THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

CONTRACTOR'S PLANT AND MACHINERY INSURANCE POLICY (FLOATER BASIS)

Insured's Name : CALIBER MERCANTILE PVT. LTD.

Insured's Details Issuing Office Details
Customer ID : PO91575171 Office Code : LAXMINAGAR NAGPUR DO IV
(161100)
Address : OFFICE NO. 1101, NANIKS Address : PATHAK HOUSE, 1ST FLOOR,
ASHTAVINAYAK ABOVE HOTEL TANJORE
PARK AVENUE, NAGPUR (URBAN) ABHYANKAR NAGAR NAGPUR -
440010
NAGPUR ,MAHARASHTRA, 440004
,440010
Phone No : XXXXXX6060 Phone No : 07122237529
E-mail/Fax : singhmani13@gmail.com, / E-mail/Fax : nia.161100@newindia.co.in /
PAN No : aafcc6938b S.Tax Regn. No : AAACN4165CST178
GSTIN/UIN : 27AAFCC6938B2ZP / NA GSTIN : 27AAACN4165C3ZP
: SAC : 997137 (Other property insurance
services)

Policy Details
Policy Number : 16110044246500000019 Business Source Code
Period of Insurance : From:21/04/2024 12:00:01 AM To: Dev.Off. level/Broker/Corp. : DIRECT BUSINESS - (2D10753263)
20/04/2025 11:59:59 PM Agent
Date of Proposal : 21-Apr-24 Agent/Bancassurance/CPS : Mrs. KANWALJEET MANDEEPSINGH
C User KAUR (NIAAG00130930)
KANWALJEET KAUR (SI00215317)
Prev. Policy no. : Phone No : 9028306060, 9028306060 / NA
Client Type : Corporate E-mail/Fax : singhmani13@gmail.com, / /

Financier(s) Details
Sl. No. Name of the Financiers
1 BANK OF BARODA

Premium GST Total Receipt No. & Date

34,925 6,286 41,211 16110081240000000206 -
20/04/24

Location of Operation
Locations (For Floater Policy)
Risk 1--> MAHARASHTRA, ALL OCM IN THE STATE OF MH, CHANDRAPUR, YAVATMAL, UMRED, BELLORA, WANI, BHADRAVATI,
EMTA, NAIGAON,
, 442406, MAHARASHTRA, CHANDRAPUR-YAVATMAL
Risk 1--> MADHYA PRADESH, ALL OCM IN THE STATE OF MP, SINGRAULLI, SIDHI, SHAKTI NAGAR, JAYANT, MORWA
, 458220, MADHYA PRADESH, SINGRAULLI-SIDHI
Risk 1--> CHATTISGARH, ALL OCM IN THE STATE OF CG, RAIGARH, SARGUJA, KORBA
, 496001, CHATTISGARH, RAIGARH-SARGUJA

Specification Of Insured Items

Item Quantity Description of Items Year of Sum Insured Escalation( Excess due Excess due Excess for
No. (Type, Manufacture, Manufacture (In₹) %) to AOG to Other Boom Section
Capacity) Perils than AOG
Perils

Signature Not
Verified

Digitally signed
by DHIRAJ
KUMAR
Date: 2024.04.20
16:14:28 IST
Policy No. : 16110044246500000019Document generated by 19589 at 20/04/2024 16:14:27 Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

1 1 Machine Description: 2023 5200000 10 52000 52000 20% of claim

JCB WHEELED amount
LOADER 432ZX subject to
MP66ZB8492 minimum of
ENGINE NO. ₹25000/-
H00358902
CHASSIS NO.
PUN4ATBWEN430737
9
DOP 20/04/2023

,Name of the
manufacturer: JCB
INDIA LTD.,Machine
Serial Number: NA

Total SumInsured ₹ 5200000

Sl. No. Add on Covers Opted Indemnity Limits Opted Excess
1 THIRD PARTY LIABILITY 500000 Policy Excess
2 EXPRESS FREIGHT (EXCLUDING AIR FREIGHT), NA Policy Excess
HOLIDAY RATES OF WAGES ETC
3 AIR FREIGHT NA 5 % of Air Freight
4 ADDITIONAL CUSTOMS DUTY NA 5 % of Additional duty
5 SURROUNDING PROPERTY 500000 Policy Excess
6 CLEARANCE AND REMOVAL OF DEBRIS NA Policy Excess

Terrorism Excess 0.5 % of Total Sum Insured subject to minimum of ₹ 1,00,000/- for each and every claim

Terrorism Covered Terrorism Premium

NO 0

Risk Serial No. Earth Quake Cover

1 YES

Risk Serial No. STFI Cover

1 YES

ENDORSEMENTS ATTACHED TO & FORMING PART OF THE POLICY

Sl. No. Endorsement Number Endorsement Title
0 ABC Agreed Bank Clause
ENG 003 Exclusion of terrorism damage
Premium and GST Details
Rate of Tax Amount in INR
Premium ₹ 34,925
SGST 9 3143
CGST 9 3143
IGST 0 0

In witness whereof the undersigned being duly authorised by the Insurers and on behalf of the Insurers has (have) hereunder
set his (their) hand(s) on this 20th day of April,2024.

For and on behalf of

The New India Assurance Company
Limited
Date of Issue: 20/04/2024

Duly Constituted Attorney(s)

Policy No. : 16110044246500000019Document generated by 19589 at 20/04/2024 16:14:27 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

We hereby declare that though our aggregate turnover in any preceding financial year from
2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48,
we are not required to prepare an invoice in terms of the provisions of the said sub-rule.
Tax Invoice No : 16110024P0000415

IRDA Registration Number: 190

NIA PAN NUMBER: AAACN4165C

Policy No. : 16110044246500000019Document generated by 19589 at 20/04/2024 16:14:27 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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