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THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

MARINE CARGO SPECIFIC VOYAGE POLICY

Preamble
WHEREAS the ASSURED named in the schedule hereto have represented to THE NEW INDIA ASSURANCE COMPANY LIMITED
(hereinafter called company) that they are interested in or duly authorized to make the insurance mentioned and have paid or agreed to pay the
premium hereinafter stated, THE COMPANY HEREBY PROMISES AND AGREES with the assured, their Executors, Administrators and
assigns that the company will insure against loss damage liability or expenses subject to Clauses, Endorsement, Conditions and Warranties
contained herein/in the schedule.

Insured Details Issuing Office Details


Insured Name : M/S S.D. MATERIAL HANDLERS PVT. LTD.
Customer ID : PO14699234 Office Code : CITY BRANCH B.O-I (230101)
Address : 405 -408, SHIVALIK WESTERN Address : 1ST FLOOR, CENTER POINT
ABOVE TGB RESTURANT, L P NEAR KADIWALA HIGH SCHOOL
SAVANI ROAD RING ROAD, SURAT,395002
ADAJAN, SURAT
SURAT ,GUJARAT, 395009
Phone No : 02612737223, 02612737220, Phone No : 02612464736 / 02612464737
9924040666
E-mail/Fax : hr.sdmh@syamadynamic.com., / E-mail/Fax : nia.230101@newindia.co.in/026124639
21
PAN No : AACCD3481B S.Tax Regn. No : AAACN4165CST178
GSTIN/UIN : 24AACCD3481B1Z6 / NA GSTIN : 24AAACN4165C2ZW
: SAC : 997139 (Other non-life insurance
services excl RI)

Policy Details Business Source Code


Policy Number : 23010121190100000006 Dev.Off. : Mr. C. K. PATEL - (DE4317078)
level/Broker/Corp. Agent
Date of Issue : 13/05/2019 12:23:50 PM Agent/Bancassurance : Mrs. MANISHABEN YOGESHKUMAR
SANGHANI (NIAAG00065013)
MANISHABEN YOGESHKUMAR
SANGHANI (SI00121643)
Date of Proposal : 13-May-19 Phone No : 9375110036 / NA
Client Type : Non-Corporate E-mail/Fax : yog.man45@gmail.com, / / /

Premium Details
Premium GST Stamp Duty Total (`) Rupees (in words) Receipt No. & Date
As Agreed As Agreed As Agreed As Agreed As Agreed 230101811900000
03612 - 13/05/19

Journey Details
Journey From Journey To Transport Mode
VILLAGE TIKOTA NR BIJAPUR KARNATAKA SDMHPL/NSCPT/BPCL KOCHI REFINERY Road
KOCHI ERNAKULAM KERALA

Cargo Sum Insured (`) : 7780000


Cargo Sum Insured in Foreign Currency : NA
Lorry Receipt(LR) Number : NA Date : NA
Basis of valuation + % Extra for : C+0
Commodity
Transit Type : Road
Commodity description : LR 1350/1 350MT INTERM SEC 12 M (S 10X2),(S 20X1),COUNTER WEIGHTS 10
TON,HOOK BLOCK
Packaging description : LR 1350/1 350MT INTERM SEC 12 M (S 10X2),(S 20X1),COUNTER WEIGHTS 10
TON,HOOK BLOCK
Risk Covered : ITC-B
WAR&SRCC

Excess : 0

Terms of Insurance

Signature Not
Verified
Digitally signed
by Srinivasan Policy No. : 23010121190100000006Document generated by 29525 at 13/05/2019 12:36:49 Hours.
Vaideswaran Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2019.05.13
For 12:36:50
redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
IST
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.

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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

As per following clauses written hereunder, current on date of sailing or dispatch and/or otherwise stated.
This Insurance is subject to Important notice, conditions and warranties attached. Also this contract is subject to such
regulations as in force at the time the risk hereunder.

1) Inland Transit (Rail or Road) Clause - B


2) Institute War Clauses (Cargo) 1/1/82 CL 255 & Institute Strikes Clauses (Cargo) 1/1/82 CL 256
3) Institute War Clauses (Air Cargo) 1/1/82 CL 258 & Institute Strikes Clauses (Air Cargo) 1/1/82 CL 260
4) Machinery Subject to Clause : Second-hand Machinery Replacement Clause
5) Subject to Duty Insurance Clause
6) Subject to Increase Value Clause
7) Institute Radioactive Contamination Exclusion Clause (1.10.1990)
8) Institute Radioactive Contamination Chemical, Biological Biochemical and Electromagnetic Weapons Excl. Clause
10/11/2003 CL 370
9) Termination of Transit Clause JC2009/056 01/01/2009
10) Subject to Important Notice Clause
11) Subject to Sanctions, Limitation & Exclusion Clause JC 2010/014(11.08.2010)
12) Subject to Private Carriers Warranty
13) Subject to closed vehicle Warranty
14) Cargo Termination of Transit (Storage) Clause
15) Special Condition: EXCESS 1% OF CONSIGNMENT VALUE SUB TO MINIMUM OF RS.10,000/-

Survey & Claim Settlement


In the event of loss or damage which may result in a claim under this Insurance immediate notice must be given to

Nearest New India Assurance Company's Office or The Policy Issuing Office

without which no claim or loss will be paid.

Claim Payable By:


In the event of loss or damage which may result in a claim under this insurance immediate notice must be given to

Policy Issuing Office

Premium and GST Details


Rate of Tax Amount in INR
Premium 7781.00
SGST 9 700
CGST 9 700
IGST 0 0

In witness whereof the undersigned being duly authorised by the Insurers and on behalf of the Insurers has (have) hereunder
set his (their) hand(s) on this 13th day of May,2019

To view the certificate details please visit For and on behalf of


:https://online.newindia.co.in/authenticatecertificate. The New India Assurance Company Limited
Date of Issue: 13/05/2019

Duly Constituted Attorney(s)

Tax Invoice No : 23010119P0004467

IRDA Registration Number: 190

Policy No. : 23010121190100000006Document generated by 29525 at 13/05/2019 12:36:49 Hours.


Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with
our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please
visit our website http://newindia.co.in.

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