‘THE NEW INDIA ASSURANCE CO. LTD, {Wholly owned by the Govt. of Inala) CONTRACTOR'S PLANT AND MACHINERY INSURANCE POLICY | [irorano caumwenrs « ENONEERS PviLTO insur’ Dotals invulng Ofien Deals rosso tice Code 1 [BANCASSSURANGE 0 (10300 roman {JGATNO 1566 NR PUNENAGAR [Addr { TATUR CHAMOERS, 157 FLOOR, ROAD RARIANGAON GANPATITAL- J MOLEDINA ROAD, PUNE [SRIROR PUNE raed MAWARASHTRA, 411001 [Prone no 5 [Phone Wo 7 faerroaa rasTr16 [-matrax 7 E-mallFax 7 Jnatg0300@newina.com 7 lbeoriios PANN is-Tox Rega. No [aAACNesescSTI7E lesnuy NAINA lest [ETAAACNAISSC32P [sac 967199 (Other noi nsrance Senrcossxe Policy Detalls| Policy Nomber 7 [saooeez 0700000328 Gusinass Source Code @ _[revovetinsranco |: |Frpmasonanzz zancoPuTe: [per Of 7 [DIRECT BUSINESS - (107602646) abhi fsos0 eM faesiBrskorCorp. Agent Date of Propo 7]25Sept20 rend Bencaseuranee |= ii AIAY BABANRAD BHAMBAL inixcooosoare) AIA ReARex BHJUBAL (300057734) | A TOOTOGOIDASS Phone ten ‘]honcaporte esata im Premium ost Tol Receipt io. 6 Date 4250 755 015 702008'210000006747- 3509/20 Tecation of Operation oeaions of Operation T Rav Aatans 1 SHIRUR, WA Rovjangaon Ganapal, MAHARASHTRA, INDIA 412200 Specification Ofaured tems ccm [eum Gocrpionations | Yearet | Suminsued | Escalon] Gres due | Eicess due | pssst, No Dower Racrufactar, | Manciactue | ~ tn) aon | Exess | "ictner” [Boom Section “capacity Pete, | than A0G Peale TTT cae Dessrpion: | 2008 | 658000 wa] aa880 [10000 | 20% ois ena enone JUGEADOASPN spect scditly Nene ot misan t eo Mir Eau 25000" Hiaonew Sera! Sumber 0300088601 [Fotar Sum insured [ress000 ] Sine. ‘Rad on Covers Opted indemniy LmitsOpted Ecos 4 THIRDPARTYUABILITY 85500 Poly Excess J] EXPRESS FREIGHT (EXCLUDING AR FREIGHT, nA Polley Ex Sbtioay males oF WAGES ETE 3 7AR FREIGHT WA Th otic Freight ‘ADDITIONAL CUSTOMS DUTY NA Ti of Addional duty 5 'SURROUNDINGPROPERTY as500 Paap cree [Forrrism Excess [os of Toil Som insured subject 0 minimum of 300,000 foreach and every daim I Cc TavSemaNe 1 Siricowr =) +15030044210700000226 Document generated by 24000 at 25/0 at 25102/2022 16:08:51 Hours pogd.& Head Oe: New Ina Assurance Bldg, 87 M.G. Road, Fort, Mumbl 40000. TOLL FREE No. 1800399 "41SFORM No.1 (See Rules 62 and 64) (Report of examination of hoist, i, ling machine, chains, ropes and lifting tackles) 1) Name of oscupiorof Factory Mis. LEOPARD EQUIPMENTS 7 ENGINEERS PVE. tp, 2) Adress ofthe Factory Ranjangaon Ganpati, Near OL Plaza, ; Pune-Napar Road, Tal-Shiru, Dist-Pune a] Type Kentfcaton mimber and description of hoist, itt Aniculating Boom LIM ‘moshing, chain ropes and iting tackles Sr. No.0300089861 Make ~JL.G EAOOAIEN Working Height ~ 40 Feet Capacity ~ 230 Ke, by] Date of construction or reconstruction and the date when the hoist, Year - 2006, luting machine, chains, ropes and lifing tackles were frst taken i 4) DateoFeach ast examinations made under sper factory record, on 28 (1) (a) (i) and 29 (1 (a) (i) and by whom it was eartied out. 5). (A) Maintenance: (List of parts ifany, which were inaccessible) Are the following parts ofthe hoist or lif properly maintained and in good working order ? 1fnot, state what defects have been found = (2) Enclosure ofhoistway or litway. PNA (8) Landing gates and cage gate (3). NA (©) Intelocks on the landing gates and cage gate). PNA NA QS) oor: fastenings (©) Cage and platform and fitings, cage guides, butlers, interior ofthe hoistway or litway. (0) Overrunning devices. PNA (2) Suspension ropes or chains and thei attachments, (8) Safety gear i, arrangements for preventing fll of platform orcage NAL NA brakes, (Brakes PNA G) Work ofspur gearing PNA (k)_ Other electrical equipment. 2 NA. () Ouiee pans PNA B) Date and number ofthe certificate relating to any test and examination (07.07.2021 by PN.Kulkami. Made under sub-rule (I) of rule 64 together with the name of the person ‘who issued ‘CI () Date of annealing or ther heat reetment of + Not Applicable, the chin and lifting tackle eared out unde: sub-rule (5) ofrule 64 und by whom its cartied out, (])_ Particulars oFany defect found at eny such + Lifting Equipment is use under SWL only. [Evsminaton or ate annealing and affecting 440 Ke. fe working load and of the steps taken to remedy such defect 6) Repairs, evewals or alterations (ifany )requted and the petiod wit + Found OK. Which tis sould be executed and maximum safe working load subject to tepais,rencoals or alterations (if any) We cil that ond. 07.67.2021 Y We thoroughly examined the hoist, iting machine, ropes and ‘of examinations st carried ut is enclosed herewith thatthe above isa correct report ofthe resull Neat Due : 06.07.2022 a HIGH TECH CONSULTANCY AC Kami Jai Ganesh Vis. AMWing 311, BLE (Mech)M.B.A. ‘Akurd pune 1033, 020-27440344 Ex Scientist BARC, han 1961 reins com (Chartered Enginee. nk!” emul om AN ISO 9001:2 018 CERTIFIED COMPANY