FIRE INSURANCE QUOTE

RISK CODE * RISK TYPE Simple Complex Hazardous COMMUNICATION ADDRESS RISK LOCATION

SUM INSURED BASIS Single Location Floater — Single Sum Insured (multiple locations) Floater — Location-wise Sum Insured

Tick every protection in place at the risk location. These are printed on the quotation and sent with the proposal.

Fire extinguishers Smoke alarms installed on every level Other fire and safety measures

OCCUPANCY CATEGORY Not listed / general occupancy Manufacturing / Industrial units Chemical and Petrochemical industries Plastic, Rubber and Foam manufacturing Textile and Garment manufacturing Paper and Packaging industries Warehouses / Storage risks Steel and Metal manufacturing Engineering / Machinery manufacturing Hotels, Malls and large Commercial establishments Other high-hazard occupancies Silent risks INSPECTION / RISK REMARKS