{"id":2789,"title":"CONTRACTORS PLANT AND MACHINERY INSURANCE (RETAIL) PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/contractors-plant-machinery-insurance-retail/proposal-forms/contractors-plant-and-machinery-insurance-retail-proposal-form.pdf","sha256":"1cf49ec4e1a95b3c7a36d2778afa9baed744b22faf18c27cd384e9e9097779cd","pages":8,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (applicant) to apply for Contractors All Risk Insurance (Retail) covering plant and machinery used in construction or related activities.","notes":["Insurance contract is based on utmost good faith; disclose all material facts.","Cover starts only after acceptance and premium receipt.","Use separate sheet if space is insufficient, signed and dated with question number.","Sum Insured must be calculated on present day new replacement value including packing, freight, erection costs, customs duty, etc.","Standby and portable machines must be specifically mentioned.","Items in open must be described separately.","Physical copy of policy available on request; otherwise digital copy sent via email or mobile link.","Request for authorization form needed for NEFT payments if premium > Rs 10,000.","Section 41 of Insurance Act prohibits rebates as inducement to take or renew insurance."],"title":"CONTRACTORS PLANT AND MACHINERY INSURANCE (RETAIL) PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer's Details","fields":[{"help":"Enter start and end date of insurance period (DD MM YYYY)","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"Full legal name of the proposer","type":"text","label":"Name of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Current address of the proposer","type":"text","label":"Present Address of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Describe the trade or business activity","type":"text","label":"Proposer’s Trade or Business","options":[],"required":true,"pdf_field":""},{"help":"Permanent residential or business address","type":"text","label":"Permanent Address of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"State of the proposer’s address","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Postal code of the proposer’s address","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"CKYC Number (if available)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business Details","fields":[{"help":"Permanent Account Number of the business","type":"text","label":"BUSINESS PAN","options":[],"required":true,"pdf_field":""},{"help":"Address or location where the insured machinery operates","type":"text","label":"Location of Operation (site of property to be insured)","options":[],"required":true,"pdf_field":""},{"help":"Nearest railway station and distance from site","type":"text","label":"Nearest Railway station and Distance","options":[],"required":false,"pdf_field":""},{"help":"Select all applicable categories","type":"checkbox","label":"I am (please tick all that are applicable)","options":["High Net Worth Individual/s","Non-Residential Indian/s","Politically Exposed Person","Non-Governmental Organisation","Non-Profit Organisation"],"required":false,"pdf_field":""},{"help":"Provide registration number if applicable","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Specify type if differently abled","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Specify percentage if differently abled","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if differently abled","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Machinery and Insurance History","fields":[{"help":"Answer if all machinery is listed","type":"yes-no","label":"Do the items listed represent the entire machinery used by you at the above location","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer if currently insured","type":"yes-no","label":"Are you at present Insured?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Name of current insurer if insured","type":"text","label":"If yes, with whom?","options":[],"required":false,"pdf_field":""},{"help":"Answer if any defects or damages exist","type":"yes-no","label":"Are you aware of any defects/ damages existing in the machinery?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe defects or damages if any","type":"text","label":"If yes, give details thereof","options":[],"required":false,"pdf_field":""},{"help":"Answer if other equipment is used on site","type":"yes-no","label":"Do you own or use any equipment other than that described above working on the same site?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer ownership and hiring out status","type":"text","label":"Are you the owner of the proposed equipment? If yes, will you be hiring out?","options":[],"required":false,"pdf_field":""},{"help":"Answer about security of premises","type":"yes-no","label":"Are the premises where the equipment operates well-guarded?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe site conditions","type":"text","label":"What is the site condition where the equipment will be utilized?","options":[],"required":false,"pdf_field":""},{"help":"Answer if equipment operates on soft ground","type":"yes-no","label":"Are the equipment likely to operate on reclaimed or soft ground?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Answer if equipment operates underground","type":"yes-no","label":"Are the equipments likely to operate underground?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe risk of toppling if applicable","type":"text","label":"Are ground condition such that equipment are exposed to the risk of toppling over? If so, give details?","options":[],"required":false,"pdf_field":""},{"help":"Describe natural calamity risks and precautions","type":"text","label":"Is the site susceptible to flood, sea damage, storm, cyclone or other natural calamities? If so, give detail and safety precautions taken.","options":[],"required":false,"pdf_field":""},{"help":"Answer if other contractors’ equipment operates on site","type":"yes-no","label":"Will equipment belonging to other contractors operate on the same site?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe operator qualifications and rules","type":"text","label":"Do you have trained and qualified operators? Are there any statutory rules governing the appointment?","options":[],"required":false,"pdf_field":""},{"help":"List equipment requiring statutory inspection","type":"text","label":"Which of the equipments are required to be inspected and certified for operation by statutory rules?","options":[],"required":false,"pdf_field":""},{"help":"Answer if any damage occurred in last 3 years","type":"yes-no","label":"Has your machinery sustained any damage from breakdown or other cause during last 3 years?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe damages and repair costs","type":"text","label":"If so, give details of damage/s and Repairing cost","options":[],"required":false,"pdf_field":""},{"help":"Answer if periodic inspections are done","type":"yes-no","label":"Is regular periodical inspection of the machinery carried out?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of inspection authority and frequency","type":"text","label":"If so, by whom and at what intervals?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Cover Options","fields":[{"help":"Enter amount and select Yes or No","type":"amount","label":"On payment of additional premium do you wish to cover – Escalation Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Owner’s surrounding property Air Freight Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Express Freight Clearance & Removal of Debris Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Air Freight Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Additional Custom Duty Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Floater cover Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Clearance & removal of debris Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Dismantling of CPM Equipment And Shifting To a new location Rs.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Cover for plant & machinery working underground","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount and select Yes or No","type":"amount","label":"Terrorism Rs.","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consent","fields":[{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Location where form is signed","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of signing (DD/MM/YYYY)","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","type":"text","label":"Mode of Payment","options":[],"required":true,"pdf_field":""},{"help":"Provide payment reference/details","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"Enter premium amount paid","type":"amount","label":"Amount in (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Date payment was made","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"Provide PAN if premium ≥ 1 lakh","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN(s)","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"help":"Name on bank account for refunds/claims","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":true,"pdf_field":""},{"help":"Bank and branch name","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Account number for refunds/claims","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee full name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Nominee date of birth","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship with the proposer","options":[],"required":true,"pdf_field":""},{"help":"Nominee mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":true,"pdf_field":""},{"help":"Nominee permanent address or same as present","type":"text","label":"Permanent address: ((if left blank, will be construed as being same as Present Address))","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank account holder name","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Details of authorized person if nominee is minor","type":"text","label":"Authorized person details (in case nominee is a minor)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Intermediary Declaration","fields":[{"help":"Full name of intermediary","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":true,"pdf_field":""},{"help":"Code of intermediary","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Signature of intermediary","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Contractors All Risk Insurance (Retail)","attachments":["Separate signed and dated sheet if insufficient space to answer any question","Annexure with GSTIN details if more than one GSTIN","Request for authorization form to receive Claim/Refund payments if premium paid is more than Rs 10,000"],"declarations":["All statements and information provided are complete and accurate with no material facts withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons will assist insurer in anti-financial crime practices.","Premium paid is from legitimate sources and insurer may verify source of funds.","Consent to receive policy and service communications electronically and for processing personal data.","Consent for insurer to access CKYC records for verification and communication.","Obligation to keep CKYC records current and inform insurer of changes.","Acknowledgement of insurer’s right to reject proposal or terminate contract if sanctions or violations occur."],"dropped_labels":11},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"email","value":"GCIcare@generalicentral.com","label":"HELPLINE Email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"atrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing the valid option from the helpline menu or writ","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-220-233 / 1860-500-3333 / 022-67837800","label":"HELPLINE","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"may have. You can escalate your concerns as per the\nescalation matrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Generali Central Insurance Company Ltd.\nUnit No. 301, 3rd Floor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.","label":"Corporate Grievance Redressal Officer (GRO) Address","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central Insurance Company Ltd.\nUnit No. 301, 3\nrd\nFloor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.\nLEVEL 3\nIf you are still not satisfied with the solution provided, you can email\nour CEO’s office.\nEMAIL OUR CEO’s OFF","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"GCIGRO@generalicentral.com","label":"Corporate Grievance Redressal Officer (GRO) Email","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"solution provided to you does not meet your expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mish","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-79001 97777","label":"Corporate Grievance Redressal Officer (GRO) Phone","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ur expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central In","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/generali-central-insurance/2789-contractors-plant-and-machinery-insurance-retail-proposal-form"}