{"id":2488,"title":"BAJAJ GENERAL PROFESSIONAL PROTECT INSURANCE POLICY ARCHITECTS: PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/commercial-pw/Bajaj-General-Professional-Protect-Insurance-Policy-Architect-Proposal-Form-Commercial.pdf","sha256":"afbebe1657086868f7fc6f500995f3c079251c9bcfb9aa78a850155b4d39def4","pages":13,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for professional indemnity insurance for architects, to be filled by the policyholder (the architect firm or individual).","notes":["All questions must be answered to enable a quotation.","Use additional sheets if space is insufficient and indicate question number.","This is a claims made policy; coverage applies only to claims made and notified during the policy period.","Disclosure of all relevant facts is mandatory.","The Insurance Act 1938 Section 41 prohibits rebates as inducements for insurance.","Certified that contents have been fully explained and understood by the proposer."],"title":"BAJAJ GENERAL PROFESSIONAL PROTECT INSURANCE POLICY ARCHITECTS: PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"General Information","fields":[{"help":"","type":"text","label":"Name of Policyholder","options":[],"required":null,"pdf_field":""},{"help":"Full address including street, city, state, and postal code","type":"text","label":"Address of Principal Office","options":[],"required":null,"pdf_field":""},{"help":"Date when the firm was established","type":"date","label":"Date of Establishment","options":[],"required":null,"pdf_field":""},{"help":"Official website URL","type":"text","label":"Website Address","options":[],"required":null,"pdf_field":""},{"help":"Select the constitution type of your firm","type":"choice","label":"Constitution Details","options":["Partnership Firm","Limited Liability/Partnership Firm","NGO/NPO","Company","Trust","Society","Section 8 Company","Proprietorship Firm","Others (Please specify)"],"required":null,"pdf_field":""},{"help":"Provide DARPAN Portal Registration if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":null,"pdf_field":""},{"help":"List all related business entities with years","type":"text","label":"Please list all additional business entities (whether or not currently trading, including year of establishment and year of cessation if applicable)","options":[],"required":null,"pdf_field":""},{"help":"Provide addresses of all other active offices","type":"text","label":"Please list addresses of all other offices currently trading","options":[],"required":null,"pdf_field":""},{"help":"Answer yes or no; if yes, supply details","type":"yes-no","label":"Is/are the firm(s) or any principal, partner or director a member of a consortium, joint venture, single project partnership or group practice?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Answer yes or no; if yes, supply details","type":"yes-no","label":"Does the firm(s) or any principal, partner or director carry out any work on behalf of any other business in which they have a controlling or financial interest (other than as a shareholder in a public quoted company)?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Staff and Partners","fields":[{"help":"Provide full details for each principal, partner or director","type":"table","label":"Please give details of any principal, partners or directors: Name, Date of Birth, Relevant Qualifications, Year became Partner/Director","options":[],"required":null,"pdf_field":""},{"help":"Provide full details for each staff member","type":"table","label":"Please give details of Staff within the Architects Department: Name, Date of Birth, Relevant Qualifications, Number of Years Experience","options":[],"required":null,"pdf_field":""},{"help":"Answer yes or no; if yes, supply details","type":"yes-no","label":"Is cover required for the professional activities of any principal, partner or director prior to joining the business?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide numbers for each category","type":"table","label":"Please give details of number of permanent staff in current business: Full Time and Part Time for Principal/Partners/Directors, Professionally Qualified, Other Technical Staff, All Others","options":[],"required":null,"pdf_field":""},{"help":"Answer yes or no; if yes, supply details","type":"yes-no","label":"Does the firm(s) or any principal, partner or director carry out any work on behalf of any other business in which they have a controlling or financial interest (other than as a shareholder in a public quoted company)?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Professional Services","fields":[{"help":"","type":"yes-no","label":"Has the name of the practice ever been changed?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Has any other practice or business amalgamated or merged with you?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Have you purchased any other practice or business?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Is any Partner, Principal or Director connected or associated (financially or otherwise) with any other practice or business?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Does the entity(s) or any principal, partner or director provide professional services on projects in which any Principal, Officer, Director or an immediate family member of such person retains an ownership interest of greater than 25%?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Which professional bodies or associations are the entity(s) or any principal, partner or director members of?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide income details by year and region","type":"table","label":"Please state your total gross income for the last 5 years plus an estimate for the current and forthcoming year: Year Ending, In Territory where domiciled, In USA/Canada or elsewhere for clients whose address is in USA/Canada, Elsewhere, Total","options":[],"required":null,"pdf_field":""},{"help":"Provide percentage breakdown of fee sources totaling 100%","type":"table","label":"Please detail the approximate percentage of your commission, brokerage, or insurance or other consulting fees derived from the following fields of work: Architectural - New Build / Refurbishment, Architectural refurbishment - Non Structural, Structural Survey / Inspection Reports, Managing Contractor, Interior Designing, Estate Agency, Landscaping, Civil Engineering, Structural Engineering, Mechanical Engineering, Electrical Engineering, Heating & Ventilating/Air Conditioning Engineering, Nuclear Engineering, Chemical Engineering, Soil Engineering, Project Co-ordination, Project Management, Adjudication / Arbitration, Town Planning, Expert Witness, Feasibility, Fees Paid to Sub-consultants, Surveying - Land, Surveying - Quantity, Surveying – Building, Others (please specify) - total 100%","options":[],"required":null,"pdf_field":""},{"help":"Provide percentage breakdown of work areas totaling 100%","type":"table","label":"Please detail the approximate percentage of your total work in the following areas: Individual Dwellings, Low Rise Buildings (up to 7 floors), High Rise Buildings (above 7 floors), Modular Dwellings, Office / retail / mixed use, Highways, Bridges, Tunnels and Dams, Railways, Airports - Non safety/ Airside/ Trackside related, Harbours and Jetties - Non structural, Sewage/ Water Schemes, Power Plants, Manufacturing Plants, Refineries and Petro Chemical - non safety, Mechanical Plant, Bulk Handling Equip, Industrial System Build, Low key Healthcare (doctors surgeries / Nursing Home etc), Other Healthcare (Hospitals etc), Primary Schools / Adult education Centres, Secondary Schools / College / Universities, Hotels and Recreation exc. Swimming pools, Leisure inc. Swimming Pools, Landscape ex. Sports/Golf course design, Ecclesiastical / Theatres, Others (please specify) - total 100%","options":[],"required":null,"pdf_field":""},{"help":"List largest contracts with details","type":"table","label":"Please provide brief description, location, contract value and fees for the five (5) largest contracts undertaken over the past five (5) years","options":[],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Does any contract or client represent more than 50% of your annual work or fees?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, answer following sub-questions","type":"yes-no","label":"Do you use any independent sub-contractors?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Do you execute a written contract, agreement or engagement letter for services with every sub-contractor?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Do you require them to carry a minimum level of professional liability cover?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide percentage","type":"text","label":"What percentage of your professional service is subcontracted to others?","options":[],"required":null,"pdf_field":""},{"help":"Describe subcontracted services","type":"text","label":"What kinds of services are subcontracted?","options":[],"required":null,"pdf_field":""},{"help":"If yes, answer following sub-questions","type":"yes-no","label":"Do you execute a written contract, agreement or engagement letter for services with every client?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If no, explain how contracts are reviewed and approved","type":"yes-no","label":"Are these client contracts reviewed by a law firm experienced in your profession?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do these client contracts contain: Specific description of services that you provide?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If no, explain how such changes are substantiated","type":"yes-no","label":"Are all changes to your contracts, verbal reports or advice confirmed in writing?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Do you engage in any actual construction or manufacturing?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Do you envisage any substantial changes in your activities or are there any major new operations contemplated during the next 12 months?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide details of upcoming major projects","type":"table","label":"Please give details of the three largest projects where construction is likely to commence in the coming 12 months: Name of Client, Total Contract Value (INR), Your Fee (INR), Your Service (INR), Expected Completion Date","options":[],"required":null,"pdf_field":""},{"help":"Provide largest annual fee details","type":"table","label":"Please provide the amount of the largest annual fee for any one client: Client name, Year, Gross Fees (INR)","options":[],"required":null,"pdf_field":""},{"help":"Specify indemnity limits and sublimits in INR","type":"table","label":"Please state Limits of Indemnity for which a quotation is required or local currency equivalent: Limit of Liability (all Claims in the aggregate, including Defence Costs), Sub Limits: Emergency Costs Advancement, Legal Representation Costs, Lost Documents","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Claims Information","fields":[{"help":"If yes, supply details","type":"yes-no","label":"Has the firm(s) sustained any loss through the fraud or dishonesty of any person?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"Is the firm(s) aware of any allegation or occurrence of fraud or dishonesty at any time committed by any past or present partner, director or principal or employee?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details including Date of Claim, Claimant, Details of Claim including any payments made or reserves held","type":"yes-no","label":"After enquiry, have any Professional Liability claims ever been made against the firm(s) and/or predecessors of the firm(s) and/or your current and/or retired partners, directors or principals, either individually or otherwise for any negligence, errors, omission, breach of professional duty or the like, whether successful or not?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details including Date of Circumstance, Claimant, Details of Circumstance","type":"yes-no","label":"After enquiry, are any of the partners, directors or principals aware of any pending claims and/or circumstances existing which may give rise to a Professional Liability claim against the firm(s) and/or predecessors of the firm(s) and/or your current and/or retired partners/directors/principal?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Previous Insurance","fields":[{"help":"If yes, supply details including Renewal Date, Limit of Liability, Premium, Excess, Insurer","type":"yes-no","label":"Has the firm(s) previously been insured for Professional Liability insurance?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If yes, supply details","type":"yes-no","label":"In respect of Professional Liability insurance, has any Insurer ever declined a proposal, declined to pay a claim, refused renewal, cancelled such insurance or imposed special conditions?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declarations and Consent","fields":[{"help":"PEP means Politically Exposed Persons as defined","type":"choice","label":"Are you or any of the proposal applicants a PEP* or a close relative of PEP*? If yes, please share the details","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Sign to declare accuracy and acceptance of terms","type":"signature","label":"Signature of Partner / Director / Principal","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Name of signatory","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Name of policyholder entity","type":"text","label":"Policyholder","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":[],"applies_to":"Architect Professional Indemnity Insurance","attachments":["Additional sheets if insufficient space to answer questions","Details of claims, contracts, and other explanations as requested"],"declarations":["The statements made in this proposal are true, accurate and complete and form the basis of the insurance contract.","The policy shall be void if any untrue or incorrect statement, misrepresentation, non-disclosure or withholding of material information is made.","Policy issuance is subject to realization of premium cheque.","Consent is given for KYC verification through specified portals.","Premiums are declared to be paid from legally acquired sources.","Consent is given or declined for sharing personal data with group companies."],"dropped_labels":13},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"careforyou@bajajgeneral.com","label":"Customer Service Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"in a new tab\nBajaj General Insurance Limited\nTollfree: For sales :\n1800-209-0144\nFor service :\n1800-209-5858\nEmail id:\ncareforyou@bajajgeneral.com\nFor senior citizens:\nseniorcitizen@bajajgeneral.com\nFor senior citizens:\n1800-209-5858\nFax no:\n020-30512246\nRegistered","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-5858","label":"Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"Careers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Health Insurance\nInternational","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-0144","label":"Sales Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"nsurance\nSupport\nAbout Us\nCareers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Healt","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-5858","label":"Customer Service Toll Free Number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ted servicing team to help you meet your service needs.\nCustomer Service - We're Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Cha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ggro@bajajgeneral.com","label":"Grievance Redressal Officer Email Mr. Jerome Vincent","level":2,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"fied with the response given to you by our team, you may write to our Grievance Redressal Officer Mr. Jerome Vincent at\nggro@bajajgeneral.com\nLevel 3\nHead Customer Service\nif you are still not satisfied with the solutions provided, or have some feedback for us,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-7073","label":"Toll free No. Intermediary","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPle","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"whatsapp","value":"+91 7507425858","label":"BOING WhatsApp Chatbot","level":null,"hours":"24x7","applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPlease scan and download\nMissed Call Facility\nMissed Call - 80809 45060 Short code - SMS","fetched_at":"2026-10-20"}],"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/bajaj-general-insurance/2488-bajaj-general-professional-protect-insurance-policy-architects-proposal-form"}