@extends('layouts.app')

@section('content')
<div class="col-12">

</div>
<div class="col-12">
    <div class="card">
        <div class="card-header pl-5">
            <h5 class="title ">New Contract</h5>
            <nav aria-label="breadcrumb">
                <ol class="breadcrumb"style="background-color: white; padding-left: 2px">
                    <li class="breadcrumb-item"><a href="{{ route('home') }}">Home</a></li>
                    <li class="breadcrumb-item"><a href="{{ route('contract') }}">Contracts</a></li>
                    <li class="breadcrumb-item active" aria-current="page">New</li>
                </ol>
            </nav>
        </div>
        <div class="card-body all-icons">
            <form method="POST" action="{{ route('contract.store') }}" enctype="multipart/form-data" onsubmit="formSubmit()">
                @csrf
                <div class="row  pr-5 pl-5">

                    <div class="col-12 mb-2">
                        <strong>Basic Information</strong>
                    </div>
                    <div class="col-12">
                        <div class="form-group">
                            <label>Client</label>
                            <select type="number" class="form-control js-example-basic-single @if ($errors->has('client')) is-invalid @endif" placeholder="required" name="client" value="{{ old('client') }}">
                                <option></option>
                                @foreach($clients as $client)
                                    <option value="{{ $client->id }}" @if(old('client') == $client->id) selected @endif>{{ $client->company_name }}</option>
                                @endforeach
                            </select>
                            @if ($errors->has('client'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('client') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Start Date</label>
                            <input type="text" class="form-control selector @if ($errors->has('start_date')) is-invalid @endif" placeholder="required" name="start_date" value="{{ old('start_date') }}">
                            @if ($errors->has('start_date'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('start_date') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>End Date</label>
                            <input type="text" class="form-control selector @if ($errors->has('end_date')) is-invalid @endif" placeholder="required" name="end_date" value="{{ old('end_date') }}">
                            @if ($errors->has('end_date'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('end_date') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12 mb-2 mt-4">
                        <strong>Rates Information</strong>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Contract Rate</label>
                            <input type="text" class="form-control @if ($errors->has('contract_rate')) is-invalid @endif" placeholder="required" name="contract_rate" value="{{ old('contract_rate') }}">
                            @if ($errors->has('contract_rate'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('contract_rate') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Guard Rate</label>
                            <input type="text" class="form-control @if ($errors->has('guard_rate')) is-invalid @endif" placeholder="required" name="guard_rate" value="{{ old('guard_rate') }}">
                            @if ($errors->has('guard_rate'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('guard_rate') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>15 Days Rate</label>
                            <input type="text" class="form-control @if ($errors->has('day_rate')) is-invalid @endif" placeholder="required" name="day_rate" value="{{ old('day_rate') }}" >
                            @if ($errors->has('day_rate'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('day_rate') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>16 Days Rate</label>
                            <input type="text" class="form-control @if ($errors->has('night_rate')) is-invalid @endif" placeholder="required" name="night_rate" value="{{ old('night_rate') }}" >
                            @if ($errors->has('night_rate'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('night_rate') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Night Differential Pay</label>
                            <input type="text" class="form-control @if ($errors->has('night_differential_pay')) is-invalid @endif" placeholder="required" name="night_differential_pay" value="{{ old('night_differential_pay') }}" >
                            @if ($errors->has('night_differential_pay'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('night_differential_pay') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Incentive Pay</label>
                            <input type="text" class="form-control @if ($errors->has('incentive_pay')) is-invalid @endif" placeholder="required" name="incentive_pay" value="{{ old('incentive_pay') }}" >
                            @if ($errors->has('incentive_pay'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('incentive_pay') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Uniform Allowance</label>
                            <input type="text" class="form-control @if ($errors->has('uniform_allowance')) is-invalid @endif" placeholder="required" name="uniform_allowance" value="{{ old('uniform_allowance') }}" >
                            @if ($errors->has('uniform_allowance'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('uniform_allowance') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Overtime Pay</label>
                            <input type="text" class="form-control @if ($errors->has('overtime_pay')) is-invalid @endif" placeholder="required" name="overtime_pay" value="{{ old('overtime_pay') }}" >
                            @if ($errors->has('overtime_pay'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('overtime_pay') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>13th Month Pay</label>
                            <input type="text" class="form-control @if ($errors->has('thirteenth_month_pay')) is-invalid @endif" placeholder="required" name="thirteenth_month_pay" value="{{ old('thirteenth_month_pay') }}" >
                            @if ($errors->has('thirteenth_month_pay'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('thirteenth_month_pay') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Retirement Benefit</label>
                            <input type="text" class="form-control @if ($errors->has('retirement_benefit')) is-invalid @endif" placeholder="required" name="retirement_benefit" value="{{ old('retirement_benefit') }}" >
                            @if ($errors->has('retirement_benefit'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('retirement_benefit') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>SSS Contribution</label>
                            <input type="text" class="form-control @if ($errors->has('sss_contribution')) is-invalid @endif" placeholder="required" name="sss_contribution" value="{{ old('sss_contribution') }}" id="txtSssCont" readonly>
                            @if ($errors->has('sss_contribution'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('sss_contribution') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Pag-ibig Contribution</label>
                            <input type="text" class="form-control @if ($errors->has('pag_ibig_contribution')) is-invalid @endif" placeholder="required" name="pag_ibig_contribution" value="{{ old('pag_ibig_contribution') }}" id="txtPagibigCont" readonly>
                            @if ($errors->has('pag_ibig_contribution'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('pag_ibig_contribution') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                        <label>Philhealth Contribution</label>
                            <input type="text" class="form-control @if ($errors->has('philhealth_contribution')) is-invalid @endif" placeholder="required" name="philhealth_contribution" value="{{ old('philhealth_contribution') }}" id="txtPhilhealthCont" readonly>
                            @if ($errors->has('philhealth_contribution'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('philhealth_contribution') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>


                    <div class="col-12 mb-2 mt-4">
                        <strong>Agency & Remittances (ER & EE)</strong>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Agency Fee</label>
                            <input type="text" class="form-control @if ($errors->has('agency_fee')) is-invalid @endif" placeholder="required" name="agency_fee" value="{{ old('agency_fee') }}" id="txtAgencyFee">
                            @if ($errors->has('agency_fee'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('agency_fee') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Vat</label>
                            <input type="text" class="form-control @if ($errors->has('vat')) is-invalid @endif" placeholder="required" name="vat" value="{{ old('vat') }}" id="txtVat" readonly>
                            @if ($errors->has('vat'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('vat') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Withholding Tax</label>
                            <input type="text" class="form-control @if ($errors->has('withholding_tax')) is-invalid @endif" placeholder="required"  value="{{ old('withholding_tax') }}" id="txtTax" readonly>
                            <input type="hidden" id="txtTaxOrig" name="withholding_tax" value="{{ old('withholding_tax') }}" />
                            @if ($errors->has('withholding_tax'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('withholding_tax') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <div class="form-group">
                            <label>Employer Share</label>
                            <input type="text" class="form-control @if ($errors->has('employer_share')) is-invalid @endif" placeholder="required" name="employer_share" value="{{ old('employer_share') }}">
                            @if ($errors->has('employer_share'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('employer_share') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    {{-- kani working --}}
                    {{-- <div class="col-12">
                        <div class="form-group">
                            <label>Compensation</label>
                            <select type="text" class="form-control js-example-basic-single @if ($errors->has('compensation')) is-invalid @endif" placeholder="required" name="compensation" value="{{ old('compensation') }}" id="txtCompensation">
                                <option></option>
                                <option value="Below 3,250" @if(old('compensation') == "Below 3,250") selected @endif>Below 3,250</option>
                                <option value="3,250 – 3,749.99" @if(old('compensation') == "3,250 – 3,749.99") selected @endif>3,250 – 3,749.99</option>
                                <option value="3,750 – 4,249.99" @if(old('compensation') == "3,750 – 4,249.99") selected @endif>3,750 – 4,249.99</option>
                                <option value="4,250 – 4,749.99" @if(old('compensation') == "4,250 – 4,749.99") selected @endif>4,250 – 4,749.99</option>
                                <option value="4,750 – 5,249.99" @if(old('compensation') == "4,750 – 5,249.99") selected @endif>4,750 – 5,249.99</option>
                                <option value="5,250 – 5,749.99" @if(old('compensation') == "5,250 – 5,749.99") selected @endif>5,250 – 5,749.99</option>
                                <option value="5,750 – 6,249.99" @if(old('compensation') == "5,750 – 6,249.99") selected @endif>5,750 – 6,249.99</option>
                                <option value="6,250 – 6,749.99" @if(old('compensation') == "6,250 – 6,749.99") selected @endif>6,250 – 6,749.99</option>
                                <option value="6,750 – 7,249.99" @if(old('compensation') == "6,750 – 7,249.99") selected @endif>6,750 – 7,249.99</option>
                                <option value="7,250 – 7,749.99" @if(old('compensation') == "7,250 – 7,749.99") selected @endif>7,250 – 7,749.99</option>
                                <option value="7,750 – 8,249.99" @if(old('compensation') == "7,750 – 8,249.99") selected @endif>7,750 – 8,249.99</option>
                                <option value="8,250 – 8,749.99" @if(old('compensation') == "8,250 – 8,749.99") selected @endif>8,250 – 8,749.99</option>
                                <option value="8,750 – 9,249.99" @if(old('compensation') == "8,750 – 9,249.99") selected @endif>8,750 – 9,249.99</option>
                                <option value="9,250 – 9,749.99" @if(old('compensation') == "9,250 – 9,749.99") selected @endif>9,250 – 9,749.99</option>
                                <option value="9,750 – 10,249.99" @if(old('compensation') == "9,750 – 10,249.99") selected @endif>9,750 – 10,249.99</option>
                                <option value="10,250 – 10,749.99" @if(old('compensation') == "10,250 – 10,749.99") selected @endif>10,250 – 10,749.99</option>
                                <option value="10,750 – 11,249.99" @if(old('compensation') == "10,750 – 11,249.99") selected @endif>10,750 – 11,249.99</option>
                                <option value="11,250 – 11,749.99" @if(old('compensation') == "11,250 – 11,749.99") selected @endif>11,250 – 11,749.99</option>
                                <option value="11,750 – 12,249.99" @if(old('compensation') == "11,750 – 12,249.99") selected @endif>11,750 – 12,249.99</option>
                                <option value="12,250 – 12,749.99" @if(old('compensation') == "12,250 – 12,749.99") selected @endif>12,250 – 12,749.99</option>
                                <option value="12,750 – 13,249.99" @if(old('compensation') == "12,750 – 13,249.99") selected @endif>12,750 – 13,249.99</option>
                                <option value="13,250 – 13,749.99" @if(old('compensation') == "13,250 – 13,749.99") selected @endif>13,250 – 13,749.99</option>
                                <option value="13,750 – 14,249.99" @if(old('compensation') == "13,750 – 14,249.99") selected @endif>13,750 – 14,249.99</option>
                                <option value="14,250 – 14,749.99" @if(old('compensation') == "14,250 – 14,749.99") selected @endif>14,250 – 14,749.99</option>
                                <option value="14,750 – 15,249.99" @if(old('compensation') == "14,750 – 15,249.99") selected @endif>14,750 – 15,249.99</option>
                                <option value="15,250 – 15,749.99" @if(old('compensation') == "15,250 – 15,749.99") selected @endif>15,250 – 15,749.99</option>
                                <option value="15,750 – 16,249.99" @if(old('compensation') == "15,750 – 16,249.99") selected @endif>15,750 – 16,249.99</option>
                                <option value="16,250 – 16,749.99" @if(old('compensation') == "16,250 – 16,749.99") selected @endif>16,250 – 16,749.99</option>
                                <option value="16,750 – 17,249.99" @if(old('compensation') == "16,750 – 17,249.99") selected @endif>16,750 – 17,249.99</option>
                                <option value="17,250 – 17,749.99" @if(old('compensation') == "17,250 – 17,749.99") selected @endif>17,250 – 17,749.99</option>
                                <option value="17,750 – 18,249.99" @if(old('compensation') == "17,750 – 18,249.99") selected @endif>17,750 – 18,249.99</option>
                                <option value="18,250 – 18,749.99" @if(old('compensation') == "18,250 – 18,749.99") selected @endif>18,250 – 18,749.99</option>
                                <option value="18,750 – 19,249.99" @if(old('compensation') == "18,750 – 19,249.99") selected @endif>18,750 – 19,249.99</option>
                                <option value="19,250 – 19,749.99" @if(old('compensation') == "19,250 – 19,749.99") selected @endif>19,250 – 19,749.99</option>
                                <option value="19,750 – 20,249.99" @if(old('compensation') == "19,750 – 20,249.99") selected @endif>19,750 – 20,249.99</option>

                                <option value="20,250 – 20,749.99" @if(old('compensation') == "20,250 – 20,749.99") selected @endif>20,250 – 20,749.99</option>
                                <option value="20,750 – 21,249.99" @if(old('compensation') == "20,750 – 21,249.99") selected @endif>20,750 – 21,249.99</option>
                                <option value="21,250 – 21,749.99" @if(old('compensation') == "21,250 – 21,749.99") selected @endif>21,250 – 21,749.99</option>
                                <option value="21,750 – 22,249.99" @if(old('compensation') == "21,750 – 22,249.99") selected @endif>21,750 – 22,249.99</option>
                                <option value="22,250 – 22,749.99" @if(old('compensation') == "22,250 – 22,749.99") selected @endif>22,250 – 22,749.99</option>
                                <option value="22,750 – 23,249.99" @if(old('compensation') == "22,750 – 23,249.99") selected @endif>22,750 – 23,249.99</option>
                                <option value="23,250 – 23,749.99" @if(old('compensation') == "23,250 – 23,749.99") selected @endif>23,250 – 23,749.99</option>
                                <option value="23,750 – 24,249.99" @if(old('compensation') == "23,750 – 24,249.99") selected @endif>23,750 – 24,249.99</option>
                                <option value="24,250 – 24,749.99" @if(old('compensation') == "24,250 – 24,749.99") selected @endif>24,250 – 24,749.99</option>
                                <option value="24,750 – over" @if(old('compensation') == "24,750 – over") selected @endif>24,750 – over</option>
                            </select>
                            @if ($errors->has('compensation'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('compensation') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div> --}}

                    {{-- <div class="col-4">
                        <div class="form-group">
                            <label>SSS ER <span class="text-danger">*</span></label>
                            <select type="text" class="form-control js-example-basic-single @if ($errors->has('sss_er')) is-invalid @endif" placeholder="required" name="sss_er" value="{{ old('sss_er') }}" id="txtSssEr">
                                <option value="265" @if(old('sss_er') == "265") selected @endif>265</option>
                                <option value="307.50" @if(old('sss_er') == "307.50") selected @endif>307.50</option>
                                <option value="350" @if(old('sss_er') == "350") selected @endif>350</option>
                                <option value="392.50" @if(old('sss_er') == "392.50") selected @endif>392.50</option>
                                <option value="435" @if(old('sss_er') == "435") selected @endif>435</option>
                                <option value="477.50" @if(old('sss_er') == "477.50") selected @endif>477.50</option>
                                <option value="520" @if(old('sss_er') == "520") selected @endif>520</option>
                                <option value="562.50" @if(old('sss_er') == "562.50") selected @endif>562.50</option>
                                <option value="605" @if(old('sss_er') == "605") selected @endif>605</option>
                                <option value="647.50" @if(old('sss_er') == "647.50") selected @endif>647.50</option>
                                <option value="690" @if(old('sss_er') == "690") selected @endif>690</option>
                                <option value="732.50" @if(old('sss_er') == "732.50") selected @endif>732.50</option>
                                <option value="775" @if(old('sss_er') == "775") selected @endif>775</option>
                                <option value="817.50" @if(old('sss_er') == "817.50") selected @endif>817.50</option>
                                <option value="860" @if(old('sss_er') == "860") selected @endif>860</option>
                                <option value="902.50" @if(old('sss_er') == "902.50") selected @endif>902.50</option>
                                <option value="945" @if(old('sss_er') == "945") selected @endif>945</option>
                                <option value="987.50" @if(old('sss_er') == "987.50") selected @endif>987.50</option>
                                <option value="1030" @if(old('sss_er') == "1030") selected @endif>1030</option>
                                <option value="1072.50" @if(old('sss_er') == "1072.50") selected @endif>1072.50</option>
                                <option value="1115" @if(old('sss_er') == "1115") selected @endif>1115</option>
                                <option value="1157.50" @if(old('sss_er') == "1157.50") selected @endif>1157.50</option>
                                <option value="1200" @if(old('sss_er') == "1200") selected @endif>1200</option>
                                <option value="1242.50" @if(old('sss_er') == "1242.50") selected @endif>1242.50</option>
                                <option value="1305" @if(old('sss_er') == "1305") selected @endif>1305</option>
                                <option value="1347.50" @if(old('sss_er') == "1347.50") selected @endif>1347.50</option>
                                <option value="1390" @if(old('sss_er') == "1390") selected @endif>1390</option>
                                <option value="1432.50" @if(old('sss_er') == "1432.50") selected @endif>1432.50</option>
                                <option value="1475" @if(old('sss_er') == "1475") selected @endif>1475</option>
                                <option value="1517.50" @if(old('sss_er') == "1517.50") selected @endif>1517.50</option>
                                <option value="1560" @if(old('sss_er') == "1560") selected @endif>1560</option>
                                <option value="1602.50" @if(old('sss_er') == "1602.50") selected @endif>1602.50</option>
                                <option value="1645" @if(old('sss_er') == "1645") selected @endif>1645</option>
                                <option value="1687.50" @if(old('sss_er') == "1687.50") selected @endif>1687.50</option>
                                <option value="1730" @if(old('sss_er') == "1730") selected @endif>1730</option>
                            </select>
                            @if ($errors->has('sss_er'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('sss_er') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div> --}}

                    <div class="col-4">
                        <div class="form-group">
                            <label>SSS ER</label>
                            <input type="text" class="form-control @if ($errors->has('sss_er')) is-invalid @endif" placeholder="required" name="sss_er" value="{{ old('sss_er') }}" id="txtSssER" >
                            @if ($errors->has('sss_er'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('sss_er') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-4">
                        <div class="form-group">
                            <label>SSS EE</label>
                            <input type="text" class="form-control @if ($errors->has('sss_ee')) is-invalid @endif" placeholder="required" name="sss_ee" value="{{ old('sss_ee') }}" id="txtSssEE" >
                            @if ($errors->has('sss_ee'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('sss_ee') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-4">
                        <div class="form-group">
                            <label>SSS EC</label>
                            <input type="text" class="form-control @if ($errors->has('sss_ec')) is-invalid @endif" placeholder="required" name="sss_ec" value="{{ old('sss_ec') }}" id="txtSssEC" >
                            @if ($errors->has('sss_ec'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('sss_ec') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-6">
                        <div class="form-group">
                            <label>Pag-ibig ER</label>
                            <input type="text" class="form-control @if ($errors->has('pag_ibig_er')) is-invalid @endif" placeholder="required" name="pag_ibig_er" value="{{ old('pag_ibig_er') }}">
                            @if ($errors->has('pag_ibig_er'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('pag_ibig_er') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-6">
                        <div class="form-group">
                            <label>Pag-ibig EE</label>
                            <input type="text" class="form-control @if ($errors->has('pag_ibig_ee')) is-invalid @endif" placeholder="required" name="pag_ibig_ee" value="{{ old('pag_ibig_ee') }}" id="txtPagibigEe">
                            @if ($errors->has('pag_ibig_ee'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('pag_ibig_ee') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-6">
                        <div class="form-group">
                            <label>Philhealth ER</label>
                            <input type="text" class="form-control @if ($errors->has('philhealth_er')) is-invalid @endif" placeholder="required" name="philhealth_er" value="{{ old('philhealth_er') }}">
                            @if ($errors->has('philhealth_er'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('pag_ibig_er') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-6">
                        <div class="form-group">
                            <label>Philhealth EE</label>
                            <input type="text" class="form-control @if ($errors->has('philhealth_ee')) is-invalid @endif" placeholder="required" name="philhealth_ee" value="{{ old('philhealth_ee') }}" id="txtPhilhealthEe">
                            @if ($errors->has('philhealth_ee'))
                                <div class="invalid-feedback">
                                    <strong>{{ $errors->first('philhealth_ee') }}</strong>
                                </div>
                            @endif
                        </div>
                    </div>

                    <div class="col-12">
                        <button type="submit" class="d-block d-md-none ml-auto btn btn-md btn-primary btn-block">
                            <span class="icon text-white-50">
                                <i class="fas fa-save"></i>
                            </span>
                            &nbsp;Save
                        </button>
                        <button type="submit" class="d-none d-md-block ml-auto btn btn-md btn-primary btn-block" style="width: 155px">
                            <span class="icon text-white-50">
                                <i class="fas fa-save"></i>
                            </span>
                            &nbsp;Save
                        </button>
                    </div>

                </div>
            </form>
        </div>
    </div>
</div>

@section('script')
    <script>
        notif = {
            misc: {
            navbar_menu_visible: 0
            },

            showNotification: function(from, align, color, msg) {

            $.notify({
                icon: "now-ui-icons ui-1_bell-53",
                message: msg

            }, {
                type: color,
                timer: 8000,
                placement: {
                from: from,
                align: align
                }
            });
            }
        };
        @if(session()->has('message.level'))
            notif.showNotification('top','right', '{{ session('message.level') }}', '{{ session('message.content') }}')
        @endif

        $(".selector").flatpickr();

        function formSubmit() {
            loader();
            return true;
        }

        $( "#txtAgencyFee" ).change(function() {
            let tax = $(this).val() * 0.02;
            tax = tax.toFixed(2);
            $('#txtTaxOrig').val(tax)
            $('#txtTax').val(tax)

            let vat = $(this).val() * 0.12;
            vat = vat.toFixed(2);
            $('#txtVat').val(vat)
        })

        $( "#txtSssEE" ).change(function() {
            let half = $(this).val() / 2;
            half = half.toFixed(2);
            $('#txtSssCont').val(half)
        })

        $( "#txtPagibigEe" ).change(function() {
            let half = $(this).val() / 2;
            half = half.toFixed(2);
            $('#txtPagibigCont').val(half)
        })

        $( "#txtPhilhealthEe" ).change(function() {
            let half = $(this).val() / 2;
            half = half.toFixed(2);
            $('#txtPhilhealthCont').val(half)
        })



        // $('#txtDailyRate').change(function() {
        //     let rate = $(this).val();
        //     let rh = $(this).val();
        //     let sh = parseFloat((rate * 0.3)).toFixed(2);
        //     let sd = parseFloat((rate * 0.3)).toFixed(2);
        //     let ot = parseFloat((((rate * 0.25)) / 8)).toFixed(2);

        //     $('#txtRegularHolidayRate').val(rh);
        //     $('#txtSpecialHolidayRate').val(sh);
        //     $('#txtSundayRate').val(sd);
        //     $('#txtOverTimeRate').val(ot);
        // })

        // $( "#txtSssEr" ).change(function() {
        //     const er = $(this).val()

        //     switch(er) {

        //     case '265':
        //         $('#txtSssEE').val('80')
        //         break;
        //     case '307.50':
        //         $('#txtSssEE').val('100')
        //         break;
        //     case '350':
        //         $('#txtSssEE').val('120')
        //         break;
        //     case '392.50':
        //         $('#txtSssEE').val('140')
        //         break;
        //     case '435':
        //         $('#txtSssEE').val('160')
        //         break;
        //     case '477.50':
        //         $('#txtSssEE').val('180')
        //         break;
        //     case '520':
        //         $('#txtSssEE').val('200')
        //         break;
        //     case '562.50':
        //         $('#txtSssEE').val('220')
        //         break;
        //     case '605':
        //         $('#txtSssEE').val('240')
        //         break;
        //     case '647.50':
        //         $('#txtSssEE').val('260')
        //         break;
        //     case '690':
        //         $('#txtSssEE').val('280')
        //         break;
        //     case '732.50':
        //         $('#txtSssEE').val('300')
        //         break;
        //     case '775':
        //         $('#txtSssEE').val('320')
        //         break;
        //     case '817.50':
        //         $('#txtSssEE').val('340')
        //         break;
        //     case '860':
        //         $('#txtSssEE').val('360')
        //         break;
        //     case '902.50':
        //         $('#txtSssEE').val('380')
        //         break;
        //     case '945':
        //         $('#txtSssEE').val('400')
        //         break;
        //     case '987.50':
        //         $('#txtSssEE').val('420')
        //         break;
        //     case '1030':
        //         $('#txtSssEE').val('440')
        //         break;
        //     case '1072.50':
        //         $('#txtSssEE').val('460')
        //         break;
        //     case '1115':
        //         $('#txtSssEE').val('480')
        //         break;
        //     case '1157.50':
        //         $('#txtSssEE').val('500')
        //         break;
        //     case '1200':
        //         $('#txtSssEE').val('520')
        //         break;
        //     case '1242.50':
        //         $('#txtSssEE').val('540')
        //         break;
        //     case '1305':
        //         $('#txtSssEE').val('560')
        //         break;
        //     case '1347.50':
        //         $('#txtSssEE').val('580')
        //         break;
        //     case '1390':
        //         $('#txtSssEE').val('600')
        //         break;
        //     case '1432.50':
        //         $('#txtSssEE').val('620')
        //         break;
        //     case '1475':
        //         $('#txtSssEE').val('640')
        //         break;
        //     case '1517.50':
        //         $('#txtSssEE').val('660')
        //         break;
        //     case '1560':
        //         $('#txtSssEE').val('680')
        //         break;
        //     case '1602.50':
        //         $('#txtSssEE').val('700')
        //         break;
        //     case '1645':
        //         $('#txtSssEE').val('720')
        //         break;
        //     case '1687.50':
        //         $('#txtSssEE').val('740')
        //         break;
        //     case '1730':
        //         $('#txtSssEE').val('760')
        //         break;
        //     default:
        //         // code block
        //     }
        // });

        // kani working
        // $( "#txtCompensation" ).change(function() {
        //     const er = $(this).val()

        //     switch(er) {

        //     case 'Below 3,250':
        //         $('#txtSssER').val('255')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '3,250 – 3,749.99':
        //         $('#txtSssER').val('297.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '3,750 – 4,249.99':
        //         $('#txtSssER').val('340')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '4,250 – 4,749.99':
        //         $('#txtSssER').val('382.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '4,750 – 5,249.99':
        //         $('#txtSssER').val('425')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '5,250 – 5,749.99':
        //         $('#txtSssER').val('467.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '5,750 – 6,249.99':
        //         $('#txtSssER').val('510')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '6,250 – 6,749.99':
        //         $('#txtSssER').val('552.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '6,750 – 7,249.99':
        //         $('#txtSssER').val('595')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '7,250 – 7,749.99':
        //         $('#txtSssER').val('637.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '7,750 – 8,249.99':
        //         $('#txtSssER').val('680')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '8,250 – 8,749.99':
        //         $('#txtSssER').val('722.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '8,750 – 9,249.99':
        //         $('#txtSssER').val('765')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '9,250 – 9,749.99':
        //         $('#txtSssER').val('807.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '9,750 – 10,249.99':
        //         $('#txtSssER').val('850')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '10,250 – 10,749.99':
        //         $('#txtSssER').val('892.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '10,750 – 11,249.99':
        //         $('#txtSssER').val('935')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '11,250 – 11,749.99':
        //         $('#txtSssER').val('977.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '11,750 – 12,249.99':
        //         $('#txtSssER').val('1020')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '12,250 – 12,749.99':
        //         $('#txtSssER').val('1062.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '12,750 – 13,249.99':
        //         $('#txtSssER').val('1105')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '13,250 – 13,749.99':
        //         $('#txtSssER').val('1147.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '13,750 – 14,249.99':
        //         $('#txtSssER').val('1190')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '14,250 – 14,749.99':
        //         $('#txtSssER').val('1232.50')
        //         $('#txtSssEE').val('10')
        //         break;
        //     case '14,750 – 15,249.99':
        //         $('#txtSssER').val('1275')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '15,250 – 15,749.99':
        //         $('#txtSssER').val('1317.50')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '15,750 – 16,249.99':
        //         $('#txtSssER').val('1360')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '16,250 – 16,749.99':
        //         $('#txtSssER').val('1402.50')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '16,750 – 17,249.99':
        //         $('#txtSssER').val('1445')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '17,250 – 17,749.99':
        //         $('#txtSssER').val('1487.50')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '17,750 – 18,249.99':
        //         $('#txtSssER').val('1530')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '18,250 – 18,749.99':
        //         $('#txtSssER').val('1572.50')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '18,750 – 19,249.99':
        //         $('#txtSssER').val('1615')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '19,250 – 19,749.99':
        //         $('#txtSssER').val('1657.50')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '19,750 – 20,249.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '20,250 – 20,749.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '20,750 – 21,249.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '21,250 – 21,749.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '21,750 – 22,249.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '22,250 – 22,749.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '22,750 – 23,249.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '23,250 – 23,749.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '23,750 – 24,249.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '24,250 – 24,749.99':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     case '24,750 – over':
        //         $('#txtSssER').val('1700')
        //         $('#txtSssEE').val('30')
        //         break;
        //     default:
        //         // code block
        //     }
        // });

    </script>

@endsection

@endsection