Contractors All Risks Insurance Proposal Form
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4CONTRACTORS ALL RISKS INSURANCE PROPOSAL FORM
(DO NOT LEAVE ANY ANSWERS BLANK – FILL IN “NIL” OR “N/A”)
1. Title of contract
(if project consists of
___________________________________________________________________________
several sections, specify
section(s) to be insured)
___________________________________________________________________________
2. Location of Erection Site
____________________________________________________________________________
____________________________________________________________________________
3. Proposer
Please indicate which of the Nos. 4 to 9 below is the “Proposer” of the insurance, and which
parties are to be declared as “Insured” in the Policy.
Proposer No.: _________________________ Insured No.(s): _________________________
4. Principal
____________________________________________________________________________
Name
Address
5. Main Contractor(s)
____________________________________________________________________________
Name(s)
Address(es)
6. Subcontractor(s)
____________________________________________________________________________
Name(s)
Address(es)
7. Manufacturers
of main items
____________________________________________________________________________
Name(s)
Address(es)
8. Firm supervising
erection
____________________________________________________________________________
Name (s)
Address(es)
9. Consulting Engineer
____________________________________________________________________________
Name
Address
10. Exact description of the
property to be erected (if
____________________________________________________________________________
second hand items are to
be erected, please state)
____________________________________________________________________________
In case of machines;
manufacturer’s name,
____________________________________________________________________________
number, type, size, capa-
city, weight, pressure,
____________________________________________________________________________
temperature, revolutions;
in case of complete
____________________________________________________________________________
factories: general drawing
of plant, nature of civil
____________________________________________________________________________
engineering work (if any)
____________________________________________________________________________
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