This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, May 19, 2021 16:27:15 IST
Location: NOIDA
Reason: Signing Policy for OICL
STANDARD FIRE & SPECIAL PERILS POLICY SCHEDULE
Policy No : 423001/11/2021/43 Prev Policy No : 423001/11/2020/38

Cover Note No :- Cover Note Dt :

Insured's Name : 49056551 - DREAM SEATS PVT LTD
(GSTIN: 29AADCD7516N1Z6)
Address : SHRI KOTE , ASHIRWAD TOWERS,
SURVEY NO-25/7, OUTER RING
ROAD, MARATHALLI, BANGALORE-
560037.
Issuing Office : 423001 - CBO 13 (GSTIN:
29AAACT0627R4ZS)
Address : # 1188, I FLOOR, 26TH MAIN
RAGIGUDDA TEMPLE MAIN ROAD
9TH BLOCK, JAYANAGAR
BANGALORE KARNATAKA 560041

BANGALORE 560037
Tel /Fax /Email : / / 9880990604 / Tel /Fax /Email : 080-26535460 / 080-22449746 /
nawaz@dreamseats.in prabhakara.suri@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code : NA0000002938 DIRECT (CBO-13 423001)
Agent/Broker : BA9000921743 M B RAJANNA
Address : NO.05, RAGHAVENDRA KRUPA, KOTHANUR DINNE, 8TH PHASE, J.P. NAGAR,
BANGALORE - 76.,BANGALORE,KARNATAKA,560001
Tel/Fax/Email
: 9844089557//
Period of Insurance : FROM 00:00 ON 31/05/2020 TO MIDNIGHT OF 30/05/2021
Collection No & Dt : CSH 5140000666 - 19/05/2020 GST INVOICE NO :291970179 UIN :0
Gross Premium : 6,240 GST : 1,124 Stamp Duty : .5 Total : 7,364

Co Insurance Details : None

RISK DETAILS

1 Location of the Risk : ASHRIWAD TOWERS,SURVEY NO.,25/7,OUTER RING

ROAD, MARATHALLI,

KARNATAKA
BANGALORE
560037
BANGALORE

Risk Description : Shops dealing in hazardous goods

Block Description : 1

SMI Desc Nature of Stock Sum Insured

Stocks of furniture,i e Bar 50,00,000

stool,bench,Book shelf,Chairs,Dinning
table, Partition Panel,Round
Table,Sofa,Storege Unit Table,Table
Base,Table Top, Vualt Pertaining to
Insured's trade
Place :
Furniture, BANGALORE
Fixtures & Fittings 10,00,000 For and on behalf of
Date : 19/05/2020 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The

Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 1 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, May 19, 2021 16:27:15 IST
Location: NOIDA
Attached to and forming part of policy number 423001/11/2021/43 Reason: Signing Policy for OICL

Cover Wise Details : Cover Name Sum Insured Premium

STFI Cover 60,00,000 900.00

Fire Basic Cover 60,00,000 5,040.00
Earth Quake Cover 60,00,000 300.00

SCHEDULE OF PREMIUM

TOTAL PREMIUM 6,240.00

ADD :CGST 562.00
STAMP DUTY 0.50
ADD :SGST 562.00
TOTAL AMOUNT 7,364.00

Total Sum Insured In Words : Indian Rupees Sixty Lakhs Only

Total Premium In Words : Indian Rupees Seven Thousand Three Hundred Sixty-Four Only

Excess / Deductible :
The following minimum deductibles are applicable based on per Location Sum Insured of the policy.
(except dwelling with individual owners)

Sum Insured Band per Location (including endorsements, Material Damage

if any) % Of Claim Subject to Minimum deductible in INR.
Upto 10 Cr 5 10,000.00
Above 10 Cr and upto 100 Cr 5 25,000.00
Above 100 Cr and upto 1500 Cr 5 500,000.00
Above 1500 Cr and upto 2500 Cr 5 2,500,000.00
Above 2500 Cr 5 5,000,000.00

The Insurance under this policy is subject to warranties & Clauses otherwise stated herein:
1 . In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the
insured will comply with the provisions of the AML policy of the Company.The AML policy is available in all our
operaing Offices as well as company's website.
2 . Designation Of Property Clause
3 . Local Authorities Clause
4 . Class Of Construction
5 . Plinth & Foundation
6 . Stocks ( Dwelling,Offices,Hotels,Shops etc.)
7 . Endorsement - Earthquake (Fire And Shock) - Add On Cover
8 . AGREED BANK CLAUSE

Financier's Names are as stated herein:

Sl No Bank Name/Financier Bank Branch and Address

1 IDFC First Bank Ltd

Place : BANGALORE For and on behalf of

Date : 19/05/2020 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The

Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, May 19, 2021 16:27:15 IST
Location: NOIDA
Attached to and forming part of policy number 423001/11/2021/43 Reason: Signing Policy for OICL

The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy
shall be void abinitio (from inception).

In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands
at BANGALORE on 19TH DAY OF MAY 2020

Entered By : TRIVENI ADYA K

For and on behalf of
Examined By : PRABHAKARA SURI The Oriental Insurance Company Limited

Policy Printed By : 659622 IP :

Policy Printed On : 19-MAY-21 16:25:25 MAC :
Authorised Signatory

Place : BANGALORE For and on behalf of

Date : 19/05/2020 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The

Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No.
1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 3 of 3
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, May 19, 2021 16:27:15 IST
Location: NOIDA
Reason: Signing Policy for OICL