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  • Mack Insurance Surveyors & Loss Assessors (P) LTD.: Insured - Vodfone-Idea Private Limted

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    Muthiah Mani
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    This document is a survey report from Mack Insurance Surveyors & Loss Assessors regarding a loss claim by Vodafone-Idea Private Limited. It documents the site ID, location, date of loss, cause of loss, and items damaged. It lists 50 categories of items that could be damaged and includes columns for brand, type, configuration, quantity, and remarks to document the observed damage. Representatives from both the insured and surveyors sign off on the reported details. The summary provides high-level information about the claim while maintaining brevity.

    Original Description:

    Voda-idea JIR Format

    Original Title

    Voda-idea JIR Format

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    This document is a survey report from Mack Insurance Surveyors & Loss Assessors regarding a loss claim by Vodafone-Idea Private Limited. It documents the site ID, location, date of loss, cause of loss, and items damaged. It lists 50 categories of items that could be damaged and includes columns for brand, type, configuration, quantity, and remarks to document the observed damage. Representatives from both the insured and surveyors sign off on the reported details. The summary provides high-level information about the claim while maintaining brevity.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    31 views2 pages

    Mack Insurance Surveyors & Loss Assessors (P) LTD.: Insured - Vodfone-Idea Private Limted

    Uploaded by

    Muthiah Mani
    This document is a survey report from Mack Insurance Surveyors & Loss Assessors regarding a loss claim by Vodafone-Idea Private Limited. It documents the site ID, location, date of loss, cause of loss, and items damaged. It lists 50 categories of items that could be damaged and includes columns for brand, type, configuration, quantity, and remarks to document the observed damage. Representatives from both the insured and surveyors sign off on the reported details. The summary provides high-level information about the claim while maintaining brevity.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    MACK INSURANCE SURVEYORS & LOSS ASSESSORS (P) LTD.

    (Formerly A.K. Govil & Associates),


    14A, FACTORY ROAD, NEAR SAFDARJUNG HOSPITAL,
    RING ROAD, NEW DELHI – 110 029
    Tel: 011-26760257 - Fax: 011-26760296,
    License No. IRDA/CORP/SLA-34727 Valid up to 30.11.2022▪ Pan No. AAFCM 2347C, G.S.T. 07AAFCM2347C1ZT
    E-mail: telecom@gmail.com, Website: www.mack.co.in
    (Certified ISO 9001:2015)
    MACK Ref. No.:
    Insured - VODFONE-IDEA PRIVATE LIMTED
    S No Description Informed by Insured Observed by us
    1 Site Id

    2 Location Loss/Situation

    3 Date of Loss
    4 Cause of Loss
    5 Date of Survey
    Insured Representative's
    6
    Name & Designation
    7 Site Guarded or not
    8 Owner of site
    9 Type of Tower (GBT/RTT/RTP/GMT/COW/ SCT)
    10 Height of Tower
    11 Approx level of water
    12 Type of Shelter
    Period for which the site was
    13
    affected
    Whether site was in During Survey At the time of incident
    14
    operation (Yes/No) (Yes/No)
    15 Site Sharing Details
    Whether loss sustained by
    16 (Yes/No)
    operators sharing the site
    Name of Nearest Water
    17
    Source & approx distance
    18 Site Down time & up time
    19 Details of Damaged Items

    Sign of Insured's Representative Sign of Surveyors


    Site ID :
    Site Location :
    Sl Brand Type BTS Type Configuration/
    Items Catagories Uom Qty Remark
    No (2G/3G/4G) (Indoor/Outdoor) Ratings If any
    1 DG
    2 AMF Panel
    3 DG Battery
    4 Battery Bank
    5 AC
    6 SMPS/DCPS
    7 Rectifier Module
    8 Shelter
    9 PIU
    10 Shelter (Battery Bank)
    11 Stabilizer
    12 AC Distribution Box
    13 DC Distribution Box
    Lightening Arrestor with
    14
    accessories
    15 Transformer
    16 LCU
    17 GSM Anteena
    18 MW Anteena
    19 GPS
    20 RRH
    21 RRU
    22 Cables
    23 FSMF
    24 AZNA
    25 FXED
    26 FXDJ/FXJB
    27 EWDB/EWDA
    28 ESEA
    29 ESMA
    30 ODU
    31 FLEXI BTS
    32 UTLTRA BTS
    33 SRAN BTS
    34 MRFU
    35 FEEDER CABLE
    36
    37
    38
    39
    40
    41
    42
    43
    44
    45
    46
    47
    48
    49
    50

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