{"id":2004,"title":"PROPOSAL FORM PHOTOVOLTAIC PANEL WARRANTY INSURANCE POLICY","purpose":"proposal","insurer":{"slug":"icici-lombard-general-insurance","name":"ICICI LOMBARD General Insurance Company Limited"},"source_pdf":"https://www.icicilombard.com/docs/default-source/default-document-library/20220308026-photovoltaic-panel-warranty-insurance-policy-form.pdf","sha256":"69fb53626b68080d30d4063834e7d00e5f9e085fb9c7bd99d411a36438b889c9","pages":5,"collected":"2026-10-20","instructions":{"about":"This form is a proposal for photovoltaic panel warranty insurance, to be filled by the insured party such as solar project developers or module buyers seeking insurance coverage for solar panels.","notes":["Answer all questions fully and correctly; mention 'not applicable' where relevant.","Insurance is a contract of utmost good faith; disclose all material facts.","Liability of the company starts only after proposal acceptance and premium payment.","Use additional sheets if space is insufficient.","Politically Exposed Persons (PEPs) must be declared.","No rebates are allowed as per Insurance Act 1938 Section 41."],"title":"PROPOSAL FORM PHOTOVOLTAIC PANEL WARRANTY INSURANCE POLICY","submit":{"to":"Company’s offices or the Agents","how":"","address":"ICICI Lombard General Insurance Company Limited, 601 / 602, 6th Floor, Interface Building No. 16, New Link Road, Malad (West), Mumbai - 400 064."},"purpose":"proposal","sections":[{"title":"A. DETAILS OF THE INSURED","fields":[{"help":"","type":"text","label":"Insured’s name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Correspondence Address:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City / Town / Village","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Enter mobile phone number","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"Specify other contact numbers if any","type":"text","label":"Others (Specify)","options":[],"required":false,"pdf_field":""},{"help":"Enter landline phone number","type":"phone","label":"Phone No.","options":[],"required":false,"pdf_field":""},{"help":"Enter fax number if available","type":"text","label":"Fax Number","options":[],"required":false,"pdf_field":""},{"help":"Date of birth in DD/MM/YYYY format","type":"date","label":"DOB:","options":[],"required":null,"pdf_field":""},{"help":"Age of the insured","type":"number","label":"Age:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"1 Name of solar project developer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"2 Name of solar project to be insured","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"3 Name of SPV, park owner","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"4 Name of equity investors","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"5 Name of bank to provide loan","options":[],"required":null,"pdf_field":""},{"help":"Engineering, Procurement and Construction contractor","type":"text","label":"6 Name of EPC","options":[],"required":null,"pdf_field":""},{"help":"Operations and Maintenance company","type":"text","label":"7 Name of O&M company","options":[],"required":null,"pdf_field":""},{"help":"Currency used in contract","type":"text","label":"8 Contract currency","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"9 Expected date of start of construction","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"10 Expected date of start of commercial operation","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"11 Expected date of provisional acceptance test","options":[],"required":null,"pdf_field":""},{"help":"DD/MM/YYYY","type":"date","label":"12 Expected date of final acceptance test","options":[],"required":null,"pdf_field":""},{"help":"Number of years","type":"number","label":"13 Period of financial debt repayment in years","options":[],"required":null,"pdf_field":""},{"help":"Address or location details","type":"text","label":"14 Location of solar park","options":[],"required":null,"pdf_field":""},{"help":"Geographical coordinates","type":"text","label":"15 Latitude / longitude of park","options":[],"required":null,"pdf_field":""},{"help":"AC capacity in megawatt peak","type":"number","label":"16 Ac capacity of total PV park [Mwp]","options":[],"required":null,"pdf_field":""},{"help":"DC capacity in megawatt peak","type":"number","label":"17 Nominal dc capacity of total park [Mwp]","options":[],"required":null,"pdf_field":""},{"help":"Name of the solar module supplier","type":"text","label":"18 Module supplier’s name","options":[],"required":null,"pdf_field":""},{"help":"Rated power in watts peak","type":"number","label":"19 Rated power of each module type [Wp]","options":[],"required":null,"pdf_field":""},{"help":"Product type numbers of modules","type":"text","label":"20 Module product type number(s)","options":[],"required":null,"pdf_field":""},{"help":"Total number of modules","type":"number","label":"21 Number of modules","options":[],"required":null,"pdf_field":""},{"help":"Politically Exposed Persons status","type":"yes-no","label":"Are you or any of the proposed applicants/beneficial owner a PEP* or Family member/ Close relatives/Associates of PEPs*?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain relationship and position","type":"text","label":"If yes, please give details (Nature of relationship and position held by PEP):","options":[],"required":false,"pdf_field":""},{"help":"Select the type of proposer","type":"choice","label":"Type of Proposer:","options":["Individual","Partnership firm","Company","Govt.","Others"],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"MSME/SME","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"B. DETAILS OF THE MODULE TO BE INSURED","fields":[{"help":"Describe module types and volumes","type":"text","label":"1 Basic Info of Modules to be Insured (Type and Volume)","options":[],"required":null,"pdf_field":""},{"help":"Attach audited financial report","type":"attachment","label":"2 Audited annual financial report (inc. expected revenue with respect to module sales for the next year)","options":[],"required":null,"pdf_field":""},{"help":"Attach warranty wording document","type":"attachment","label":"3 Warranty Wording","options":[],"required":null,"pdf_field":""},{"help":"Attach claims handling procedure and statistics","type":"attachment","label":"4 Claims handling procedure and the detailed field returns statistics","options":[],"required":null,"pdf_field":""},{"help":"Attach product data sheets","type":"attachment","label":"5 Product data sheets of module to be insured","options":[],"required":null,"pdf_field":""},{"help":"Attach third party certificates and test reports","type":"attachment","label":"6 Third party certificates and corresponding test reports (i.e. IEC including PID)","options":[],"required":null,"pdf_field":""},{"help":"Attach extended reliability test reports","type":"attachment","label":"7 Test reports of extended reliability tests (i.e. 3 x IEC: 3 x Damp Heat, 3 x Humidity Freeze, 3 x Thermal Cycling, 3 x UV)","options":[],"required":null,"pdf_field":""},{"help":"Attach bill of materials","type":"attachment","label":"8 Bill of materials of modules to be insured","options":[],"required":null,"pdf_field":""},{"help":"Attach degradation analysis reports","type":"attachment","label":"9 Measurement reports of annual degradation analysis from outdoor environment.","options":[],"required":null,"pdf_field":""},{"help":"Attach LID measurement statistics Excel sheet","type":"attachment","label":"10 Statistics from LID measurement (i.e. power loss after initial light induced degradation after at least 24 h illumination) (Excel Sheet)","options":[],"required":null,"pdf_field":""},{"help":"Attach original flash data Excel sheet","type":"attachment","label":"11 Original flash data from the 3 months of module production (Excel Sheet) (Sample given below)","options":[],"required":null,"pdf_field":""},{"help":"Attach production yield report","type":"attachment","label":"12 Production yield report","options":[],"required":null,"pdf_field":""},{"help":"Attach factory inspection report","type":"attachment","label":"13 Factory Inspection","options":[],"required":null,"pdf_field":""},{"help":"Select the required insurance cover sections","type":"choice","label":"Cover - Please tick mark against the required cover","options":["Section 1 : Solar Panel Warranty Cover","Section 2 : Photovoltaic Sales and Buyer Cover","Section 3 : Photovoltaic Top-up Buyer Cover"],"required":null,"pdf_field":""},{"help":"Enter total investment or price per watt peak","type":"amount","label":"22 Investment price of all modules or module purchase price per wp","options":[],"required":null,"pdf_field":""},{"help":"Year of production","type":"number","label":"23 Production year of pv modules","options":[],"required":null,"pdf_field":""},{"help":"Enter warranty details as percentage and degradation rate","type":"text","label":"24 Manufacturer’s warranty of the modules. (E.g. 97.0% - 0,7% p.a.)","options":[],"required":null,"pdf_field":""}],"filled_by":"insured"},{"title":"C. RISK DETAILS","fields":[{"help":"End date of policy period (DD/MM/YYYY)","type":"date","label":"To: Midnight","options":[],"required":null,"pdf_field":""},{"help":"Enter expected sum insured amount","type":"amount","label":"ii. Expected Sum Insured:","options":[],"required":null,"pdf_field":""},{"help":"Location of manufacturing plant","type":"text","label":"iii. Manufacturing Plant Location:","options":[],"required":null,"pdf_field":""},{"help":"Provide any other relevant details","type":"text","label":"Any additional information relevant to the policy applied for:","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"},{"title":"DECLARATION","fields":[{"help":"Enter full name of policyholder","type":"text","label":"Name of the Policy Holder:","options":[],"required":true,"pdf_field":""},{"help":"Date of signing (DD/MM/YYYY)","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Policy Holder (On behalf of all the persons to be insured under the Policy)","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"},{"title":"PAYMENT INFORMATION","fields":[{"help":"Select mode of payment","type":"choice","label":"Mode of payment:","options":["Cheque","DD","any other mode"],"required":null,"pdf_field":""},{"help":"Enter cheque number if applicable","type":"text","label":"Cheque no:","options":[],"required":false,"pdf_field":""},{"help":"Bank name on which cheque/DD is drawn","type":"text","label":"Drawn on:","options":[],"required":false,"pdf_field":""},{"help":"Enter amount paid in numbers","type":"amount","label":"Amount in figures:","options":[],"required":true,"pdf_field":""},{"help":"Enter amount paid in words","type":"text","label":"Amount In Words:","options":[],"required":true,"pdf_field":""},{"help":"Enter DD number if applicable","type":"text","label":"Demand Draft No:","options":[],"required":false,"pdf_field":""},{"help":"Date of cheque/DD (DD/MM/YYYY)","type":"date","label":"Dated:","options":[],"required":false,"pdf_field":""}],"filled_by":"insured"}],"deadlines":[],"applies_to":"Photovoltaic Panel Warranty Insurance Policy covering solar panel warranty, photovoltaic sales and buyer cover, and top-up buyer cover","attachments":["Audited annual financial report","Warranty Wording","Claims handling procedure and detailed field returns statistics","Product data sheets of module to be insured","Third party certificates and corresponding test reports","Test reports of extended reliability tests","Bill of materials of modules to be insured","Measurement reports of annual degradation analysis","Statistics from LID measurement (Excel Sheet)","Original flash data from the 3 months of module production (Excel Sheet)","Production yield report","Factory Inspection report"],"declarations":["The insured confirms understanding and agreement to the policy terms and conditions.","Insurance coverage commences only after full premium payment and acceptance of proposal by insurer.","The insurer may accept or reject any proposal at its sole discretion without assigning reasons.","All statements and particulars given are true, accurate and complete and form the basis of the contract.","The insured authorizes insurer to share personal and financial information with government and regulatory bodies as required.","The policy becomes voidable if any material fact is untrue, misrepresented, or withheld.","The insured confirms understanding of the proposal form and contract significance.","Consent is given to verify identity/address proof through Central KYC Registry, UIDAI or other modes.","Premiums are paid from legally acquired sources and future premiums will be similarly paid.","The insurer may call for documents to establish source of funds.","The insured undertakes to inform insurer of any changes within 30 days.","False or misleading information may lead to liability."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/icici-lombard-general-insurance/2004-proposal-form-photovoltaic-panel-warranty-insurance-policy"}