Whereas the Assured has made a proposal to Bajaj Allianz General Insurance Company Limited (hereinafter referred to as "the Company") which is hereby
agreed to be the basis of this policy and has paid the premium specified in the schedule, the Company hereby agrees, to insure against loss, damage, liab-
ility or expenses subject to the limit of indemnity and the clauses, endorsements, exclusions, conditions and warranties in the Schedule and this policy
Policy Servicing Office D.No.40-1-10, Upsatirs of Kusalava Hyundai Showroom, 2nd Floor, MG Road,, Labbipet, Vijayawada-520010,Phone No:
0866-6632031
Insured Name The Superintending Engineer
Insured Address Omc Circle Aptrans Co, , ,, Tirupathi - 517501
Product Name Marine Cargo - Inland Transit(Specific Voyage) Policy No OG-18-1802-1002-00000051
Period of Insurance From 20/01/2018 Policy Issued on / Status 22/01/2018
Invoice No. and Date , Invoice Amount
Foreign Currency(FC) Type of Coverage
Partner ID 112281625 Basis of Valuation C + 0%
GSTIN / UIN 0 STATE CODE/NAME 37 - Andhra Pradesh
Coinsurance Details Our Share: 100%

Transit Details
From To
Starting Place: 220 K V NUNNA SS Final Destination: 132 KV LIS B KOTHAKOTA SS
Loading Port: Discharge Port:

Conveyance Details
Vessel/ Airline/Transporter Name BL/AWB/RR/LR Number and Date
TRAILER NO AP27V0878

Insured Cargo Details

Cargo Details Cargo Description Packaging Details Sub-Packaging Sum Insured (FC) Sum Insured (INR)
Machinery / Equipment / Engineer- MAKE EMCO MFG OTHERS-STANDED 0.00 50,00,000.00
ing / Electronic / Electrical Goods- 1998 SERIAL NO
MAKE EMCO MFG 1998 SERIAL 1269/11399
NO 1269/11399

Premium Details Amount (INR) Container Details Additional Info./LC Wordings

Premium(Rate as Agreed) 7,500.00
State GST (9%) 675
Central GST (9%) 675
Stamp Duty 1.00
Total Premium 8,851.00
Intermediary Details
Agency Code BAG10007342 Channel Name ML
Agency Name A V JAGAN MOHAN RAO
Contact and Email ID. 9849125627,9849125627,9849125627
Premium Collection Dtls : 1802-00239324 / 80818469 / Rs. 8,851.00
Clauses:-
Subject to the undernoted clauses, endorsements, special conditions and warranties attached which form part of the Policy.
Standard Clauses
(1) Inland Transit (Rail or Road) Basic Cover
(2) Important Notice
(3) Institute Replacement Clause ( second hand machinery)
(4) Private Carriers Warranty
(5) Strike, Riots Commotion Clause
(6) Subject to Open Policy Clause as attached
(7) Termination of Transit Clause (Terrorism)
Excess
(8) Excess:The first 0.50% of the consignment value,subject to a minimum of Rs.10000/- for each and every claim.
Cargo Specific Clauses
(9) Basis of valuation: Depreciated Market Value
(10) Electrical And Mechanical Derangement Clause
(11) Excluding Denting / Scratching / Chipping except caused due to ITC(B) Clauses
(12) Excluding Third Party liabilities
(13) Glass and Fragile items shall stands excluded from the scope of the policy.
(14) Imported Machinery (all types) Clause
(15) Pairs And Sets Clause
(16) Termination Of Transit Clause (Terrorism)

Surveyor Details Bajaj Allianz General Insurance Co. Ltd., Vijayawada Branch Office : D.No.40-1-10Upsatirs of Kusalava Hy-
 

undai Showroom2nd Floor, MG Road,LabbipetVijayawada520010Andra Pradesh
Tel:0866-6632031Tel:0866-66632021Fax:0866-66632021, VIJAYAWADA BRANCH OFFICE, INDIA
Claim Payable at D.No.40-1-10, Upsatirs of Kusalava Hyundai Showroom, 2nd Floor, MG Road,, Labbipet, Vijayawada-
520010,Phone No: 0866-6632031
BAG10007342 / 80818469 /-

null

For & On Behalf of Bajaj Allianz General Insurance Company Ltd.

Stamp
Duty Rs. 1

Authorized Signatory
Printed , Signed and Executed at Pune null Consolidated stamp Duty paid vide Receipt No: .8554577 dated 21-DEC-17

In case of any claim, please contact our 24 Hour Call centre at 1800-22-5858, 1800-102-5858 (Toll Free) / 91-020-30305858
(chargeable, add area code before this number in case of mobile call) or email us at 'customercare@bajajallianz.co.in'.
BAGIC GST No : 37AABCB5730G1ZW | Principal Location : D.No.40-1-10, Upsatirs of Kusalava Hyundai Showroom, 2nd Floor, MG Road, Labbi-
pet, Vijayawada - 520010 PH:0866-6632031 | Services Accounting Code : 997135 - Marine, aviation, and other transport insurance services. No re-
verse charge is payable on these services. | Invoice No. : 92764223/1

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