Schedule - Marine Cargo Specific Voyage Policy - Export

[UIN:IRDAN123RP0063V01200203]

In consideration of the insured named herein paying to Cholamandalam MS General Insurance Company Ltd. (hereinafter called the Insurer) the premium as stated in the Schedule and in reliance upon the statements
made by the Policyholder, the Insurer agrees to provide insurance against loss damage liability or expense to the extent and in the manner herein provided subject to all terms, conditions, exceptions and warranties
hereinafter set forth.
C H O L A M A N D A L A M MS G E N E R A L I N S U R A N C E C O M P AN Y L td. GST Invoice No.:36AAZCS9799LIZP
ADDRESS: KUKATPALLY BRANCH OFFICE DATE: 24/11/2023
MIG 74, DHARAMA REDDY COLONY 3RD FLOOR, PAN: AABCC6633K
PHASE 1 KPHP COLONY SAC Code: 997135
JNTU KUKAT PALLY S.O SAC Description: Marine, aviation, and other transport insurance services
CITY: HYDERAB AD STATE: T E L A N G A N A
GSTIN: 36A ABCC6 633K 1 ZK

Policy No 2 = 3 4 2 3/ 0 0 0 4 8 8 6 0/ 0 0 0/ 0 0 Name of Insured S T A N S E A L S P R I V A T E L IM IT E D

PLOT NO. C - 24, P H A S E - III,, IDA J E E D IM E TL A, H Y DER A B A D
IDA J E E D IM E TL A S.O
R A N G AR E D DY Date of Journey / Expected Date of
Address of Assured On or after 21/10/2020
TELANGAN A Journey
5 00 0 5 5
GST No.: 3 6 A A ZC S9 7 9 9L 1 ZP
Aadhar No. NA PAN No. NA

60 mm Seal Type: SS 1000 Single Cartridge Mechanical Seal with Carbon Vs Silicon Carbide along with Gland
Subject Matter Insured Packing Card Box/Carton
Plate and Sleeve with Kalrez O rings AS PER IN VO IC E NO S S P L / E X / 0 0 2 / 2 0 2 3
Invoice No&Date S S P L / E X/ 0 0 2 / 2 0 2 3 & 24/11/2023 Quantity 2 NOS Marks & Numbers NA

Transit From Jeedimetla, Hyderabad Transit To St. Petersburg, RUSSIA

Unload Port and Country of Unload

Load Port and Country of Load Port Hyderabad, INDIA Moscow, RUSSIA HSN Code NA
Port

Sum Insured (Cargo) U S D 2 6 5 3. 00 Exchange Rate USD 1 = INR. 8 3. 2 0 Equivalent value of Sum Insured (Cargo) in INR. 220 720. 88

Duty Sum
INR. 0. 00 Net Premium INR. 97 3. 00 CGST (9%) INR. 87. 5 0 SGST (9%) INR. 8 7. 50
Insured

BL/AWB/LR/RR/CNN NO &
IGST (0%) INR. 0. 00 Stamp Duty INR. 1. 00 Gross Premium INR. 1, 149. 00 To be advised
Date

Mode of Transit / Basis of Cargo Excess 1% of Consignment Value for each and
Courier C a r g o - CIP +10%, Deductible/Franchise
Conveyance valuation every claim.

Container Serial
No of Container NA NA Vessel Name NA Voyage No NA
No

LC No.& Date NA LC Condition / Other Information P A C K E D IN 8 C AR T O N S BO X ES Basis Of Valuation Duty NA

Others INR.

Terms & Conditions

1. Institute Cargo Clauses (Air) (excluding sendings by Post) 1.1.2009 1. Warranted that goods are transported in closed wagons and/or trucks to be
2. Institute War Clauses (Air Cargo) (excluding sendings by Post) 1.1.2009 covered with tarpaulin or any other water proof material to avoid ingress of
3. Institute Strikes Clauses (Air Cargo) 1.1.2009 water during the inland leg of journey unless containerised
C l a use s Warranties
4. Duty Clause 2. Warranted vehicle clean and fit to carry cargo.
5. Labels Clause
6. Pollution & Contamination Exclusion Clause
Other terms 1. Duty Clause is applicable for Import transit.
Exclusions 2. P AC K ED IN 8 C AR T O N S BOXES
& conditions
Dps Marinex Ilcs Co Ltd,As Agents Of W K Webster - London W K Webster & Co Ltd.
H-1, 27 Komarova Street,Vladivostok 690091,Russia 10 Fenchurch Avenue,London,Ec3m 5bn,United Kingdom
Survey Russian Federation Settling Russian Federation
Agent +7 4232 241 041 Agent +44 20 8300 7744 (24 Hr)
Fax: +7 4232 241 051 Fax: +44 20 8309 1266
E-mail: vl_om@mail.ru, marinex@mail.vlad.ru E-mail: info@wkwebster.com
U N IC O S M E T IC Co. L T D. , 1 9 5 2 7 3, R us si a , St. P e te r sb u rg,
Consignee name and Adress Piskaryovsky Pr.,63,Bld.6., Lit. A., pom. 5-N, Office 11,OKPO The list of Ombudsman details are available on our website www.cholainsurance.com
5 0 9 0 1 9 3 2, INN 7 8 2 6 7 0 4 3 5 6, KPP 7 8 0 6 0 1 0 0 1,
Po li cy
Intermediary CH OL A IN SUR AN C E D I ST R I BUT IO N Intermediary
Issuing Kukatpally Branch Office Client Code 100 324 16 388 20 002 200 572 29 517 3
Name SER VIC ES PR IVAT E L IM IT ED Code
Office
Receipt Intermediary
Receipt No 1020502 534,102141 0683 Receip Date 24/ 1 1/ 2 02 3 5 95 733 754 72 47
Amount Contact No
Specified Person Name SP Certificate No
Consolidated Stamp Duty Paid Vide G.O. Rt No.20 4,Commercial Taxes and Registration (j1) Department, Tamil Nadu dated 6/ 15/ 202 0 .
Note: The Certificate of Insurance / Policy Schedule is an important document issued based on your declaration. We request you to verify the details and ensure that everything is
in order. In case of any discrepancies, please contact us within 15 days from the date of issuance of policy.
Any difference in premium will be refunded on submission of document for NEFT
For CHOLAMANDALAM MS GENERAL INSURANCE COMPANY LIMITED
Place : CHENNAI
Signature Not Verified

Date :21/10/2020 Digitally signed by Harish K S

Date: 2020.10.21 20:36:51
IST Authorised Signatory
Reason: Approved
Regd.&Head Office:Dare House, 2nd Floor, No.2, N.S.C Bose Road, Chennai-600 001, India Location: Chennai
CIN: U66030TN2001PLC047977 | IRDAI Reg. No. 123
 ANNEXURE TO SCHEDULE

CLAUSES WORDINGS

1. Institute Cargo Clauses (Air) (excluding sendings by Post) 1.1.2009 As Attached

2. Institute War Clauses (Air Cargo) (excluding sendings by Post) 1.1.2009 As Attached

3. Institute Strikes Clauses (Air Cargo) 1.1.2009 As Attached

4. DUTY CLAUSE Increase Value by reason of payment of Duty and/or Levy is covered subject to the same conditions as are, or would be, applicable to the insurance on cargo hereunder and to pay on the same
basis as such insurance cover but excluding: - (1) Total Loss, or Total Loss of part arising prior to Duty and/or Levy becoming payable and resulting in non payment of Duty and/or Levy. (2) Liability for General
Average Contributions and Salvage Charges unless the occurrence giving rise to the General Average occurs after Duty and/or Levy becomes payable. Also including the Assured s liability for the payment of duty,
following loss of or damage to the Insured Interest recoverable hereunder, to the Authority of any country through which the interest may pass prior to coming within the jurisdiction of the country of destination.

5. LABELS CLAUSE Warranted that in the event of a claim resulting in damage to labels or wrappers only, the Insurer¿s liability shall be limited to an amount sufficient to pay the cost of new labels and wrappers and
the cost of repacking the goods, but in no event shall the Insurer be liable for more than the insured value of the damaged merchandise.

6. POLLUTION & CONTAMINATION EXCLUSION CLAUSES Notwithstanding anything to the contrary contained herein, this Policy does not cover loss or destruction or damage caused by pollution or contamination
except (unless otherwise excluded) destruction of or damage to the property insured caused by (a) pollution or contamination which itself results fro m fire, lightning, explosion, aircraft or other aerial devices or
articles dropped therefrom, riot, civil commotion, strikers, locked out workers, persons taking part in labour disturbances, malicious persons other than thieves, earthquake, storm, flood bursting overflowing
discharging or leaking of water tanks apparatus or pipes, sprinkler leakage or impact by any road vehicle or animal (b) any of the perils listed in (a) above which itself results from pollution or conta mination. The
Company (Insurers) will not pay for any costs or expenses: - (i)incurred in removing debris except from the site of such property destroyed or da maged and the area immediately adjacent to such site (iai)rising
from pollution or contamination of property not insured by this Policy.
Mechanism for Grievance Redressal
As an estee med customer of our company,you can contact us to register complaint/grievance, if any,including servicing of policy,claims etc.with regard to the insurance policy issued to you.The contact details of
our office are given below for your reference.
(A) Cholamandalam MS General Insurance Company's customer services helpline numbers:
Address: H.O:Dare House 2nd floor,No 2 N.S.C. Bose road,Chennai 600001.
Toll free:1800 208 5544
SMS: "CHOLA" to 56677*(premium SMS charges apply)
E-MAIL:customercare@cholams.murugappa.com
WEBSITE:www.cholainsurance.com
if you have not received any reply from us within one month fro m the date of the lodge ment of complaint or if you are not satisfied with the reply of the company,you can also contact the nearest Insurance
Ombudsman,whose addresses are mentioned below:
Office of the
Sl. No
Ombudsman
1 AHMEDABAD
2 BHOPAL
3 BHUBANESHWAR
4 CHANDIGARH
5 CHENNAI
6 DELHI
7 GUWAHATI
8 Hyderabad
9 KOCHI
10 KOLKATA
11 LUCKNOW
Name of the Ombudsman and
Areas of Jurisdiction
contact details
Office of the Insurance Ombudsman
2nd floor,Ambica House,
Nr. C.U. Shah College,
5,Navyug Colony,Ashram Road, Gujarat,UT of Dadra&
Nagar Haveli, Daman and Diu
AHMEDABAD-380014,
ph(0) 079-27546150,27546139
Fax:079-27546172
E-mail:insombahd@rediffmail.com
Office of the Insurance Ombudsman
1st floor,117,Zone-,
Above D.M. Motors Pvt.Ltd.
Maharana Pratap Nagar,Chhattisgarh Madhya Pradesh and
BHOPAL-462 0110 Chhattisgarh
Ph(0):0755-2769200,2769202,
2769201
Fax: 0755-2769203
E-mail:bimalokpalbhopal@airtelbroadband.in
Office of the Insurance Ombudsman
62 Forest Park
BHUBANESHWAR-751009 Orissa
Ph(0):0674-2535220,2533798
FAX:0674-2531607
Email: ioobbsr@dataone.in
Office of the Insurance Ombudsman
S.C.O. No.101,102& 103,
Punjab,Haryana
2nd Floor,Batra Building,
Himachal Pradesh
sector 17-D,CHANDIGARH-160017
Jammu & Kashmir,UT of Chandigarh
(0)0172-2706196,2705861
EPBX:0172-2706468 FAX:0172-2708274
Email: ombchd@yahoo.co.in
Office of the Insurance Ombudsman
fatima akthar court,
Tamilnadu,UT-Pondicherry town,
4th floor,No 453(oldno 312),
and karaikal
Anna salai,Teynampet, CHENNAI-600 018.
(which are part of Ut of Pondicherry)
(0)044-24333678,24333668
FAX:044-24333664
Email:insombud@md4.vsnl.net.in
Office of the Insurance Ombudsman
2/2 A,1stfloor
universal Insurance Bldg,
Asaf ali Road
Delhi & Rajasthan
New Delhi-110 002
(0)011-23239611,23237539,
23237532
Fax:011-23230858
Email:iobdelraj@rediffmail.com
Office of the Insurance Ombudsman
Aquaris,Bhaskar Nagar,
Assam,Meghalaya,Manipur
R.G Baruah Rd,GUWAHATI-781 021
Mizoram,Arunachal pradesh,
(0) 0361-2413525,EPBX:0361-2415430
Nagaland,Tripura.
Arunachal pradesh,
Fax:0361-2414051
Email:omb_ghy@sify.com
Office of the Insurance Ombudsman
6-2-46,1st floor,
Main Court Palace,
Opp.saleem Function Palace Andhra pradesh,Karnataka &
A.C Guards,Lakdi-ka-pool, UT of yaram -a part of the
HYDERABAD-500 004. UT of Pondicherry.
(0) 040-23325325,23312122,
65504123
Fax:040-23376599
Email:hyd2_insombud@sancharnet.in
Office of the Insurance Ombudsman
2nd floor,CC 27/2603
pulinat Building Opp, kerala,UT of
Cochin Shipyard, (a)Lakshadweep,
M.G Road,ERNAKULAM-682 015 (b)Mahe-a partof UT
(0)0484-2358734,2359338, of Pondicherry
2358759
Fax:0484-2359336
Email:ombudsmankochi@yahoo.co.in
Office of the Insurance Ombudsman
North British Building,
29, N.S. Road, 3rd Floor, West Bengal, Bihar,
KOLKATA - 700 001. Jharkhand and UT of
(0 )033 -22134 869, 22134867, Andaman & Nikobar Islands, Sikkim
22134866
Fax: 033-22134868
E-mail : iombkol@vsnl.net
Office of the Insurance Ombudsman
Jeevan Bhawan, Phase 2,
6th Floor, Nawal Kishore 2,
Hazartganj, Uttar Pradesh and
LUCKNOW - 226 001 Uttaranchal
(0 )0522 -2201 188, 223130,
2231331
Fax: 0522-2231310
E-mail: ioblko@sancharnet.in
Office of the Insurance Ombudsman
3rd Floor, Jeevan Seva Annexe,
S.V.Road, Santa Cruz(W)
 12 MUMBAI MUMBAI - 400 054 Maharashtra, Goa
022-26 106928 , 26106360
EPBX: 022-6106889
FAX: 022-26106052
Email: ombudsman@vsnl.net
Whether tax is payable under reverse charge basis - No.