COMMERCIAL GENERAL LIABILITY PREMIUM QUOTE

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INSURED DETAILS

NAME OF THE INSURED *

ADDRESS

GST NO.

WEBSITE

RISK LOCATION

INSURED'S BUSINESS / OPERATIONS

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POLICY DETAILS

LIMIT OF INDEMNITY (AOA)

AOA : AOY RATIO

LOI FACTOR (multiplier)

DEDUCTIBLE / RETENTION (₹)

POLICY FROM

POLICY TO

RETROACTIVE DATE

TERRITORY & JURISDICTION

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ANNUAL TURNOVER TO BE INSURED

TerritoryTurnover (₹)Rate ‰Premium (₹)

Rate is per ₹1,000 of turnover. USA & Canada exposure is rated highest.

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SUB-LIMITS

DAMAGE TO PREMISES RENTED (₹)

MEDICAL EXPENSE — ANY ONE PERSON (₹)

Personal & Advertising Injury limit equals the Limit of Indemnity.

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CLAIM EXPERIENCE (LAST 3 YEARS)

No Yes

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EXTENSIONS

COVERLOADING %PREMIUM (₹)

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TURNOVER SUMMARY

TOTAL TURNOVER INSURED ₹ 0 — LOI

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PREMIUM SUMMARY

TOTAL PREMIUM ₹ 0.00 Indian Rupees

Turnover Premium₹ 0.00

LOI Factor×1.00

Base Premium₹ 0.00

Extension Loading—

Net Premium₹ 0.00

GST @ 18%₹ 0.00

TOTAL PREMIUM₹ 0.00

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PREFERRED INSURANCE COMPANY

CLIENT'S PREFERRED INSURER

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PAYMENT

PHONE