{"id":5540,"title":"Maxima Commercial General Liability Insurance Proposal Form","purpose":"proposal","insurer":{"slug":"zurich-kotak-general-insurance","name":"Zurich Kotak General Insurance Company (India) Limited"},"source_pdf":"https://cms.zurichkotak.com/uploads/Maxima_Commercial_General_Liability_Insurance_Proposal_Form_ZK_26_27_v1_17032026_ae67d94a47.pdf","sha256":"b587fa0833f67619886dfef273da41938ae11ddfb7373970188b90d6e6a9985c","pages":7,"collected":"2026-10-17","instructions":{"about":"This form is used by proposers (applicants) to apply for Commercial General Liability Insurance coverage from Zurich Kotak General Insurance Company. The proposer provides detailed information about their business, operations, products, and insurance requirements.","notes":["Answer all questions fully and correctly; mark N.A. if not applicable.","Use additional sheets if space is insufficient.","Insurance contract is subject to acceptance by the company and receipt of premium.","Commercial General Liability Insurance is modular; coverage for premises and operations only need not fill Section 4.","Provide original and accurate documents for proof of identity and address.","Provide cancelled cheque for electronic fund transfer details.","Submission of proposal or payment does not guarantee policy issuance.","Prohibition of rebates under Section 41 of Insurance Act 1938 applies.","Use block letters and provide complete details wherever required."],"title":"Maxima Commercial General Liability Insurance Proposal Form","submit":{"to":"Zurich Kotak General Insurance Company (India) Limited","how":"post / in person / as per intermediary instructions","address":"401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East), Mumbai - 400063, Maharashtra, India"},"purpose":"proposal","sections":[{"title":"Section I: General Information","fields":[{"help":"Provide full legal name and registered address including subsidiaries or affiliates to be insured","type":"text","label":"Name & Registered Address of the Proposer (including names of all subsidiaries or affiliated companies to be insured)","options":[],"required":true,"pdf_field":""},{"help":"Provide website URL if available","type":"text","label":"Website Address, if any","options":[],"required":false,"pdf_field":""},{"help":"Briefly describe the nature of your business and activities","type":"text","label":"Please describe your business operations and activities","options":[],"required":true,"pdf_field":""},{"help":"Specify number of years in business","type":"text","label":"Length of time in business","options":[],"required":true,"pdf_field":""},{"help":"Indicate if coverage is needed for entities outside India","type":"yes-no","label":"Do you require any cover for any subsidiary, affiliate or representative outside India? If yes, please fill up Annexure A attached to the Proposal Form","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select Yes if communication address is same as registered address, else No","type":"choice","label":"Is the Communication Address same as the Registered Address","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide communication address if different from registered address","type":"text","label":"Communication Address","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section II: Insurance Requirement","fields":[{"help":"Specify limit amount for any one occurrence","type":"amount","label":"Limits of Insurance (Amount in Indian Rupees) : Any One Occurrence","options":[],"required":true,"pdf_field":""},{"help":"Specify the duration of the policy","type":"text","label":"Policy Period","options":[],"required":true,"pdf_field":""},{"help":"Provide retroactive date if applicable","type":"date","label":"Retroactive Date","options":[],"required":false,"pdf_field":""},{"help":"Select the territory for coverage","type":"choice","label":"Territory","options":["India","Worldwide excluding USA, Canada and Australia","Worldwide including USA, Canada and Australia"],"required":true,"pdf_field":""},{"help":"Select the jurisdiction applicable","type":"choice","label":"Jurisdiction","options":["India","Worldwide excluding USA, Canada and Australia","Worldwide including USA, Canada and Australia"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section III: Public Liability","fields":[{"help":"Describe all activities needing insurance coverage","type":"text","label":"Please give full description of activities for which cover is required","options":[],"required":true,"pdf_field":""},{"help":"List locations, number of locations, and nature of risk for manufacturing units and other premises","type":"table","label":"List all premises to be insured in India: Please also include Guest Houses, Pipelines outside the plants, Head Offices and Regional Offices etc.","options":[],"required":true,"pdf_field":""},{"help":"Describe surrounding area types and directions for each manufacturing unit","type":"table","label":"Please describe in brief surrounding areas and third party property within an approximate radius of 2 kms from each manufacturing unit","options":["Manufacturing Unit","Industrial Area","Agricultural Area","Residential Area","Others","North","East","South","West"],"required":false,"pdf_field":""},{"help":"Attach layout plans and risk inspection reports if available","type":"attachment","label":"Please attach Lay-Out Plans and Risk Inspection Report (if available) of the manufacturing units proposed for Insurance","options":[],"required":false,"pdf_field":""},{"help":"Provide details about hazardous materials handled","type":"text","label":"Do you handle or use gases, pressure-storage, explosive, hazardous substances, asbestos, toxic, radioactive materials and hydrocarbons? If so, please give details of their quantity, storage, handling and precautions taken","options":[],"required":true,"pdf_field":""},{"help":"Describe fire and explosion prevention measures","type":"text","label":"Is there a programme for the prevention of fire, explosion incidents? If so, pls indicate: a). Type of detection and alarm system; b). Availability of service organisation in case of such incidents (fire brigade, specialists in environmental protection and toxicology); c). Provisions made for supply of energy, water etc. in an emergency","options":[],"required":true,"pdf_field":""},{"help":"Indicate if employees handle harmful substances","type":"yes-no","label":"Will you, or your employees, handle or come into contact with any industrial dust of known harmful nature (e.g. asbestos, silica, cotton), radioactive materials, or any other substance harmful to health?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if pollution coverage is required","type":"yes-no","label":"Do you require coverage for Pollution","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if plants are in protected water zones","type":"yes-no","label":"Are any of your plants or premises situated in vulnerable water protection zone or water conservation areas?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe waste treatment and control systems","type":"text","label":"Please give details of Treatment/Disposal and Control systems for solid, liquid and gaseous waste or effluents","options":[],"required":false,"pdf_field":""},{"help":"Attach latest consent letter if available","type":"yes-no","label":"Whether the plant has the consent of the Pollution Control Board (copy of the latest consent letter should be attached)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if emissions are measured and logged","type":"yes-no","label":"Whether emission from all stocks are periodically measured as per Pollution Control Board's requirement and percentage of various constituents are logged","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if effluent systems are analysed and logged","type":"yes-no","label":"Whether all effluent systems are analysed for its constituents as per Pollution Control Board requirements and are logged?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Confirm if consent for dischargers is sanctioned","type":"yes-no","label":"Whether the plant has been sanctioned consent for liquid and gas phased dischargers by the Pollution Control Board","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide number and wage roll for employee categories","type":"table","label":"Employee Details - Please provide projected details for the next 12 months","options":["Description of Employees","USA/Canada/Australia No.","Wage Roll","UK/Europe No.","Wage Roll","Rest of the World No.","Wage Roll","India No.","Wage Roll"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section IV: Product Liability","fields":[{"help":"Describe products manufactured or supplied","type":"text","label":"Please provide a specific description of products manufactured or supplied","options":[],"required":true,"pdf_field":""},{"help":"List products by territory and sales; attach brochures if available","type":"table","label":"List all products manufactured, sold or distributed by the Insured in following territories and sales by product (attach product brochures or other printed materials)","options":[],"required":true,"pdf_field":""},{"help":"Indicate if such agreements exist; if yes, explain","type":"yes-no","label":"Do you enter into any hold harmless or other similar “contractual agreements”","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if rights of recovery are retained","type":"yes-no","label":"Do you retain rights of recovery against product design suppliers/ manufacturers of components / parts?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach contract excerpts if applicable","type":"yes-no","label":"Are you incepting/buying Product Liability Insurance pursuant to any contractual mandates? If yes, kindly attach relevant excerpts from the contract requiring you to do so","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach contract excerpts if applicable","type":"yes-no","label":"Are you required to give any of your Additional Insured Status and Waiver of Subrogation? If yes, kindly attach relevant excerpts from the contract requiring you to do so","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide product failure rate","type":"text","label":"What is the failure rate of your product?","options":[],"required":true,"pdf_field":""},{"help":"Provide details of new products if any","type":"yes-no","label":"Are new products proposed for introduction in the coming year? If yes, give details","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe services and estimated turnover","type":"text","label":"Do you provide any services or treatment other than sale of products? If yes, please describe the nature of services and estimated annual turnover","options":[],"required":true,"pdf_field":""},{"help":"Confirm compliance with standards","type":"yes-no","label":"Do your products comply with minimum necessary standards (e.g. BIS/ ISI/ AGRMARK etc.)?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"List quality certifications or awards","type":"text","label":"Specify the quality certifications/ awards you have for your products? (like ISO 9002 etc)","options":[],"required":false,"pdf_field":""},{"help":"Provide details if products were discontinued or recalled","type":"yes-no","label":"Have any of your products been discontinued or recalled or withdrawn during the last five years? If yes, please provide complete details of the same","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if hazards and misuse are described","type":"yes-no","label":"Do labels and instruction manuals describe potential hazards and misuse?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe how directions and hazard warnings are provided","type":"text","label":"Particulars regarding directions for use: a. Is it by printing on container or product? b. Is it by separate leaflet or brochure? c. Is the hazard warning clearly shown?","options":[],"required":true,"pdf_field":""},{"help":"Confirm labeling and instructions language","type":"yes-no","label":"Are products labeled and supplied with clear instructions in the language of the country to which they are supplied?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Specify applicable standards if conforming","type":"text","label":"Is each product subject to and do they conform with applicable country of export or international manufacturing and safety standards? If yes, please specify the standard","options":[],"required":false,"pdf_field":""},{"help":"Provide details on product design and components","type":"text","label":"Do you design and manufacture the complete product? If not: What components/parts are purchased by you? Who provides the design or engineering specification to you?","options":[],"required":true,"pdf_field":""},{"help":"Provide B2B supply details if applicable","type":"table","label":"Are you a B2B supplier? If yes, kindly give the following details: Products, Principal of Components, Annual Units Produced, End Usage / Intended Application, Expected Life of the Product","options":["Products","Principal of Components","Annual Units Produced","End Usage / Intended Application","Expected Life of the Product"],"required":false,"pdf_field":""},{"help":"Indicate if coverage for product pollution and transportation is required","type":"yes-no","label":"Do you require coverage for Product Pollution and Transportation? If yes kindly answer the following questions","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details and precautions for hazardous products","type":"text","label":"Are any of your products inflammable, explosive, dangerous, radioactive, harmful to health, poisonous by themselves or in any combination with others? If so, please give full details and state what precautions are taken","options":[],"required":false,"pdf_field":""},{"help":"Confirm compliance with statutory provisions","type":"yes-no","label":"Do you comply with statutory provisions, rules and regulations in respect of the products manufactured/distributed/transported /sold by you?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if loss control program exists","type":"yes-no","label":"Is a written products liability loss control program in effect?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if quality control procedure exists","type":"yes-no","label":"Is there a written quality control procedure?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if product recall plan exists","type":"yes-no","label":"Is there a written product recall plan?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm product conformity with safety standards","type":"yes-no","label":"Is each product subject to and do they conform with applicable safety standards?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if testing laboratory services are used","type":"yes-no","label":"Does the insured employ the services of a testing laboratory","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Confirm if product records are maintained","type":"yes-no","label":"Are record keeping procedures being kept on the products?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Indicate if R&D or technical collaboration exists","type":"yes-no","label":"Do you have Research & Development department or Technical Know-how/Collaboration?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of hazardous components if any","type":"text","label":"Does your product have any component that has been qualified as hazardous (e.g. toxic and radioactive materials, asbestos, hydrocarbons, explosives etc.)? If so, please give details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section VI: Loss Information","fields":[{"help":"List all claims or losses in last five years","type":"table","label":"Date of Occurrence, Description of Claim, Date of Claim, Amount Paid, Amount Reserved, Claim Status (Open/Closed) - Please enter all claims or losses (regardless of fault and whether or not insured) or any occurrences or incidents, conditions, defects, circumstances or suspected defects, which may give rise to a claim; over the last five years under Public Liability and/or Products Liability","options":["Date of Occurrence","Description of Claim","Date of Claim","Amount Paid","Amount Reserved","Claim Status (Open/Closed)"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section VII: Prior Insurance","fields":[{"help":"Provide details of expiring insurance policies","type":"table","label":"Please provide details of expiring policy: Type, Insurer, Limit of Liability, Premium, Deductible","options":["Type","Insurer","Limit of Liability","Premium","Deductible"],"required":true,"pdf_field":""},{"help":"Provide retroactive date if applicable","type":"date","label":"Retroactive Date in the expiring policy","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section VIII: Additional Details","fields":[{"help":"Select nationality","type":"choice","label":"Nationality","options":["Indian","Non – Indian"],"required":true,"pdf_field":""},{"help":"Specify country if non-Indian","type":"text","label":"If Non-Indian, please specify Country","options":[],"required":false,"pdf_field":""},{"help":"Select type of organization","type":"choice","label":"Type of Organization","options":["Corporations","Governments","Non Governmental Organizations","Society","International Organization","Trust","Partnership","Cooperatives","Section 25 Company"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section IX: Other Information","fields":[{"help":"Provide GSTIN number if applicable","type":"text","label":"GSTIN Number","options":[],"required":false,"pdf_field":""},{"help":"Select all applicable sources of funds","type":"checkbox","label":"Sources of funds","options":["Salary","Business","Investments","Other (Please Specify)"],"required":true,"pdf_field":""},{"help":"Provide PAN or Form 60 if no PAN","type":"text","label":"For Individual customers, please share below details: PAN / Form 60 (only in case the customer does not have PAN No.)","options":[],"required":false,"pdf_field":""},{"help":"Select occupation","type":"choice","label":"Occupation","options":["Business","Salaried","Professionals","Student","Housewife","Retired","Others"],"required":false,"pdf_field":""},{"help":"Select annual income range","type":"choice","label":"Annual Income","options":["Upto 2.5 lacs","2.5 - 6 lacs","6 - 10 lacs","10 - 15 lacs","15 - 20 lacs","20 - 25 lacs","> 25 lacs"],"required":false,"pdf_field":""},{"help":"Provide CKYC identifier if available","type":"text","label":"CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":false,"pdf_field":""},{"help":"Select applicable identity and address proofs","type":"checkbox","label":"Proof of Identity (POI) and Proof of Address (POA) - Tick whichever is applicable","options":["PAN","Aadhaar","Passport","Driving Licence","Voter ID Card","Others (Please specify)"],"required":true,"pdf_field":""},{"help":"Provide PAN and GSTIN for corporate customers","type":"text","label":"For Corporate customers, please share below details: PAN, GSTIN","options":[],"required":false,"pdf_field":""},{"help":"Provide authorized signatory details","type":"text","label":"Please share the below details for the Authorised Signatory: Name, Designation, CKYC Identifier / Number (Generated by CERSAI)","options":[],"required":true,"pdf_field":""},{"help":"Provide nominee details; attach additional sheet if needed","type":"table","label":"Nominee Details (Applicable for individual customers): Name, Relationship with Proposer, Date of Birth, Mobile Number, Email ID, Present Address, Permanent Address, Bank Name and Account Details, % of claim share","options":["Nominee Name","Relationship with Proposer","Date of Birth","Mobile Number","Email ID","Present Address","Permanent Address","Bank Name and Account Details","% of claim share"],"required":false,"pdf_field":""},{"help":"Provide appointee details if nominee is minor","type":"text","label":"Where Nominee is a minor, give details of Appointee: Name, Date of Birth, Relationship with the Nominee","options":[],"required":false,"pdf_field":""},{"help":"Provide EIA account details or request creation","type":"text","label":"Do you have an EIA Account? If Yes, please quote EIA Number and name of Insurance Repository. If No, do you want Us to create an EIA account for you? Email id (Registered with Insurance Repository)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Provide bank account number for electronic fund transfer","type":"text","label":"Account Number","options":[],"required":true,"pdf_field":""},{"help":"Provide bank name","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Provide account holder's name","type":"text","label":"Account Holder name","options":[],"required":true,"pdf_field":""},{"help":"Provide cheque or demand draft number if applicable","type":"text","label":"Cheque / D.D#","options":[],"required":false,"pdf_field":""},{"help":"Provide name of bank branch cheque/DD is drawn to","type":"text","label":"Drawn To","options":[],"required":false,"pdf_field":""},{"help":"Provide bank and branch name","type":"text","label":"Bank and Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Provide card transaction details if applicable","type":"text","label":"For Credit / Debit Card: Transaction Reference No, Date, Drawn Amount, Transaction Date, IFSC/MICR Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Signatures","fields":[{"help":"Sign to declare all information is true and complete","type":"signature","label":"Declaration in respect of all sections","options":[],"required":true,"pdf_field":""},{"help":"Sign to confirm premiums are paid from bonafide sources","type":"signature","label":"AML Declaration","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":""},{"help":"Proposer's signature","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Signature of intermediary or sales person","type":"signature","label":"Signature of Intermediary / Sales Person","options":[],"required":true,"pdf_field":""},{"help":"Signature/thumb impression of proposer and authorized representative if applicable","type":"signature","label":"Declaration in case the proposer/policyholder is person with disability (PWD)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Commercial General Liability Insurance policies","attachments":["Lay-Out Plans and Risk Inspection Report of manufacturing units (if available)","Copy of latest consent letter from Pollution Control Board (if applicable)","Product brochures or other printed materials for products listed","Relevant excerpts from contracts requiring Product Liability Insurance or Additional Insured Status","Proof of Identity and Proof of Address documents","Cancelled cheque for electronic fund transfer"],"declarations":["All information provided is true and complete to the best of the proposer's knowledge.","Failure to disclose material facts may result in policy avoidance or claim rejection.","Consent is given to receive policy and service communications by email.","Consent is given for KYC verification through official registries and portals.","Premiums are paid from bonafide sources and not from proceeds of crime.","Proposer declares if they are a High Net Worth Individual (HNI) with net worth ₹50 crore or more.","Proposer declares any association with Politically Exposed Persons (PEPs).","Proposer declares if they are a Non-Profit Organization (for entities).","Intermediary confirms explanation of proposal form and policy terms to proposer in language understood.","Proposer with disability may authorize a representative to assist in completing the form."],"dropped_labels":8},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"care@zurichkotak.com","label":"Email Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"in\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibility\nZoom in page\nZoom out page\nIncrea","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 2120","label":"Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"age claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is cha","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91-22-69417220","label":"Toll Number (INDIA And Overseas)","level":null,"hours":"IST 8 am to 8 pm","applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"Download policy\nManage policy\nManage claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"whatsapp","value":"7998879988","label":"WhatsApp Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"t\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibilit","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievanceofficer@zurichkotak.com","label":"Grievance Officer","level":1,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"om .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at grievanceofficer@zurichkotak.com . In case if the I nsured is not satisfied with the solution the\nGrievance Officer has provided, | I nsured | can write","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Unit no. 401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East) Mumbai- 400063. Maharashtra, India.","label":"Registered & Corporate Office","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/","quote":"ker\nHealth portability\nResearch & Reports\nCorrespondence Address\nZurich Kotak General Insurance Company (India) Limited\nUnit no. 401, 4th Floor, Silver Metropolis,\nJai Coach Compound, Off Western Express Highway,\nGoregaon (East) Mumbai- 400063. Maharashtra, India.\nConnect with us\n: 022 - 69417220 (Toll number)\n: 1800 2120 (Toll free)\n+91-22-69417220 (IST 8 am to 8 pm)\nwww.zurichkot","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"care@zurichkotak.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"may contact the respective branch office of the ZKGI or may call toll free number 1800 2120 or may write an e - mail at care@zurichkotak.com .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at gr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"www.zurichkotak.com","label":"Grievance Redressal Process","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"nder.\nThe details of the Insurance Ombudsman/ complete Grievance Redressal Process is also available at ZKGI’s website: www.zurichkotak.com\nThe updated details of Insurance Ombudsman offices are also available on the website of | Council for\nInsurance Ombudsm","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/zurich-kotak-general-insurance/5540-maxima-commercial-general-liability-insurance-proposal-form"}