16 - RDD 2022 - Contractor's All Risk Insurance Documents

Property Name:

Date of Request : External Document

SECTION A: UNIT No. / BRAND NAME, TENANT AND CONTRACTOR'S DETAILS

Tenant Name : Brand / Shop Name :

Contractor's Name : Unit Number :

Location : Country :

SECTION B: APPOINTED CONTRACTOR CONTACT DETAILS

Full Name : Email Address :

Designation :

Mobile Number :

SECTION C: DESCRIPTION OF FIT OUT WORKS

Total Amount / Sum Insured (C): Currency :

SECTION D: DESCRIPTION OF TENANT'S SUPPLIED ITEMS (FIXTURES, FITTINGS, FLOORING, ETC.)

Total Amount / Sum Insured (D): Currency :

SECTION E: FULL CONTRACT VALUE

Contract Value : (C+D) = Insurance Cost (0.175%)=
VAT (where applicable) =
Total Insurance Cost = 0
Project Period : From : To :
Defects Liability Period : From : To :
SECTION F: EXCESS VALUES EACH AND EVERY LOSS (FOR INFORMATION ONLY, NOTHING TO BE COMPLETED)
Section 1 Section 2
Contract Value in AED Major Perils Storm, Other Burst water pipe, Underground
TPPD
Flood, etc. etc. Services
Up to 250,000 15,000 5,000 2,500 5,000
250,000 - 500,000 20,000 10,000 5,000 5,000
500,001 - 1,000,000 25,000 15,000 5,000 5,000
Above 1,000,000 50,000 25,000 5,000 5,000

SECTION G: TENANT / TAR SIGNATURE

Tenant TAR : Signature / Stamp : Date :

SECTION H: APPROVALS

RDM : Signature : Date :

Mall Operations : Signature : Date :

Note : Please refer to Form " 17 - RDD 2022 - Records of Payment Document" payment details
Disclaimer:

“Any cheques received and/or documents submitted to and approved by a company forming part of Majid Al Futtaim Group as mentioned herein are not deemed as a final
acceptance of the lease terms and conditions and remain subject to the signature, by both parties, of a lease agreement for the premises. This document is issued with the
purpose of expediting and facilitating, in good faith, the lease process as per the terms of the lease agreement. It is not, in any way, to be considered a waiver of the
requirements to enter into a signed lease agreement nor is it considered to be an implicit acceptance of any clause of the lease that is not signed by both parties.”

MAF Retail Design and Delivery Forms New Format V 5 - Sept. 2022