Issuing Office:

# No. 529/1/2, M.B. Road,

A.D. Garden,
Kolkata – 700 060
Mob:9825066156/7600006182
E-Mail:contact@lucillesurveyors.com Pan No: AAHFL6067H,
GST No: 24AAHFL6067H1Z7
Ref: LISLA/MUM/MAR/UIIC/2020-21/295, Date:01/03/2021
To,
UNITED INDIA INSURANCE CO. LTD.
Large Corporate & Brokers' Cell, 4th Floor, Himalaya House,
38B, J L Nehru Road, Kolkata - 700071.

Reg: Addendum to our Final Survey Report of

QUAKER CHEMICAL INDIA PVT. LTD.
Marine Cargo Open Policy: 5007002120P108487158.
Dear Sir/Madam,
With reference to the subject claim for loss to insured’s inventory of PP29A, reportedly caused
dueto deep impact on the discharge value during thecourse of transit resulted in loss/leakage of
filled material. We had already submitted our survey report. In our final survey report, the net
assessed loss worked out be: -
The Net Assessed Loss works out to Rs. 1,17,175/-
(Rupees One Lakh Seventeen Thousand One Hundred and Seventy-Five Only)
On sharing the additional details/documents the assessment of loss is revised, working is attached
below:

SETTLEMENT RECOMMENDATION:
IBC Pack Total Damaged Damaged GST @ Assessed
Sr. Description Rate/Kg Amount (Rs)
size (Kg) IBC IBC (Kg) 18% (Rs)
1 Loss on account of PP029A 960(NW) 2 1 799 152.91 1,22,175.09 21,991.52 1,44,167
Gross Loss 1 799 1,44,167
Add:Basis of Valuation 10% 14,417
Net of Valuation 1,58,583
Less Salvage -
Net of Salvage 1,58,583
Less: Excess 0.5% of Consignment value 0.5 8,398
Net Assessed Loss(Rounded off) 1,50,185

Net Assessed loss works out to Rs. 1,50,185/-

(Rupees One Lakh Fifty Thousand One Hundred Eighty-Five Only)
Note on assessment:
1. The assessment of loss is drawn as per our physical inspection and the documents
submitted by the insured.
2. The rates are drawn from the support furnished by the insured, GST component is taken

Head Office: Vadodara Corporate office: Mumbai

Other Branches: Kolkata, Chennai, Hyderabad, Lucknow, Ludhiana, Indore, New Delhi, Bangalore, Jaipur, Raipur, Surat,
Ahmedabad, Rajkot, Chandigarh, Jammu & Kashmir, Kurukshetra.
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 Issuing Office:
# No. 529/1/2, M.B. Road,
A.D. Garden,
Kolkata – 700 060
Mob:9825066156/7600006182
E-Mail:contact@lucillesurveyors.com Pan No: AAHFL6067H,
GST No: 24AAHFL6067H1Z7
Ref: LISLA/MUM/MAR/UIIC/2020-21/295, Date:01/03/2021
into assessment same may be considered. The insured has confirmed that he is not
availing GST credit.
3. Assessment is subject to declaration under open policy and having sufficient balance.

For Lucille Insurance surveyor and Loss Assessors,

Gopal M Arora Satinder Kumar

Managing Director Executive Director
Email: contact@lucillesurveyors.com
Web: www.lucillesurveyors.com

Head Office: Vadodara Corporate office: Mumbai

Other Branches: Kolkata, Chennai, Hyderabad, Lucknow, Ludhiana, Indore, New Delhi, Bangalore, Jaipur, Raipur, Surat,
Ahmedabad, Rajkot, Chandigarh, Jammu & Kashmir, Kurukshetra.
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