PREMIUM COMPUTATION SHEET

Department : ENGINEERING Insured's Name : M/S.AMISHI DRUGS & CHEMICALS

PVT.LTD.,
Document No : R/141400/44/2021/76
Document Date : 03/08/2021

Policy Start Date : 01/10/2021 Policy End Date : 30/09/2022

Product Description : BOILER AND PRESSURE PLANT Document Type : Proposal

INSURANCE
Policy Type : BOILER AND PRESSURE PLANT
INSURANCE

SCHEDULE OF PREMIUM
Cover Description Sum Insured Premium

Basic Cover 72,19,831.00 6,498.00

ADD :Owners Surrounding Property 7,21,983.00 162.00
ADD :Third Party Liability 7,21,983.00 162.00
LESS :DO/BO UW Discount - Engineering 0.00 3,411.00
LESS :RO UW Discount - Engineering 0.00 1,593.00
TOTAL PREMIUM 1,818.00
ADD :CGST 164.00
ADD :SGST 164.00
STAMP DUTY 0.50
TOTAL AMOUNT 2,146.00

RISK DETAILS

Section : BOILER AND PRESSURE PLANT INSURANCE

Location Details : 1 / STEAM BOILER, CHIMNEY, OIL HEATING UNIT

Cover Name Sum Insured Rate Premium

Basic Cover 72,19,831.00 .9/1000 6,498.00

Owners Surrounding Property 7,21,983.00 .225005/1000 162.00
Third Party Liability 7,21,983.00 .225005/1000 162.00

Total 6,822.00

Boiler Details : 1 / Furnace-flue and fire tube boilers of the Lancashire, Scottish and locomotive type as well as vertical
boilers, water tube boiler,Naptha Fired / GT6693

Cover Name Sum Insured Rate Premium

BPP - BASIC COVER 72,19,831.00 .9/1000 6,497.85

Total 6,497.85