The Oriental Insurance Company Limited

ORIENTAL BHARAT LAGHU UDYAM SURAKSHA POLICY -

ENDORSEMENT SCHEDULE
Attached to and forming part of Policy No : 233904/11/2024/184
Endorsement No : 233904/11/2024/184-001 Endorsement Date : 09/07/2024
Endorsement Effective From 17:10 On 09/07/2024 To Midnight Of 07/10/2024
Insured's Code : 66987755 Issue Office Code : 233904
Insured's Name : M/S SHREE KRISHNA RICE & Issue Office Name : BO GT ROAD MOGA (GSTIN:
GENERAL MILLS (GSTIN: 03AAACT0627R3Z7)
03AAKFS8828E1Z2)
Address : DEVIWALA WATER WORKS ROAD, Address : FIRST FLOOR, AMOLAK BHAWAN, G.
MOGA ROAD, KOTKAPURA T.ROAD, MOGA-142001

FARIDKOT PUNJAB 151204

MOGA PUNJAB 142001

Agent/Broker Details
Dev.Off.Code : NA0000006716 DIRECT
Agent/Broker : BA0000138715 ASHUTOSH
Address : H.NO. 420, WARD NO.11,,KOTKAPURA ROAD,,BAGHA PURANA,
MOGA.,FEROZEPUR,PUNJAB,142038
Tel/Fax/Email
: 8528100070//bhandarimama786@gmail.com

Total Premium : 576 Type of Endorsement : Change In Risk/Cover

Collection No & Dt : DD 2139000793 - 09/07/2024 GST INVOICE NO :032378729 UIN :0

Co Insurance Details :

ENDORSEMENT

AS PER PRE INSPECTION REPORT OF SH. CHARANJIT GARG , SURVEYOR THE SOLAR SYSTEM MODULES,
INVERTER AND BOS ACCESSORIES AS PER INVOICE NO. ARM/96/23-24 DT. 21.03.2024 IS COVERED UNDER THE
POLICY. THE LIEN OF SIDBI (SMALL INDUSTRIES DEVELOPMENT BANK OF INDIA) IS ON THE SOLAR PANEL
SYSTEM MODULE, INVERTER & BOS ACCESSORIES FOR RS.34,19,000/-

SCHEDULEOF PREMIUM

Cover Description Original Endorsement Revised Endorsement

Sum Insured Sum Insured Sum Insured Premium

Fire Basic Cover 8,67,00,000 34,19,000 9,01,19,000 607.81

ADD :STFI Cover 8,67,00,000 34,19,000 9,01,19,000 212.52
ADD :Terrorism 8,67,00,000 34,19,000 9,01,19,000 195.52
ADD :Earthquake 8,67,00,000 34,19,000 9,01,19,000 85.01
(Fire And Shock)
LESS :Good House 30.00

Place : : MOGA
Page 1 of 3
Date : 09/07/2024
 The Oriental Insurance Company Limited

Attached to and forming part of policy number 233904/11/2024/184

Keeping practices
followed by the
insured
LESS :Premises 61.00
fitted with high
standard electrical
equipment
LESS :Number of 43.00
years the region has
not witnessed any
major floods ¿ Last 7
years
LESS :Timely 152.00
Maintenance and up
keeping of the
insured building
structure
LESS :Age of 21.00
Building and
Earthquake
resistance
certification is less
than 10 Years
LESS :Number of 21.00
years the region has
not witnessed any
major floods ¿ Last 5
years
LESS :Premises 21.00
having presence of
Stilt or located above
Ground Floor
LESS :Stocks are 30.00
maintained well
within the standard
heap sizes
LESS :Insured 21.00
premises is not
located within 2 Kms
distance of a major
water body
LESS :Experience 152.00
based (ICR) 0% to
50%
LESS :The insured 61.00
premises is above
the the periphery of
ground level
TOTAL PREMIUM 488.00
ADD :CGST 44.00
ADD :SGST 44.00

Place : : MOGA
Page 2 of 3
Date : 09/07/2024
 The Oriental Insurance Company Limited

Attached to and forming part of policy number 233904/11/2024/184

STAMP DUTY 0.50

TOTAL AMOUNT 576.00

Total Amount in figures and words : Rs 576 ( INDIAN RUPEES Five hundred seventy-six only )

The Insurance under this policy / endorsement is subject to following terms,conditions,waranties & clauses specified in the
policy / endorsement:

All other terms/conditions/waranties/clauses in the policy remain unaltered

Waranted that in case of dishounour of premium cheque(s) the company shall not be liable under the endorsement and
the endorsement shall be void ab initio
In witness whereof the undersigned begin authorised by and on behalf of the company has herein to set his hands.

Entered By : Ravi Shankar Gupta Digitally Signed

By
Examined By : Ravi Shankar Gupta Authorised Signatory

This is an electronically generated document (policy Schedule).The Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No.1800 11 8485 and 011 33208485.
CIN:U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
IRDA regn.No.556-Now you can buy and renew selected policies online at www.orientialinsurance.org.in and through
other detail platforms including Whatsapp(Send "Hi" to 9560711200)

Place : : MOGA
Page 3 of 3
Date : 09/07/2024