{"id":2830,"title":"ERECTION ALL RISK INSURANCE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/commercial-insurance/erection-all-risk-insurance/proposal-forms/erection-all-risk-insurance-commercial-proposal-form.pdf","sha256":"8d6524589c7e3705d7984c711a7cd0587584e70aaa772d42a7495b5ff17912b8","pages":10,"collected":"2026-10-17","instructions":{"about":"This form is used by a proposer (principal, contractor, or subcontractor) to apply for Erection All Risk Insurance coverage for plant and machinery erection projects.","notes":["Put a (✓) mark wherever applicable.","Permanent address if left blank will be construed as same as present address.","Attach separate sheets where necessary.","Use format DD/MM/YYYY for dates.","Fill PAN if premium is 1 Lac and above.","Attach annexure if multiple GSTINs.","Sign and date the form at the end.","The company reserves the right to reject proposal or terminate contract if customer is on blacklist.","True to Go Green initiative, policy document will be sent electronically unless physical copy is requested.","Anti-money laundering compliance requires assistance with relevant records and information."],"title":"ERECTION ALL RISK INSURANCE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Details of Proposer and Insured Interests","fields":[{"help":"","type":"text","label":"a) Name & Address of the Principal Trade or business","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) Name & Address of the Contractor Trade or business","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"c) Name & Address of the Sub Contractor, if any, Trade or Business","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"d) Permanent Address: (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Provide Central KYC number if available","type":"text","label":"CKYC No. (If Available)","options":[],"required":false,"pdf_field":""},{"help":"Put a (✓) mark wherever applicable","type":"checkbox","label":"Whose Interests are to be Insured?","options":["Principal","Contractor","Sub-contractor"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contract Works Details","fields":[{"help":"","type":"text","label":"a) Type of main plant","options":[],"required":null,"pdf_field":""},{"help":"Attach separate sheet if needed","type":"text","label":"b) Full description of the plant & Machinery to be erected, including Capacity. (Please attach separate sheet, if necessary)","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"a) Is this a contract/sub-contract forming part of an overall erection project.","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"b) If yes, give name of the project.","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"c) Whether to be commissioned independently or with the main plant.","options":["Independently","With Main Plant"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"a) Have the Plans, Designs and Materials been already tested in any previous erection?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"b) Is the installation or part thereof built for the first time","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"c) Are you the manufacturer, importer, buyer or contractor of the installation?","options":["manufacturer","importer","buyer","contractor"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"d) Is the property brand new or is it second hand or used one?","options":["brand new","second hand","used"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is second hand or used","type":"text","label":"e) If second hand or used, state age","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"a) Will the erection be carried out by your own personnel?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"number","label":"If yes, your past years of experience in similar type of projects?","options":[],"required":false,"pdf_field":""},{"help":"Fill only if erection not by own personnel","type":"text","label":"b) If not, by whom?","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"c) Past experience of the Erector","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"a) Will any sub-contractors be taking part in the work of erection?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"b) If yes, what is their position as regards this insurance?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contract Site Details","fields":[{"help":"","type":"text","label":"a) Location of site where the Plant is to be erected?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) Nearest Port &/or Railway Station and distance.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"i) Are any special risks of floods, fire or explosion involved?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"ii) If yes, give details","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"b) Distance from nearest river or sea - the names and particulars to be given.","options":[],"required":null,"pdf_field":""},{"help":"Provide elevation details","type":"text","label":"d) Elevation of Erection Site above normal River or sea level","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"e) Is there any record of the Erection site ever having been submerged during floods?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"e) Do you wish to cover earthquake (fire & shock) for risks in Earthquake Zones I & II","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Storage Arrangements","fields":[{"help":"","type":"text","label":"a) Brief description of the arrangements made for storage of equipments – whether in open or closed premises.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"i) Will there be a watchman on duty round the clock?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is NO","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","fields":[{"help":"Format DD/MM/YYYY","type":"date","label":"a) Probable date of first shipment or dispatch","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YYYY","type":"date","label":"f) Expected date of first arrival at site.","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YYYY","type":"date","label":"g) Expected date of last arrival at site.","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YYYY","type":"date","label":"d) Probable date of commencement of erection of Plant & machinery","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YYYY","type":"date","label":"e) Probable date on which erection of Plant & Machinery is expected to be completed finally.","options":[],"required":null,"pdf_field":""},{"help":"Enter number of months","type":"number","label":"f) Duration of testing period included in (g) below. ___________ months","options":[],"required":null,"pdf_field":""},{"help":"Enter months and dates (from and to)","type":"text","label":"g) Period of Insurance required including test run _________ months from _________ to _____________","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured Details","fields":[{"help":"Provide exchange rate and amounts","type":"amount","label":"a) On landed cost of imported machinery as at Factory Site - i.e. @ Exchange rate ______","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"i. Invoice Cost","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"ii. Freight, Insurance, Handling,Clearing and Transportation charges upto Factory Site.","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"iii. Customs Duty","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"b) On machinery fabricated or manufactured in India (sub divided as under)","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"i. Invoice Cost including insurance, handling and clearing and transporting up to factory Site","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"ii. Freight","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"c) Cost of Foundation relating to (a) & (b) above","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"d) On Cost of Erection, including salaries of all Foreign and Indian Technicians and wages of all skilled and unskilled labour employed at Factory Site during erection.","options":[],"required":null,"pdf_field":""},{"help":"Provide amounts for each sub-item","type":"amount","label":"e) On Civil Works i. Permanent Civil Engineering Works ii. Temporary works iii. Completely Erected value","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Clearance and Removal of Debris","options":[],"required":null,"pdf_field":""},{"help":"Attach list of construction plant and machinery","type":"amount","label":"Construction Plant and Machinery to be used at the Project Site. (Details as per attached list)","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Insured’s own Surrounding Property","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"a) On increased replacement value (including duty on such additional replacement value) which may have to be paid on replacement of imported Plant and Machinery as per item 12.1 (a) above.","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"b) On increased replacement value which may have to be paid on replacement of indigenous Plant and Machinery as per item 12.1 (b) above.","options":[],"required":false,"pdf_field":""},{"help":"Provide amounts for each sub-item","type":"amount","label":"c) Escalation on 12.1 (d) - On increased replacement value - On reconstruction of - Permanent Civil Works - Temporary Works","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Extra charges for Express Freight (excluding Air Freight) Overtime, Sunday and Holiday rates of wages viz., Expediting cost","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Additional Customs Duty","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Air Freight","options":[],"required":false,"pdf_field":""},{"help":"Provide amounts for each sub-item","type":"amount","label":"a) Third Party Liability – For any one accident For all accidents during the period","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"TOTAL SUM INSURED","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"c) Cross Liability, if required","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Deductible and Previous Insurance","fields":[{"help":"","type":"yes-no","label":"a) Do you wish to opt for Higher amounts of deductible excess?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"b) If yes, (specify)","options":[],"required":false,"pdf_field":""},{"help":"","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":"Fill only if previous answer is YES","type":"text","label":"d) If yes, please state the name of the Insurance Co.","options":[],"required":false,"pdf_field":""},{"help":"Answer each sub-question","type":"yes-no","label":"Has any such proposal been a. declined? b. withdrawn? c. accepted subject to an increased rate or special conditions?","options":["YES","NO"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Marine/Transit Insurance Cover","fields":[{"help":"","type":"yes-no","label":"Do you require MARINE/TRANSIT Insurance cover","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"yes-no","label":"a) Are there any fragile items like Refractory materials, Asbestos Cement Sheets, Porcelain materials, Glass equipments, Fire Bricks, Graphite Electrode etc.","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"If yes, please give their value, description and mode of packing (whether packed in cases or loose)","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"a) Do you want cement to be covered?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"text","label":"b) If yes, give its value and mode of packing (whether packed in gunny bags or paper bags)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Please give particulars of voyage for imports.","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"a) What is the limit required - Per any one shipment? (In case of imports)","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"b) Per any one dispatch? (In case of indigenous materials)","options":[],"required":false,"pdf_field":""},{"help":"Mark applicable transport modes","type":"text","label":"Please state (for Inland Transit) – a) How the goods will be transported to site of erection? b) How many Transshipments will be there? c) Special hazards, if any, in transporting goods from nearest Station/Port to erection site.","options":["By Rail","By Steamer","By Lorry","By Country Craft"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you require War & S.R.C.C. Risk to be covered during Overseas/inland transits?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you wish to opt for excess under marine/transit losses","options":["YES","NO"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Provide details of losses if any","type":"text","label":"i. Loss history of Proposer for last 3 years","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"ii. Is dewatering facility available at the project site?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"iii. Are Safety measures taken with respect to precipitation, flood and inundation for the project?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Enter percentage","type":"number","label":"iv. Percentage of project sum insured in hilly terrain?","options":[],"required":false,"pdf_field":""},{"help":"Enter percentage","type":"number","label":"v. Percentage of project sum insured, which is wet risk?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"vi. Is Fire Protection in place at the project site?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"vii. Does the project include erection of machinery?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Fill only if previous answer is YES","type":"yes-no","label":"If YES, a. Is prototype machinery involved?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Fill only if project includes erection of machinery","type":"choice","label":"b. Is the machinery imported or indigenous?","options":["imported","indigenous"],"required":false,"pdf_field":""},{"help":"Fill only if previous answer is imported","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":"Payment Details","fields":[{"help":"Specify payment mode","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment details","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"Enter amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Format DD/MM/YY","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Provide PAN if premium is 1 lakh or above","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Attach annexure if multiple GSTINs","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations","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":"Format DD/MM/YYYY","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"help":"","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"","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":"Format DD/MM/YYYY","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Present address","options":[],"required":false,"pdf_field":""},{"help":"Fill only if different from present address","type":"text","label":"Permanent address: ((if left blank, will be construed as being same as Present Address))","options":[],"required":false,"pdf_field":""},{"help":"Provide nominee's bank details","type":"text","label":"Bank Account Details of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"","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":""},{"help":"Provide 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"},{"title":"Intermediary Use Only","fields":[{"help":"","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Intermediary’s Code","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Intermediary’s Signature","options":[],"required":null,"pdf_field":""}],"filled_by":"insurance agent/intermediary"}],"deadlines":[],"applies_to":"Erection All Risk Insurance","attachments":["Separate sheet for full description of the plant & Machinery to be erected","List of Construction Plant and Machinery to be used at the Project Site","Annexure with details if more than one GSTIN"],"declarations":["The statements made in the proposal are true and complete and form the basis of the contract.","If any information is found untrue, the policy shall be void and premium forfeited.","Premium paid is from legally declared sources and not from proceeds of crime; company may verify source of funds.","Consent to receive service information electronically and for data storage and processing as per privacy policy.","Consent to CKYC record verification and receiving related communications.","Agreement that information will be processed as per company privacy policy."],"dropped_labels":0},"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/2830-erection-all-risk-insurance-proposal-form"}