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TRANSIT INSURANCE DATASHEET

1 BO / DO / Dev. Officer. 203


2 Intermediary AGENT / BROKER 15234
3 TYPE OF POLICY SPECIFIC VOYAGE POLICY
4 PROPOSER / INSURED M/S SUPERMAC INDUSTRIES INDIA LTD.
5 DESCRIPTION OF CARGO ON CONS. S/C NEW CABLE MFG. MACHINERY & SPARE PARTS
CONSIGNMENT is NEW/OLD/2nd HAND NEW
6 PACKING IN DETAIL CONTAINERISED CARGO
7 Any OVER-DIMENTIONAL CARGO?
8 MODE OF TRANSPORT BY SEA/ROAD
9 VOYAGE FROM WAREHOUSE AT MANESAR, GURGAON TO ICD, TUGLAKABAD (BY R
10 LOADING PORT FROM ICD TUGLAKABAD TO MUMBAI PORT BY RAIL
11 VOYAGE TO DUBAI PORT
12 UN-LOADING PORT WAREHOUSE AT SHARJAH (DUBAI)
13 TRANSIT COMMENCING ON or ABOUT 11/09/08
14 TRANSHIPMENT, IF ANY NIL
15 TERMS OF COVER ICC(A) + WAR & SRCC
16 SUM INSURED (CARGO) 1,80,00,000/-
17 SUM INSURED (CUSTOMS DUTY) NA
18 LIMIT per SENDING (Ship) NA
19 LIMIT per SENDING (Air) NA
20 LIMIT per SENDING (Rail) NA
21 LIMIT per SENDING (Road) NA
22 LIMIT per SENDING(Courier)
23 LIMIT per LOCATION
24 STANDARD CONDITIONS EXCESS OF 0.5% OF THE SUM INSURED
25 SPECIAL CONDITIONS
26 WARRANTIES GOODS YET TO BE DESPATCHED
Premium & Claim experience (in Rs. Lakhs.)
CLAIMS RATIO

Fire Misc. Marine


Premium Claims Premium Claims Premium Claims
2005-06
2006-07 NIL
2007-08

IMPORTANT Total Value Declared of Last Year -


28 IF an Open Policy / Open Cover
Highest Value Declared Last Year -
29 BASIS OF VALUATION CIF+10%
30 RECOMMENDED RATE(%)(Risk cover) 0.03%
31 RECOMMENDED RATE(%)(W&SRCC / SRCC) 0.05%
32 OVER-AGE EXTRA
33 SERVICE TAX Extra As applicable.
34 STAMP DUTY Extra As applicable.
35 RECOMMENDED EXCESS 0.5% OF THE SUM INSURED
36 SPECIFIC COMMENTS, if ANY
37 BASIS OF DECLARATION for OP / OC
REASONS FOR RECOMMENDATIOS / SEEKING APPROVAL ( please explain in detail)
NO CLAIM LODGED TILL DATE
D.O.'s NOTE

BRANCH MANAGER (NAME) SR. / DIVISIONAL MANAGER (NAME)


APPROVED RATE : 0.03% + 0.05%
APPROVED COVER : ICC(A) + WAR & SRCC
R.O.'s NOTE

CONDITIONS : GOOD YET TO BE DESPATCHED ON 11.9.2008


WARRANTIES :

MANAGER REGIONAL MANAGER DY. GENERAL MANAGER

R.O.CONTROL NO.R.O.CONTROL NO.DRO-I/MCTD/UW/2007-2008/ DT.


RE PARTS

LAKABAD (BY ROAD)


TRANSIT INSURANCE DATASHEET
1 BO / DO / Dev. Officer.
2 Intermediary AGENT / BROKER
3 TYPE OF POLICY OPEN POLICY / SPECIFIC POLICY / OPEN COVER
4 PROPOSER / INSURED
5 DESCRIPTION OF CARGO
CONSIGNMENT is NEW/OLD/2nd HAND
6 PACKING IN DETAIL
7 Any OVER-DIMENTIONAL CARGO?
8 MODE OF TRANSPORT
9 VOYAGE FROM
10 LOADING PORT
11 VOYAGE TO
12 UN-LOADING PORT
13 TRANSIT COMMENCING ON or ABOUT
14 TRANSHIPMENT, IF ANY
15 TERMS OF COVER
16 SUM INSURED (CARGO)
17 SUM INSURED (CUSTOMS DUTY)
18 LIMIT per SENDING (Ship)
19 LIMIT per SENDING (Air)
20 LIMIT per SENDING (Rail)
21 LIMIT per SENDING (Road)
22 LIMIT per SENDING(Courier)
23 LIMIT per LOCATION
24 STANDARD CONDITIONS
25 SPECIAL CONDITIONS
26 WARRANTIES
Premium & Claim experience (in Rs. Lakhs.)
Fire Misc. Marine
Premium Claims Premium Claims Premium Claims
27 2004-05
2005-06
2006-07

28 BASIS OF VALUATION

29 RECOMMENDED RATE (%)


(Risk cover)

30 RECOMMENDED RATE (%)


(W&SRCC / SRCC)
31 OVER-AGE EXTRA
32 SERVICE TAX
33 STAMP DUTY
34 RECOMMENDED EXCESS
35 SPECIFIC COMMENTS, if ANY
BASIS OF DECLARATION
36 REASONS FOR SEEKING APPROVAL
D.O.'s NOTE

BRANCH MANAGER (NAME) SR. / DIVISIONAL MANAGER (NAME)

APPROVED RATE :
R.O.'s NOTE

APPROVED COVER :
CONDITIONS :
WARRANTIES :

MANAGER REGIONAL MANAGER DY. GENERAL MANAGER


R.O.CONTROL NO.

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