{"id":2513,"title":"BAJAJ GENERAL PROFESSIONAL PROTECT INSURANCE FOR CONSTRUCTION PROJECTS :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-FOR-CONSTRUCTION-PROJECTS-Proposal-Form-Commercial.pdf","sha256":"bd21e96dc39fd828953ae6dd22ae6012e8b703ec62067041f4ffbf07d5b5259d","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for professional indemnity insurance for construction projects, to be filled by the policyholder or proposer seeking insurance coverage.","notes":["All questions must be answered to enable a quotation.","If insufficient space, use additional sheets and indicate question number.","This is a claims made policy; claims must be made and notified during the policy period.","Disclosure of all relevant facts is mandatory.","Use attachments for detailed information as requested.","The insurance does not cover supervisory activities under traditional contracts.","The proposal form and declarations form the basis of the contract if accepted.","Section 41 of Insurance Act 1938 prohibits rebates on commission or premium.","Certified that contents have been fully explained to the proposer.","Irrespective of opinion, all circumstances that might give rise to claims must be disclosed."],"title":"BAJAJ GENERAL PROFESSIONAL PROTECT INSURANCE FOR CONSTRUCTION PROJECTS :PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"General Information","fields":[{"help":"","type":"text","label":"Name of Policyholder","options":[],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address of Principal Office","options":[],"required":true,"pdf_field":""},{"help":"Date when the proposer was established","type":"date","label":"Date of Establishment","options":[],"required":true,"pdf_field":""},{"help":"Official website URL","type":"text","label":"Website Address","options":[],"required":false,"pdf_field":""},{"help":"Provide DARPAN Portal Registration if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""},{"help":"Describe your role and duties in the project","type":"text","label":"Role in the project (e.g. Prime Engineering Consultant or Contractor), and summary of Professional Duties","options":[],"required":true,"pdf_field":""},{"help":"List other parties, their duties, and contract status","type":"table","label":"Name of other parties to be included for this insurance, and the professional duties they will Perform (Name, Professional Duties, Contract Awarded? Yes/No)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of Principal / Funding Agency / Developer (if different from any of the above)","options":[],"required":false,"pdf_field":""},{"help":"If Yes, provide full details by attachment","type":"yes-no","label":"Are any parties named above financially associated with any Practice or Company involved in this Project (whether proposing for this insurance or otherwise)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, mark by their name (**USA or *Can) and provide full details by attachment","type":"yes-no","label":"Will any of the parties to be included for this insurance operate from offices within territories under the legal jurisdiction of i) USA or ii) Canada?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide full details by attachment","type":"yes-no","label":"Have any of the parties to be included for this insurance been established for less than 5 years?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Project Details","fields":[{"help":"Provide full project title and location","type":"text","label":"Title and Location of the project","options":[],"required":true,"pdf_field":""},{"help":"Specify jurisdiction","type":"text","label":"Legal Jurisdiction to which this insurance should respond (E.g. “India Only”)","options":[],"required":true,"pdf_field":""},{"help":"Provide full details by attachment if needed","type":"text","label":"Brief description of the project and the responsibilities of the Proposer and the sub-contractors","options":[],"required":true,"pdf_field":""},{"help":"Specify design standards","type":"text","label":"State the project design standards to be utilized for the Project","options":[],"required":true,"pdf_field":""},{"help":"Specify quality assurance programs","type":"text","label":"State the quality assurance programs in place for the Project to ensure operating practices strive for minimum/ zero failure? (e.g. ISO)","options":[],"required":true,"pdf_field":""},{"help":"Provide estimated total project value","type":"amount","label":"The Estimated Gross Project Value","options":[],"required":true,"pdf_field":""},{"help":"Include fees paid through to sub-consultants","type":"amount","label":"The Estimated Gross Professional Fees (actual or ‘notional’, and net of Reimbursable Expenses)","options":[],"required":true,"pdf_field":""},{"help":"Attach detailed breakdown","type":"attachment","label":"Please provide by attachment a detailed breakdown of the Estimated Total Project Value for the entire project (or part of the project) for which this insurance is intended","options":[],"required":false,"pdf_field":""},{"help":"If Yes, specify further period required","type":"yes-no","label":"Is there a requirement under contract for professional indemnity insurance to continue in force beyond completion of the contractual Maintenance Period?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Expected start date of insurance","type":"date","label":"When are you expecting this professional indemnity insurance to incept?","options":[],"required":true,"pdf_field":""},{"help":"Attach project schedule","type":"attachment","label":"Please provide a complete Project Bar Chart / Time Schedule by attachment (Feasibility, Design, Construction, Maintenance stages)","options":[],"required":true,"pdf_field":""},{"help":"Attach contract copy","type":"attachment","label":"Please provide the copy of contract between the Main Proposer and Principal","options":[],"required":true,"pdf_field":""},{"help":"Fill percentages for each category; total must be 100%","type":"table","label":"Please summarize the approximate split of project value into nature of work involved (percentages for various categories)","options":[],"required":true,"pdf_field":""},{"help":"Mark Yes or No for each duty; specify others if any","type":"table","label":"Please state which of the following Professional Duties are required to be performed by or on behalf of the Proposer in connection with this Project (Yes/No for each duty)","options":["Administering retention fund","Agreeing clearing, forwarding & customs dues","Approval of detailed Drawings","Arranging site insurance","Authorizing progress payments","Cash flow forecast","Certifying final completion","Certifying final payment","Co-ordination / expediting","Cost estimates","Design criteria","Drafting Contract conditions","Feasibility Studies","Flow sheets","Geotechnical services","Inspection of installation work","Instructions to Tenderers","Issuing variation orders","Measurement","Quality control & assurance","Quantity estimates","Settling contractual claims","Supervision of commissioning","Tender adjudication","Working drawings","Other (please specify)"],"required":true,"pdf_field":""},{"help":"Provide fees including sub-contracted fees for each activity","type":"table","label":"Please categorize all the Professional Duties required to be performed by or on behalf of the Proposer in connection with this project (Activity, Total Gross Fees, Fees sub-contracted)","options":["Engineering - Civil","Engineering - Structural","Engineering - Soil & Foundation","Engineering - Mechanical","Engineering - Electrical","Engineering - Heating & Ventilation","Architectural","Quantity Surveying","Project Management","Project Co-ordination","Any other (please specify)"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Please state the Proposer (or any of the parties named in Question 1) will engage the services of independent sub-consultants?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Or, will the Proposer ensure that such consultants will be engaged directly by the proposer’s Principal?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide particulars of the claim by attachment","type":"yes-no","label":"Please state if the Proposer (or any of the parties named in Question 1) is aware of: (i) Any costs incurred by them in the past arising from any actual or alleged negligent act, error or omission in the performance of their Professional Duty (whether insured or not).","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide particulars including date notified, claimant, description, status, amounts paid by attachment","type":"yes-no","label":"Please state if the Proposer (or any of the parties named in Question 1) is aware of: (ii) Any claim made against any of the Proposers, or any past or present partner, principal, director or employee of the Proposer?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide particulars including date notified, claimant, description, status, estimated amounts paid by attachment","type":"yes-no","label":"Any circumstance or event, which might give rise to a claim for which cover would have been granted had this proposed policy been in force.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide insurer, policy period, limit of liability, amount of retention","type":"yes-no","label":"Is the Main Proposer currently insured or has he previously proposed for or been insured by a professional indemnity policy?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide full details by attachment","type":"yes-no","label":"Has any such proposal been declined?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If Yes, provide full details by attachment","type":"yes-no","label":"Has any insurer refused to renew?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Limit will be aggregate for the period and includes associated costs","type":"amount","label":"Please state the Limit of Indemnity required","options":[],"required":true,"pdf_field":""},{"help":"Excess includes associated costs and expenses","type":"amount","label":"Please state the retention that the proposer is willing to bear in respect of each and every claim","options":[],"required":true,"pdf_field":""},{"help":"Attach additional information","type":"attachment","label":"Please provide by separate attachment any further information, which you feel will assist in the understanding of the project, contractual liabilities or any Professional Duties being performed","options":[],"required":false,"pdf_field":""},{"help":"Specify start and end dates of policy period","type":"date","label":"Policy Period : Risk Inception Date: DD/MM/YYYY Risk End Date: DD/MM/YYYY","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consent","fields":[{"help":"Sign to declare accuracy and acceptance of terms","type":"signature","label":"Signature of Partner / Director / Principal","options":[],"required":true,"pdf_field":""},{"help":"Print name of signatory","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Name of policyholder","type":"text","label":"Policyholder","options":[],"required":true,"pdf_field":""},{"help":"If Yes, share details","type":"yes-no","label":"Are you or any of the proposal applicants a PEP* or a close relative of PEP*? (Politically Exposed Persons)","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Professional Indemnity Insurance for Construction Projects","attachments":["Full details of Financial associations if applicable","Details of work from offices within USA or Canada if applicable","Details if established for less than 5 years","Full details of Project","Breakdown of Estimated Total Project Value","Project Bar Chart / Time Schedule","Copy of contract between the Main Proposer and Principal","Details of Nature of Work","Detailed Professional Duties","Categories of Professional Duties","Claims Information","Insurance History","Other Information as scheduled"],"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 identity verification through CERSAI or NSDL for KYC.","Premiums are declared to be paid from legally acquired sources.","Consent to share personal data with Bajaj General Insurance and group companies for services."],"dropped_labels":14},"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/2513-bajaj-general-professional-protect-insurance-for-construction-projects-proposal-"}