the oriental insurance company limitedsrblpgtoa.com/pli2018/pli-2.pdf · cover note no....
TRANSCRIPT
Cover Note No.
Insured's Code
Insured's Name
Address
THE ORIENTAL INSURANCE COMPANY LIMITED Regd. & Head Office: A-25/27, Asaf Ali Road, New Delhi - 110002.
Cover Note Date
, 79232475 Issue Office code 454700 SOUTHERN REGION BULK Issue Office Name : DO NAMAKKAL (GSTIN: L,P,G,TRANSPORT OWNERS 33AAACT0627 R3Z4) ASSOCIATION A\c: Various Parties as per List attached (GSTIN: 33AAGAS5195R1Z0)
87,SALEM ROAD Address KVA COMPLEX, NAMAKKAL 637 001 90-A, THURAIYUR ROAD,
NAMAKKAL - 637001
NAMAKKAL TAMIL NADU 637001 NAMAKKAL TAMIL NADU 637001 Tel.lFax/Email I 19442177088 I Tel.lFax/Email 04286-220504 , 222504 I 04286-222104 I
srblpgtoa@yahoo,co,in 454700@orientalinsurance,co,in
AgenUBroker Details
Dev.Off.Code : NA0000002595 M SELVARAJU
Agent/Broker : BA0000118557 R.MOHAN M. SELVARAJU Address ; 1/38A, VAGURAMPATTY"VASANTHAPURAM,NAMAKKAL,SALEM,TAMIL NADu,637da~s jness ASSOciat~ Tel/Fax/Email : 9442227091/944222709111Nt The OnentallnsUfaNCe C II
Namakkal _Gell . g4 o. ld. , Period of Insurance ,FROM 00:00 ON 22/01/2018 TO MIDNIGHT OF 21/01/2019 • • 43251165. Collection No, & DL CHQ 8935005335 - 18/01/2018 GST INVOICE NO :331610116404
Gross Premium 81,160 GST 14608 Stamp Duty ,5 Total: 176,928
Co-insurance Details NIL
Nature of Business TRANSPORT OPERATIONS
Category of Industry GREEN Policy Purchaser Category: Handler
Indemnity Limit Rs, 5,00,00,000,00 Any One Accident
Aggregate during the Policy Period (Not exceeding three times Rs, of anyone accident of Indemnity LimiL) 15,00,00,000,00
Retroactive Date 11/01/2018
Contribution to the 81,160,00 (included in the Total Premium) Environmental Relief Fund
TERRITORY/JURISDICTION: INDIA I INDIA
The Insurance under this policy is subject to terms and conditions given in the policy attached here to,
spe~COnditiOnS if a~ SRBLPGTOA A\C:200 NUMBER OF LPG TANKERS AS PER LIST ATTACHED
Excess: Kttb..
Place' NAMAKKAL For and on behalf of 11 11!~ll llnl lllillll llllll lllllll ~i I IIIIII~II IIIIII itedDate 11/01/2018 IRDA-RE;GN0-55e
In case of any query regarding the Policy please ca l Free No, 1800118485 and 011 33208485,
CIN U66010DL 1947GOI007158 All the Amounts m Page 1 of2
Attached to and forming part of policy number 454700/48/2018/3618
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 undersigned being authorised by and on behalf of the Company has/have herein to set his/their hands at DO NAMAKKAL (GSTIN: 33AAACT0627R3Z4) on 11TH DAY OF JANUARY 2018
For and on behalf of Entered By M. SELVARAJU The Oriental Insurance Company Limited
Examined By MR V. AADHITHIYANATHAN
Policy Printed By : 426865
Authorised Signatory ,.- Policy Printed On : 18-JAN-18 12:31:48
Place: NAMAKKAL For and on behalf ofI~~IIII~UIIII~ I~ Date: 11/01/2018 IROA·RE~;NO-!iSil
In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U6601 ODL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 2
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
PLiINSURANCE 2 ATIACHED TO AND FORMING PART OF POLICY NUM BER 454700/48/2018/ 3b IB
1 TN28M2152 P.SRINIVASAN JP LORRY SERVICE
2 KA01AG8087 P.SRINIVASAN JP LORRY SERVICE
3 KA01C9608 P.VAIYAPURI ARULLAXIMI GAS TRANSPORTS
4 TN28AH9879 S.PALANIAPPAN SPN BULK CARRIERS
5 TN45AE1067 S.PALANIAPPAN SPN BULK CARRIERS
6 TN28AH7130 M .VADIVEL SPN BULK CARRIERS
7 TN48R7545 S.T.BABU SBT TRANSPORTS
8 TN88C2497 S.T.BABU SBT TRANSPORTS
9 TN45AJ4867 M .VADIVEL RPA TRANSPORTS
10 TN88C3801 K.VAIYAPURI VANGALAMMAN TRANSPORTS
11 TN88C3803 K.VAIYAPURI VANGALAMMAN TRANSPORTS
12 TN28AJ2097 P.NATARAJAN PSN TRANSPORT
13 TN28AJ3097 P.NATARAJAN PSN TRANSPORT
14 TN28AJ3785 P.PARTHIBAN SJP TRANSPORT
15 TN04AH8476 P.5ENTHIL KUMAR ARS GAS CARRIERS
16 KA01AG7039 P.SUBBRAMANIYAM SHAKTHI MURUGAN ROADWAYS
17 KA01AG6897 P.SUBBRAMANIYAM SHAKTHI MURUGAN ROADWAYS
18 KA01AF4097 P .SU BBRAMAN IYAM SHAKTH I MURUGAN ROADWAYS
19 MH09BC5997 P .SUBBRAMANIYAM SHAKTHI MURUGAN ROADWAYS
20 KA01AG7132 P.SUBBRAMAN IYAM SHAKTHI MURUGAN ROADWAYS
21 TN45BA6739 C.NATARAJAN THOTIIYATHAN LORRY SERVICE
22 TN45AJ4267 P.BUVANESWARI MONISH ROADLINES
23 TN88A9697 R.HEMACHAND RAN JAYALAKSHMI TRANSPORTS
24 KA01AA6275 R.HEMACHANDRAN KRS TRANSPORTS
25 KA05AC5807 R.5AKUNTH ALA KRS TRANSPORTS
26 TN28AC8629 R. H EMACHAN DRAN SIVASAKTHI ROAD WAYS
27 TN28AC8650 R.H EMACHAN DRAN SIVASAKTHI ROAD WAYS
28 KAOI AH1499 R.HEMACHANDRAN SIVASAKTHI ROAD WAYS
29 KA01AH4099 R.HEMACHANDRAN SIVASAKTHI ROAD WAYS
30 TN28AC4266 V.PERIASAMY RAM ROADWAYS
31 TN28AJ4349 V.PERIASAMY RAM ROADWAYS
32 TN 28BA9996 K.M.RAMASAMY RAM ROADWAYS
33 KA01AG6943 K.M.RAM ASAMY RAM ROADWAYS
34 TN28AH9671 K.P .SARAVANAN KPSARAVANAN TRANSPORTS
35 TN28AH2153 K.BALACHANDAR SELLAPPAA TRANSPORT
36 TN28AH2253 K. BALACH AN DAR SELLAPPAA TRANSPORT
37 TN28AC8494 B.JAYANTHI SELLAPPAA TRANSPORT
38 KA01AG9453 K.BALACHANDAR SELLAPPAA TRANSPORT
39 KA01AH0453 K. BALACHAN DAR SELLAPPAA TRANSPORT
40 KAOIAG7173 S.KARUPPAN NAN SELLAPPAA TRANSPORT
41 KAO~AD3252 S.KA RU PPAN NAN SELLAPPAA TRANSPORT
42 TN 28AJ0902 S.KAR UPPANNAN SELLAPPAA TRANSPORT
43 TN28AF7410 K. PRABAHAR SRI YOGI RAM ROADWAYS
44 TN28AF7510 K.PRABAHAR SRI YOGI RAM ROADWAYS
PERIOD OF INSURANCE 22/01/ 2018 TO 21/01/2019
,., Or Sourheru Rc I' Transport Own MI~n Hull. L.Il.G 1
c~ ASSOl'iu'~on,
ATTACHED TO AN D FORMING PART OF POLICY NUMBER 454700/48/2018/ 3(,' 8 45 TN28AF7610 K.PRABAHAR SRI YOGI RA M ROADWAYS
46 TN28AF7310 K.PRABAHAR JAYALAKSHMI TRANSPORTS
47 TN886217 P.BALAN VAISHALI BULK CARRIER
48 TI\J88C3895 P.BALAN VAISHALI BULK CARRIER
49 TN28AF7210 P.BALAN RAAJAM AGENCIES
50 TN28AJ3515 P.VEE RAPPAN VP TRANSPORT
51 KA01AE5698 P.VEE RAPPAN VP TRANSPORT
52 KA01AG7558 P. VE ERAPPAN VP TRANSPORT . 53 KA01AH1977 P.VEERAPPAN VP TRANSPORT
54 TN28AP9986 T.5IVAKUMAR PUSHPAVALLI LO RRY SERVICE
55 TN28AD4723 T.S IVAKUMAR PUSHPAVALLI LORRY SERVICE
56 TN46J4523 T.SIVAK UM AR PUSHPAVALLI LO RR Y SERVICE
57 KA01AD2719 T.SIVAKUMAR PU SHPAVALLI LORRY SERVICE
58 TN886196 R.SELVAM VEL TRANS PORT
59 TN28AH3283 S.MADHESWARAN VELAVAN LORRY SERVI CE I, 60 TN28AH3105 A. MADESWARA N PSA ROADLIN ES
61 KAOI AG6469 A. MADESWARAN PSA ROADLINES
62 KAOIAG6471 A.M ADESWARAN PSA ROADLINES
63 KAO IAG7494 C. SAKTHIVEL KRMS LORRY SE RVICE
64 KAOIAG7499 C.SAKTHIVEL KRMS LO RRY SERVIC E
65 KA01AG7519 C. SAKTHIVEL KR MS LORRY SE RVICE
66 KA21A1859 C.SAKTHIVEL KRMS LO RRY SERVICE
67 TN886359 C.SAKTHIVEL KR MS LO RRY SERVICE
68 KA51A1569 C. SAKTH IVEL KRMS LORRY SERVICE
69 KA51 A1575 C. SAKTHIVEL KRMS LORRY SERVICE
70 TN28AJ9355 C. SAKTHIVEL KR MS LORRY SERVICE
71 KA01AD3 450 C. SAKTHIVEL KRM S LORRY SERVICE
72 KAOIAF6359 C.SAKTHIVEL KRMS LORRY SERVICE
73 TN28AJ4159 K.SELVARAJU SHRI GANAPATHY GAS CARRIER
74 KAO IAG9967 C.SAKTH IVEL MAHA GANAPATHI GAS CARRIER
75 TN 884559 C.SAKTHIVEL MAHA GANAPATHI GAS CARRIER
76 TN28AJ2959 C.SAKTH IVEl MAHA GANAPATHI GAS CARRIER
77 TN28AJ4259 C.SAKTH IVEL MAHA GANAPATH I GAS CARRIER
78 TN20BS8263 M .THANGAVEL SRI SIVASAKTH I TRANSPORTS
79 TN20BX5612 M.THANGAVEL SRI SIVASAKTHI TRANSPORTS
80 TN28BB7683 M.MANIYARAN VEL BULK CARRIERS
81 TN28AJ 1861 N.GANESAN NG KRISHNAVENI TRANSPORTS
82 KA402274 D.SIVAKUMAR GOKUL ROADWAYS
83 TN28BB6959 D.5IVAKUMAR SIVA TRANSPORT
84 KL09AJ 9959 N.MUTHUSAMY PARI TRANSPORTS
85 TN28AJ5 7SS K.RAJA PARI TRANSP ORTS
86 KL09AM4759 K.RAJA PARI TRANSPORTS
87 TN 28AH9481 N.RAMASAMY VTC TRANSPORTS
88 KAOIAD2928 N.RAMASAMY VTC TRANSPORTS
89 TN28AC8736 R.BHARATHI KAMATCHI VILAS TRANSPORT
PERIOD OF INSURANCE 22/01/2018 TO 21/ 01/2019
tIll, .~ 'Ir' ' 1'1' 1.. · · : 1'I su n 'n Rcv,il'" null, L.P.G . laIl HE URI ElHAl N , . ~ For Southel rs Assm.' i11l inn,TrJlJU~J)orl own e
rv~~
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2018/3bI8 90 TN886013 M. SELVARAJU RMS TRANSPORTS
91 TN886014 M. SELVARAJU RMS TRANSPORTS
92 TN886015 M . SELVARAJU RMS TRANSPORTS
93 TN886016 M. SELVARAJU RMS TRANSPORTS
94 TN886017 M. SELVARAJU RMS TRANSPORTS
95 TN886018 M. SELVARAJU RMS TRANSPORTS 96 TN886019 M. SELVARAJU RMS TRANSPORTS
97 TN886021 M. SELVARAJU RMS TRANSPORTS
98 TN886022 M. SELVARAJU RMS TRANSPORTS
99 TN886023 M. SELVARAJU RMS TRANSPORTS
100 TN886024 M. SELVARAJU RMS TRANSPORTS
101 S. MALARKODI RMS TRANSPORTS
102
TN886025
RMS TRANSPORTS
103 TN886026 M. SELVARAJU
TN48Y1444 RMS TRANSPORTS
104
M. SELVARAJU
KA01C9544 RMS TRANSPORTS
105
M. SELVARAJU
KA01C9553 M . SELVARAJU RMS TRANSPORTS
106 M. SELVARAJU RMS TRANSPORTS
107
KA01C9554
RMS TRANSPORTS
108
M. SELVARAJUTN88C4929
RMS TRANSPORTS
109
KA01AE4879 NS. ASHOKRAJU
RMS TRANSPORTS
110
KAOlAE0897 M. SE LVARAJU
RMS TRANSPORTS
111
M. SELVARAJUKA01AE8996
RMS TRANSPORTS
112
NS. ASHOKRAJUTN88A8445
RMS TRANSPORTS
113
NS. ASHOKRAJUHR63C6685
ASHOK ROAD LINES
114
M . SELVARAJUKA01AF8097 ASHOK ROAD LINES
115
M . SELVARAJUTN88C4939
ASHOK ROAD LINES
116
M. SE LVARAJUTN88C4925 ASHOK ROAD LINES
117
M. SE LVARAJUTN88C4935 ASHOK ROAD LINES
118
M. SELVARAJUTN88C4928 ASHOK ROAD LINES
119
M. SELVARAJUTN88C4943 P.RAJU
120
P.RAJUKA01AG9713 P.RAJU
121
P.RAJUKA01AG9714 P.RAJU
122
P.RAJUKA01AF5632 P.RAJU
123
P.RAJUKA01AF5635 P.RAJU
124
P.RAJUKA01AF5636 P.RAJU
125
P.RAJUKA01AF5637 P.RAJU
126
P.RAJUKA01AF5638 P.RAJU
127
P.RAJUKA01AF5639 P.RAJU
128
P.RAJUKA01AF5644 P.RAJU
129
P.RAJ UKA01AF5645 P.RAJU
130
P.RAJUKA01AF5293 P.RAJU
131
P.RAJUKA01AF5296 P.RAJU
132
P.RAJUKA01AF5297 P.RAJU
133
P.RAJUKA01AF4893 P.RAJU
134
P.RAJU KA01AF4896 P.RAJUP.RAJUKA01AF4897
PERIOD OF INSURANCE 22/01/2018 TO 21/01/2019
For Southern nC:.!,itul BIII~ ":" :IorlH£O~ ;/(\~S tJR~~', Trnnsport Own~rs AssociatlOIl .COMPANY LlMlTffl, fJ.... ' ~ . (1\ W\~D.O _ u~
C') Presldeo\.
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2018/ 3> t.,\ 11 135 KA01AF4898 P.RAJU P.RAJU
136 P.RAJUKA01AF1693 P.RAJU
137 KA01AF1695 P.RAJU P.RAJU
138 KA01AF1696 P.RAJU P.RAJU
139 KA01AF1697 P.RAJU P.RAJU
140 P.RAJU P.RAJU
141
KA01AF1698
KA01AE4896 P.RAJU P.RAJU
142 KA01AF5292 P.RAJU P.RAJU
143 KA01C8929 MUKUNTH BULK CARRIERS
144
K.SELVI
K.SELVI MUKUNTH BULK CARRIERS
145
KA01C8930
C.BALASUBRAMANIAN SS TRANSPORTS
146
TN88C3125
SKM TRANSPORTS
147
KA01AD2382 P.SENTHIL KUMAR
SKM TRANSPORTS
148
P.SENTHIL KUMARTN05Y1903
ES TRANSPORTS
149
TN28AH0769 C.SURESH
GIRl ESHWAR TRANSPORTS
150
KA21A5055 K.ANNADURAI
GIRl ESHWAR TRANSPORTS
151
K.ANNADURAI KA01AA6905 GIRl ESHWAR TRANSPORTS
152
KA01AF8177 K.ANNADURAI SKV TRANSPORT
153
K.MUTHIYALU KA19AB2372 SKV TRANSPORT
154
K.MUTHIYALU MH06AQ5720 SHREE CHAKKRAA BULK CARRIER
155
N.GANESHKA21A4649 SHREE CHAKKRAA BULK CARRIER
156
N.GANESHTN28AH5347 SHREE CHAKKRAA BULK CARRIER
157
N.GMJESHKA01AG7611 SHREE CHAKKRAA BULK CARRIER
158
N.GANESHKA01AG3515 CHANDRASEKARAN IYER S
159
P.sENTHIL KUMARKA01AG3516 GIRl ESHWAR TRANSPORTS
160
K.ANNADURAIKA01AG3517 KAVI TRANSPORT
161
K.MUTHUKUMAR TN28AE9634 G.LOGAVANI TRANSPORT
162
P.GOVINDARAJTN28AH8389 G.LOGAVANI TRANSPORT
163
P.GOVINDARAJKA01AD2262 G.LOGAVANI TRANSPORT
164
P.GOVINDARAJKA01AG6486 SJP TRANSPORT
165
P.PARTHIBANTN59AJ2125 SJP TRANSPORT
PRAKASH TRANSPORT P.PARTHIBANKA01AG9367 V.PRAKASHKUMAR
ANNAMAR BULK CARRIERS TI\l88C4587166
M.REVATHI ANNAMAR BULK CARRIERS
TI\l28AC6376167 M.REVATHI
ESWARI TRANSPORT TI\l88C3541168
S.SENGUnUUVAN
170
TI\l28AJ6897169 VAT TRANSPORTS
171
V.sUBRAMANIANTN28AC8826 VAT TRANSPORTS
172
V.sU BRAMAN IANKA01C9772 VAT TRANSPORTS
VAT TRANSPORTS V.sUBRAMANIANKA21A4971 V.SUBRAMANIAN
VAT TRANSPORTS TN88B4487173
V.SUBRAMANIAN VAT TRANSPORTS
TN88C4487174 V.SUBRAMANIAN
VAT TRANSPORTS KA01AF5284175
V.SUBRAMANIAN VAT TRANSPORTS
KA01AG3715176 V.SUBRAMANIAN
SRI RAM TRANSPORT KA01AG7287177
K.THAALAMUTHU SRI RAM TRANSPORT
TN48K8734178 K.THAALAMUTHUTN28AJ3319179
PERIOD OF INSURANCE 22/ 01/ 2018 TO 21/01/2019
\"SURAJ G . ....~C' For Southern Region Bulk. L:P. Tr.nsport Owners Assocl.tlon
." •
kt1liEORlfN.A: '~C~. ! '" Uol ('") ~ . - • 0 (}.\~ .... . .... ., ~t :.
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2018/3bl g 180 KA01AG1932 K.THAALAMUTH U SRI RAM TRANSPORT
181 KA01C8557 K.THAALAMUTH U SRI RAM TRANSPORT
182 KA01AG9096 K.THAALAMUTH U SRI RAM TRANSPORT
183 KA01AG3057 K. THAALAM UTH U SRI RAM TRANSPORT
184 KA01AFS294 K.THAALAMUTH U SRI RAM TRANSPORT
185 TN88C4387 K.THAALAMUTH U SRI RAM TRANSPORT
186 KA01AE5809 ESWARAN EPR TRANSPORTS
187 KA01AG7909 ESWARAN EPR TRANSPORTS
188 TN28AH5969 S.SELVARAJ SRI RAMAJEYAM ROADWAYS
189 TN885969 S.SELVARAJ SRI RAMAJEYAM ROADWAYS
190 TN88C3157 R.VEERAPPAN VIBI ROAD LINES
191 TN88C3453 A.J.RAJA JAISHAKTHITRANSPORTS
192 TN88C3418 A.J .RAJA JAISHAKTHITRANSPORTS
193 KL09AA469 V.MAHESWARI VASANTHAM TRANSPORTS
194 KL09AA496 V.MAHESWARI VASANTHAM TRANSPORTS
195 KL09AA569 V.MAHESWARI VASANTHAM TRANSPORTS
196 KL09AA5902 V.MAHESWARI VASANTHAM TRANSPORTS
197 KL09AA5911 V.MAHESWARI VASANTHAM TRANSPORTS
198 KL09AL8595 V.MAHESWARI VASANTHAM TRANSPORTS
199 KL09AL5945 V.MAHESWARI VASANTHAM TRANSPORTS
200 KA01C8806 S.S UN DARARAJAN SS TANKER SERVICE
PERIOD OF INSURANCE 22/01/2018 TO 21/01/2019
For Southern Regiun Uulk L.P.r.. TrllnspoJ't Owners Assut:latiuu.
L\ \,-- l.--- •
PresidenL
-