B A R D

I C I L OM
I C

ICICI Lombard is one of the largest private sector

general insurance company in FY2020.

• Gross written premium of 135.92 Billion

• Over 26.2 Million policies issued to customers
• 1.8 Million claims settled

Pan India Presence

273 Branches 840 Virtual Offices
8,800 Garages 6,536 Hospitals

Data as on March 31, 2020

1016/IP-02096883/004

ICICI Lombard General Insurance Co. Ltd

Date: 28/03/2022

Quotation Number: 1016/IP-02096883/004 Previous Policy Number:

To,
SURYA ELECTRICAL CORPORATION
INFRONT OF HADI GARAGE TILAK NAGAR ,AURAIYA
,206122
UTTAR PRADESH ,INDIA
Broker/Agent
HDFC-BRANCH BANKING(IM-1266797)

Dear Sir/Madam

Reference: Quotation for ICICI Bharat Sookshma Udyam Suraksha Policy

We thank you for the opportunity extended to us to submit the quote for your insurance requirement based on the
details furnished.

Risk Location

Occupancy details
As per Annexure attached
Sum Insured

Terms & conditions and warranties

Policy Period 28/03/2022 To 27/03/2023

Hypothecation details HDFC BANK LTD

Total Premium Payable 8,501

Validity of Quote 12/05/2022

Undertaking:
I/We hereby confirm that the particulars of the prospect/risk mentioned in this quotation are those provided me to
ICICI Lombard General Insurance Co (Insurer)for the purpose of the requested risk coverage. I/We herby further
confirm that the derivation of the premium in the quotation is in accordance with the risk coverage required by us from
the Insurer. I/We also understand that the copy of this quotation duly signed by me shall for all purposes be treated as
my/our proposal for insurance and the required insurance policy shall be issued by the insurer on the basis of the
details as mentioned in this quotation.

Client Email ID

PAN or TAN number

Authorized Signatory

Name & Designation

Contact Number

Signature

Page 1 of 4
1016/IP-02096883/004

Annexure 1 Quote Number : 1016/IP-02096883/004

Location 1

INFRONT OF HADI GARAGE TILAK NAGAR,AURAIYA ,206122,UTTAR PRADESH, INDIA,

Occupancy : Shops dealing in non - hazardous goods

Secondary Occupancy : Electronic goods (mobile/consumer durables)

Sum Insured Breakup

Furniture
Plant and Stocks in Finished Other - Total Sum
Building Fixtures & Raw Material
Machinery Process Stocks Contents Insured
Fittings

0 0 0 0 2500000 0 0 25,00,000

Block Level Add On Covers

Add On Cover Description Sum Insured Premium

Declaration – (description of assets) This quote has been issued based on the details furnished by the policyholder
including the details of building, contents and stocks. Please review the details furnished in this quote and confirm
that the same are in order. The details mentioned in the quote shall be considered as true and correct and declared
by the insured, in case no request is received from the insured intimating any change. The terms of Sum Insured/
Risk location/ Occupancy and general terms & conditions of the policy shall prevail in case there is discrepancy in
details mentioned in “Asset description”:

ELECTRICAL GOODS STOCK LIKE FAN , CONSEAL MOTOR AND OTHER

Stock
ELECTRICAL ITEMS

Warranties Specific to Location

Warranted that construction type is RCC

Warranted any contents in basement are excluded from the scope of cover

Block level Terms and Conditions

The scope of cover is limited to following description of stocks. "." Any other kind of stocks not mentioned in this list
shall get excluded from the policy.

Earthquake (Fire and Shock)

Terrorism Clause

Policy Level Add On Covers

Add On Cover Description Sum Insured Premium

Policy level Terms and Conditions

Warranted that the claims experience is nil for last 3 years

No cover for storage or manufacturing of any kind of single use plastics or like, under the scope of this policy.

The Policy shall be void-able in the event of mis-representation, mis-description or non - disclosure of any material
particular

Page 2 of 4
1016/IP-02096883/004

Reinstatement Value Policies

Local Authorities Clause

Agreed Bank Clause

Designation of Property Clause

Special Conditions

Premium Breakup

Block Level Premium table Location 1 Total

Risk Location description AURAIYA, 206122

Basic Premium 6,578 6,578

Block Level Add on Cover Premium 0

Earthquake Premium 250 250

Terrorism Premium 375 375

Policy Level Add on Cover Premium

Net Premium 7,203

Add Floater Premium 0

Total Premium 7,203

Goods & Service Tax 1,297

Add Stamp Duty 0.50

Total Premium Payable 8,501

*Premium value mentioned above is inclusive of taxes applicable.

Excess of Rs. 5,000 (Rupees Five Thousand) for each

Excess:
claim

End of Quotation

Page 3 of 4
1016/IP-02096883/004

STATUTARY WARNING

PROHIBITION OF REBATES

Section 41 of the Insurance Act, 1938 as amended by the Insurance Laws (Amendment) Act, 2015

1 No person shall allow or offer to allow, either directly or indirectly as an inducement to any person to
) take out or renew or continue an insurance in respect of any kind of risk relating to lives or property, in
India, any rebate of the whole or part of the commission payable or any rebate of the premium shown
on the policy, nor shall any person taking out or renewing or continuing a Policy accept any rebate,
except such rebate as may be allowed in accordance with the published prospectuses or tables of the
Insurer.

2
Any person making default in complying with the provisions of this section shall be punishable with fine
)
which may extend to ten lac rupees.

ICICI Lombard General Insurance Company Limited

IRDA Regn. No. 115 CIN: U67200MH2000PLC129408
Mailing Address: Registered Office: Toll Free No: 1800-2666
401 & 402, 4th Floor, Interface 11, ICICI Lombard House, 414, Veer Savarkar Marg, Alternate No: +919223622666 (chargeable)
New Linking Road, Malad (West), Near Siddhi Vinayak Temple, Prabhadevi, Email:customersupport@icicilombard.com
Mumbai - 400064 Mumbai - 400025 Website:www.icicilombard.com Page 4 of 4
 An App for all your insurance and wellness needs

Chat with our expert on Download the app ow

stress management, diet, nutrition,
and get insights on
latest health practices.

Risk Management solutions for SMEs

• ustomi e electrical ris assessment an thermography suite to nee s
• omprehensive ris assessment to cover all potential ha ar s
• utomate solutions for monitoring the e isting fire hy rant an sprin ler systems
• e age easy to operate an affor a le fire e tinguishing solutions

Fire Safety Guidelines for ommercial uil ings

DO s
• learly mar the location of fire e tinguishers manual control points alarm facilities
an no ho to operate them
• no your evacuation plan emergency contact num ers nearest assem ly point
an perform moc rills
• eep every e it passage ay an ischarge free from o structions
• est smo e etectors fire alarms panel an emergency lighting systems at regularly
• eep emergency first ai it maintaine an han y
• f you encounter smo e uring fire emergency stay lo an eep a et cloth covering your nose
DO s
• eave appliances unatten e uring coo ing
• amper smo e etectors fire alarms an or hang anything from sprin ler hea s or pipes
• se lift for evacuation an eep fire oors open
• se na e flame an halogen lamps near com usti les
• ight out hen not traine in firefighting an ignore instruction of security

e site www.icicilombard.com oll ree o 1800 2666

*Available basis policy T&C.
tra e logo isplaye a ove elongs to an an is use y om ar t un er license an om ar logo elongs to om ar t egistere ffice om ar ouse eer avar ar arg ear
i hivinaya emple ra ha evi um ai eg o oll ree o a o e site icicilom ar com mail customersupport icicilom ar com