PROPOSAL FOR INSURANCE 1.

Name of Proposer(s): Windmills Inc (Innovative Creations)

For Public Liability 1. 2. 3. 4. 5. Address of location to be covered. Number of participant to attend the event: 2000-3000 Activities to be performed at the venue: Flea market and Rock bands playing Occupancy of venue: 2500 Duration of event: 11am to 10pm

For Event Cancellation 1. 2. 3. 4. 5. Title or name of event to be insured: Za Palooza Type of performance(s) or event(s) to be insured: What is the involvement of the Proposer in the event? Organisers Organiser, Promoter, Manager, Artist, Sponsor, Other(pl specify) Date(s) and name of venue(s) of performance(s) or event(s): i. 13th October, 2013. Raga Lawns, Koregaon Park, Pune 6. What perils are required? 1. Death 4. Venue Damage 2. Accident & Illness 5. National Mourning 3. Unavoidable Travel Delay 6. Other Perils/Extensions 1. Natural Calamity 2. 3.______________________ 4.______________________ 7. Give details of budget and currency:

Expenses 1. Costs 2. Commitments

Amount 400000

Gross Revenue 1. Gate/ticket sales

Amount 1,00,000 0

2. Programme sales

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3. Guarantees 1,00,000 4. Fees 0 5. Commissions 0 6. Sponsorship 50,000 7. Advertising 8. Promotional 9. Broadcasting 10. Other items not included above (Give details) Total 5,50,000

3. Merchandising 2,50,000 4. Stall Fees 0 5. Commissions 1,00,000 6. Sponsorship 75,000 7. Advertising 8. Concessions 9. Broadcasting 10. Other items not included above (Give details) Total 5,25,000

8. Do these sums represent the full extent of your financial responsibilities? YES 9. Does any other party have an interest in the expenses and gross revenue for the performance or event? YES / NO 10. What Limit of Indemnity is required? 11. Accident/ claims history for last 3 years?

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