The Oriental Insurance Company Limited

ORIENTAL BHARAT SOOKSHMA UDYAM SURAKSHA POLICY -

ENDORSEMENT SCHEDULE
Attached to and forming part of Policy No : 233904/11/2024/243
Endorsement No : 233904/11/2024/243-001 Endorsement Date : 09/07/2024
Endorsement Effective From 17:04 On 09/07/2024 To Midnight Of 07/12/2024
Insured's Code : 167514256 Issue Office Code : 233904
Insured's Name : NAVNEET GOYAL GODOWNS Issue Office Name : BO GT ROAD MOGA (GSTIN:
(GSTIN: 03AAGCR9325J1Z8) 03AAACT0627R3Z7)
Address : OPP. ANU JINDAL GODOWNS, Address : FIRST FLOOR, AMOLAK BHAWAN, G.
DEVI WALA WATER WORKS ROAD, T.ROAD, MOGA-142001
RURAL
KOTKAPURA, DISTT. FARIDKOT-
151204 MOGA PUNJAB 142001
FARIDKOT PUNJAB 151204

Agent/Broker Details
Dev.Off.Code : NA0000006716 DIRECT
Agent/Broker : BA0000147186 RITNESH KUMAR
Address : WARD NO. 7,BEDI NAGAR, MOGA,MOGA,PUNJAB,142001
: 9876610254//ritneshkumar786@gmail.com
Tel/Fax/Email

Total Premium : 7,605 Type of Endorsement : Change In Risk/Cover

Collection No & Dt : DD 2139000793 - 09/07/2024 GST INVOICE NO :032378726 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.1,02,37,000/-

SCHEDULEOF PREMIUM

Cover Description Original Endorsement Revised Endorsement

Sum Insured Sum Insured Sum Insured Premium

Fire Basic Cover 1,31,00,000 1,02,37,000 2,33,37,000 4,119.64

ADD :STFI Cover 1,31,00,000 1,02,37,000 2,33,37,000 1,488.00
ADD :Earthquake 1,31,00,000 1,02,37,000 2,33,37,000 425.14
(Fire And Shock)
ADD :Under Writing 412.00
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TOTAL PREMIUM 6,445.00
Place : : MOGA
Page 1 of 2
Date : 09/07/2024
 The Oriental Insurance Company Limited

Attached to and forming part of policy number 233904/11/2024/243

ADD :CGST 580.00

ADD :SGST 580.00
STAMP DUTY 0.50
TOTAL AMOUNT 7,605.00

Total Amount in figures and words : Rs 7,605 ( INDIAN RUPEES Seven thousand six hundred five 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
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Date : 09/07/2024