{"id":2575,"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-pf2.pdf","sha256":"48134caa2c5dcf937855163dba522a0e757b49dea6e8011775beeb146529d411","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 the contract, construction site, and insured interests.","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 contact and bank details updated for faster service.","Attach site plan and complete layout of the contract works site.","Attach schedule of quantities and rates/values for sum insured details.","Attach details of construction plant and machinery to be used.","Disability certificate must be issued by the Government Medical Board if applicable."],"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, provide 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":"Confirm acceptance for claim payments via this 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 existing policy or PID number if applicable","type":"text","label":"If Yes. Please provide PID No: / Policy No.","options":[],"required":false,"pdf_field":""},{"help":"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 an e-IA account","type":"choice","label":"Do you want to open e-IA account: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"principal, contractor, subcontractor"},{"title":"Constitution Details","fields":[{"help":"Select yes or no","type":"yes-no","label":"Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Limited Liability/Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no and provide DARPAN registration if yes","type":"yes-no","label":"NGO/NPO - Provide DARPAN Portal Registration, if applicable","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Company","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Trust","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Society","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","label":"Section 8 Company","options":[],"required":null,"pdf_field":""},{"help":"Select yes or no","type":"yes-no","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":""}],"filled_by":""},{"title":"The Insured Interests","fields":[{"help":"Select whose interest is to be insured","type":"choice","label":"Whose interest are to be insured?","options":["Principal","Contractor","Subcontractor"],"required":null,"pdf_field":""}],"filled_by":""},{"title":"The Contract Works","fields":[{"help":"Describe the contract 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":[],"required":null,"pdf_field":""},{"help":"Indicate if excavation work involved","type":"yes-no","label":"Excavation work","options":[],"required":null,"pdf_field":""},{"help":"Indicate if pile driving involved","type":"yes-no","label":"Pile driving","options":[],"required":null,"pdf_field":""},{"help":"Indicate if dam construction or water diversion involved","type":"yes-no","label":"Dam construction or diversion of water","options":[],"required":null,"pdf_field":""},{"help":"Specify other contract works if any","type":"text","label":"Others (specify)","options":[],"required":false,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Is this a contract/sub-contract forming part of an overall construction project","options":[],"required":true,"pdf_field":""},{"help":"Provide project name if applicable","type":"text","label":"If yes give name of the project","options":[],"required":false,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Will the construction be carried out by your own personnel?","options":[],"required":true,"pdf_field":""},{"help":"Provide details of who will carry out construction if not own personnel","type":"text","label":"If not, by whom?","options":[],"required":false,"pdf_field":""},{"help":"Provide past experience details","type":"text","label":"Past experience of the contractor","options":[],"required":false,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Will the sub-construction be taking part in the work of construction?","options":[],"required":true,"pdf_field":""},{"help":"Explain sub-contractor'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":"Mark 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 nearest water bodies","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":"Provide geological and sub-soil details","type":"text","label":"Give full details regarding geological condition including sub-soil","options":[],"required":false,"pdf_field":""},{"help":"Answer yes or no","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":[],"required":false,"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":false,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Will there be a watch and ward round the clock?","options":[],"required":false,"pdf_field":""},{"help":"Describe precautions if no watch and ward","type":"text","label":"If not, what precautions will be taken against theft malicious damage etc.?","options":[],"required":false,"pdf_field":""}],"filled_by":""},{"title":"The Insurance","fields":[{"help":"Provide estimated construction period","type":"text","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":true,"pdf_field":""},{"help":"Specify if cover needed during maintenance period","type":"text","label":"Cover required during maintenance period, if any","options":[],"required":false,"pdf_field":""},{"help":"Provide expected completion date","type":"date","label":"Probable date on which construction is expected to be completed","options":[],"required":true,"pdf_field":""},{"help":"Specify insurance period","type":"text","label":"Period of Insurance required","options":[],"required":true,"pdf_field":""},{"help":"Answer yes or no","type":"yes-no","label":"Have you approached any other insurance company for insurance cover in respect of this proposal","options":[],"required":true,"pdf_field":""},{"help":"Provide name of other insurance company if applicable","type":"text","label":"If yes, please state name of the insurance company","options":[],"required":false,"pdf_field":""},{"help":"Provide value of materials supplied by principal","type":"amount","label":"Materials or items supplied by the principal","options":[],"required":true,"pdf_field":""},{"help":"Provide value of additional items if any","type":"amount","label":"Any additional items not included in (i) & (ii) above","options":[],"required":false,"pdf_field":""},{"help":"Provide 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":"Provide 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":"Provide amount for clearance and debris removal","type":"amount","label":"Clearance & removal of debris","options":[],"required":false,"pdf_field":""},{"help":"Provide value of insured surrounding property","type":"amount","label":"Insured’s own surrounding property","options":[],"required":false,"pdf_field":""},{"help":"Provide 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":"Provide air freight amount if required","type":"amount","label":"Air freight","options":[],"required":false,"pdf_field":""},{"help":"Provide 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? 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 Consent","fields":[{"help":"Politically Exposed Persons declaration","type":"choice","label":"Are you or any of the proposal applicants a PEP or a close relative of PEP?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if PEP","type":"text","label":"If yes, please share the details","options":[],"required":false,"pdf_field":""},{"help":"Consent for KYC verification","type":"choice","label":"I/we hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through Central KYC Registry or Goods and Service Tax Portal or Ministry Of Corporate Affairs Portal or National Securities Depository Limited portal for the purpose of undertaking KYC","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Declaration of legal source of premium payment","type":"choice","label":"I/we hereby declare and confirm that the premium has been paid out of legally acquired sources of income and the subsequent premiums if any, will continue to be paid out of legally declared and assessed source of income.","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Consent for sharing personal information","type":"choice","label":"I/We hereby give voluntary consent to Bajaj General/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Update contact and bank details regularly","type":"info","label":"It is mandatory to keep your policy with updated contact (Mobile No., Email ID and PAN Card) and bank account details, to process any of your service requests faster and hassle-free in future.","options":[],"required":null,"pdf_field":""},{"help":"Signature of proposer","type":"signature","label":"Declaration : The content of this form and its particulars have been explained by me in vernacular to the proposer who has understood and confirmed the same.","options":[],"required":true,"pdf_field":""},{"help":"Declare any physical disability","type":"choice","label":"Disability Declaration : Any Physical deformity or handicap Yes No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide disability details and attach certificate","type":"text","label":"If Yes. Please provide details","options":[],"required":false,"pdf_field":""},{"help":"If proposer is disabled, provide authorized representative details","type":"text","label":"Name of Authorised Representative","options":[],"required":false,"pdf_field":""},{"help":"Signature of authorized representative","type":"signature","label":"Signature of Authorised representative","options":[],"required":false,"pdf_field":""},{"help":"Confirm submission of all required documents","type":"checkbox","label":"I/we hereby confirm that I/we have provided all relevant and supporting documents sought by the company, required for the issuance of the policy. Any document(s) as may be required, for claims processing, shall be submitted by me on demand by the company.","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Select mode of payment","type":"choice","label":"Mode of Payment","options":["Cheque","DD","Cash","Other"],"required":true,"pdf_field":""},{"help":"Specify who gave the cheque if applicable","type":"choice","label":"Cheque - Given by","options":["Spouse","Father","Mother","Son/Daughter","Employer / Employee","Financier"],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Contractors' All Risks Insurance","attachments":["Schedule of quantities and rates and / or values","Details sheet for construction plant & machinery","Site plan of contract works","Complete layout of the site","Disability Certificate issued by the Medical Board appointed by the Government for certifying Disability"],"declarations":["The liability of the Company does not commence until this proposal has been accepted by the Company and the premium paid.","No person shall offer or allow any rebate of commission or premium as an inducement to take or renew insurance except as allowed by the insurer's published prospectus or tables.","Any default in complying with the rebate prohibition may lead to a penalty up to ten lakhs rupees.","The proposer confirms that the premium has been paid from legally acquired sources and future premiums will be paid similarly.","The proposer consents to KYC verification through specified government portals.","The proposer consents to sharing personal information with group companies for insurance and related services.","The proposer confirms that all relevant documents have been provided and will submit any further documents on demand.","The proposer declares whether they or any applicant is a Politically Exposed Person (PEP).","The proposer confirms understanding of the form content as explained in vernacular.","If disabled, the proposer authorizes a representative to understand and confirm the form content on their behalf.","The agent/intermediary declares that the form contents have been explained to the proposer."],"dropped_labels":9},"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/2575-contractors-all-risks-insurance-proposal-form"}