container_text'><input name='input_389' id='input_17_389' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_390\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">9. L\u00edmites y deducibles \/ Limits and deductibles<\/h3><\/div><div id=\"field_17_391\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_391'>Por favor, indique la moneda, por ejemplo, US$ \/ Please indicate currency e.g. US$<\/label><div class='ginput_container ginput_container_text'><input name='input_391' id='input_17_391' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_394\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Por favor, indique cualquier l\u00edmite o deducible preferido \/ Please indicate any preferred limits or deductibles<\/p><\/div><fieldset id=\"field_17_392\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Alternativa 1 \/ Alternative 1<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">L\u00edmite \/ Limit<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Deducible \/ Deductible<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_392_cell1 gform-grid-col' data-label='L\u00edmite \/ Limit'><input aria-invalid='false'   aria-label='L\u00edmite \/ Limit, Row 1' data-aria-label-template='L\u00edmite \/ Limit, Row {0}' type='text' name='input_392[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_392_cell2 gform-grid-col' data-label='Deducible \/ Deductible'><input aria-invalid='false'   aria-label='Deducible \/ Deductible, Row 1' data-aria-label-template='Deducible \/ Deductible, Row {0}' type='text' name='input_392[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_393\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Alternativa 2 \/ Alternative 2<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">L\u00edmite \/ Limit<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Deducible \/ Deductible<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_393_cell1 gform-grid-col' data-label='L\u00edmite \/ Limit'><input aria-invalid='false'   aria-label='L\u00edmite \/ Limit, Row 1' data-aria-label-template='L\u00edmite \/ Limit, Row {0}' type='text' name='input_393[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_393_cell2 gform-grid-col' data-label='Deducible \/ Deductible'><input aria-invalid='false'   aria-label='Deducible \/ Deductible, Row 1' data-aria-label-template='Deducible \/ Deductible, Row {0}' type='text' name='input_393[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_17_395\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">10. Informaci\u00f3n general \/ General information<\/h3><\/div><fieldset id=\"field_17_396\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfEs usted miembro de alguna asociaci\u00f3n comercial o profesional? \/ Are you a member of any trade or professional association?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_396'>\n\t\t\t<div class='gchoice gchoice_17_396_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_396' type='radio' value='Si \/ Yes'  id='choice_17_396_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_396_0' id='label_17_396_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_396_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_396' type='radio' value='No'  id='choice_17_396_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_396_1' id='label_17_396_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_397\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_397'>Por favor d\u00e9 detalles: \/ Please give details:<\/label><div class='ginput_container ginput_container_text'><input name='input_397' id='input_17_397' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_398\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">11. Seguros adicionales disponibles de ITIC \/ Additional insurances available from ITIC<\/h3><\/div><fieldset id=\"field_17_399\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00bfLe gustar\u00eda recibir detalles sobre el Seguro de responsabilidad civil de directores y funcionarios  \/ Would you like details about any of the Directors\u2019 and officers\u2019 liability insurance<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_399'>\n\t\t\t<div class='gchoice gchoice_17_399_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_399' type='radio' value='Si \/ Yes'  id='choice_17_399_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_399_0' id='label_17_399_0' class='gform-field-label gform-field-label--type-inline'>Si \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_399_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_399' type='radio' value='No'  id='choice_17_399_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_17_399_1' id='label_17_399_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_400\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">12. Por favor proporcione cualquier literatura sobre su empresa que sea relevante para esta propuesta \/  Please supply any literature about your company, which is relevant to this proposal<\/h3><\/div><div id=\"field_17_401\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_401'>Archivo<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_401' id='input_17_401' type='file' class='large' aria-describedby=\"gfield_upload_rules_17_401\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_401'>Max. file size: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_17_401'><\/div> <\/div><\/div><div id=\"field_17_86\" class=\"gfield gfield--type-post_content gfield--input-type-post_content gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_86'>Informaci\u00f3n adicional \/ additional Information<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_86' id='input_17_86' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_17_85\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_85.1' id='input_17_85_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_17_85_1' >Estoy de acuerdo con la pol\u00edtica de privacidad. \/ I agree with the privacy policy.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_85.2' value='Estoy de acuerdo con la pol\u00edtica de privacidad. \/ I agree with the privacy policy.' class='gform_hidden' \/><input type='hidden' name='input_85.3' value='22' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_17_87\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html 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