You are on page 1of 2

HDFC ERGO General Insurance Company Limited

202204050016532

Certificate No. 2045660330000201422100 Certificate of Insurance


(Specific Voyage)
Marine Open Declaration Policy
(Specific Voyage) 1 44

Insured Name TESLA TRANSFORMERS (INDIA) LTD Marine Open Policy No. 2412204566033000000
Corr.Address/ TESLA TRANSFORMERS (INDIA) LTD. 23 A INDUSTRIAL AREA, PAN No. AAGCT8705J
Place of Supply GOVINDPURA BHOPAL BHOPAL BAZARIA SHAHAJAHANABAD
BHOPAL MADHYA PRADESH 462001
Certificate Issuance Date 25/03/2022
Voyage Details
Invoice/PO No. Invoice/PO Dated BL/AWB/LR/RR/No. BL/AWB/LR/RR/Dated
TP/2021000314 25/03/2022 1218799 25/03/2022

Originating Country Destination Country


India India
Voyage Details (From/To) Mode of Conveyance
Bhopal/Jalaun By Road,

Sum Insured, Interest Insured & Particulars


Sum Insured in Invoice Currency Rate of Exchange Sum Insured in INR
INR 7788000 1 7788000
Import : CIF + 10%
Basis of Valuation Inland : invoice + 10%
Duty : Duty at Actuals as per attached Import Duty Insurance Clause
Subject Matter Insured 01 NO. 8150 KVA Inverter Transformer
LC Conditions 0327822DL0000066 Dated: 04.03.2022
Consignee Name SAEL Limited
Consignee Address SAEL 32MW Solar Power Plant at Village Khutela Tehsil Konch, Dist. Jalaun-285205
Coverage Details (Clauses)
Institute Chemical, Biological, Bio-Chemical, Electromagnetic Weapons And Cyber
Attack Exclusion
Limitation Of Liability Clause
Clause (01/11/02) Cl-365
Inland Transit ( Rail / Road ) Clause B - 2010 Termination Of Transit Clause (Terrorism) (2009 Jc2009-056)
Inland Transit ( Rail / Road / Air) Clause A - 2010 Important Notice
Strike, Riot And Civil Commotion Clause Sanction
Institute Extended Radioactive Contamination Exclusion Clause (01/11/02) Cl-356
All other terms,conditions,warranties and exclusions as per duly stamped open policy no. 2412204566033000000

Premium Details (`)


Premium excl GST 3,894.00
GST 18%: 701.00
Total Premium 4,595.00
NOTE: This is not a Tax Invoice and Input Tax Credit as per provisions of Section 16 of the CGST Act 2017 cannot be claimed basis this document

Branch: For HDFC ERGO General Insurance Company Limited


TESLA TRANSFORMERS (INDIA) LTD
TESLA TRANSFORMERS (INDIA) LTD. 23 A INDUSTRIAL AREA,
GOVINDPURA BHOPAL BHOPAL BAZARIA SHAHAJAHANABAD
BHOPAL MADHYA PRADESH 462001
Duly Constituted Attorney
*$*HARI#$#
---scr---

HDFC ERGO General Insurance Company Limited OTHERS17


Registered & Corporate Office: 1st Floor, HDFC House, 165/166 Backbay Reclamation, Customer Service Address: D 301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg,
H.T.Parekh Marg, Mumbai - 400 020 Bhandup (West), Mumbai - 400 078
HDFC ERGO General Insurance Company Limited
202204050016532

Certificate No. 2045660330000201422100 Certificate of Insurance


(Specific Voyage)
NOTICE OF CLAIM
EXPORTS
In the event of a claim please immediately notify local survey agent via email address as mentioned below AND / OR W K Webster via the “report new claim” tab of
www.wkwebster.com or contact the nearest Regional Office detailed below:
Claims arising in Europe, Middle East and Claims arising in Far East including
Claims arising in America
Africa Indian sub continent
W K Webster (International) Pte Ltd.
W K Webster & Co. Ltd. Webster House, W K Webster (Overseas) Ltd.
20 Cecil Street, #22-03 Equity Plaza, Singapore -
207 Longlands Road, 80 Maiden Lane, New York, NY10038, USA
049705.
Sidcup/Kent, DA157JH, United Kingdom. Tel: (+1) 212 269 8220
Tel: (+65) 6222 6022
Tel: +44 (0) 20 - 8300 7744 Fax: (+1) 212 363 9726
Fax: (+65) 6225 0428
Fax: +44 (0) 20 - 8309 1266 Out of hours: (+1) 917 837 2831
Out of hours: (+65) 9732 1958
Email: info@wkwebster.com Email: ny@wkwebsteroverseas.com
Email: info@wkwebster.com.sg

If no average agent is mentioned or if, on account of the place where the survey should be held, it is not feasible to apply to that average agent, application of the survey should
be made to:(a) The local HDFC ERGO Office or on our toll free no. 1800 2 700 700 (India) | care@hdfcergo.com | Fax: 91 22 6638 3699. While mailing / faxing please use the
subject line as "Notice of Marine Claim under Policy No. (as mentioned on the first page of the Certificate) ". (b) The nearest W.K Webster Agents or Lloyds Agent. Failure to
comply with these requirements may prejudice any claim under this certificate. This certificate is issued in duplicate, one of which being accomplished, the other to stand null
and void. This certificate is not valid unless countersigned by the Assured or an authorized representative of the Company.

The assignee of this Certificate agrees to inform the Insurer of the assignment of this Certificate on obtaining assignment therof and the assignee having obtained assignment of
this Certificate of Insurance subject to the terms and conditions of the Policy of Insurance confirms having read and understood the terms and conditions of the Policy of
Insurance and agrees to be bound by the terms and conditions therof.

IMPORT & INLAND


In the event of loss or damage for which the Company may be liable, immediate application should be made to: HDFC ERGO General Insurance Company Limited, 6th
Floor, Leela Business Park, Andheri-Kurla Road, Andheri (East), Mumbai – 400 059. Toll free no. 1800 2 700 700 (India)
Email: care@hdfcergo.com | Fax: 91 22 6638 3699
OR
Nearest HDFC ERGO local office.
Failure to comply with these requirements may prejudice any claim under this certificate. This certificate is issued in duplicate, one of which being accomplished, the other to
stand null and void. This certificate is not valid unless countersigned by the Assured or an authorized representative of the Company.
The assignee of this Certificate agrees to inform the Insurer of the assignment of this Certificate on obtaining assignment therof and the assignee having obtained
assignment of this Certificate of Insurance subject to the terms and conditions of the Policy of Insurance confirms having read and understood the terms and
conditions of the Policy of Insurance and agrees to be bound by the terms and conditions therof.

CLAIM INSTRUCTIONS
1. When damage is apparent at the time of delivery
a. Upon accepting delivery of a shipment showing damage, or in the case of non-delivery of part of the shipment, instruct the delivering carrier to make a notation of this
condition, or non-delivery, on the delivery receipt and have the carrier sign it. Obtain a copy of the annotated receipt for submission to the Insurance Company. If the
merchandise is delivered in an overseas container, inspect the external condition of the container, verify the seal number affixed to the container and check the condition of the
seal for signs of tampering. Deficiencies should also be noted on the delivery receipt.
b. Safeguard the merchandise without disturbing the packing or other evidence of damage (including the overseas container) until a survey has been completed, unless further
damage will occur.
c. Immediately report the damage to, and request survey by, the Claim Representative shown on the front of this policy. If no Claim Representatives shown, or if damage is
discovered at a place other than the final country of destination, contact the nearest office of the Company shown below to have a surveyor assigned.
Note: A fee will be charged for this survey. This will be reimbursed
d. Notify the carrier of the loss and afford them the opportunity to attend the survey.
2. Concealed loss or damage
When a shipment has been delivered in apparent good order and loss or damage is discovered upon opening the shipping packages, follow the procedures outlined in 1(b), 1(c)
and1 (d) above.
3. Non-delivery of the entire shipment
When a scheduled shipment fails to arrive, first contact the shipper to confirm shipping information. In the event of continued non-delivery, obtain written confirmation of the
same from the responsible carrier. If the carrier will not confirm the non-delivery in writing, file written notice against them.
4. Claim against the transportation carrier/port authorities/customs authorities.Written claim must be filed against the carrier/port authorities/customs authorities, as may be
applicable, setting forth the amount of claim and requesting the reimbursement in full. Such written claim must be duly acknowledged by the carrier/port/customs authorities.
Failure to do so, and failure to do so in a timely manner, may affect our rights of subrogation and may also reduce the amount of claim paid by this insurance.
5. Settlement of claim with the Insurance Company
When the amount of claim has been established, send the following documents to the office of the Insurance Company located office, send the documents to the office of the
insurance company located in the country where the loss was discovered. if there is no local office , send the documents to HDFC ERGO General Insurance Company Limited
in Mumbai:
a. Claim bill in duplicate.
b. A copy of the bill of lading or other international carrier's receipt.
c. A copy of the delivering carrier's receipt, if other than the above, showing written exceptions.
d. The original, or certified copy, of the invoice, and all packing lists.
e. The original copy of the Claim Representative's survey report.
f. Copies of all written correspondence with the responsible carriers, port. and customs authorities
NOTE: This is an electronically generated document. Proper stamp duty is paid on the hard copy of the certificate of Marine Insurance. Bank/Financial Institution may confirm
the authenticity of electronically printed copy of the Certificate of Marine Insurance by contacting the company's Call Centre on 1-800-226-226(Toll Free) or 022-66384800 (STD
Charges applicable) between 9.30 A.M and 6.00 PM IST on weekdays.

HDFC ERGO General Insurance Company Limited OTHERS17


Registered & Corporate Office: 1st Floor, HDFC House, 165/166 Backbay Reclamation, Customer Service Address: D 301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg,
H.T.Parekh Marg, Mumbai - 400 020 Bhandup (West), Mumbai - 400 078

You might also like