Contractor'S All Risk Insurance Proposal Form Page 2
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2
3b)
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 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 round the
clock?
ii)
If not, what precautions will be taken
against theft, malicious damage etc.
11.
THE INSURANCE -
a)
Estimated construction period excluding
_____________ Months
maintenance period (cover to commence from
From _________ to ___________
the date of first arrival of consignment material
at site or commencement of work whichever is
earlier)
b)
Cover required during maintenance period, if
_____________ Months
any
From _________ to ___________
c)
Probable date on which construction is
_____________ Months
expected to be completed
From _________ to ___________
d)
Period of Insurance required
_____________ Months
From _________ to ___________
12.
a)
YES NO
Have you approached any other Insurance Co.
for Insurance Cover in respect of this Proposal?
b)
If yes, please state name of the Insurance
Company.
13.
Has any such proposal been -
a)
declined?
YES NO
b)
withdrawn?
YES NO
c)
accepted subject to an increased rate or
YES NO
special conditions?
SUM INSURED –
14.
i)
Contract works -
Note-Please attach schedule of quantities and rates and/or values (Permanent & Temporary works including all materials to
be incorporated therein)
a)
Contract Price
Rs.
b)
Materials or items supplied by the Principal
Rs..
c)
Any additional items not included in (a) and
Rs..
(b) above
d)
Landed cost of imported items as at
Rs.
construction site (please specify whether
included in (a) and/or (b) above)
at Exchange Rate -------------
TOTAL VALUE OF CONSTRUCTION . . .
Rs.
ii)
Construction Plant & Machinery to be used at
Rs.
the construction site (Details as per attached
sheet)
iii)
Clearance & Removal of Debris
Rs.
iv)
Insured's own surrounding property.
Rs.
Page 2 of 3
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