{"id":2790,"title":"CONTRACTORS ALL RISK 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-all-risk-insurance-retail1/proposal-forms/contractors-all-risk-insurance-retail-proposal-form.pdf","sha256":"af1a3da5a9e124a496dd5eb4fdffcb6d47cb1e385416d136ea8af6ca00334556","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (contractor, principal, or subcontractor) to apply for Contractors All Risk Insurance (Retail) coverage.","notes":["Fill all questions in full; attach separate signed and dated sheet if space is insufficient.","Cover commences only after acceptance and receipt of premium.","Attach schedule of quantities and rates for contract works and details of plant & machinery.","Use of original documents and truthful disclosure is mandatory.","Request for authorization form needed for claim/refund payments if premium paid is more than Rs 10,000.","No rebate of commission or premium is allowed as per Section 41 of Insurance Act, 1938.","Policy documents will be sent electronically by default; tick box if physical copy is desired."],"title":"CONTRACTORS ALL RISK INSURANCE (RETAIL) PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer and Contractor Details","fields":[{"help":"","type":"text","label":"a) Name & Present Address of the Principal Trade or business","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) Permanent Address of Principal","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"c) Name & Present Address of the Contractor Trade or business","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"d) Permanent Address of Contractor","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"e) Name & Present Address of the Sub Contractor, if any, Trade or Business","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"f) Permanent Address of Sub Contractor","options":[],"required":null,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"g) CKYC Number (if available)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable categories","type":"checkbox","label":"h) 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":null,"pdf_field":""},{"help":"Provide registration number if applicable","type":"text","label":"i) 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":"j) If you are Differently Abled, please tick on the checkbox to provide confirmation.","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"If Yes to differently abled, specify impairment type","type":"text","label":"i. Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to differently abled, specify percentage","type":"number","label":"ii. Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to differently abled, provide UDID number","type":"text","label":"iii. UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insured Interests","fields":[{"help":"Tick all that apply","type":"checkbox","label":"Whose Interests are to be Insured?","options":["Contractor","Sub-contractor","Principal"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contract Works Details","fields":[{"help":"Describe the contract fully","type":"text","label":"a) Full description of the Contract","options":[],"required":null,"pdf_field":""},{"help":"Provide details for each item below","type":"text","label":"b) Please give details -","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"i) Building (type of construction, number of storeys etc.)","options":[],"required":null,"pdf_field":""},{"help":"Describe if applicable","type":"text","label":"ii) Blasting operation","options":[],"required":null,"pdf_field":""},{"help":"Describe if applicable","type":"text","label":"iii) Excavation work","options":[],"required":null,"pdf_field":""},{"help":"Describe if applicable","type":"text","label":"iv) Pile driving","options":[],"required":null,"pdf_field":""},{"help":"Describe if applicable","type":"text","label":"v) Tunneling","options":[],"required":null,"pdf_field":""},{"help":"Describe if applicable","type":"text","label":"vi) Dam Construction or diversion of water","options":[],"required":null,"pdf_field":""},{"help":"Specify other works if any","type":"text","label":"vii) Others (Specify)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Project and Contractor Experience","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"i) 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":"ii) If yes, give name of the Project","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"a) Will the construction be carried out by your own personnel?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide number of years if applicable","type":"number","label":"If yes, your past years of experience in similar type of projects?","options":[],"required":false,"pdf_field":""},{"help":"Name the party carrying out construction","type":"text","label":"b) If not, by whom?","options":[],"required":false,"pdf_field":""},{"help":"Describe contractor's experience","type":"text","label":"c) Past experience of the Contractor","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"d) Will any sub-contractors be taking part in the work of construction?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Explain subcontractors' insurance status","type":"text","label":"e) If yes, what is their position as regards this insurance?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contract Site Details","fields":[{"help":"Provide full location details","type":"text","label":"a) Location of Contract site","options":[],"required":null,"pdf_field":""},{"help":"Provide nearest port or railway station and distance","type":"text","label":"b) Nearest port and/or Railway Station and distance","options":[],"required":null,"pdf_field":""},{"help":"Tick all applicable special risks","type":"checkbox","label":"a) Are any Special Risks of one or more of the following involved?","options":["Earthquake-Fire & Shock","Landslide/Rockslide/ Subsidence","Flood/Inundation","Storm/Tempest/Hurricane/Typhoon/Cyclone","Collapse","Water Damage for ’Wet’ risk i.e. Contract involving construction in rivers, canals, lakes or sea"],"required":null,"pdf_field":""},{"help":"Provide distance and names","type":"text","label":"b) 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":"c) Elevation of construction site above normal river, lake, reservoir or sea level","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"d) Is there any record of the construction site ever having been affected by any of the major perils specified in (a) above?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Describe geological and subsoil conditions","type":"text","label":"Give full details regarding geological condition including sub soil","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Storage and Security Arrangements","fields":[{"help":"Describe storage arrangements","type":"text","label":"a) 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":"Tick Yes or No","type":"yes-no","label":"b) i) Will there be a watch and ward round the clock?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Describe security precautions if no round the clock watch","type":"text","label":"ii) If not, what precautions will be taken against theft, malicious damage etc.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance Period and Cover Details","fields":[{"help":"Enter number of months and dates from and to","type":"number","label":"a) Estimated construction period excluding maintenance period (cover to commence from the date of first arrival of consignment material at site or commencement of work whichever is earlier)","options":[],"required":null,"pdf_field":""},{"help":"Start date of construction period","type":"date","label":"From","options":[],"required":null,"pdf_field":""},{"help":"End date of construction period","type":"date","label":"To","options":[],"required":null,"pdf_field":""},{"help":"Enter number of months and dates from and to","type":"number","label":"b) Cover required during maintenance period, if any","options":[],"required":false,"pdf_field":""},{"help":"Start date of maintenance period","type":"date","label":"From","options":[],"required":false,"pdf_field":""},{"help":"End date of maintenance period","type":"date","label":"To","options":[],"required":false,"pdf_field":""},{"help":"Expected completion date","type":"date","label":"c) Probable date on which construction is expected to be completed","options":[],"required":null,"pdf_field":""},{"help":"Enter number of months and dates from and to","type":"number","label":"d) Period of Insurance required","options":[],"required":null,"pdf_field":""},{"help":"Start date of insurance period","type":"date","label":"From","options":[],"required":null,"pdf_field":""},{"help":"End date of insurance period","type":"date","label":"To","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance Details","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"a) Have you approached any other Insurance Co. for Insurance Cover in respect of this Proposal?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Name of other insurer if applicable","type":"text","label":"b) If yes, please state name of the Insurance Company.","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Has any such proposal been - a) declined?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"b) withdrawn?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"c) accepted subject to an increased rate or special conditions?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured Details","fields":[{"help":"","type":"amount","label":"Materials or items supplied by the Principal","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Any additional items not included in (a) and (b) above","options":[],"required":false,"pdf_field":""},{"help":"Specify exchange rate","type":"amount","label":"Landed cost of imported items as at construction site (please specify whether included in (a) and/or (b) above) at Exchange Rate","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"TOTAL VALUE OF CONSTRUCTION","options":[],"required":null,"pdf_field":""},{"help":"Attach details sheet","type":"amount","label":"ii) Construction Plant & Machinery to be used at the construction site (Details as per attached sheet)","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"iii) Clearance & Removal of Debris","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"iv) Insured's own surrounding property.","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"v) Extra charges for Express Freight (excluding Air Freight) overtime Sunday & Holiday rates of wages, if required.","options":[],"required":false,"pdf_field":""},{"help":"Specify percentage","type":"amount","label":"vi) On increased Replacement value for item i (a) (b) & (d) above, if required (percentage)","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"vii) Third Party liability - a) for any one accident","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"b) for all Accidents during the period","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Deductible Excess Option","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Do you wish to opt for higher amounts of Deductible Excess?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Select one if opting for higher deductible","type":"choice","label":"If yes, whether 2 times, 5 times, 10 times, 20 times","options":["2 times","5 times","10 times","20 times"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Provide loss history details","type":"text","label":"i. Loss history of Proposer for last 3 years","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"ii. Is dewatering facility available at the project site?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"iii. Are Safety measures taken with respect to precipitation, flood and inundation for the project?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide percentage if applicable","type":"number","label":"iv. Percentage of project sum insured in hilly terrain?","options":[],"required":false,"pdf_field":""},{"help":"Provide percentage if applicable","type":"number","label":"v. Percentage of project sum insured, which is wet risk?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"vi. Is Fire Protection in place at the project site?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"vii. Does the project include erection of machinery?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"If YES, a. Is prototype machinery involved?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Select one","type":"choice","label":"b. Is the machinery imported or indigenous?","options":["Imported","Indigenous"],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"c. In case of imported machinery, is the repair facility available in India?","options":["YES","NO"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Extension/Add-on Cover","fields":[{"help":"Specify any additional cover and limits","type":"text","label":"Please specify Any Extension/add on cover required, with limits of indemnity required","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consent","fields":[{"help":"Sign here","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Intermediary Use Only","fields":[{"help":"Enter full name","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":"Enter code","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"},{"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 amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"Enter payment date","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":"Provide bank account holder name","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":false,"pdf_field":""},{"help":"Provide bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Provide bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Provide IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee's full name","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Nominee's date of birth","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Specify relationship","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"Nominee's mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee's present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":false,"pdf_field":""},{"help":"Nominee's permanent address","type":"text","label":"Permanent address (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank account holder name","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Provide authorized person details if nominee is minor","type":"text","label":"Authorized person details (in case nominee is a minor)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Contractors All Risk Insurance (Retail)","attachments":["Separate signed and dated sheet if insufficient space to answer any question","Schedule of quantities and rates and/or values for contract works","Details sheet for Construction Plant & Machinery"],"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 must assist GCICL with records and information to address anti-financial crime practices.","Premium must be paid from legitimate sources; GCICL may verify and reject or terminate policy if otherwise.","Consent to receive communications electronically and for GCICL to process personal data as per privacy policy.","Consent for GCICL to access CKYC records for verification and communication.","Obligation to inform GCICL of any changes in CKYC records.","Policy may be rejected or terminated if proposer or associated persons are named in any recognized sanctions list."],"dropped_labels":2},"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/2790-contractors-all-risk-insurance-retail-proposal-form"}