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BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED

(A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Regd. No.113)
Regd. Office: Bajaj Allianz House, Airport Road, Yerwada, Pune 411006 (India)

MARINE CARGO INSURANCE POLICY SCHEDULE UIN.IRDAN113RP0024V01200102


Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, 4th Floor, Turquoise, Nr. Panchvati Circle, C.G Road,
summons, etc. Ellisbridge, Ahmedabad - 380006
Insured Name SEVEN STAR ENGINEERS FABRICATOR CONTRACTORS Policy Number OG-22-2202-1002-00002282

INSURED DETAILS POLICY DETAILS


C-1 704-705 VATVA GIDC PHASE IV MEHMADAVAD HIGHWAY Policy Issued on 17-MAR-2022
Insured Address ROAD,VATVA Period of Insurance From: 17-MAR-2022
AHMEDABAD-382440
GUJARAT Endorsement NA
Customer ID 259496190
GSTIN / UIN 24AAYPB4048B1ZY Policy Status Issued
STATE 24 - Gujarat
CODE/NAME
Company GST 24AABCB5730G1Z3 Invoice No : 344088312/1
No :
Company PAN : AABCB5730G

TRANSIT DETAILS
Mode of Transit ROAD Transit type INLAND
From country INDIA To country INDIA
Coverage from AHMEDABAD Coverage ends at CHITOOR ANDHRA PRADESH
Sellers/consignors details Buyers/consignees details

Transporter Name GOGJI ROADLINES Transporter Details GOGJI ROADLINES


LR No. 5021 LR Date 17-MAR-2022
Coverage All Risk

Additional Packing Details


Cargo Description Packing (Mark No. Or Container Invoice No Invoice Date Terms Of Sale
No.)
2021-
CHGS BLOWN FILM TOWER STRUCTURE - V Standard and Customary 22/GST/045 17-MAR-2022 INVOICE
4

SUM INSURED
Additional Costs Insured (in INR)
Invoice Amount (In Invoice Currency) Rate Of Exchange Basis Of Valuation Freight (at Insurance (at Sum Insured (In INR)
Duty (at actuals)
actuals) actuals)
INVOICE + 10 %
INR 31,27,000 1 INR 0 INR 0 INR 0 INR 34,39,700
extra
Excess If Any The first .5% of whole consignment value each and every loss
Special Condition NA

PREMIUM DETAILS
Net Premium 1,720
Stamp Duty 1
Premium In Words : Rupees Two Thousand Thirty One Only . State GST (9%) 155
Central GST (9%) 155
Gross Premium 2,031

As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th September of the next financial year.

Co-Insurance Details Own Share: 100%

SCOPE OF COVER (As per Clauses, Terms & Conditions, Warranties & Exceptions of Open Cover/Policy issued.)
Clause Category Clause Description
Cover Clause Important Notice Clause
Cover Clause Inland Transit (Rail or Road) Clause-A (All Risks) 1.1.1982
Cover Clause Institute Cyber Attacks Exclusion Clause 10.11.2003 Clause No. ILU CL380
Institute Radioactive Contamination, Chemical, Biological, Bio- chemical and Electromagnetic Weapons Exclusion Clause
Cover Clause 10.11.2003 Clause No. ILU CL370
Cover Clause Private Carriers Warranty/ Limitation of Liability Clause
Cover Clause Sanction Limitation and Exclusion Clause 11.08.2010 Clause No. JC2010/014
Cover Clause Strikes Riots and Civil Commotions Clause (Inland Transit not in conjuction with Ocean Going Voyage) 1.1.1982
Cover Clause Termination of Transit Clause (Terrorism) 2009 01.01.2009 Clause No. JC2009/056
Cover Clause Termination of Transit Clause (Terrorism) 23.05.2012 Clause No. JC2001/056

For help and more information: Page 1 of 2


Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858
Email: Bagichelp@bajajallianz.co.in , Website www.bajajallianz.com Corporate Identification Number: U66010PN2000PLC015329

Demystify Insurance http://support.bajajallianz.com http://www.facebook.com/BajajAllianz http://twitter.com/BajajAllianz www.bit.do/bjazgi


BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED
(A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Regd. No.113)
Regd. Office: Bajaj Allianz House, Airport Road, Yerwada, Pune 411006 (India)

MARINE CARGO INSURANCE POLICY SCHEDULE UIN.IRDAN113RP0024V01200102


Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, 4th Floor, Turquoise, Nr. Panchvati Circle, C.G Road,
summons, etc. Ellisbridge, Ahmedabad - 380006
Insured Name SEVEN STAR ENGINEERS FABRICATOR CONTRACTORS Policy Number OG-22-2202-1002-00002282

Standard Conditions and Warranties COMMUNICABLE DISEASE EXCLUSION (Cargo) JC2020 ¿ 011 Cargo
Standard Conditions and Warranties Cancellation Clause
Standard Conditions and Warranties Electrical, Mechanical and Electronic Derangement Clause
Excluding denting, chipping, scratching unless caused by the perils insured under ICC (B)/ ITC (B)/Air Shipment on Basic Terms
Standard Conditions and Warranties Endorsement
Standard Conditions and Warranties Excluding rusting, oxidation and discoloration unless caused by accidental external means
Exclusion for direct and indirect loss as a result of infectious diseases or contagious disease. Including but not limited to
Standard Conditions and Warranties diseases arising out of coronaviruses
High Risk Area (HRA warranty) Warranted that in respect of Interest involving movement of cargo during the ocean leg for
transits that are either commencing from and/or destined to High Risk Area (HRA) shall be excluded for Institute War Clauses
(Cargo) 1/1/2009 and Institute Strikes Clauses (Cargo) 1/1/2009 risks. Coverage for War/SRCC risks for Shipments transiting
the aforementioned areas can be opted by the insured on giving prior intimation before transit inception to Underwriters and
Standard Conditions and Warranties insurers having agreed to provide cover with a minimum additional Gross Rate of 0.05% chargeable on the final sum insured
value of shipment as a separate insurance cover/policy.
HRA shipments are defined as transits that are either commencing from and/or destined to following countries.U.A.E, Bahrain,
Iraq, Kuwait, Oman, Qatar, Saudi Arabia.Base Cargo premium rates to apply in addition to War & SRCC premium for each of
such shipments.Any amendment in warranty shall be subject to 7 days notice.
Standard Conditions and Warranties Institute Replacement Clause 01.12.2008 Clause No. ILU CL372 - Applicable for New Goods Only
NO cover for War, Strikes, Riots and Civil Commotion Risks, for all transits to, from and within Ukraine, Ukraine territorial
Standard Conditions and Warranties waters, Russian Black Sea territorial waters, Sea of Azov, Russian Black Sea ports, Sea of Azov ports and Russian territories
within 200kms of the Ukrainian border
Standard Conditions and Warranties Warranted cargo is carried in closed wagon/vehicle adequately covered with serviceable tarpaulin
Standard Conditions and Warranties Warranted cargo is new and not secondhand
Warranted cargo is not ODC (Over-Dimensional Cargo with dimensions length > 12.5 meter, height > 2.5 meter, width > 2.5
Standard Conditions and Warranties meter, weight > 30 metric tonne)
Additional Information (In so far as it does not
exceed the information declared and terms and
conditions mentioned on this policy)
Survey/Claim Settling Agent Bajaj Allianz General Insurance Co. Ltd.,4th Floor, Turquoise, Nr. Panchvati Circle, C.G Road, Ellisbridge, Ahmedabad - 380006
Claim, if any payable at/by: Ahmedabad Branch

Receipt Number: 2202-03354341 Date: 17-MAR-22 Premium Payer ID: 259496190 Float: CF
Premium collection details ** If Premium paid through Cheque, the Policy is void ab-initio in case of dishonour of Cheque.

Agency Code & Name 10011584, RAVI SHUKLA


Contact No. 9879680792 E-Mail ravishukla1412@gmail.com
For & on the behalf
Bajaj Allianz General Insurance Company Ltd.

Authorized Signatory This document is digitally signed, hence counter signature / stamp is not required

Consolidated Stamp Duty of Rs.1/- paid towards Insurance Stamps vide Challan No. MH002405964202122M Defaced No. 0001482221202122 dated 05-JUL-21 timing 12:58:03 of
General Stamp Office,Mumbai,India.
Principal Location : 4th Floor, Turquoise, Nr. Panchvati Circle, C.G Road, Ellisbridge, Ahmedabad - 380006 PH:079-26432000 | Services Accounting Code :
997135 - Marine, aviation, and other transport insurance services. No reverse charge is payable on these services.
Schedule (1) | Printed on : 19-Mar-2022 02:25:16|ravi.nalin.shukla@general.bajajallianz.co.in|WEB|NA

For help and more information: Page 2 of 2


Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858
Email: Bagichelp@bajajallianz.co.in , Website www.bajajallianz.com Corporate Identification Number: U66010PN2000PLC015329

Demystify Insurance http://support.bajajallianz.com http://www.facebook.com/BajajAllianz http://twitter.com/BajajAllianz www.bit.do/bjazgi

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