THE NEW INDIA ASSURANCE CO. LTD.

(Wholly owned by the Govt. of India)

CONTRACTOR'S PLANT AND MACHINERY INSURANCE POLICY

Customer ID : PO18998983
Insured's Details Issuing Office Details
Insured Name : M/S . JAY LIFTERS Office Code : ASIAN BUILIDING III (111900)
.(PO18998983)
Address : Shewanta park, Bld. No. 03 Flat- 04, Address : GROUND FLOOR, ASIAN BUILDING,
Tinhewadi road Rajgurunagar, Khed 17, R K MARG,
Pune-410505 BALLARD ESTATE,
,MAHARASHTRA, 400001

Phone No : 9767055407 Phone No : 22615753 / 22613674

E-mail/Fax : / E-mail/Fax : / 22612876
PAN No : S.Tax Regn. No : AAACN4165CST178

Policy Details
Policy Number : 11190044120700002183 Business Source Code
Period of Insurance : From:08/05/2024 06:06:06 PM To: Dev. Off./Broker : ASHOK B.SHETE (1D13698867)
07/05/2025 11:59:59 PM
Date of Proposal : 08- may-24 Agent/Bancassurance : MR. ATMARAM P. JADHAV
(1D13695353) AGENT_SITE_10041
(1D13705454)
Prev. Policy no. : NA Phone No : 9820527096 / 9820349495
Client Type : Non-Corporate E-mail/Fax : /
Financier(s) Details
Sl. No. Name of the Financiers
1 L & T FINANCE LTD.

Premium GST Total Receipt No. & Date

4230 761 4991 1119008112000002045 -
08/05/24

Location of Operation
Locations of Operation Risk Address: 1 ANY WHERE IN INDIA, A.P., PUNE, MAHARASHTRA, INDIA, 411029

Co-Insurance Details
Sl. No. Company Site Co-Insurance %
1 NEW INDIA ASSURANCE CO. LTD. N/A 100

Specification Of Insured Items

Item Quantity Description of Items Year of Sum Insured Escalation ( Excess due Excess due Excess for
No. (Type, Manufacture, Manufacture (In Rs.) %) to AOG Perils to Other than Boom Section
Capacity) AOG Perils
1 1 Machine Description: 2008 650000 NA 18000 12500 20% of claim
JLG 1350SJP amount subject
BOOMLIFT to minimum of
Rs.15000/-
Y.O.M-2008
S.NO.0300135200

Total SumInsured Rs. 650000

Sl. No. Add on Covers Opted Indemnity Limits Opted Excess

1 THIRD PARTY LIABILITY 130000 Policy Excess
2 EXPRESS FREIGHT (EXCLUDING AIR FREIGHT), NA Policy Excess
HOLIDAY RATES OF WAGES ETC
3 AIR FREIGHT NA 5 % of Air Freight
4 ADDITIONAL CUSTOMS DUTY NA 5 % of Additional duty
5 SURROUNDING PROPERTY 130000 Policy Excess
6 BOOM LIFT OPERTAOR 130000 Policy Excess

Policy No. : 11190044120700002183 Document generated by 14145 at `08/05/2024 16:47:31

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
 THE NEW INDIA ASSURANCE CO. LTD.
(Wholly owned by the Govt. of India)

Policy No. : 11190044120700002183 Document generated by 14145 at `08/05/2024 16:47:31

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
 THE NEW INDIA ASSURANCE CO. LTD.
(Wholly owned by the Govt. of India)

Terrorism Excess 0.5 % of Total Sum Insured subject to minimum of Rs 1,00,000/- for each and every claim

Risk Serial No. STFI Cover

1 YES

Risk Serial No. Earth Quake Cover

1 YES

Terrorism Covered Terrorism Premium

NO 0

ENDORSEMENTS ATTACHED TO & FORMING PART OF THE POLICY

Sl. No. Endorsement Number Endorsement Title
1 ENG 004 Escalation
2 ENG 008 Express Freight
3 ENG 005 Air Freight
4 ENG 012 Owners Surrounding Property
5 ENG 006 Third Party Liability
6 ENG 007 Additional Customs Duty
7 CPM 001 Insurance Of All Types Of Cranes
8 ENG012 Floater Basis Policy
9 CPM 002 Deletion of exception 'k'
10 ENG 001 Coinsurance
11 ENG 009 Debris Removal
12 ENG 013 Insurance of imported machinery
ENG 003 Exclusion of terrorism damage

In witness whereof the undersigned being duly authorized by the Insurers and on behalf of the Insurers has (have) hereunder set his
(their) hand(s) on this 09th day of NOVEMBER ,2015.

For and on behalf of

The New India Assurance Company Limited

Duly Constituted Attorney(s)

Policy No. : 11190044120700002183 Document generated by 14145 at `08/05/2024 16:47:31

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.