Professional Documents
Culture Documents
4.6 Standard extensions of cover Please mark what is Aggregate limit Rs.
(Endorsements) desired
4.61 Existing Property Yes / No
4.62 Contractors’ Plant and Equipment Yes / No
4.63 Consequences of Faulty design
4.64 Expediting Costs
4.65 Airfreight
4.66 Riot & Strike
4.67 Maintenance (M): For Civil Works Visits / Extended
For Machinery Visits / Extended
4.7 Other extensions of cover (possibly by special
endorsement)
4.71 ……………………………………………
4.72 ……………………………………………
SUM INSURED
5 MATERIAL DAMAGE – Rs.
Detailed breakdown of values as per separate
enclosure
5.0 BUILDING AND CIVIL ENGINNERING WORKS
5.00 Permanent works - Is it included under 5.0 ? Yes / No
5.01 Temporary works - Is it included under 5.0 ? Yes / No
5.02 Principal’s suppliedf materials- Is it included Yes / No
under 5.0 ?
SUM INSURED– Building and Civil Engineering
(item 1 in the Schedule)
6 EXCESS Amounts
6.0 BUILDING AND CIVIL ENGINNERING WORKS
6.1 ERECTION WORKS
6.2 Testing/Commissioning (hot testing) Period,
Maintenance Period
6.3 Major or Special Perils
6.4 Existing Property
6.5 Contractors’ Plant and Machinery
6.6 Contractors’ Equipment, Camp with installations
7 PROJECT INFORMATION –
Complementary to 3 and 5
7.01 Is the project an extension of existing plant, Yes / No
building, construction, facility?
7.02 If yes – will operation of existing facilities Yes / No
continue
during construction and erection?
7.03 Existing Property details to be attached Description Limit
Layout
7.1 Previous Experience of Manufacturer(s) or
Contractor(s)
7.2 Subcontractor – Information
Subcontractors name
Previous experience
Subcontracted work Contract value
7.3 Civil Engineering Work
7.31 Will civil engineering work be completed before Yes / No
erection starts?
7.32 If no, for how many months will civil engineering
works be carried on in parallel?
7.4 Exposure to Perils of Nature
7.41 Rainy season From ………To…….. month &
Max. rainfall
7.42 Distance to nearest River (whether dry or
running),
Sea
Lake
7.43 Difference between Lowest plant level: elevation
and
Highest FloodLevel
7.44 Maximum wind velocity
Storm frequency- high medium low
7.45 Earthquake Zone details
8.0 Do parties to the contract have existing Third Party Liability policies which also cover the
activities for which the present insurance is proposed?
We hereby declare that the statements made by us in this Questionnaire are complete and true to the best
of our knowledge and belief and we hereby agree that this Questionnaire shall form the basis and be part of
any Policy or Policies, issued in connection with the above risk or risks. It is agreed that the Insurers shall be
liable in accordance with the terms of the Policy only and that the Insured will not lodge any other claim of
whatever nature.
Signature