at 'tiiji1frrtbll('tf~~~1 - srblpgtoa.comsrblpgtoa.com/pli2018/pli-35.pdf · 139...

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THE ORIENTAL INSURANCEhCOMPJUJlta~IMJ1ED cjGft~ltI ~~ q5jQfC14 Regd amp Head Office

-25127 ~ 3Q4 -n q ~ - 110002 A-2527 Asaf Ali Ro ad New De~ne~ ~wwworientallnuranceorgln At Visit us at wwworientali n suram~~i(i)fl)9

~~tIiJI1fR~~rtbll(tf~~~ 1 Address all com munications to ~on~~1~~i

LIABILITY INSURANCE (UNDER PUBLIC LIABILITY INSURANCE ACT 1991) POLICY SCHEDULE

Policy No 4547004820192279 PrevoPolicy No

Cover Note No Cover Note Date

Insureds Code 79232475 Issue Office code 454700

Insureds Name SOUTHERN REGION BULK LPGTRANSPORT OWNERS ASSOCIATION Ac Various

Issue Offi ce Name DO NAMAKKAL (GSTIN 33AAACT0627R3Z4)

Parties as per List attached (GSTIN 33AAGAS5195R1Z0)

Address 87SALEM ROAD Address KVA COMPLEX NAMAKKAL 637 001 90-A THURAIYUR ROAD

NAMAKKAL - 637001 NAMAKKAL TAMIL NADU 637001 NAMAKKAL TAMIL NADU 637001

TcllFaXEmail I 19442177088 I srblpgtoayahoocoin

TelFaxEmail 04286-220504 22250404286-2221041 454700orientalinsurancecoin

------------~~ JenUBroker Details

middotevOffCode NA0000002595 M SELVARAJU

AgenUBroker BA0000118557 RMOHAN M SELVAR JU Aodress 138A VAGURAMPATTYVASANTHAPURAMNArBMampiUf9ntAAi1iClliatIlDU637001

TelFaxEmail 94422270919442227091Nl The Oriental Insurance COltd NamakkaL Cell 9443251165

Period of Insurance FROM 1531 ON 271092018 TO MIDNI GHT OF 26092019

Collection No amp Dt CHQ 8935003291 - 271092018 GST INVOICE NO 331710920459 UIN 0

Gross Premium 81160 GST 14608 Stamp Duty 5 Total 176928

Co-insurance Details NIL

Nature of Business TRANSPORT OPERATIONS

Category of Industry GREEN Policy Purchaser Category Handler

Indemnity Umit Rs 5000000000 Any One Accident

Aggregate during the Policy Period (Not exceeding three times Rs _ of anyone accident of Indemnity Limit) 15000000000

Retroactive Date 271092019

Contribution to the 8116000 (i ncluded in the Total Premium)Environmental Relief Fund

TEHRITORYJURISDICTION INDIA IINDIA

i Ie Insurance under this policy is subject to terms and condition s given in Ihe policy attached here to

Specific Conditions if any SRBLPGTOA AC200 NUMBE R OF LPG TANKERS AS PER LIST ATTACHED

Excess NIL

Place NAMAKKAL For and on behalf ofIIIIII III I I~ 1111I111111 11 riental Insurance Company LimitedDate 27092018

This is an electronically generated document (Policy Schedule)The- shy oY~ Policy document duly stamped will be sent by post

Atul Sahai In case of any query regarding the Policy please call Toll

ll

~

I General Manager

IFree No 1800 11 8485 and 011 33208485 Authorised SignatoryI

~ CIN U66010DL1947GOI007158 All the Amounts mentioned in this poliey~g r I ri ian Rupees of 2

IRDA Regn No 556 - Now you can buy and renew selected e o~line at wwworientalinsuranceorgin

~

Attached to and forming part of policy number 4547004820192279

Financier Names are as per the list attached Not applicable

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void abinitio (from inception)

In witness whereof the unders igned being authorised by and on behalf of the Company hashave herein to set histheir hands at DO NAMAKKAL (GSTIN 33AAACT0627R3Z4) on 27TH DAY OF SEPTEMBER 2018

For and on behalf of Entered By

Examined By

M SELVARAJU

MR V AADHITHIYANATHAN Jfen~n Compn Umled

Atul Sahai Policy Printed By P10_DEMO IP General Manager

Policy Printed On 27-SEP-18 155716 MAC Authorised Signatory

IIIIIIIIIII~IIIII I IIII III I IRDAmiddotREGNO-S58

For and on behalf of t I Insurance Company Limited

Place NAMAKKAL

Date 27092018

This is an electronically generated document (Policy Schedule)The 09~ Policy document duly stamped will be sent by post

Atul Sahai

In case of any query regarding the Policy please call Toll General Manager

Free No 1800 11 8485 and 011 33208485 Authorised Signatory

CIN U6601 ODL 1947GOI007158 All the Amounts mentioned In th is policy are in Indian Rupees Page 2 of 2

IRDA Regn No 556 - Now you can buy and renew selected pol icies onl ine at wwworientalinsuranceorgin

5

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Pli lNSURANCE 35 ATIACHED TO AND FORMING PART OF POLICY NUMBER 454700482019 22-1~

1 KAOI AE5357 PPERUMAL KRMS LOR RY SERVICE

2 KAOIAE5359 PPERU MAL KRMS LOR RY SE RV ICE

3 TN04AJ2625 SBABY BALA TRANSPORTS

4 TN28AK7 593 S BABY BALA TRANSPORTS

TN 28AK7 893 SBABY BALA TRANSPORTS

6 KAOIAB5038 SANNADURAI BALA TRANSPORTS

7 TN28AJ 2259 SBABY BALA TRAN SPORTS

8 KAOIAH8589 KM URU GESAN SHANTHAM URUG AN TR ANSPORTS

9 KAOIAG8469 PKGAVESAN PKG TRANSPORTS

TN28BA3808 PK GAVESAN PKG TRANSPO RTS

11 RJ14GA0543 PKGAVESAN PKG TRANSPO RTS

12 KAOIAH0569 NELANGOVAN NE ROADLI NES

13 TN 28AH7085 NELANGOVAN NE ROADLINES

14 KA01AG2257 NELANGOVAN NE ROADLINES

UP53ET3385 NELAN GOVAN NE ROAD LI NES

16 UP53ET3386 N ELANGOVAN NE ROADLI NES

17 TN88C62 12 ESELVI NESTA CARRI ERS

18 TN88C6246 ESELVI NESTA CARRIERS

19 KA01AH1891 MAANO LOGISTICS FIRM MAANO LOGISTICS FIR M

KAO IAH03 16 M AANO LOGISTICS FIRM MAANO LOGISTICS FIRM

21 TN 88C5674 KSELVARAJ U SENTHI LRAJA LORRY SE RVICE

22 MH04J K7610 KSE LVAR AJU SENTHI LRAJA LORRY SE RVICE

23 TN28AJ 2659 PSUBRAMANIAN PRAGAN BULK CARRIER

24 TN88C3832 PSUBRAMANIAN PRAGAN BULK CARRIER

TN88C3834 PSUBRAMANIAN PRAGAN BULK CARRIER

26 M H04JK4097 PS UBRA M ANIAN PRAGAN BULK CARRIER

27 M H04JK5097 PSUBRAMANIAN PRAGAN BU LK CARRIE R

28 KA01C8557 KPALANISAMY RTM TR AN SPORT

29 KAOIC9772 KPALA NISAM Y RTM TRANSPORT

M H43BG7895 VS UBRAMANIAN VAT TRA NSPORTS

bull 31 M H43BG7995 VSU BRAMANIAN VAT TRANSPORTS

32 UPS3 ET3714 VSUBRAMANIAN VAT TRANS PORTS

33 MH43 BG 75 57 KTHAALAMUTHU SRI RAM TRANSPORT

34 MH43BG7859 KTHAALAMUTHU SRI RAM TRANSPO RT

UP5 3ET3688 KTHAALAMUTH U SRI RAM TRANSPORT

36 MH04GC8278 RJOHNSON JEYARAJ RAAJASEELI TRANSPORTS

37 MH43BG7368 RJO HNSON JEYARAJ RAAJASEELI TRANSPORTS

38 KA01AE5197 VSIVASAMY INDIRA BU LK CARRIERS

39 KA01AF5641 SSJAIPRAKAS H JP TRANSPORT

KA01AF1297 S SJAIPRAKASH JP TRANSPORT

41 KA01AF5643 SSJAIPRAKAS H JP TRANSPO RT

42 KA01AG~ ~A S SJAIPRAKAS H JP TRANSPORT

43 KA01A~ i~7 SSJ AIPRAKASH JP TRANSPORT

~ PERIOD OF INSURANCE 27092018 TO 26092019

ATTACHED TO AND FORMING PART OF POLICY NUMBER 45470048201922lor 44 KA01AG7101 SSJAIPRAKASH JP TRANSPORT

45 KA01AH0253 SSJAIPRAKASH JP TRANSPORT 46 TN88C5927 SSJAIPRAKASH JP TRANSPORT 47 TN88C6700 SSJAIPRAKASH JP TRANSPORT

48 MH04JK2577 PVEERAPPAN VP TRANSPORT

49 UP94T6035 RSELVAM VEL TRANSPORT

50 UP94T6016 AMADESWARAN PSA ROADLINES


52 KA01AH4171 SMADESWARAN VELAVAN LORRY SERVICE

(53) KAOlAH8671 SMADESWARAN KOWSHIK CARGO MOVERS

54 KA01AH8759 TCHANDRAMOHAN SRISRUTHITRANSPORT

55 KJAYAMANITN28BX0283 ROYAL ROADLINES

56 KAOlAG4973 MSELVARAJ SRI SELLANDIAMMAN TRANSPORT

57 TN88C6989 MKOLANDHAN MURUGAVILAS ROAD TRANSPORTS

58 TN88C7389 MKOLAflIDHAN MURUGAVILAS ROAD TRANSPORTS

59 KA01AG4943 MKOLAflIDHAN SRI CHENDUR MURUGAN TRANSPORT

60 NL01AA4112 KARTHIK MURUGESAN M MK LOGISTICS

61 NL01AA4116 KARTHIK MURUGESAN MMK LOGISTICS

62 MMK LOGISTICS

63

NL01AA4113 KARTHIK MURUGESAN

MMK LOGISTICS

64


MMK LOGISTICS

65


MMK LOGISTICS

66

KARTHIK MURUGESANNL01AA4118

RMS TRANSPORTS

67

MSELAVARAJUTN88C4929

RMS TRANSPORTS

68

MSELAVARAJUKA01AG5991

RMS LOGISTICS

69

KA01AE4897 NSASHOKRAJU

RMS LOGISTICS

70

NSASHOKRAJUKA01AE5396 RMS LOGISTICS

71


72

TN88A8445 NSASHOKRAJU

RMS LOGISTICS

73

NSASHOKRAJUKA01AE6093 SHREE ESSAR ROAD WAYS

74

SPS RAJATN36AR4542

K MUTHIYALU

75

KMUTHIYALUKA01AG8529 KIRUTHIGA ROADLINES

76

RMANIKANDAN KA01AH2016 SMT ROADLINES

77

PETIIKKANKA01AG7219 ANJNEYA TRANSPORT

78

PGANESANTN52W9870 ANJNEYA TRANSPORT

79

PGANESANKA01AG7275 ANJNEYA TRANSPORT

80

PGANESANTN28BC7583 VARSHANTH GAS CARRIER

81

PNATARAJANKA01AG8067 VARSHANTH GAS CARRIER

82

PNATARAJANKA01AG8068 KARUMALAIYAN TRANSPORT

83

SVIJAYALAKSHMIKA01AG6919 SELVA MOVERS

84

MSELVARAJKA01AG7877 SK TRANSLINES

85

SESWARAMOORTHY TN52X3817 SK TRANSLINES

86

SESWARAMOORTHYKA01AG7333 M RAMADEVI

87

MRAMADEVIAP09TA0465 MRAMADEVIM RAMADEVI AP31X8338

PERIOD OF INSURANCE 27 092018 TO 26092019 I

For Southern Region Bulk LPG Transport Qwnar Association ~ 21 o=affyen lHE ORIENTAlINS~ Jr

Vice President

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ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700482019 )~7lJ AP16TV4226 M RAMADEVI M RA MADEVI

AP04X2935 M RAMA DEVI MRAMADEVI

AP16TYl580 MSMALLI KARJ UNA RAO MSM Al Li KARJUNA RAO

AP04X2443 M5MALLI KA RJUNA RAO MS M ALLI KARJUNA RAO

TN88C6269 PRAJAVEL THENNAGAM TRANSPORTS

TN88C7376 OKPANNERSELVAM TH ENNAGAM TRANSPORTS

KA01AH7653 TSENTHILKUMAR HARISH BULK CARRIERS

KA01AG3535 MvIGNESH l M R TRANSPORT

KA01AG7598 SSENTHILKU MARAN SU N BRAN TECH

KA01AG7776 PDURAI RAJ SHRI MARIAM MAN BULK CARRIERS

KA01AG7267 NELANGOVAN ELANGO BULK CARRIER

TN88C6791 SMOHAN SMSampSONS BULK CARRIERS

UP94T6028 MGANAPATHY AJ ITH BULK CARRIER

KA01AH7498 KRANGISH DEE PAK KARTHIK TRANSPORT

KAOlAG2055 SPAVITHRA PN BU LK CARRIERS

KA01AG2755 M SE KAR PAVITHRA BULK CARRIER

TN88B8750 MSE KAR PAVITHRA BULK CARRIE R

NL01Q5264 MSEKAR PAVITHRA BULK CARRIER


AP31TH7592 M5EKAR PAVITHRA BU LK CARRIER

TN28BA6053 M SEKAR PAVITHRA BULK CARRIER

AP04Y9615 M SEKAR PAVITHRA BULK CARRIER

UP94T6033 M SEKAR PAVITHRA BULK CARRIER

UP94T6032 MSEKAR PAVITHRA BULK CARRIER


MH43BG7141 M5EKAR PAVITHRA BULK CARRIER

MH43BG7159 MSEKAR PAVITH RA BULK CARRIER

MH43 BG 7160 M SEKAR PAVITHRA BULK CARRIER

M H43BG7167 M SEKAR PAVITHRA BULK CARRIER

MH43BG 71 68 MSE KAR PAVITHRA BULK CARR IER

MH43BG7169 M SE KAR PAVITH RA BULK CARRIER

KA01AH8655 M SE KAR PAVITHRA BU LK CARRI ER

KA01AG3155 SVIJ AYA SVIJAYA

AP31TH7124 P MADURAIVE ERAN YES CAR RIERS

KA01AG9777 MV LAKSHM ANAN GHAVI ROADWAYS

KA01AG9772 MV LAKSHMANAN GHAVI ROADWAYS

KA01AG9771 M V LAKSHMANAN GHAVI ROADWAYS

KA01AD7635 PGUNASEKARAN RCS ROAD CAR R I E RS

KA01AD7875 PGUNASEKARAN RCS ROAD CARRIERS

KA01AF5398 PGUNASEKARAN RCS ROAD CARRIERS

KA01AH1985 PGUNASEKARAN RCS ROAD CARRIERS

KA01AD7625 PGUNASEKARAN RCS RO AD CARRIERS

KA01AG6298 KPALANISAMY RCS ROAD CARRIERS

KA01AH1798 PG UNASE KARAN RCS ROAD CAR RIERS

PERIOD OF INSURANCE 27092018 TO 26092019

IV THE ORIENTAL I~ SU For Southern Region Bulk lPG Transport Owners Association

N Y-c ~ 4-shy

ATIACHED TO AND FORMING PART OF POLICY NUMBER 4547004820192-2-71 132 KA01C9229 K PALA NISAMY RCS ROAD CARRIERS

133 KAO I AC3934 KPALANISAMY RCS ROAD CARRIE RS

134 TN88C6679 NBASKARAN SNTRANSPORTS



137 KA01AH0849 PGOPALAKRIS HNAN SRI LAKS HM I TRA NSPORTS

138 KA01AH0796 JPREMALATHA SRI LAKSHMI TRANSPORTS

139 KA01AH4195 VSAMPATH KUMAR SR I LAKS HMI TRANSPORTS

140 KAOIAH4194 ADHARMALIN GAM SRI LAKSHMI TRANSPORTS

141 KA01AH0334 R RAJ MOHAN NAVALADIAN TRANSPORT

142 KA01AH0343 RSELVARAJ VANG LI TRANSPORT

143 KA01AH0344 RSELVARAJ VANGLI TRANSPORT


145 KA01AH0226 PRAVIKUMAR PRK TRANSPORTS

146 TN59AS8064 SM ANI JH BULK CARRI ERS

147 KA01AG8875 SM ANI JH BULK CARRI ERS

148 GJ06AV6722 GBABY SRI ANURUDHRA TRANSPORTS

149 M H04EY7254 JANAND SRI DHARUN TRANSPORTS

150 KA01AG4070 PSSUBRAMANIAN SRI SOLIAM M AN TRANSPORTS

151 TN28AQ7050 VSELLAPPA SAAIRAM GAS CARR IERS

152 KA01AG9201 PONNE PRODUCT EXPORTS PONNE PRODUCT EXPORTS

153 NL01AA2504 K5INGARAJ KSINGARAJ

154 TN28AJOO54 S PARTHIBAN NEETHU amp CO

155 KA01AG2787 SPARTH IBAN NEETHU ampCO

156 TN88A8466 SPARTHIBAN NEETHU ampCO

157 TN 28AE6915 S PARTHIBAN NEETHU ampCO

158 KA01 D4730 SPARTHIBAN NEETHU ampCO

159 TN88A9673 NNACHIMUTHU NNN TRANSPORTS

160 TN88C4673 NNACHIMUTHU NNN TRANSPORTS

161 TN88B6773 NNACHIMUTHU NNN TRANSPORTS


163 TN88C6591 CSIVAKUMAR SUN BULK CARRI ERS

164 MH04JK3066 CSIVAKUMAR SUN BU LK CARRI ERS

165 M H04JK3166 CSIVAKUMAR SUN BULK CARRIERS

166 KA01AH7587 STAM ILMANI SVS ROADWAYS

167 TN88C3191 M MARAPPAN SRI SELLANDIAMMAN

168 TN28AD3555 MMARAPPAN SRI SELLANDIAMMAN

169 TN888597 M VASANTHA SRI SELLANDIAMMAN

170 KA01AG7398 M MARA PPAN SRI SELLAN DIAM MAN 171 KAOIAG3577 PMANIKUMAR MURUGAVILAS GOLDEN TRANS PORTS

172 KA01AG 2109 SRAMASAMY M SR TRANS PORT

173 KAOlAG4309 SRAMASAMY MSR TRANSPO RT

174 KA01AG12 12 KPON NUSAMY PALANIANDAVAR BULK CARRI ER

175 TN886846 KPO NNUSAMY KGP TRANSPORTS


For Southern Region Bulk LPG rwTHE ORlrNTAL INSURArJG~ ~O lf~ Trun5port pwners Association ~

k - ampc=-= ~ ~

ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700482019 -2-7q 176 KAOIAG9112 N PVIGNESH NPVIGNESH

177 KAOI AG4349 P LAKSH MANAN PALANI M URUGAN TRANSPORT

178 KAOIAH4241 B PARVATHI B PARVATHI

179 KAOIAH4252 BPARVATHI BPARVATHI

180 TN56L1976 SPSELVARAJ SAKTHILAKSHM I TRANSPORT

181 AP31TF7992 BSATYANARAYANA BSATYANARAYANA

182 KAOIAG3346 STAMILSELVAN SATHISH TRA NSPORT

183 KAOI AG7684 MMOHAN SM LORRY SERVICE

184 KAOIAG7898 M MOHAN SM LORRY SERVICE

185 KAOIAD2116 MM OHAN SM LORRY SERVI CE

186 KA01AE6484 M MOHAN SM LORRY SERVICE

187 MH46H3637 MMOHAN SM LORRY SERVICE

188 MH43Y6345 M MOHAN SM LORRY SERVICE

189 MH43Y2674 M BALASUBRAMANI SM TRANSPORTS


191 KAOIAG9685 SBASKER SB TRANSPORT


193 TN28AM1159 CSE KAR SB TRANSPORT

194 TN88C3076 CSEKAR SB TRANSPORT

195 TN88B7959 SBASKER S8 TRANSPORT

196 KA01AA9379 R RAJA RAJAMURUGAN ROADWAYS

197 KAOIAA9479 RRAJA RAJAMURUGAN ROADWAYS

198 KAOIAH11 66 RGAN ESAN RAJAMURUGAN ROADWAYS

199 KAOIC9842 RGAN ESAN RAJAMURU GAN ROADWAYS

200 KAOIAG 2489 RGANESAN RAJAMURU GAN ROADWAYS


Region Bulk LPG For southetrno~rs Association A TransMmiddot ~~

Vie President

Attached to and forming part of policy number 4547004820192279

Financier Names are as per the list attached Not applicable

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void abinitio (from inception)

In witness whereof the unders igned being authorised by and on behalf of the Company hashave herein to set histheir hands at DO NAMAKKAL (GSTIN 33AAACT0627R3Z4) on 27TH DAY OF SEPTEMBER 2018

For and on behalf of Entered By

Examined By

M SELVARAJU

MR V AADHITHIYANATHAN Jfen~n Compn Umled

Atul Sahai Policy Printed By P10_DEMO IP General Manager

Policy Printed On 27-SEP-18 155716 MAC Authorised Signatory

IIIIIIIIIII~IIIII I IIII III I IRDAmiddotREGNO-S58

For and on behalf of t I Insurance Company Limited

Place NAMAKKAL

Date 27092018

This is an electronically generated document (Policy Schedule)The 09~ Policy document duly stamped will be sent by post

Atul Sahai

In case of any query regarding the Policy please call Toll General Manager

Free No 1800 11 8485 and 011 33208485 Authorised Signatory

CIN U6601 ODL 1947GOI007158 All the Amounts mentioned In th is policy are in Indian Rupees of 2

IRDA Regn No 556 - Now you can buy and renew selected pol icies onl ine at wwworientalinsuranceorgin

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MMK LOGISTICS

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MMK LOGISTICS

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RMS TRANSPORTS

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RMS TRANSPORTS

68


RMS LOGISTICS

69


RMS LOGISTICS

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RMS LOGISTICS

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SPS RAJATN36AR4542

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Vice President

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MMK LOGISTICS

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RMS TRANSPORTS

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RMS LOGISTICS

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RMS LOGISTICS

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Vice President

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Vice President

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Vie President




























Vie President

at ~~'tiiji1fr~~rtbll('tf~~~1 - srblpgtoa.comsrblpgtoa.com/pli2018/pli-35.pdf · 139...

Documents

at 'tiiji1frrtbll('tf~~~1 - srblpgtoa.comsrblpgtoa.com/pli2018/pli-35.pdf · 139...