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Endorsement Schedule Policy Details The New India Assurance Co Ltd, LCBO 930000 301, 3rd Floor, LSC-RG City Centre, Block-B, Lawrence Road, Delhi-110035 Email: [email protected] Website: www.newindia.co.in ENDORSEMENT SCHEDULE POLICY DETAILS: POLICY NO 93000011190800000019 PERIOD : 15.09.2019 TO 14.09.2020 TYPE OF POLICY INTEGRATED ALL RISK PACKAGE POLICY INSURED INDIANOIL LNG PRIVATE LIMITED KATTUPALLI VILLAGE PART OF ADDRESS PUZHUTHIVAKKAM VILLAGE, INSIDE KAMRAJ PORT VALLUR POST, PONNERI, TIRUVALLUR, TAMIL NADU PONNERI ,TAMIL NADU, 601204 GSTIN NO 33AADCI8593E1ZG POLICY ISSUING OFFICE LCBO-930000, 301 ,3rd FLOOR, R.G.CITY CENTRE LAWRENCE ROAD , DELHI -110035. NIA GSTN NO 07AAACN4165C1ZT ENDORSEMENT DETAILS: ENDORSEMENT SR. NO. 01 ENDORSEMENT NO. 93000011190882000001 EFFECTIVE DATE 01.10.2019 Regd & Head Office: New India Assurance Building, 87, Mahatma Gandhi Road, Fort, Mumbai – 400001 The New India Assurance Co Ltd, LCBO 930000 301, 3rd Floor, LSC-RG City Centre, Block-B, Lawrence Road, Delhi-110035 Email: [email protected] Website: www.newindia.co.in ADDITIONAL SUM INSURED Details as mentioned below ENDORSEMENT PREMIUM (100%) Rs. 42,73,255.00 IGST @ 18% Rs. 7,69,186.00 TOTAL ENDORSEMENT PREMIUM INCL. Rs.50,42,441.00 OF GST COLLECTION NO ,93000081190000006190 COLLECTION DATE Dt. 15.09.2019 ENDORSEMENT REASON : Notwithstanding anything contained herein to the contrary it is hereby declared and agreed with effect from 01.10.2019, the policy is amended for following Additions : Sum Insured in Rate per mine Rate per mice Pro-rata S,No Division Asset details INR (Asset) (Stock) Premium Assets Stock 1 IOLPL LNG Storage Tank 2 7742700000 0.523 3872408 2 IOLPL Stock at Tank 2 2149600000 0.195 400848 Total 7742700000 2149600000 4273255 For The New India Assurance Co Ltd Authorised Signatory Regd & Head Office: New India Assurance Building, 87, Mahatma Gandhi Road, Fort, Mumbai – 400001 The New India Assurance Co Ltd, LCBO 930000 301, 3rd Floor, LSC-RG City Centre, Block-B, Lawrence Road, Delhi-110035 Email: [email protected] Website: www.newindia.co.in IRDA Registration Number: 190 OPERATIONAL LARGE RISK INSURANCE POLICY Insured's Name : INDIANOIL LNG PRIVATE LIMITED Insured's Details Issuing Office Details Customer ID : PO71413092 Office Code : Delhi LCO 930000 (930000) Address : SURVEY NO. 7/3B, 7/3B PART Address : 301,R.G.CITY KATTUPALLI VILLAGE PART OF CENTER LSC, PUZHUTHIVAKKAM VILLAGE, BLOCK B, INSIDE KAMRAJ PORT LAWRENCE ROAD VALLUR POST, PONNERI, NEW DELHI,110035 TIRUVALLUR, TAMIL NADU DELHI , 110035. PONNERI ,TAMIL NADU, 601204 Phone No : Phone No : 27196509 / 27196510 E-mail/Fax : E-mail/Fax : PAN No : AADCI8593E S.Tax Regn. No : AAACN4165CST178 GSTIN/UIN : 33AADCI8593E1ZG / NA GSTIN : 07AAACN4165C1ZT : SAC : 997139 (Other non-life insurance services excl RI) Policy Details Policy Number : 93000011190800000019 Business Source Code Period of Insurance : From:15/09/2019 12:00:01 AM Dev.Off. : DIRECT BUSINESS - To:14/09/2020 11:59:59 PM level/Broker/Corp. Agent (2D10673925) Date of Proposal : 15-Sep-19 Agent/Bancassurance/ : SPECIFIED PERSON Prev. Policy no. : Phone No : NA / NA Client Type : Corporate E-mail/Fax : / / / Financier(s) Details Sl.No. Name of the Financiers 1 SBICAP TRUSTEE COMPANY LIMITED Financial Institutions : SBICAPTRUSTEE CO.LTD Premium: GST: Total (`) Rupees (in words) Receipt No. & Date: 31210130 5617824 36827954 Rupees Three crores Sixty 930000811900 Eight Lacs Twenty Seven 00005 Thousand Nine Hundred 402 & 403 - Fifty Four Only 27/09/19 Regd & Head Office: New India Assurance Building, 87, Mahatma Gandhi Road, Fort, Mumbai – 400001 Co-Insurance Details Incoming/Outgoing Company Office Code % of Share Premium Share (`) OUT BAJAJ ALLIANZ GENERAL 001000_Head Office 7.5 2282241 INSURANCE CO. LTD. Pune OUT ICICI LOMBARD GENERAL ICL900_ICL900 12.5 3803735 INSURANCE CO. LTD. OUT NEW INDIA ASSURANCE CO. Delhi LCO 930000 60 12171951 LTD. OUT THE ORIENTAL INSURANCE 510000_CBRO 2.5 6085976 CO. LTD. DELHI OUT UNITED INDIA INSURANCE CO. 500300_500300 17.5 6085976 LTD. Locations covered under the policy Location 1 IOLPL, PUZHUTHIVAKKA, IOLPL, TIRUVALLUR - 601204 Location Section I - PD Section II - MB Section III - FLOP Section III - MLOP Location 1 34690700000 30564900000 13608200000 13608200000 Total Sum Insured Section I Property Damage (PD) - All Risks except 34690700000 Machinery Breakdown Section II Property Damage (PD) - Machinery 30564900000 Breakdown Section III Business Interruption (BI) due to Section 13608200000 I(Indemnity period -15) Section IV Business Interruption (BI) due to Section 13608200000 II (Indemnity period -15) Deductible Section I Property Damage (PD) - All Risks except AS AGREED Machinery Breakdown Section II Property Damage (PD) - Machinery AS AGREED Breakdown Section III Business Interruption (BI) due to Section AS AGREED I Section IV Business Interruption (BI) due to Section AS AGREED II Premium and GST details : S.NO PREMIUM IGST TAX INVOICE NO DATED 1 30429877 5477378 93000019P0010933 27.09.2019 2 780253 140446 93000019P0010938 27.09.2019 For The New India Assurance Co Ltd Authorised Signatory Regd & Head Office: New India Assurance Building, 87, Mahatma Gandhi Road, Fort, Mumbai – 400001 HDFC ERGO General Insurance Company Limited August 20, 2019 INDIAN OIL CORPORATION LIMITED SCOPE COMPLEX, CORE -2, 7, INSTITUTIONAL AREA, LODHI ROAD, NEW DELHI-110003 Dear Customer, Sub: Terrorism Suraksha Classic Policy No: 2999202349659801000 We thank you for having preferred us for your Insurance requirements. We at HDFC ERGO General Insurance believe “Insurance” as not only to be an assurance to indemnify in the event of unfortunate circumstances, but one that signifies protection and support, which you can count on when you need it most. The Insurance Policy enclosed herewith is a written agreement providing confirmation of our responsibility towards you that puts insurance coverage into effect against stipulated perils. Please note that the policy has been issued based on the information contained in the proposal form and / or documents received from directly from you or though the Intermediary. Name of the Intermediary: NA Intermediary Code: NA Where the proposal form is not received, information obtained from you or your representative /broker, whether orally or otherwise, is captured in the policy document. If you wish to contact us in reference to your existing policy and /or other general insurance solutions offered by us, you may write to our correspondence address as mentioned below. Alternatively, you may visit our website www.hdfcergo.com . To enable us to serve you better, you are requested to quote your Policy Number in all correspondences. Thanking you once again for choosing HDFC ERGO General Insurance Company Limited and looking forward to many more years of association. Yours Sincerely, Authorized Signatory 2999202349659801000 Page 1 of 35 HDFC ERGO General Insurance Company Limited (Formerly HDFC General Insurance Limited) UIN IRDAN125P0014V01200203 | IRDAI Reg No.146 | CIN : U66030MH2007PLC177117 Registered & Corporate Office: Customer Service Address: Customer Service no : 022 - 6234 6234 / 0120 - 6234 6234 1st Floor, HDFC House, 165/166 Backbay Reclamation, D 301, 3rd Floor, Eastern Business District (Magnet Mall), Telephone: 022 6638 3600 Fax : 022 6638 3699 H.T.Parekh Marg, Mumbai - 400 020 LBS Marg, Bhandup (West), Mumbai - 400 078 Email : [email protected] HDFC ERGO General Insurance Company Limited TERRORISM INSURANCE PHYSICAL LOSS OR PHYSICAL DAMAGE WORDING TABLE OF CONTENTS Title Section Schedule 1 Insuring Clause 2 Losses Excluded 3 Property Excluded 4 Conditions 5 2999202349659801000 Page 2 of 35 HDFC ERGO General Insurance Company Limited (Formerly HDFC General Insurance Limited) UIN IRDAN125P0014V01200203 | IRDAI Reg No.146 | CIN : U66030MH2007PLC177117 Registered & Corporate Office: Customer Service Address: Customer Service no : 022 - 6234 6234 / 0120 - 6234 6234 1st Floor, HDFC House, 165/166 Backbay Reclamation, D 301, 3rd Floor, Eastern Business District (Magnet Mall), Telephone: 022 6638 3600 Fax : 022 6638 3699 H.T.Parekh Marg, Mumbai - 400 020 LBS Marg, Bhandup (West), Mumbai - 400 078 Email : [email protected] HDFC ERGO General Insurance Company Limited Section 1 SCHEDULE This Schedule forms part of the Wording and for the purposes of interpretation, the contents of this Schedule shall have meaning only as provided for in the Wording. Policy Number: 2999202349659801000 INDIAN OIL CORPORATION LIMITED Name of Insured: SCOPE COMPLEX, CORE -2, 7, Correspondence INSTITUTIONAL AREA, Address: LODHI ROAD, NEW DELHI-110003 Intermediary: NA Period of Insurance: Effective From: 01/08/2019 00:01 hrs To 31/07/2020 Midnight Description of As Per Annexure A Property Insured: Risk Location As Per Annexure A Address: Financial Details NA (Hypothecation) 2999202349659801000 Page 3 of 35 HDFC ERGO General Insurance Company Limited (Formerly HDFC General Insurance Limited) UIN IRDAN125P0014V01200203 | IRDAI Reg No.146 | CIN : U66030MH2007PLC177117 Registered & Corporate Office: Customer Service Address: Customer Service no : 022 - 6234 6234 / 0120 - 6234 6234 1st Floor, HDFC House, 165/166 Backbay Reclamation, D 301, 3rd Floor, Eastern Business District (Magnet Mall), Telephone: 022 6638 3600 Fax : 022 6638 3699 H.T.Parekh Marg, Mumbai - 400 020 LBS Marg, Bhandup (West), Mumbai - 400 078 Email : [email protected] HDFC ERGO General Insurance Company Limited Narrative Policy Section Business Interruption Total Insured Property Damage Occupation Value Value
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