Tata AIG General Insurance Company Limited

Registered Office: Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013.
IRDA Registration No.:108 CIN - U85110MH2000PLC128425 UIN:IRDAN108CP0041V01201819 PAN:AABCT3518Q
TEL +91-22-66699696 FAX +91-22-66546464 EMAIL: emarine.support@tataaig.com

Certificate of Insurance

In consideration of the Policyholder named herein paying to the Tata AIG General Insurance Company Ltd. (hereinafter called the Insurer) the premium as stated in the Schedule and in reliance upon the statements made by the
Policyholder in the proposal including its attachments or otherwise, and the material incorporated therein, the Insurer agrees to provide insurance against loss damage liability or expense to the extent and in the manner herein
provided subject to all terms, conditions, exceptions and warranties hereinafter set forth.

THE ASSURED:
ANMOL INDUSTRIES LTD,
229 AJC BOSE ROAD,
KOLKATA,WEST BENGAL,700020,INDIA
GSTIN Number: 19AADCB9169P1ZS
TO ORDER:

CERT NO. REF/LC NO: BL/AWB/LR/RR NO:

C001452519 NA ASLDEL2300776

CUR: AMOUNT INSURED: CONVEYANCE: BL/AWB/LR/RR DATE:

INR 3,530,007.60 IRENES WISDOM / 2315 2 AUG 2023
USD 43,473.00 'SO VALUED'

INVOICE NO.: INVOICE DATE: MODE OF SHIPMENT:

F52333000067 27 JUL 2023 Sea

FROM: GREATER NOIDA,INDIA EXPECTED DATE OF SHIPMENT:

2 AUG 2023

TO: HAMAD PORT, DOHA,QATAR

SUBJECT-MATTER INSURED: MARKS & NUMBERS:

UPON CONSIGNMENT SAID TO BE CONTAIN ANMOL BUTTER BAKE BISCUITS, NO. OF 10483 CARTONS BOXES, PACKING 2 x 40' HC FCL TCNU6454304 , TCLU1764573-40'HC RFID SEAL No.WIND01811220 ,
45GX72PACKS, BATCH NO. 08A,02A, 12 MONTH SHELF LIFE, HS CODE 19053100, NET WEIGHT: 33,964.92 KGS , GROSS WEIGHT: WIND01811218 L/S: ASL 225266, 225267
37,319.48 KGS AGAINT THE COMMERCIAL INV NO. F52333000067 DT 27.07.2023.

CONSIGNEE:
SAFARI TRADING EST.
3RD FLOOR,BLOCK NO. BETWEEN 53 & 54,BARWA COMMERCIAL, AVENUE, PO BOX-20545, DOHA, QATAR

LC DESCRIPTION

NA

INSURING CLAUSES AND CONDITIONS

Institute Cargo Clause (A) CL 382 01/01/09

Institute Strikes Clause (Cargo) CL 386 01/01/09
Institute War Clauses (Cargo) CL 385 01/01/09
Institute Classification Clause CL 354 1/1/01
Cargo ISM Endorsement
Sanction Limitation and Exclusion Clause (JC2010/014)
Termination of Transit Clause (Terrorism) JC 2009/056 (01.01.09)
Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical, Electromagnetic Weapons Exclusion Clause CL.370 (10.11.03)
Institute Cyber Attack Exclusion Clause CL.380 (10.11.03)
Institute Standard Conditions for Cargo Contracts 1/4/82
Important Notice Clause

EXCESS:
0.4% of the consignment value subject to minimum of INR 5000 for each and every loss

All terms,conditions,warranties and exclusions are as per open policy no 0865080677 duly stamped. Should there be any discrepancy between this Certificate of Insurance and the Open Policy, the Open Policy shall
prevail.

SETTLING AGENT: CLAIM REPRESENTATIVE:

TATA AIG General Insurance Company Limited TATA AIG General Insurance Company Limited
7th and 8th Floor, R Tech Park, Village Pahadi, Goregaon (E). Mumbai-400063 7th and 8th Floor, R Tech Park, Village Pahadi, Goregaon (E). Mumbai-400063
912000000000 912000000000
General.Claims@tataaig.com General.Claims@tataaig.com

PREMIUM: INR 1,235.50 TOTAL PREMIUM: INR 1,457.89

TAXES AS APPLICABLE: INR 222.39

Claim, if any, payable at/by: QATAR ENCRYPTION: tZSSNQcDMiqSy2O

IMPORTANT
PROCEDURE IN THE EVENT OF LOSS OR DAMAGE FOR WHICH UNDERWRITERS MAY BE LIABLE
LIABILITY OF CARRIERS, BAILEES OR OTHER THIRD PARTIES INSTRUCTIONS FOR SURVEY
It is the duty of the Assured and their Agents, in all cases, to take such measures as may be reasonable for the In the event of loss or damage which may involve a claim under this insurance, immediate notice of such loss or
purpose of averting or minimising a loss and to ensure that all rights against Carriers, Bailees or other third damage should be given to and a Survey Report obtained from the Company's representative at port of discharge
parties are properly preserved and exercised. In particular, the Assured or their Agents are required:- or destination or if there be no representative of the Company, the nearest Lloyd’s Agent.
1. To claim immediately on the Carriers, Port Authorities or other Bailees for any missing packages DOCUMENTATION OF CLAIMS
2. In no circumstances, except under written protest, to give clean receipts where goods are in doubtful To enable claims to be dealt with promptly, the Assured or their Agents are advised to submit all available
condition. supporting documents without delay, including when applicable:-
3. When delivery is made by Container, to ensure that the Container and its seals are examined immediately 1. Original policy of insurance.
by their responsible official. If the Container is delivered damaged or with seals broken or missing or with 2. Original or copy shipping invoices, together with shipping specification and/or weight notes.
seals other than as stated in the shipping documents, to clause the delivery receipt accordingly and retain 3. Original Bill of Lading and/or other contract of carriage.
all defective or irregular seals for subsequent identification 4. Survey report or other documentary evidence to show the extent of the loss or damage.
4. To apply immediately for survey by Carriers’ or other Bailees’ Representatives if any loss or damage be 5. Landing account and weight notes at final destination.
apparent and claim on the Carriers or other Bailees for any actual loss or damage found at such survey. 6. Correspondence exchanged with the Carriers and other Parties regarding their liability for the loss or damage
5. To give notice in writing to the Carriers or other Bailees within 3 days of delivery if the loss or damage was
not apparent at the time of taking delivery.

NOTE - The Consignees or their Agents are recommended to make themselves familiar with the Regulations of
the Port Authorities at the port of discharge. For and on behalf of Tata AIG General Insurance Company Ltd
NOTE – This is an electronically generated document.

For Certificate verification

https://emarinedeclhub.tataaig.com/marine/#/encrypt-pdf

AUTHORISED REPRESENTATIVE
Issue Date : 2 AUG 2023 ORIGINAL Place of issue : KOLKATA