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FIRE INSURANCE DETAILS FOR FACTORY

PREVIOUS POLICY ( IF ANY )

NAME

ADDRESS

CELL NO

MAILID

PAN

GST NO (IF ANY )

FINANCER
BUILDING/FACTORY/GODOWN/SHOP/RESIDENCE/LABOUR AND STAFF QTR
ROOF
WALL
FLOOR
AGE OF THE BUILDING
SQR. FT (AREA )
NO. OF FLOORS
PLINTH HEIGHT OF THE RISK LOCATION( From Road)
Insured premises located within 1 km distance of a water body
like seashore, lake, rivers, canal etc.

Provision of storm water drainage system and buildings with


plinth level at least 1.5 ft above ground
Stocks kept on Racks /Pallets/open
Basement in the building used for operations / storage / plant
machinery installed therein

LOCATION ADRESS WITH PIN CODE(BUILDING/FACTORY/GODOWN/SHOP/RESIDENCE


Operational Fire hydrant /
sprinkler / water spray system/ fire
alarm / smoke detectors
DISTANCE FROM FIREBRIGADE
SUBMERSIBLE PUMP/UG TANK
STOCK
TYPE OF COMODITY(PRODUCT)
VALUE OF RAW MATERIAL
VALUE OF GOODS IN PROCESS
VALUE OF FINISHED GOODS
DETAILS OF RAW MATERIAL AND
CALORIFIC VALUE
PLANT & MACHINERY & VALUE

VALUE OF FURNITURE / FIXTURE / ELECTRICAL ITEM/TRANSFORMER ETC

High standard of Security with no of security guards for 24 X 7 and CCTVs


Past 3-years claims ratio (Claims History)

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