Contractors All Risks Insurance Policy Form Page 2
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44. a) Is this a contract/Sub-contract
Yes
No
forming part of an over all construction project?
b) If Yes, give name of the Project
5. a) Will the construction be carried
Yes
No
out by your own personnel?
b) If Not, by whom?
c) Past experience of the Contractor
6. a) Will any sub-contractors be taking
Yes
No
part in the work of construction?
b) If Yes, what is their position as
regards this insurance?
THE CONTRACT SITE -
7. a) Location of Contract site
b) Nearest Port and/or
Railway Station and distance
Note - A complete lay out of the site may be enclosed
8. a) Are any Special Risks of one or
more of the following involved?
i) Earthquake-Fire & Shock
Yes
No
ii) Landslide/Rockslide/ Subsidence
Yes
No
iii) Flood/Inundation
Yes
No
iv) Storm/Tempest/Hurricane/Typhoon/ Cyclone
Yes
No
v) Collapse
Yes
No
vi) Water Damage for ’Wet’ risk i.e. Contract involving construction in rivers, canals, lakes or sea.
Yes
No
b) Distance from nearest river, lake,
reservoir or sea - the names and
particulars to be given
c) Elevation of construction site
above normal river, lake, reservoir
or sea level
d) Is there any record of the
Yes
No
construction site ever having been
affected by any of the major perils
specified in (a) above?
9. Give full details regarding geological
condition including sub soil
10. a) Brief description of the
arrangements made for storage
of construction materials and
equipments - whether in open
or closed premises.
b) i) Will there be a watch and ward
Yes
No
round the clock?
ii) If Not, what precautions will be
taken against theft, malicious
damage etc.
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