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THE ORIENTAL INSURANCE COMPANY LIMITED Regd. & Head Office :
• A~~S/27, Asaf Ali Road, New Delhi - 110 002. V1s1t us at : www.orientalinsurance.org.in Address all communications to Policy Issuing Office
__ Ll~~~~IT! INSU~ANCE !UN~ER PUBLIC LIABILITY INSURANCE ACT, 1991) POLICY SCHEDULE
: 454700/48/2017/1913 Policy No.
Cover Note No.
lnsured's Code
lnsured's Name
: 76053236
: SOUTHERN REGION BULK L.P.G.TRANSPORT OWNERS ASSOCIATION A\c: Various Parties-200 nos.
Prev. Policy No.
Cover Note Date
Issue Office code 454700
Issue Office Name : DO NAMAKKAL
Con solidated S tamp Duty Paid Vid() GO (Rt) No.4 0? Dc1ted :n100,1n:r raid by O ICL RO-Co1mbatoro.
Address No.87,SALEM ROAD NAMAKKAL 637 001
Address : KVA COMPLEX, 90-A, THURAIYUR ROAD, NAMAKKAL - 637001
Tel.IF ax/Email NAMAKKAL TAMIL NADU 637001
I I 9442177088 I [email protected]
Tel .IF ax/Email
NAMAKKAL TAMIL NADU 637001
04286-220504 , 222504 I 04286-222104 I [email protected]
Agent/Broker Details
Dev.Off.Code : NA0000002595 M SELVARAJU
Agent/Broker : BA0000118557 R.MOHAN
M. -savARAJU Development Officer Cell · 94432 51165
Address : 1/38A, VAGURAMPATTY,,VASANTHAPURAM,NAMAKKAL,SALEM,TAMIL NADU,637001
Tel/Fax/Email : 9442227091/9442227091//NJ!
Period of Insurance : FROM 13:56 ON 08/11 /20 16 TO MIDNIGHT OF 07/11/2017
Collection No. & Dt. : CHQ 8935003631 - 08/11 /2016
Gross Premium 81 , 160 Service Tax 12174 Stamp Duty .5 Total : 174,494
Co-insurance Details NIL
Nature of Business TRANSPORT OPERATIONS
Category of Industry GREEN Policy Purchaser Category : Handler
Indemnity Limit Rs. 5,00,00,000.00 Any One Accident
Rs. 15,00,00,000.00
Aggregate during the Policy Period (Not exceeding three times of any one accident of Indemnity Limit.)
Retroactive Date
Contribution to the Environmental Relief Fund
08/11/2016
81 ,972 .00
TERRITORY/JURISDICTION : INDIA I INDIA
(included in the Total Premium)
The Insurance under this policy is subject to terms and conditions given in the policy attached here to. Specific Conditions if any 200 NUMBER OF VEHICLES AS PER LIST ATTACHED
Excess: NIL
Place : NAMAKKAL For and on behalf of
Date : 08/11/2016 1111111111111111111 The Oriental Insurance Company Limited
Authorised Signatory
CIN: U66010DL 1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 1 of 2
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
Attached to and forming part of policy number 454700/48/2017/1913
Financier Names are as per the list attached: Not applicable
Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall be void abinitio (from inception).
In witness whereof the undersigned being authorised by and on behalf of the Company has/have herein to set his/their hands at DO NAMAKKAL on 08TH DAY OF NOVEMBER 2016
Entered By
Examined By
DURAi SAMY
SHEELA TITUS
Place : NAMAKKAL
Date : 08/11/2016 lllllllllllillllllllllllllllllllllllllllllll!llllllli 11111!1111111111111
IROA-REGN0-556
In case of any query regarding the Policy please call Toll Free No. 1800 11 8485 and 011 33208485.
For and on behalf of The Oriental Insurance Company Limited
-:f ·~i~~ Authorised Signatory
For and on behalf of The Oriental Insurance Company Limited
CIN: U66010DL 1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 2
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
PU INSURANCE 22 ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2017/ /'113
1 TN88B4783 P.VIJAYAKUMAR SHREEJI KRUPA CARRIERS 2 TN88B4791 R.KUMARESAN SHREEJI KRUPA CARRIERS 3 TN88B4801 R. PA LAN ISAMY SHREEJI KRUPA CARRIERS 4 TN88B4803 R.SRINIVASAN SHREEJI KRUPA CARRIERS 5 TN88B6660 N.S.SETHURAJAN BALAJI TRANSPORTS 6 HRSSLSOSO G.NAGARAJAN N.BHUVANESHWARI BULK SERVICE
7 KA01AE9297 R.ANBALAGAN PARASAKTHITRANSPORT 8 TN28AM1159 C.SEKAR SREE AMMAN BULK CARRIERS 9 KA01AG0497 N.S.ASHOKRAJU RMS TRANSPORTS
10 KA01AG0502 N.S.ASHOKRAJU RMS TRANSPORTS
11 KA01AG0504 N.S.ASHOKRAJU RMS TRANSPORTS
12 KA01AG0505 N.S.ASHOKRAJU RMS TRANSPORTS
13 KA01AG1195 N.S.ASHOKRAJU RMS TRANSPORTS
14 KA01AG1193 N.S.ASHOKRAJU RMS TRANSPORTS
15 KA01AG1297 S.S.JAIPRAKASH JAYALAKSHMI TRANSPORTS
16 KA01AF3297 V.SIVASAMY JAYALAKSHMI TRANSPORTS
17 KA01AG1497 N. BALASU BRAMAN IAN TLS TRANSPORTS
18 TN28AF9524 S.MUTHUSAMY SRI KRISHNA TRANSPORTS
19 TN30AL2013 M.PONNUSAMY M.S.P.TRANSPORT
20 KA01AG1557 K.ARULKUMAR POORVIGA ROAD CARRIERS
21 TN88B7959 S.BASKER SREE AMMAN BULK CARRIERS
22 KA01AG1378 R. BALASU BRAMAN IAN SRE RAMANA TRANSPORT
23 KA01AF5857 P.SARAVANAN PALANIVELAN BULK CARRIERS
24 KA01AF5859 P.SARAVANAN PALANIVELAN BULK CARRIERS
25 KA01AF5865 S.UMARANI AKSHAYAA GAS MOVERS
26 KA01AF5866 S.UMARANI AKSHAYAA GAS MOVERS
27 TN28BB3556 A.SU BRAMAN I S.V.S.TRANSPORTS
28 KA01AG1096 S.KARUPPAIYA APR ROAD WAYS
29 KA01AG1939 S.DHANAPAL APR TRANSPORTS
30 KA01AG1949 G.VIJAYA KUMARAN APR TRANSPORTS
31 TN28BA1116 M.MOHAN S.M .LORRY SERVICE
32 KA01AF4559 S.P.PERIYASAMY SRI VEERAKKUMAR ROAD LINES
33 KA01AG2043 P.RAJU P.RAJU
34 KA01AG2044 P.RAJU P.RAJU
35 KA01AG2045 P.RAJU P.RAJU
36 KA01AG2046 P.RAJU P.RAJU
37 KA01AG2047 P.RAJU P.RAJU
38 KA01AG2115 S.CHANDRASEKARAN IYER CHANDRASEKARANIYER
39 KA01AG2111 S.CHANDRASEKARAN !YER CHANDRASEKARANIYER
40 KA01AG2010 S.CHANDRASEKARAN IYER CHANDRASEKARANIYER
41 KA01AG2090 R.S.MANI CHANDRASEKARANIYER
42 KA01AG2070 R.S.MANI CHANDRASEKARANIYER
43 KA01AG2119 S.ANBARASU JSM BULK CARRIERS
PERIOD OF INSURANCE 08/11/2016 TO 07/11/2017
For Southern Region Bulk L.P.G. Transport Owners Association,
for THE ORIENTALJNSURANCE CO.LTD.
}s,Z~s~o:±1:::-M L c_ .
Pre~ident,
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2017/ /CJ/ s 44 KA01AG1963 M.THANGAVELU BOOPATHITRANSPORT
45 KA01AG2076 P.RAVIKUMAR EX-ARMIY TRANSPORT
46 KA01AG2093 P.RAVIKUMAR EX-ARMIY TRANSPORT
47 KA01AG2094 P.RAVIKUMAR EX-ARMIY TRANSPORT
48 KA01AG2085 P.RAVIKUMAR EX-ARMIY TRANSPORT
49 KA01AG2049 P.RAVIKUMAR EX-ARMIY TRANSPORT
so KA01AG2066 C.SIVAKUMAR EX-ARMIY TRANSPORT
51 TN88B9579 S.BABY BALA TRANSPORTS
52 KA01AG2077 K.S.SHEKER ARUL MARIAM MAN TRANSPORTS
53 KA01AG2107 K.S.SHEKER ARUL MARIAMMAN TRANSPORTS
54 KA01AG2137 S.SELVARAJ ANNAMALAIYAAR TRANSPORTS
SS KA01AG2157 R.MARAPPAN SRI KARIYA KALIAMMAN TRANSPORTS
56 TN30AU3065 SURESH NARAYAN SHETIY THUNAIVAN LORRY SERVICE
57 KA01AG1977 M.DHARMENDRAN K.MURUGESH TRANSPORTS
58 KA01AG1777 C.SHANMUGAM KCS GAS SERVICE
59 TN28BB4097 P.NATARAJAN PSN TRANSPORT
60 KA01AG2078 V.YASOTHA MUHILAN TRANSPORTS
61 TN28B9139 E.MOHANKUMAR MUHILAN TRANSPORTS
62 KA01AG2037 R.BANUMATHI ABISHEK TRANSPORT
63 KA01AG1959 T.SIVAKUMAR PUSHPAVALLI LORRY SERVICE
64 KA01AG2133 S.SRINIVASAN THIRUMURUGAAN LORRY SERVICE
65 KA27BS286 SIDDALINGAPPA KALLUR PETROLIYAM
66 KA01AG2149 M.MOHAN KUMAR MS LORRY SERVICE
67 TN28BB2166 K.NAGARAJAN SHRI BALAJI TRANSPORTS
68 KA01AG2325 P.GANAPATHY SRI SAKTHIMURUGAN TRANSPORT
69 TN88B7229 P.BOOPATHI LAKSHMI ROAD LINES
70 TN88B7629 P.BOOPATHI LAKSHMI ROAD LINES
71 KA01AB5058 S.PALANIVEL S.P.S.BULK CARRIERS
72 KA01AB2028 S.SHANMUGAM S.P.S.BULK CARRIERS
73 KA01AG2337 S.PALANIVEL SKD.TRANSPORT
74 TN28BB4977 C.SEERANGAN P.N.S.TRANSPORT
75 KA01AG2257 N.ELANGOVAN N.E.ROADLINES
76 KA01AG2244 T.M.MOHAN SHIVAA VISHNU TRANSPORTS
77 KA01AG2336 P.VAIYAPURI KAVITHA LORRY SERVICE
78 KA01AG2333 K.NALLUSAMY JOTHIANDAVARTRANSPORT
79 KA01AG2030 P.RAMANATHAN SRI RAM&CO
80 KA01AG2032 K.SELVAKUMAR SRI RAM&CO
81 KA01AG2036 S.MENAKA SRI RAM&CO
82 KA01AG2464 V.BANUPRIYA SRI RAM&CO
83 KA01AG2324 N.VIJAY N.R. ROAD LINES
84 KA01AG1969 S.SAMPOORNAM ANKUR ROADWAYS
85 KA01AG2369 S.SAMPOORNAM AN KUR ROADWAYS
86 KA01AG2577 S.SAMPOORNAM ANKUR ROADWAYS
87 KA01AG2626 S.SAMPOORNAM ANKUR ROADWAYS
PERIOD OF INSURANCE 08/11/2016 TO 07/11/2017
For Southern Region Bulk L.P.G.. Transport Owners Association,
'f'\ l-- (.._ President
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2017/ [Cy f3 88 KA01AF1588 K.BALASUBRAMANI PALANIMURUGAN TRANSPORTS 89 KA01AG2397 P.KARIKALAN SRI SAKTHIMURUGAN BULK CARRIERS
90 KA01AF5968 S.PAPPATHY SRI PALANIAPPA ROADWAYS
91 KA01AG2167 S.SATHIESKUMAR S.V.T.GAS CARRIER
92 KA01AG2383 V.PRIYA VASU ROAD LINES
93 KA01AG2386 V.PRIYA VASU ROAD LINES
94 KA01AG2389 V.SARAVANAN S.V.S.ROADLINES
95 KA01AG2398 V.SARAVANAN S.V.S.ROADLINES
96 TN88B9460 R.SHANMUGA SUNDARAM NIRMALA TRANSPORTS
97 KA01AG2079 JAYANTHI G.T.S.BULK CARRIER
98 KA01AG2117 M.KUMARASAMY KARTHICK GAS CARRIERS
99 KA01AG2484 K.V.VEERAPPAN NARESH BULK CARRIER
100 KA01AG2091 S.MOHAN SMS&SONS BULK CARRIERS
101 TN28BB3818 A.SELVAM SRE VINAYAGA TRANSPORTS
102 TN88B9911 S.GOPAL S.GOPAL
103 KA01AG2147 C.SUBRAMANIAM S.C.S.TRANSPORTS
104 TN88B8689 R.KANNAN MANI BULLET SERVICE
105 TN28BB4693 N.KUMARASAMY PALANIMALAI MURUGAN TRANSPORTS
106 TN88B9747 K.THANGARAJ K.THANGARAJ
107 TN88B9463 S.MALLIKA M.S.P.BULK CARRIERS
108 TN28BA7949 K.VELUSAMY M.S.P.BULK CARRIERS
109 KA01AG2179 P.RAVI ARUL CARGO MOVERS
110 TN88B9421 P.RAMALINGAM AAG ROAD LINES
111 TN51H1513 P.BALAMURUGAN DINISH BULK CARRIERS
112 KA01AG2388 V.RAMALINGAM REVATHI BULK CARRIERS
113 TN88B2277 R.GOPINATH SWAMYMALAI BULK CARRIERS
114 KA01AG1659 K.SELVAM SRI VEERAMATHIAMMAN TRANSPORTS
115 KA01AG2189 K.PALANIAPPAN SRI NAMAGIRIAMMAN TRANSPORT
116 KA01AG2533 R.RAGUNATHAN SRI NAMAGIRIAMMAN TRANSPORT
117 TN52K5499 S.S.SIVAKUMAR S.J.M.ROADWAYS
118 TN52K4761 K.RAMESH K.R.ROADWAYS
119 TN52K4758 K.GANESAN S.J.MOVERS
120 KA01AG1598 V.PONNUSAMY RCS LORRY SERVICE
121 KA01AG2298 V.PONNUSAMY TAMILARASI LORRY SERVICE
122 KA01AG4498 V.PONNUSAMY TAMILARASI LORRY SERVICE
123 KA01AG2109 S.RAMASAMY M.S.R.TRANSPORT
124 KA01AG2193 K.KUMARAVEL VAT.TRANSPORTS
125 KA01AG2373 K.KUMARAVEL THANGA MURUGAN TRANSPORT
126 KA01AG1932 K.THAALAMUTHU SRI RAM TRANSPORT
127 KA01AG2590 P.RAJAVEL THENNAGAM TRANSPORTS
128 KA01AG1590 P.RAJAVEL O.K.P.BULK CARRIER
129 KA01AG2059 K.BALU SREENIDHI ROADWAYS
130 KA01AG2595 K.BALU SREENIDHI ROADWAYS
131 KA01AG1789 K. MAH ESH KU MAR SHENBAGAM ROAD TRANSPORTS
PERIOD OF INSURANCE 08/11/2016 TO 07/11/2017
for THE ORIENTAl INSURANCE CO.LTD.
~S:L,t~t:~
For Southern Region Bui~ L_.P.( Transport Owners Assoc1at,on,
C- •
'\\'\ ~ President.
ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2017/ / &J/ 3 132 TN28BB4161 P.NIVAS KPN TRANSPORT
133 TN88A9925 R.VELUSAMY R.V.R TRANSPORTS
134 KA01AG3595 N.PONNUSAMY SRI MURUGAN BULK CARRIERS 135 KA01AG1908 P.MOHAN SP MOHAN & COMPANY
136 TN28B3826 S.RUKUMANI BHARATHI ROAD LINES
137 KA01AF6477 P.SIVAKUMAR BHARATHI ROAD LINES
138 KA01AG2295 N.MUTHUSAMY VELMURUGAN TRANSPORT
139 KA01AG2260 M.GOBI VELMURUGAN TRANSPORT
140 KA01AG2296 K.VEERAPPAN VE LMURUGAN MOTOR SERVICE
141 KA01AG2311 V.RAJENDRAN R.l'J .TRANSPORT
142 TN88B9265 K.NATARAJAN SRI GANESH TRANSPORTS
143 KA01AG2786 K.SELVARAJ SML ROAD LINES
144 KA01AG2265 P. TAM I LARASAN K.K.K.TRANSPORT
145 KA01AG2785 P.TAMILARASAN K.K.K.TRANSPORT
146 KA01AG1996 S.CHANDRA PRAKASH S.P.P.TRANSPORTS
147 KA01AG2768 R.SURESH RAMESH TRANSPORT CO
148 KA01AG2829 V.R.DURAISAMY ANNAMAR ROAD LINES
149 TN28BA9727 V.R.DURAISAMY CIMA ROAD LINERS
150 TN28BA9729 V.R.DURAISAMY CIMA ROAD LINERS
151 KL09AL2202 P.RAMANATHAN SRI RAM&CO
152 KL09AK1387 P.RAMANATHAN SRBLPGTOA
153 KL09AK1287 V.SUBRAMANIAN SRI VINAYAGA TRANSPORTS
154 KA01AG2757 R.RAGUNATHAN R.R.TRANSPORTS
155 TN28BB4273 M .RAJKUMAR MSR TRANSPORTS
156 KA01AG2489 R.GANESAN ANNAMAR TRANSPORT
157 KA01AG2509 R.RAJA RAJAMURUGAN TRANSPORT
158 KA01AG2139 B.SARAVANAN B.S.BULK CARRIER
159 KA01AG2629 R.KALIMUTHU VENKATESWARA CARRIERS
160 KA01AG1030 N.RAJESH THUNAIVAN LORRY SERVICE
161 KA01AG1066 N.RAJESH THUNAIVAN LORRY SERVICE
162 KA01AG1068 N.RAJESH THUNAIVAN LORRY SERVICE
163 KA01AG1262 N.RAJESH THUNAIVAN LORRY SERVICE
164 KA01AG1363 N.RAJESH THUNAIVAN LORRY SERVICE
165 KA01AF5843 V.MOHAN SHREEJI KRUPA CARRIERS
166 KA01AF5879 V.MOHAN SHREEJI KRUPA CARRIERS
167 KA01AF5875 M.VALARMATHI SHREEJI KRUPA CARRIERS
168 NL05G0975 V.SHANMUGANATHAN THENNAVAN CARRIERS
169 KA01AF9209 V.LOGANATHAN V.N.TRANSPORTS
170 TN8889416 V.LOGANATHAN V.N.GAS CARRIERS
171 TN88B9430 V.LOGANATHAN V.N.GAS CARRIERS
172 KA01AG2756 P.ROOPA V.N.BULK CARRIERS (P) LTD
173 KA01AG3319 V.LOGANATHAN V.N.BULK CARRIERS (P) LTD
174 TN57T0900 P.KUPPUSAMY V.N.BULK CARRIERS (P) LTD
175 KA01AG2469 P.GUNASEKARAN SHANTHA MURUGAN TRANSPORTS
PERIOD OF INSURANCE 08/11/2016 TO 07/11/2017 .. ,
For THF ORIFtHAUNSURANCE CO.LTD.
~ ,~,:,:~i~~
ATIACHED TO AND FORMING PART OF POLICY NUMBER 454700/48/2017/ f~/3 176 KA01AC4069 N.NATARAJAN GREENFIELD TRANSPORT SERVICE 177 KA01AD5569 N.NATARAJAN GREENFIELD TRANSPORT SERVICE 178 KA01AC5069 N.NATARAJAN GREENFIELD TRANSPORT SERVICE 179 KA01AC6069 N.NATARAJAN GREENFIELD TRANSPORT SERVICE 180 KA01AE6263 N.NATARAJAN GREENFIELD TRANSPORT SERVICE
181 KA01AE6268 N.NATARAJAN GREENFIELD TRANSPORT SERVICE 182 KA01AE6272 N.NATARAJAN GREENFIELD TRANSPORT SERVICE
183 KA01AE6275 N.NATARAJAN GREENFIELD TRANSPORT SERVICE
184 KA01AE6286 N.SUNDARAM GREENFIELD TRANSPORT SERVICE
185 KA01AE6287 N.SUNDARAM GREENFIELD TRANSPORT SERVICE
186 KA01AE6290 N.SUNDARAM GREENFIELD TRANSPORT SERVICE
187 KA01AE6295 N.SUNDARAM GREENFIELD TRANSPORT SERVICE
188 KA01AG2269 N.NATARAJAN GREENFIELD TRANSPORT SERVICE
189 KA01AD3369 N.SUNDARAM O.S.P.TRANSPORT SERVICE
190 KA01AD3569 N.SUNDARAM O.S.P.TRANSPORT SERVICE
191 KA01AC1369 N.SUNDARAM VALVILORI TRANSPORT SERVICE
192 KA01AE8069 N.SUNDARAM VALVILORI TRANSPORT SERVICE
193 KA01AF8169 N.SUNDARAM VALVILORI TRANSPORT SERVICE
194 KA01AC1469 N.SUNDARAM GOLDEN TRANSPORT SERVICE
195 KA01AC1569 N.SUNDARAM GOLDEN TRANSPORT SERVICE
196 KA01AD7632 N.K.JAYARAMAN N.K.& SONS,
197 KA01AG3178 R.BALASUBRAMANIAN SRE RAMANA TRANSPORT
198 KA01AG3088 R.SIVA THIRUMURUGAN BULK CARRIERS
199 KA01AG2977 K.THIRUMALAISAMY SWAMYMALAI BULK CARRIERS
200 KA01AG3044 R.BAGGIAM V.M.R.ROADWAYS
PERIOD OF INSURANCE 08/11/2016 TO 07 /11/2017
for THE ORIENTAL INSURANCE CO.LTD.
--:1 ~ Qll_~\--I Sr. DIVISIONAL MAJAGEA
For Southern Region Bulk L.P.G Transport Owners Association,
~ \.. __ (__ '
President.