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STANDARD FIRE & SPECIAL PERILS POLICY SCHEDULE

Policy No : 151400/11/2019/432 Prev Policy No : -

Cover Note No : 151400145658 Cover Note Dt : 23/08/2018


Insured's Name : 89108744 - M/s.SPECTRUM Issuing Office : 151400 - DO 4 INDORE (GSTIN:
ELECTRICAL INDUSTRIES LTD., 23AAACT0627R4Z4)
(GSTIN: 27AAUCS2152E1Z7)
Address : PLANT NO.10, W-190 AMBAD MIDC, Address : "Kanchan Sagar"
MH015, NASIK 422010 (MH) 18/1,Old Palasia,A.B.Road
GSTIN NO.27AAUCS2152E1Z7 INDORE
NASIK 422010 INDORE MADHYA PRADESH 452003
Tel /Fax /Email : / / 0 / NA Tel /Fax /Email : 0731-2534550 / 0731-4067574 /
muraliarora@orientalinsurance.co.in;151
400@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code : NZ0000000043 AGENCY MANAGER DO 4 INDORE
Agent/Broker : BA0000135704 RITU AGRAWAL
Address : C-608, SHEHNAI RESIDENCY,OPP.HOTEL AMAR VILAS,AB ROAD,
INDORE,INDORE,MADHYA PRADESH,452010
Tel/Fax/Email
: 0731-4002985//plainmf@gmail.com
Period of Insurance : FROM 00:00 ON 24/08/2018 TO MIDNIGHT OF 23/08/2019
Collection No & Dt : DC_I_IND 3100009089 - 24/08/2018 GST INVOICE NO :231710429556 UIN :0
Gross Premium : 6,818 GST :: 1,227 Stamp Duty : .5 Total : 8,045

Co Insurance Details : None

RISK DETAILS

1 Location of the Risk : PLANT NO.10, W-190, AMBAD MIDC


MH015, NASIK 422010 (MH)

MAHARASHTRA
NASIK
422010
NASHIK

Risk Description : Eng Wrk-Structural Steel fabricators,SheetMetal fabricators,Hot/Cold Rolling,Pipe


Extruding,Stamping,Pressing,Forging Mills,Metal smelting,Foundries,Galvanising
works,MetalExtraction,Ore processing (other than Aluminium,copper,zinc)

Cover Wise Details : Cover Name Sum Insured Premium

STFI Cover 1,01,00,000 1,893.75


Fire Basic Cover 1,01,00,000 10,100.00
Earth Quake Cover 1,01,00,000 1,010.00

SCHEDULE OF PREMIUM

TOTAL PREMIUM 6,818.00


ADD :IGST 1,227.00

Place : INDORE For and on behalf of


Date : 24/08/2018 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Attached to and forming part of policy number 151400/11/2019/432

Block Description : Mfg.of molds,precision press tools & dies (All types of Metals Stock+P&M+FFF)

SMI Desc Nature of Stock Sum Insured

All type fo Plant & 54,50,000


Machinery,Electrification etc.
All type of Stock Raw Material,Semi 40,00,000
Finished,Finish goods,packing
material,tarpaulin & such other similar
goods pertaining to insured's trade,
whilst stored &/or lying anywhere in
factory premises. (Stock held in trust
also covered)
All type of Furniture,Fixtures & Fittings, 6,50,000
etc.
STAMP DUTY 0.50
TOTAL AMOUNT 8,045.00

Total Sum Insured In Words : Indian Rupees One Crore One Lakh Only
Total Premium In Words : Indian Rupees Eight Thousand Forty-Five Only

Excess / Deductible :
The following minimum deductibles are applicable based on per Location Sum Insured of the policy.
(except dwelling with individual owners)

Sum Insured Band per Location (including endorsements, Material Damage


if any) % Of Claim Subject to Minimum deductible in INR.
Upto 10 Cr 5 10,000.00
Above 10 Cr and upto 100 Cr 5 25,000.00
Above 100 Cr and upto 1500 Cr 5 500,000.00
Above 1500 Cr and upto 2500 Cr 5 2,500,000.00
Above 2500 Cr 5 5,000,000.00

The Insurance under this policy is subject to warranties & Clauses otherwise stated herein:
1 . In the event of a claim under the policy exceeding Rs. 1 lac or a claim for refund of premium exceeding Rs. 1 lac,the
insured wil comply with the provisions of the AML policy of the company.The AML policy is available in all our
operating
2 . Designation Of Property Clause
3 . Local Authorities Clause
4 . Class Of Construction
5 . Plinth & Foundation
6 . Rubber Factories
7 . Endorsement - Earthquake (Fire And Shock) - Add On Cover
8 . AGREED BANK CLAUSE

Place : INDORE For and on behalf of


Date : 24/08/2018 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Attached to and forming part of policy number 151400/11/2019/432

Financier's Names are as stated herein:

Sl No Bank Name/Financier Bank Branch and Address

1 AXIS BANK LTD., JALGAON

The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy
shall be void abinitio (from inception).

In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands
at INDORE on 24TH DAY OF AUGUST 2018

Entered By : LAXMINARAYAN TAWADE


For and on behalf of
Examined By : J BHARGAVA The Oriental Insurance Company Limited

Policy Printed By : 567833 IP


Policy Printed On : 24-AUG-18 17:06:24 MAC
Authorised Signatory

Place : INDORE For and on behalf of


Date : 24/08/2018 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

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