*409150116*

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, Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-
summons, etc. Park, Viman Nagar, Pune - 411014
Insured Name SUTOCAFE GLOBAL PVT LTD Policy Number OG-25-9906-1002-00004098

INSURED DETAILS POLICY DETAILS

Policy Issued on 28-JUN-2024 07:25:31 PM
166 SICA SCHOOL RD,AG SECTOR SCHEME NO 54, INDORE, MADHYA
Insured Address PRADESH-452010 Period of Insurance From: 28-JUN-2024
-452010
Endorsement NA
Customer ID 440250668
GSTIN / UIN 23ABHCS7267E1Z8 Policy Status Issued
STATE 23 - Madhya Pradesh
CODE/NAME
Company GST 27AABCB5730G1ZX Invoice No : 426226430/1
No :
Company PAN : AABCB5730G

TRANSIT DETAILS
Mode of Transit ROAD Transit type INLAND
From country India To country India
166 SICA SCHOOL RD AG SECTOR SCHEME NO Coverage ends at Shop No 12&14 Local Shopping Centre New Rajdhani
Coverage from 54, INDORE, MADHYA PRADESH-452001 Enclave Near PreetVihar Metro StationNewDelhi110092
Sellers/consignors details Buyers/consignees details

Transporter Name Transporter Details

LR No. LR Date
Coverage All Risk
Capacity(in %)

Additional Packing Details

Cargo Description Packing (Mark No. Or Container Invoice No Invoice Date Terms Of Sale
No.)
Boxes,Coffee beans ,food items and other RM/2023-
trade related items ,E-waybill-631745696904 Standard and Customary 28-JUN-2024 INVOICE
24/032
Vehicle No-DL01AM1685

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 1,57,885 INR 1,57,885
extra
Excess If Any The first .5% of whole consignment value each and every loss
Special Condition NA

PREMIUM DETAILS
Net Premium 1,000
Stamp Duty 1
Premium In Words : Rupees One Thousand One Hundred Eighty One Only .
Integrated GST (18%) 180
Gross Premium 1,181

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.

I/We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of
rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

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

For help and more information: Page 1 of 3

Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858 (Toll Free) Fax no: 020-30512246
Email: Bagichelp@bajajallianz.co.in , Website www.bajajallianz.com Give a Missed Call on 8080945060, SMS 'WORRY' to 575758
Corporate Identification Number: U66010PN2000PLC015329 Say Hi on WhatsApp us on 7507245858

Demystify Insurance https://www.bajajallianz.com/blog.html http://www.facebook.com/BajajAllianz http://twitter.com/BajajAllianz

https://www.linkedin.com/company/bajaj-allianz-general-insurance
 *409150116*

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, Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-
summons, etc. Park, Viman Nagar, Pune - 411014
Insured Name SUTOCAFE GLOBAL PVT LTD Policy Number OG-25-9906-1002-00004098

SANCTION LIMITATION AND EXCLUSION CLAUSE:

Cover Clause
Cover Clause
Cover Clause
Cover Clause
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Standard Conditions and Warranties
Additional terms and condtions
Marine Risk category
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
Claim, if any payable at/by:
No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit
hereunder to the extent that the provision of such cover, payment of such claim or provision of such benefit would expose
that (re) insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic
sanctions, laws or regulations of the European Union, United Kingdom or United States of America or Switzerland
Strikes Riots and Civil Commotions Clause (Inland Transit not in conjuction with Ocean Going Voyage) 1.1.1982
Termination of Transit Clause (Terrorism) 2009 01.01.2009 Clause No. JC2009/056
Termination of Transit Clause (Terrorism) 23.05.2012 Clause No. JC2001/056
Bulk cargo: Excluding any kind of bulk cargo
COMMUNICABLE DISEASE EXCLUSION (Cargo) JC2020 ¿ 011 Cargo
Cancellation Clause
Excluding any cargo which is carried in refrigerated (reefer) containers or for which a cold chain must be maintained
Excluding contamination/taint/odour losses unless caused by the perils insured under ICC (B)/ ITC (B)/Air Shipment on Basic
Terms Endorsement
Excluding mould/mildew/infestation/vermin attack damages
Excluding shortages from sound packages/sealed containers
Exclusion for direct and indirect loss as a result of infectious diseases or contagious disease. Including but not limited to
diseases arising out of coronaviruses
Five Powers War Exclusion (amended to include triggering of NATO Agreement)
This reinsurance excludes loss damage liability or expense arising from the outbreak of war (whether there be a declaration of
war or not) between any of the following countries: United Kingdom, United States of America, France, Russian Federation
and the Peoples Republic of China. For the avoidance of doubt this exclusion is deemed to encompass the invocation of
Collective Defence of NATO as detailed in Article 5 of the The North Atlantic Treaty.
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
insurers having agreed to provide cover with a minimum additional Gross Rate of 0.025% 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.
NO cover for War, Strikes, Riots and Civil Commotion Risks, for all transits to, from and within Ukraine, Ukraine territorial
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
PARAMOUNT WAR AND STRIKES CANCELLATION CLAUSE
Notwithstanding anything to the contrary stated herein or subsequently added hereto, it is understood and agreed that if this
contract provides that losses arising from war and strikes, riot and civil commotions risks are covered hereunder, then the
cover afforded by this contract in respect of such war and strikes, riot and civil commotions risks shall be subject to terms and
conditions no wider than the relevant London Institute War Clauses current at the inception of the original risk written, or
current ay the later of either the inception date of the most recent anniversary date of this contract.
The cover for losses arising from war and strike, riot and civil commotions risk under this contract is at all times subject to
seven days notice of cancellation by either party Such period of notice to commence not later than seven days from the date
of notice given by the reinsurers.
Russia, Ukraine and Belarus Exclusion
Excluded from coverage are all losses, liabilities, costs or expenses, or any other amount arising out of, originating from,
resulting from, caused by and/or contributed by, regardless of any other cause or event contributing concurrently or in any
sequence thereto, or otherwise in connection with the current Russia-Ukraine armed hostilities/conflict which commenced on
the 24th February 2022 including any expansion of such conflict. This also includes confiscation, expropriation, nationalization,
deprivation or restraining in movement of vessels and cargo in the territory of the aforementioned countries.
Tail-End Transit Risk (CIF/CIP or similar import):Where risk originating from any Indian port/ airport the coverage will be as per
Inland Transit (Rail/Road) Clause-B including the risk of SRCC only.
Warranted cargo is carried in closed wagon/vehicle adequately covered with serviceable tarpaulin
Marine Risk category selected is ''Processed food/edible items (Confectionery like chocolates and candies/ baked goods/
biscuits and other snacks/ canned goods/ pickles and jams/ ready to eat meals/ pastas/ noodles etc)'' Kindly ensure cargo
description entered is as per Risk category selected. In case of any difference, kindly connect the BAGIC local office.
Bajaj Allianz General Insurance Co. Ltd.,Bajaj Allianz General Insurance Co. Ltd.
Pune

Receipt Number: 9906-10011433 Date: 28-JUN-24 Premium Payer ID: 440250668 Float: CF
Premium collection details ** If Premium paid through Cheque, the Policy is void ab-initio in case of dishonour of Cheque.

10043080, POLICYBAZAAR INSURANCE BROKERS

Agency Code & Name PRIVATE LIMTED

For help and more information: Page 2 of 3

Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858 (Toll Free) Fax no: 020-30512246
Email: Bagichelp@bajajallianz.co.in , Website www.bajajallianz.com Give a Missed Call on 8080945060, SMS 'WORRY' to 575758
Corporate Identification Number: U66010PN2000PLC015329 Say Hi on WhatsApp us on 7507245858

Demystify Insurance https://www.bajajallianz.com/blog.html http://www.facebook.com/BajajAllianz http://twitter.com/BajajAllianz

https://www.linkedin.com/company/bajaj-allianz-general-insurance
 *409150116*

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, Bajaj Finserv Building, 1st Floor, Behind Weikfield IT-
summons, etc. Park, Viman Nagar, Pune - 411014
Insured Name SUTOCAFE GLOBAL PVT LTD Policy Number OG-25-9906-1002-00004098

1800-103-
Contact No. E-Mail
3999
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. 1.00/- paid for insurance policy stamps vide Order No. CSD/17/2023/4571 dated 10-NOV-23 of General Stamp Office, Mumbai, India.
Principal Location : Bajaj Allianz House, Airport Road, Yerwada, Pune - 411006 PH:66026666 | Services Accounting Code : 997135 - Marine, aviation, and other
transport insurance services. No reverse charge is payable on these services.
Schedule (1) | Printed on : 28-Jun-2024 07:26:02|null|WEB|

For help and more information: Page 3 of 3

Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858 (Toll Free) Fax no: 020-30512246
Email: Bagichelp@bajajallianz.co.in , Website www.bajajallianz.com Give a Missed Call on 8080945060, SMS 'WORRY' to 575758
Corporate Identification Number: U66010PN2000PLC015329 Say Hi on WhatsApp us on 7507245858

Demystify Insurance https://www.bajajallianz.com/blog.html http://www.facebook.com/BajajAllianz http://twitter.com/BajajAllianz

https://www.linkedin.com/company/bajaj-allianz-general-insurance