{"id":2574,"title":"Contractors' All Risks Insurance Proposal Form","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/contractors-all-risks-insurance/Contractor-All-Risk-pf.pdf","sha256":"90b56d812f103b6ba2f193bac85c3c95243975a5a8be9074e9ca25e79d46dedd","pages":8,"collected":"2026-10-17","instructions":{"about":"This form is used by contractors, principals, and subcontractors to apply for Contractors' All Risks Insurance coverage by providing details about their business, contract works, and insurance requirements.","notes":["All questions must be answered completely; if space is insufficient, enclose information as an annexure.","Use original documents for submission as required.","Keep policy details updated for faster processing of service requests.","Attach all relevant and supporting documents required for policy issuance.","Agent/intermediary must explain the form contents to the proposer in their vernacular language."],"title":"Contractors' All Risks Insurance Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Principal, Contractor and Sub-Contractor Details","fields":[{"help":"","type":"text","label":"Name of the principal trade or business","options":[],"required":null,"pdf_field":""},{"help":"Select YES if name matches Aadhaar Card, else provide name as per Aadhaar Card","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card? : YES No If No, Please mention the Name as per Aadhaar Card","options":["YES","No"],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"Aadhar Card No","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender : Male Female Other","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter full address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the contractor trade or business","options":[],"required":null,"pdf_field":""},{"help":"Select YES if name matches Aadhaar Card, else provide name as per Aadhaar Card","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card ? : YES No If No. Please mention the Name as per Aadhaar Card","options":["YES","No"],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"Aadhar Card No.","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender : Male Female Other","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter full address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"If applicable, enter sub-contractor details","type":"text","label":"Name of the sub - contractor, if any. trade or business","options":[],"required":false,"pdf_field":""},{"help":"Select YES if name matches Aadhaar Card, else provide name as per Aadhaar Card","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card ? : YES No If No. Please mention the Name as per Aadhaar Card","options":["YES","No"],"required":false,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"Aadhar Card No.","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":false,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender : Male Female Other","options":["Male","Female","Other"],"required":false,"pdf_field":""},{"help":"Enter full address","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name","type":"text","label":"Name Of Bank","options":[],"required":null,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Bank Account No.","options":[],"required":null,"pdf_field":""},{"help":"Enter IFSC code","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""},{"help":"Tick to accept payment and receipt of claim amount in given bank account","type":"checkbox","label":"* I accept to pay & receive claim amount (if any) in the above given Bank a/c","options":[],"required":true,"pdf_field":""},{"help":"Provide PID or Policy number if existing customer","type":"text","label":"If Yes. Please provide PID No: / Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Tick to confirm no change in KYC details","type":"checkbox","label":"I hereby confirm that, there is no change in my existing KYC details that are available from my previous/existing policy.","options":[],"required":null,"pdf_field":""},{"help":"Provide e-IA number if available","type":"text","label":"Electronic-Insurance Account: Please provide e-IA No. to deposit your insurance policy.","options":[],"required":false,"pdf_field":""},{"help":"Select if you want to open e-IA account","type":"choice","label":"Do you want to open e-IA account: Yes/No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"principal, contractor, subcontractor"},{"title":"Constitution Details","fields":[{"help":"Tick if applicable","type":"checkbox","label":"Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Limited Liability/Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"NGO/NPO - Provide DARPAN Portal Registration, if applicable","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Company","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Trust","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Society","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Section 8 Company","options":[],"required":null,"pdf_field":""},{"help":"Tick if applicable","type":"checkbox","label":"Proprietorship Firm","options":[],"required":null,"pdf_field":""},{"help":"Specify other constitution if applicable","type":"text","label":"Others (Please specify)","options":[],"required":false,"pdf_field":""},{"help":"Provide DARPAN portal registration details if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Contract Works Details","fields":[{"help":"Describe the contract works fully","type":"text","label":"Full description of the contract","options":[],"required":true,"pdf_field":""},{"help":"Describe building type and details","type":"text","label":"Building (type of construction, i.e. whether R.C.C. frame or otherwise, number of storeys etc.)","options":[],"required":null,"pdf_field":""},{"help":"Indicate if blasting operation involved","type":"yes-no","label":"Blasting operation","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if excavation work involved","type":"yes-no","label":"Excavation work","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if pile driving involved","type":"yes-no","label":"Pile driving","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if dam construction or water diversion involved","type":"yes-no","label":"Dam construction or diversion of water","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify other contract work details","type":"text","label":"Others (specify)","options":[],"required":false,"pdf_field":""},{"help":"Indicate if contract is part of larger project","type":"yes-no","label":"Is this a contract/sub-contract forming part of an overall construction project","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide project name if applicable","type":"text","label":"If yes give name of the project","options":[],"required":false,"pdf_field":""},{"help":"Indicate if own personnel will carry out construction","type":"yes-no","label":"Will the construction be carried out by your own personnel?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other personnel if applicable","type":"text","label":"If not, by whom?","options":[],"required":false,"pdf_field":""},{"help":"Describe contractor's past experience","type":"text","label":"Past experience of the contractor","options":[],"required":null,"pdf_field":""},{"help":"Indicate if subcontractor involved","type":"yes-no","label":"Will the sub-construction be taking part in the work of construction?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe subcontractor's insurance position","type":"text","label":"If yes, what is their position as regards this insurance?","options":[],"required":false,"pdf_field":""},{"help":"Provide full location details","type":"text","label":"Location of contract site","options":[],"required":true,"pdf_field":""},{"help":"Provide nearest port or railway station and distance","type":"text","label":"Nearest port and / or railway station and distance","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable special risks","type":"checkbox","label":"Are any special risks of one or more of the following involved? Earthquake - fire & shock, Landslide / Rockslide / Subsidence, Flood / Inundation, Storm / Tempest / Hurricanes / Typhoon / Cyclone, Collapse, Water Damage for ‘Wet’ risk i.e. contract involving construction in rivers, canals, lakes or sea","options":["Earthquake - fire & shock","Landslide / Rockslide / Subsidence","Flood / Inundation","Storm / Tempest / Hurricanes / Typhoon / Cyclone","Collapse","Water Damage for ‘Wet’ risk"],"required":null,"pdf_field":""},{"help":"Provide distance and names of water bodies nearby","type":"text","label":"Distance from nearest river, lake, reservoir or sea, the names and particulars to be given","options":[],"required":false,"pdf_field":""},{"help":"Provide elevation details","type":"text","label":"Elevation of construction site above normal river, lake, reservoir or sea level","options":[],"required":false,"pdf_field":""},{"help":"Describe geological and sub-soil conditions","type":"text","label":"Give full details regarding geological condition including sub-soil","options":[],"required":false,"pdf_field":""},{"help":"Indicate if site has history of major perils","type":"yes-no","label":"Is there any record of the construction site ever having been affected by any of the major perils specified above","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe storage arrangements","type":"text","label":"Brief description of the arrangements made for storage of construction materials and equipments whether in open or closed premises","options":[],"required":null,"pdf_field":""},{"help":"Indicate if 24-hour security is provided","type":"yes-no","label":"Will there be a watch and ward round the clock?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe security precautions if no 24-hour watch","type":"text","label":"If not, what precautions will be taken against theft malicious damage etc.?","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Insurance Details","fields":[{"help":"Enter construction period in months","type":"number","label":"Estimated construction period excluding maintenance period (cover to commence from the date of first arrival of consignment materials at site, or commencement of work whichever is earlier)","options":[],"required":null,"pdf_field":""},{"help":"Enter maintenance period in months if cover required","type":"number","label":"Cover required during maintenance period, if any","options":[],"required":false,"pdf_field":""},{"help":"Enter expected completion date","type":"date","label":"Probable date on which construction is expected to be completed","options":[],"required":null,"pdf_field":""},{"help":"Specify insurance period","type":"text","label":"Period of Insurance required","options":[],"required":null,"pdf_field":""},{"help":"Indicate if approached other insurers","type":"yes-no","label":"Have you approached any other insurance company for insurance cover in respect of this proposal","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide name of other insurance company","type":"text","label":"If yes, please state name of the insurance company","options":[],"required":false,"pdf_field":""},{"help":"Enter value of materials supplied by principal","type":"amount","label":"Materials or items supplied by the principal","options":[],"required":true,"pdf_field":""},{"help":"Enter value of additional items","type":"amount","label":"Any additional items not included in (i) & (ii) above","options":[],"required":false,"pdf_field":""},{"help":"Enter landed cost of imported items","type":"amount","label":"Landed cost of imported items as at construction site (Please specify whether included in (i) & or (ii) above) at exchange rate","options":[],"required":false,"pdf_field":""},{"help":"Enter total contract works value","type":"amount","label":"Total value of contract works","options":[],"required":true,"pdf_field":""},{"help":"Attach details sheet for plant & machinery","type":"attachment","label":"Construction plant & machinery to be used at all the construction sites (Details as per attached sheet)","options":[],"required":false,"pdf_field":""},{"help":"Enter amount for clearance and debris removal","type":"amount","label":"Clearance & removal of debris","options":[],"required":false,"pdf_field":""},{"help":"Enter value of insured surrounding property","type":"amount","label":"Insured’s own surrounding property","options":[],"required":false,"pdf_field":""},{"help":"Enter extra charges amount if required","type":"amount","label":"Extra charges for Express Freight Excluding Air Freight, overtime, Sunday & Holiday rates of wages, if required","options":[],"required":false,"pdf_field":""},{"help":"Enter air freight charges if required","type":"amount","label":"Air freight","options":[],"required":false,"pdf_field":""},{"help":"Enter increased replacement value amount if required","type":"amount","label":"On increased Replacement value for item 1(i), (ii) & (iii) above, if required","options":[],"required":false,"pdf_field":""},{"help":"Select higher deductible excess if desired","type":"choice","label":"Do you wish to opt for higher amount of Deductible Excess? Rs. 2 times / 5 times / 10 times / 20 times","options":["2 times","5 times","10 times","20 times"],"required":false,"pdf_field":""}],"filled_by":""},{"title":"Declarations and Signatures","fields":[{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign or provide thumb impression","type":"signature","label":"Insured Farmer Signature / Thumb Impression","options":[],"required":true,"pdf_field":""},{"help":"Select mode of payment and specify if cheque given by someone else","type":"choice","label":"Mode of Payment : Cheque - Given by : Cheque DD Cash Other","options":["Cheque","DD","Cash","Other"],"required":null,"pdf_field":""},{"help":"Select relationship if payment given by other","type":"choice","label":"Spouse / Father / Mother / Son/Daughter / Employer / Employee / Financier","options":["Spouse","Father","Mother","Son/Daughter","Employer / Employee","Financier"],"required":false,"pdf_field":""},{"help":"Indicate if proposer has any physical deformity or handicap","type":"yes-no","label":"Any Physical deformity or handicap Yes No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details and attach Disability Certificate issued by Medical Board","type":"text","label":"If Yes. Please provide details","options":[],"required":false,"pdf_field":""},{"help":"If proposer is disabled, provide authorized representative name","type":"text","label":"Name of Authorised Representative","options":[],"required":false,"pdf_field":""},{"help":"Authorized representative signature","type":"signature","label":"Signature of Authorised representative","options":[],"required":false,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Provide witness name","type":"text","label":"Name of Witness","options":[],"required":true,"pdf_field":""},{"help":"Witness signature","type":"signature","label":"Signature of Witness","options":[],"required":true,"pdf_field":""},{"help":"Place of agent signature","type":"text","label":"Place (Agent)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer, witness, authorized representative, agent"}],"deadlines":[],"applies_to":"Contractors' All Risks Insurance","attachments":["Schedule of quantities and rates and / or values","Details sheet for construction plant & machinery","Disability Certificate issued by the Medical Board appointed by the Government for certifying Disability","Site plan of contract works (optional)","Complete layout of the site (optional)"],"declarations":["The liability of the Company does not commence until this proposal has been accepted by the Company and the premium paid.","I accept to pay & receive claim amount (if any) in the above given Bank account.","I hereby confirm that there is no change in my existing KYC details available from my previous/existing policy.","I/we hereby give consent to the Company to verify and obtain my/our identity/address proof through specified portals for KYC purposes.","I/we declare that the premium has been paid out of legally acquired sources of income and subsequent premiums will be paid similarly.","I/We give voluntary consent to share my/our personal information with group companies or others for insurance or related services.","It is mandatory to keep policy updated with contact and bank details for faster service.","The content of this form and its particulars have been explained in vernacular to the proposer who has understood and confirmed the same.","If any untrue statement or non-disclosure of material fact is found, the policy may be treated as null and void and premiums forfeited.","No person shall offer or accept any rebate of commission or premium except as allowed by the insurer's published prospectus or tables."],"dropped_labels":16},"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/2574-contractors-all-risks-insurance-proposal-form"}