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human_service_application.diff
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diff --git a/app/controllers/dashboard/insurance_applications/human_service_applications_controller.rb b/app/controllers/dashboard/insurance_applications/human_service_applications_controller.rb
new file mode 100644
index 0000000..ddd75d2
--- /dev/null
+++ b/app/controllers/dashboard/insurance_applications/human_service_applications_controller.rb
@@ -0,0 +1,38 @@
+class Dashboard::InsuranceApplications::HumanServiceApplicationsController < DashboardController
+ before_action :authenticate_client!, except: [:new]
+ before_action :set_human_service_application, only: [:edit, :update, :show]
+
+ def new
+ @title = "New Human Service - Basic Application"
+ @human_service_application = HumanApplicationService.create_application(params[:id], current_client)
+ if @human_service_application.new_record?
+ @form_submit_path = dashboard_insurance_applications_human_service_applications_path
+ else
+ @form_submit_path = dashboard_insurance_applications_human_service_application_path(@human_service_application)
+ end
+ end
+
+ def edit
+ end
+
+ def show
+ end
+
+ def update
+ if @human_service_application.update(human_service_params)
+ redirect_to dashboard_insurance_applications_path, notice: "Application was updated successfully."
+ else
+ render :edit
+ end
+ end
+
+ private
+
+ def set_human_service_application
+ @human_service_application = HumanServiceApplication.find(params[:id])
+ end
+
+ def human_service_params
+ params.require(:human_service_application).permit(ApplicationAttributes.human_service)
+ end
+end
diff --git a/app/models/human_service_application.rb b/app/models/human_service_application.rb
index 3046077..1cba38f 100644
--- a/app/models/human_service_application.rb
+++ b/app/models/human_service_application.rb
@@ -2,9 +2,21 @@ class HumanServiceApplication < ApplicationRecord
has_many :planned_events
has_many :applicant_employees
+ has_one :insurance_application, as: :client_application
+
belongs_to :client
belongs_to :agent, optional: true
+ delegate :full_name, to: :agent, allow_nil: true, prefix: true
+ delegate :full_name, to: :client, prefix: true
+
+ after_update :calculate_completion_percentage
+
+ APPLICATION_TITLE = "Human Service Application"
+
+ accepts_nested_attributes_for :applicant_employees, reject_if: :all_blank, allow_destroy: true
+ accepts_nested_attributes_for :planned_events, reject_if: :all_blank, allow_destroy: true
+
enum fire_sprinkler: { yes: 1, no: 2, not_available: 3}, _prefix: :true
enum sprinkler_temperature: { yes: 1, no: 2, not_available: 3}, _prefix: :minimum_temperature
enum valves_exercised_annualy: { yes: 1, no: 2, not_available: 3}, _prefix: :valves_exercised
@@ -16,4 +28,23 @@ class HumanServiceApplication < ApplicationRecord
enum formal_process: { yes: 1, no: 2, not_available: 3}, _prefix: :shutoff_process
enum water_lines_temperature: { yes: 1, no: 2, not_available: 3}, _prefix: :water_lines_fix_tem
enum malpractice_insurance: { yes: 1, no: 2, not_available: 3}, _prefix: :physicians_insurance
+
+ def status
+ percentage_of_completion == 100 ? 'complete' : "#{percentage_of_completion}% complete"
+ end
+
+ def complete?
+ percentage_of_completion == 100
+ end
+
+ def application_title
+ APPLICATION_TITLE
+ end
+
+ private
+
+ def calculate_completion_percentage
+ completion_percentage = (self.attributes.select{|k, v| v.present?}.size / self.attributes.size.to_f) * 100
+ self.update_column(:percentage_of_completion, completion_percentage.to_i)
+ end
end
diff --git a/app/models/insurance_application.rb b/app/models/insurance_application.rb
index 42d5b03..a929623 100644
--- a/app/models/insurance_application.rb
+++ b/app/models/insurance_application.rb
@@ -3,6 +3,7 @@ class InsuranceApplication < ApplicationRecord
belongs_to :client_application, polymorphic: true
delegate :client_full_name, :agent, to: :client_application, allow_nil: true
+ delegate :class_name, :title, to: :template, prefix: true
enum status: {
incomplete: 0,
diff --git a/app/services/application_attributes.rb b/app/services/application_attributes.rb
index f1e1ca5..c720eda 100644
--- a/app/services/application_attributes.rb
+++ b/app/services/application_attributes.rb
@@ -27,4 +27,42 @@ class ApplicationAttributes
:mortgage_lending_organization, :mortgage_2_loan_number, :mortgage_2_address,
:mortgage_2_lending_organization ]
end
+
+ def self.human_service
+ [ :applicant_name, :mailing_address, :city, :zip_code, :state, :full_time_staff, :part_time_staff, :sic_number,
+ :fein_number, :website, :non_profit, :for_profit, :annual_revenue, :operational_years, :current_management_years,
+ :risk_management_contact, :phone_number, :email, :fire_alrams, :alarm_locations, :smoke_detectors, :smoke_detector_locations,
+ :hard_wired_smoke_detectors, :battery_operated_smoke_detectors, :detector_locations, :emergency_lighting, :lighting_locations,
+ :sprinklers, :sprinkler_locations, :exterior_evacuation_routes, :evacuation_route_locations, :central_meeting_point,
+ :meeting_point_locations, :exit_signs, :exit_sign_locations, :fire_drills, :two_exit_doors, :exit_door_locations, :panic_exit_doors,
+ :panic_exit_door_locations, :smoking_permitted, :smoking_locations, :percentage_of_employee, :percentage_of_volunteer,
+ :vehicle_use, :require_employees_and_volunteers, :required_limits, :use_mvr, :how_often_use_mvr, :driver_safety_program, :transport_clients,
+ :new_employee_training, :transport_governmental_or_public_clients, :explain_transportation, :transport_fee, :utilize_gps_fleets,
+ :plug_in_gps_telematics, :hard_wired_gps_telematics, :mobile_phone_gps_telematics, :other_gps_telematics, :telematic_device,
+ :fleet_telematics_percentage, :operation_narrative, :annual_budget, :annual_payroll, :clients_per_year, :no_clients,
+ :number_of_students, :no_students, :no_of_beds, :sheltered_workshops, :shelter_location_no, :workshop_function, :janitorial_services,
+ :landscaping_services, :other_mobile_work, :janitorial_payroll, :landscaping_payroll, :other_payroll, :worker_compensation,
+ :day_care_programe, :location_number, :no_of_children_supervised, :children_to_staff_ratio, :age_range, :foster_care, :foster_care_explanation,
+ :total_operation_percentage, :leased_locations, :leased_location_number, :square_feet, :own_swimming_pool, :building_or_location,
+ :diving_board, :spa_safety_act, :time_table_or_action_plan, :lead_paint, :abatement_plan, :sexual_offenders_therapy, :sexual_predators_therapy,
+ :professional_liability_coverage, :occurrence, :claims_made, :professional_liability_limits, :professional_carrier, :effective_date,
+ :full_time_employees, :part_time_employees, :volunteers, :malpractice_insurance, :company, :liability_limits, :accredited, :accrediting_organization,
+ :date_of_accreditation, :term_of_accreditation, :dentist, :nurse_practitioner, :optometrist, :physicians, :psychiatrist,
+ :other_contracted_services, :other_services_details, :written_agreements, :abuse_or_molestation, :abuse_occurrence, :claims_made_abuse,
+ :liability_limits_for_abuse, :abuse_carrier, :abuse_effective_date, :convicted_of_crime, :crisis_plan, :written_complaint_procedure,
+ :explain_complaint_procedure, :written_supervision_plan, :written_hiring_procedure, :volunteers_work_with_clients,
+ :formal_training, :formal_training_occurrence, :client_staff_relation, :closed_door_meeting, :patient_welfare, :sexual_abuse_incident,
+ :case_settled, :case_trialled, :amount_paid, :employee_criminal_background, :volunteer_criminal_background, :policy_effective_date,
+ :line_of_business, :written_notice, :notice_explanation, :claim_coverages, :claim_coverage_explanation, :fire_sprinkler,
+ :sprinkled_percentage, :wet_pipe_sprinkler, :dry_pipe_sprinkler, :both_types, :sprinkler_temperature, :sprinkler_freeze_prevention,
+ :freeze_winterization_review, :ul_monitoring_company, :water_valves_accessible, :valves_exercised_annualy, :staff_qualified,
+ :automatic_shutoff, :formal_process, :water_lines_temperature, :water_lines_freeze_prevention, :general_comments, :operation_nature,
+ :collect_pii, :collect_ssn, :collect_phi, :collect_credit_card_info, :applicant_alleged, :lawsuit_faced, :subject_of_investigation,
+ :applicant_circumstance, applicant_employees_attributes: [:id, :profession, :employee_type, :others_description, :count],
+ planned_events_attributes: [:id, :event_type, :event_date, :operation_hours, :anticipated_revenue, :location, :no_of_participants,
+ :no_of_staff_members, :obtained_certificates, :drinking_control_explanation, :alcohol_provider_explanation,
+ :bartenders_explanation, :sport_activities, :spectator_injury, :signed_waiver, :personal_health_proof,
+ :bartender_tips]
+ ]
+ end
end
diff --git a/app/services/human_application_service.rb b/app/services/human_application_service.rb
new file mode 100644
index 0000000..028ba16
--- /dev/null
+++ b/app/services/human_application_service.rb
@@ -0,0 +1,20 @@
+class HumanApplicationService
+ def self.create_application(template_id, current_client)
+ template = Template.find_by(id: template_id)
+ if current_client && template.present?
+ human_service_application = current_client.human_service_applications.first_or_create
+ template.insurance_applications.find_or_create_by(client_application: human_service_application)
+ else
+ human_service_application = HumanServiceApplication.new
+ end
+
+ (28 - human_service_application.applicant_employees.count).times do
+ human_service_application.applicant_employees.build
+ end
+ (10 - human_service_application.planned_events.count).times do
+ human_service_application.planned_events.build
+ end
+
+ return human_service_application
+ end
+end
diff --git a/app/views/dashboard/insurance_applications/human_service_applications/_applicant_employee_fields.html.erb b/app/views/dashboard/insurance_applications/human_service_applications/_applicant_employee_fields.html.erb
new file mode 100644
index 0000000..598f316
--- /dev/null
+++ b/app/views/dashboard/insurance_applications/human_service_applications/_applicant_employee_fields.html.erb
@@ -0,0 +1,29 @@
+<div class="nested-fields">
+ <div class="col-md-3">
+ <div class="form-group">
+ <%= f.label "Profession" %><br/>
+ <%= f.select :profession, ApplicantEmployee.professions.keys, {}, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-3">
+ <div class="form-group">
+ <%= f.label "Type" %><br/>
+ <%= f.select :employee_type, ApplicantEmployee.employee_types.keys, {}, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-3">
+ <div class="form-group">
+ <%= f.label "Other" %><br/>
+ <%= f.text_field :others_description, class: "form-control", placeholder: "Describe If other proffession", id: "description-textbox" %>
+ </div>
+ </div>
+
+ <div class="col-md-3">
+ <div class="form-group">
+ <%= f.label "Count" %><br/>
+ <%= f.text_field :count, class: "form-control" %>
+ </div>
+ </div>
+</div>
diff --git a/app/views/dashboard/insurance_applications/human_service_applications/_form.html.erb b/app/views/dashboard/insurance_applications/human_service_applications/_form.html.erb
new file mode 100644
index 0000000..067a503
--- /dev/null
+++ b/app/views/dashboard/insurance_applications/human_service_applications/_form.html.erb
@@ -0,0 +1,33 @@
+<div class="row">
+ <div class="col-md-10">
+ <%= render 'form_fields', f: f %>
+ </div>
+ <div class="col-md-2">
+ <div class="card" id="insurance-application-sidebar">
+ <div class="header">
+ <%= f.submit "Save", class: "btn btn-success btn-fill btn-block", style: 'margin-bottom: 10px;' %>
+ </div>
+ <div class="content content-full-width">
+ <ul class="nav nav-pills nav-stacked">
+ <li><a href="#applicant" class="list-group-item">Applicant</a></li>
+ <li><a href="#life-safety" class="list-group-item">Life Safety</a></li>
+ <li><a href="#automobile" class="list-group-item">Automobile</a></li>
+ <li><a href="#general-liability" class="list-group-item">General Liability</a></li>
+ <li><a href="#professional-liability" class="list-group-item">Professional Liability</a></li>
+ <li><a href="#independent-contractors" class="list-group-item">Independent Contractors</a></li>
+ <li><a href="#abuse-molestation" class="list-group-item">Abusere & Molestation</a></li>
+ <li><a href="#claims-made" class="list-group-item">Claims Made</a></li>
+ <li><a href="#planned-events" class="list-group-item">Planned Events</a></li>
+ <li><a href="#winter-weather" class="list-group-item">Winter Weather</a></li>
+ <li><a href="#fraud-statement" class="list-group-item">Fraud Statement</a></li>
+ <li><a href="#cyber-security" class="list-group-item">Cyber Security</a></li>
+ </ul>
+ </div>
+ </div>
+ </div>
+</div>
+
+<% content_for :js_init do %>
+ InsuranceApplications.chosen_select_init();
+ InsuranceApplications.init_sidebar_scroll();
+<% end %>
diff --git a/app/views/dashboard/insurance_applications/human_service_applications/_form_fields.html.erb b/app/views/dashboard/insurance_applications/human_service_applications/_form_fields.html.erb
new file mode 100644
index 0000000..eeca962
--- /dev/null
+++ b/app/views/dashboard/insurance_applications/human_service_applications/_form_fields.html.erb
@@ -0,0 +1,2243 @@
+<div class="row">
+ <div class="col-md-12">
+
+ <div class="card" id="applicant">
+ <div class="header">
+ <h3 class="title">Applicant</h3>
+ </div>
+
+ <div class="content p-2">
+ <div class="row">
+ <div class="col-md-10">
+ <div class="form-group">
+ <%= f.label :applicant_name, class: "control-label" %><br>
+ <%= f.text_field :applicant_name, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :mailing_address, class: "control-label" %><br>
+ <%= f.text_field :mailing_address, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :city, class: "control-label" %><br>
+ <%= f.text_field :city, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.label :state, class: "control-label" %><br>
+ <%= f.select :state , us_states, { include_blank: true }, { class: "form-control chosen-select" } %>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.label :zip_code, class: "control-label" %><br>
+ <%= f.number_field :zip_code, min: 0, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-7">
+ <p>Total Staff(including all office, janitorial, maintenance staff, etc): </p>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.label "Full Time:", class: "control-label" %><br>
+ <%= f.number_field :full_time_staff, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.label "Part Time:", class: "control-label" %><br>
+ <%= f.number_field :part_time_staff, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label "SIC#:", class: "control-label" %><br>
+ <%= f.number_field :sic_number, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label "FEIN#:", class: "control-label" %><br>
+ <%= f.number_field :fein_number, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :website, class: "control-label" %><br>
+ <%= f.text_field :website, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-8">
+ <div class="row">
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.check_box :non_profit%>
+ <%= f.label :non_profit, class: "control-label" %>
+ </div>
+ </div>
+
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.check_box :for_profit %>
+ <%= f.label :for_profit, class: "control-label" %><br>
+ </div>
+ </div>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :annual_revenue, class: "control-label" %><br>
+ <%= f.text_field :annual_revenue, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <p>Number of years this facility has been:</p>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :operational_years, class: "control-label" %><br>
+ <%= f.number_field :operational_years, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :current_management_years, class: "control-label" %><br>
+ <%= f.number_field :current_management_years, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :risk_management_contact, class: "control-label" %><br>
+ <%= f.text_field :risk_management_contact, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :phone_number, class: "control-label" %><br>
+ <%= f.text_field :phone_number, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.label :email, class: "control-label" %><br>
+ <%= f.email_field :email, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+ </div>
+ </div>
+
+ <div class="card" id="life-safety">
+ <div class="header">
+ <h3 class="title">SECTION I – LIFE SAFETY</h3>
+ </div>
+
+ <div class="content p-2">
+ <div class="row">
+ <div class="col-md-12">
+ <p>
+ Do all of the Applicant’s facilities (buildings) have the following Life Safety Features?<br>
+ If no, please indicate which location numbers.
+ </p>
+ </div>
+ </div>
+ <div class="row">
+ <div class="col-md-12 text-right">
+ <p>Location Number(s):</p>
+ </div>
+ </div>
+
+ <ol>
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label "Fire Alarms?", class: "control-label" %><br></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :fire_alrams, :true %>
+ <%= label_tag :fire_alarms_yes, "Yes" %>
+ <%= f.radio_button :fire_alrams, :false %>
+ <%= label_tag :fire_alarms_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :alarm_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label "Smoke Detectors?", class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :smoke_detectors, :true %>
+ <%= label_tag :smoke_detectors_yes, "Yes" %>
+ <%= f.radio_button :smoke_detectors, :false %>
+ <%= label_tag :smoke_detectors_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :smoke_detector_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-2 form-group">
+ <%= f.label "Hard Wired?", class: "control-label" %><br>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :hard_wired_smoke_detectors, :true %>
+ <%= label_tag :hard_wired_smoke_detectors_yes, "Yes" %>
+ <%= f.radio_button :hard_wired_smoke_detectors, :false %>
+ <%= label_tag :hard_wired_smoke_detectors_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-2 form-group">
+ <%= f.label "Battery Operated??", class: "control-label" %><br>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :battery_operated_smoke_detectors, :true %>
+ <%= label_tag :battery_operated_smoke_detectors_yes, "Yes" %>
+ <%= f.radio_button :battery_operated_smoke_detectors, :false %>
+ <%= label_tag :battery_operated_smoke_detectors_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :detector_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label "Emergency Lighting?", class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :emergency_lighting, :true %>
+ <%= label_tag :emergency_lighting_yes, "Yes" %>
+ <%= f.radio_button :emergency_lighting, :false %>
+ <%= label_tag :emergency_lighting_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :lighting_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label "Sprinklers?", class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :sprinklers, :true %>
+ <%= label_tag :sprinklers_yes, "Yes" %>
+ <%= f.radio_button :sprinklers, :false %>
+ <%= label_tag :sprinklers_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :sprinkler_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:exterior_evacuation_routes], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :exterior_evacuation_routes, :true %>
+ <%= label_tag :exterior_evacuation_routes_yes, "Yes" %>
+ <%= f.radio_button :exterior_evacuation_routes, :false %>
+ <%= label_tag :exterior_evacuation_routes_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :evacuation_route_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:central_meeting_point], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :central_meeting_point, :true %>
+ <%= label_tag :central_meeting_point_yes, "Yes" %>
+ <%= f.radio_button :central_meeting_point, :false %>
+ <%= label_tag :central_meeting_point_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :meeting_point_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:exit_signs], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :exit_signs, :true %>
+ <%= label_tag :exit_signs_yes, "Yes" %>
+ <%= f.radio_button :exit_signs, :false %>
+ <%= label_tag :exit_signs_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :exit_sign_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <li><%= f.label life_safety[:fire_drills], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :fire_drills, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:two_exit_doors], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :two_exit_doors, :true %>
+ <%= label_tag :two_exit_doors_yes, "Yes" %>
+ <%= f.radio_button :two_exit_doors, :false %>
+ <%= label_tag :two_exit_doors_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :exit_door_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:panic_exit_doors], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :panic_exit_doors, :true %>
+ <%= label_tag :panic_exit_doors_yes, "Yes" %>
+ <%= f.radio_button :panic_exit_doors, :false %>
+ <%= label_tag :panic_exit_doors_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :panic_exit_door_locations, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label life_safety[:smoking_permitted], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :smoking_permitted, :true %>
+ <%= label_tag :smoking_permitted_yes, "Yes" %>
+ <%= f.radio_button :smoking_permitted, :false %>
+ <%= label_tag :smoking_permitted_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-4">
+ <%= f.text_field :smoking_locations, class: "form-control" %>
+ </div>
+ </div>
+ </ol>
+
+ </div>
+ </div>
+
+ <div class="card" id="automobile">
+ <div class="header">
+ <h3 class="title">SECTION II - AUTOMOBILE</h3>
+ </div>
+
+ <div class="content p-2">
+ <ol>
+ <div class="row">
+ <div class="col-md-12">
+ <li><%= f.label automobile[:vehicle_use] %></li>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.label "Employees Percentage", class: "control-label" %><br>
+ <%= f.number_field :percentage_of_employee, step: :any, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.label "Volunteers Percentage", class: "control-label" %><br>
+ <%= f.text_field :percentage_of_volunteer, step: :any, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-12">
+ <div class="form-group">
+ <%= f.label "Describe use", class: "control-label" %><br>
+ <%= f.text_field :vehicle_use, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:require_employees_and_volunteers], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :require_employees_and_volunteers, :true %>
+ <%= label_tag :require_employees_and_volunteers_yes, "Yes" %>
+ <%= f.radio_button :require_employees_and_volunteers, :false %>
+ <%= label_tag :require_employees_and_volunteers_no, "No" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-4">
+ <li><%= f.label automobile[:required_limits], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-8">
+ <div class="form-group">
+ <%= f.text_field :required_limits, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:use_mvr], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :use_mvr, :true %>
+ <%= label_tag :use_mvr_yes, "Yes" %>
+ <%= f.radio_button :use_mvr, :false %>
+ <%= label_tag :use_mvr_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-12">
+ <div class="form-group">
+ <%= f.label "if yes, how often?", class: "control-label" %><br>
+ <%= f.text_field :how_often_use_mvr, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:driver_safety_program], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :driver_safety_program, :true %>
+ <%= label_tag :driver_safety_program_yes, "Yes" %>
+ <%= f.radio_button :driver_safety_program, :false %>
+ <%= label_tag :driver_safety_program_no, "No" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:transport_clients], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :transport_clients, :true %>
+ <%= label_tag :transport_clients_yes, "Yes" %>
+ <%= f.radio_button :transport_clients, :false %>
+ <%= label_tag :transport_clients_no, "No" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:new_employee_training], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :new_employee_training, :true %>
+ <%= label_tag :new_employee_training_yes, "Yes" %>
+ <%= f.radio_button :new_employee_training, :false %>
+ <%= label_tag :new_employee_training_no, "No" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:transport_governmental_or_public_clients], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :transport_governmental_or_public_clients, :true %>
+ <%= label_tag :transport_governmental_or_public_clients_yes, "Yes" %>
+ <%= f.radio_button :transport_governmental_or_public_clients, :false %>
+ <%= label_tag :transport_governmental_or_public_clients_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-12">
+ <div class="form-group">
+ <%= f.label "If yes, please explain:", class: "control-label" %><br>
+ <%= f.text_field :explain_transportation, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-10">
+ <div class="form-group">
+ <%= f.label "If yes, for a fee?", class: "control-label" %><br>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :transport_fee, :true %>
+ <%= label_tag :transport_fee_yes, "Yes" %>
+ <%= f.radio_button :transport_fee, :false %>
+ <%= label_tag :transport_fee_no, "No" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label automobile[:utilize_gps_fleets], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.radio_button :utilize_gps_fleets, :true %>
+ <%= label_tag :utilize_gps_fleets_yes, "Yes" %>
+ <%= f.radio_button :utilize_gps_fleets, :false %>
+ <%= label_tag :utilize_gps_fleets_no, "No" %>
+ </div>
+ </div>
+
+ <div class="col-md-12">
+ <div class="form-group">
+ <p class="control-label">If yes, please check off the fleet telematics being utilized:<br></p>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.check_box :plug_in_gps_telematics %>
+ <%= f.label "Plug in", class: "control-label" %>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.check_box :hard_wired_gps_telematics %>
+ <%= f.label "Hard Wired", class: "control-label" %>
+ </div>
+ </div>
+
+ <div class="col-md-3">
+ <div class="form-group">
+ <%= f.check_box :mobile_phone_gps_telematics %>
+ <%= f.label "Mobile Phone", class: "control-label" %>
+ </div>
+ </div>
+
+ <div class="col-md-2">
+ <div class="form-group">
+ <%= f.check_box :other_gps_telematics %>
+ <%= f.label "other", class: "control-label" %>
+ </div>
+ </div>
+
+ <div class="col-md-3">
+ <div class="form-group">
+ <% f.label "other", class: "control-label" %>
+ <%= f.text_field :telematic_device, class: "form-control", placeholder: "Enter other device" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-8">
+ <li><%= f.label automobile[:fleet_telematics_percentage], class: "control-label" %></li>
+ </div>
+
+ <div class="col-md-4">
+ <div class="form-group">
+ <%= f.number_field :fleet_telematics_percentage, step: :any, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+ </ol>
+ </div>
+ </div>
+
+ <div class="card" id="general-liability">
+ <div class="header">
+ <h3 class="title">SECTION III – GENERAL LIABILITY</h3>
+ </div>
+
+ <div class="content p-2">
+ <ol>
+ <div class="row">
+ <div class="col-md-12">
+ <li><%= f.label general_liability[:operation_narrative], class: "control-label" %></li>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-12">
+ <div class="form-group">
+ <%= f.text_field :operation_narrative, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label "Annual Operating Budget: ", class: "control-label" %></li>
+ <div class="form-group">
+ <%= f.number_field :annual_budget, step: :any, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-6">
+ <%= f.label :annual_payroll, class: "control-label" %><br>
+ <div class="form-group">
+ <%= f.number_field :annual_payroll, step: :any, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label general_liability[:clients_per_year], class: "control-label" %></li>
+ <div class="form-group">
+ <%= f.number_field :clients_per_year, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.check_box :no_clients %>
+ <%= f.label "N/A" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-6">
+ <li><%= f.label :number_of_students, class: "control-label" %></li>
+ <div class="form-group">
+ <%= f.number_field :number_of_students, class: "form-control" %>
+ </div>
+ </div>
+
+ <div class="col-md-6">
+ <div class="form-group">
+ <%= f.check_box :no_students %>
+ <%= f.label "N/A" %>
+ </div>
+ </div>
+ </div>
+
+ <div class="row">
+ <div class="col-md-8">
+ <li><%= f.label general_liability[:no_of_beds], class: "control-label" %></li>
+ <div class="form-group">
+ <%= f.number_field :no_of_beds, class: "form-control" %>
+ </div>
+ </div>
+ </div>
+
+
+ <div class="row">
+ <div class="col-md-10">
+ <li><%= f.label general_liability[:sheltered_workshops], class: "control-label" %></li>
+ </div>