Contractors All Risks Insurance Proposal Form Page 2

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11. Period of Insurance
Commencement of insurance
__________________________________________________________________________
Duration of pre-storage
months
__________________________________________________________________________
Commencement of erection work
__________________________________________________________________________
Duration of erection/construction
months
__________________________________________________________________________
Duration of testing
weeks
If Maintenance coverage
Duration of maintenance
months
required
____________________________________________________________________________
Type of coverage required
Termination of insurance
12. Have plans, designs and
a) previous constructions
yes
no
materials of the kind
____________________________________________________________________________
used in this project been
used and/or tested in
b) previous constructions by the Contractor(s)
yes*
no
____________________________________________________________________________
*Please give details of
____________________________________________________________________________
similar projects carried
out by Contractor(s)
13. Is this an extension of an
yes*
no
existing plant?
____________________________________________________________________________
*Will operation of
yes
no
existing plant continue
____________________________________________________________________________
during erection period?
(Enclose plans where available)
14. Have the buildings and civil
yes
no
engineering works already
____________________________________________________________________________
been completed?
15. Work to be carried out
by Subcontractors
____________________________________________________________________________
____________________________________________________________________________
Please also give answers to Nos. 16 to 21 as far as information obtainable:
16. Is there any aggravated
fire
yes*
no
____________________________________________________________________________
explosion
yes*
no
____________________________________________________________________________
*If so, give details
____________________________________________________________________________
17. Ground water level
18. Nearest river, lake, sea etc.
name
distance from site
____________________________________________________________________________
levels of such river, lake,
sea etc.
low water
mean water
highest level recorded
____________________________________________________________________________
mean level of site
_________________________________________________________________________________________________________

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