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Our Ref. #: PCA/D-220228 Insurer Ref. #: N.A 09 November 2012 MARINE SURVEY REPORT 1.

00 INSTRUCTION : IFFCO - TOKIO General Insurance Co. Ltd, IFFCO House, 3rd floor, 34, Nehru Place, New Delhi - 110019 : 03 July 2012 : Hanuman Trading Company, Bareilly : 21710739 : Loss & Damage to the consignment of pulses due to accident of carrying truck at Samboli, Hapur while enrooting from Bareilly to Delhi. : On 03 July 2012 : At Samboli, Hapur, U.P

Instruction received from Date when instructions received Insured Policy No. Type of Loss

Date of survey Place of Survey

2.00

INSURANCE PARTICULARS : IFFCO-TOKIO General Insurance Co. Ltd. : Marine Cargo Open Policy : M/S Hanuman Trading Company Madhobari, Nai Basti, Bareilly, U.P : 21710739 : 30 June 2012 to 29 June 2013 : Transits within India : From Bareilly to anywhere in India (exc. UP-UP)

Policy Issued By Type of Policy Insured

Policy Number Policy Period Mode of Conveyance Voyages

Subject Matter Commodity Insured Sum Insured Basis of Valuation Excess Clauses

: Rice, Grain, Pulses in bags (A) : INR 50,000,000 : Cost Insurance & Freight : 0.5% of the consignment value subject to minimum of INR 10,000/- per eel : Marine Warranties, Important Notice, Institute Radioactive Contamination Exclusion Clause Inland Rail/Road Clause (A) Strike Riot Civil Commotion Clause : Commodity Grains, Pulses (Chanti masoor) Packing Single and used gunny bags (HDPE) Note: Mould, Mildew, Fungus and Vermin Infestation Excluded unless caused by Insured Perils

Additional Details/Clauses/Endors ement/Warranties

3.00

INVOICE PARTICULARS : Hanuman Trading Company Bareilly, U.P : 211 dated 02/07/2012 : Chanti masoor : 600 bags (25 kg each) : INR 678,343

Invoice issued by Invoice # and date Description of item Quantity Invoice Value

4.00

CONSIGNMENT & VOYAGE PARTICULARS : Hanuman Trading Company Bareilly, U.P : Shivam Sales, Assam

Consignor Consignee

GR # & Date Nature of packing From/ to Date of Dispatch from the consignors premises Mode of transport Date of loss/discovery of loss Type of loss

: 1291 dated 02.07.2012 : Single packing of HDPE bags (25 Kg each) : From Bareilly to Delhi : On 02 July 2012

: By road through Truck # HR 38P 1270 : On intervening night of 02/03 July 2012 the truck containing consignment of chanti masoor met with an accident near Samboli, Hapur, U.P : Loss & Damage to the consignment of pulses due to accident of carrying truck at Samboli, Hapur while enrooting from Bareilly to Delhi.

5.00

OUR OBSERVATION & VERIFICATION : Due to overturning of the truck the HDPE bags got torn & damaged : Loss & damage to the consignment of pulses due to accident of carrying truck at Samboli, Hapur while enrooting from Bareilly to Delhi. : Insured has provided us letter of monetary claim dated 05 July 2012 : Insured has not provided us the damaged certificate.

Condition of the packing of damaged material Place & Cause of loss (In our opinion) Status of monetary claim lodged on the carriers Status of damage/Shortage certificate 6.00

CIRCUMCENTANCES OF LOSS

A consignment containing Chanti Masoor Dal was dispatched from Hanuman Trading Company, Bareilly to Shivam Sales, Assam vide Invoice # 211 dated 02.07.2012 under consignment note # 1291 dated 02.07.2012.

While enrooting to Assam the truck carrying consignment met with an accident near Samboli, Hapur, U.P resulting the truck got toppled and the consignment spread on the road. The truck driver informed about the accident to the truck owner who in-turn informed the Insured. Insured accordingly lodged claim on the Insurers and we were appointed for the survey of the loss. 7.00 VERIFICATION OF LOSS

Soon after the information of the loss on 03 July 2012 we immediately visited the accident site at Samboli, Hapur, Ghaziabad on same day i.e. 03 July 2012 and found the toppled truck was lying on the road and dal spread on the road. On inspecting the truck we found some of the bags were intact/sound and escaped from damages in the incident. We accordingly advise the insured to call another truck and load the sound bags in truck. Accordingly the sound bags were loaded into another truck and sent for the final destination. During discussion the insured informed that rest dal would be sent back to their premises and after inspection they would decide whether the same could be used after reprocessing or not? We accordingly advise the insured to call for the truck and refill the dal into new bags so that the truck along with the dal could be weighed. We accordingly waited at the site till night but the insured had failed to arrange for the truck. We thereafter advise to shift the dal to their premises and inform us before unloaded of the dal, so that we could visit their premises and the joint weighment of the dal could be carried out. But instead of our advise insured did not proceed as our instruction and had not given us any opportunity to verify the damages. We had obtained and verified following documents from the Insured.

lodged on the transporter

Copy of Invoice Copy of Consignment Note Copy of Claim bill Copy of monetary claim Copy of weightment slip

We have examined the Insureds claim, verified required documents & physical inspection and worked out the loss after considering the following:


9.00

The quantity of damage is as per physical inspection. The rate of damaged item had been taken as per the invoice.

COMPUTATION OF LOSS

The assessment of loss is as follows. Note:1. Insurers are requested to obtain the damage certificate from the Insured. 2. Insurers are also requested to obtain the declaration if any from the Insured. 10.00 ENCLOSURES: lodged on the transporter Copy of Invoice Copy of Consignment Note Copy of Claim bill Copy of monetary claim Copy of weightment slip Photographs

This report is issued without prejudice and subject to terms, condition of Insurance Policy. Yours sincerely, For Puri Crawford Insurance Surveyors & Loss Assessors (I) P Ltd, Vikas Ahuja Surveyor

Invoice #: PCA/D-220228/1099 Instructions Received from 29 September 2012 IFFCO - TOKIO General Insurance Co. Ltd, IFFCO House, 3rd floor, 34, Nehru Place, New Delhi - 110019 N.A 21710739 M/S Hanuman Trading Company Madhobari, Nai Basti, Bareilly, U.P Marine - Loss & Damage to the consignment of pulses due to accident at Samboli, Hapur during transit from Bareilly to Delhi. AACCP6068LST001 AACCP6068L Rs. 4,000/-

Insurer Ref # Policy # Insured Type of loss

Pan Base Service Tax # Pan # Professional Fees 1. Conveyance Own Conveyance (168 km @ Rs. 10/Km) 2. Photographs (20 @ Rs.15/- each) 3.D.A @ 500/- per day Total Add : Service Tax @ 12.36% Amount

Rs. 1680/Rs. Rs. 300/500/Rs. 6,480/Rs. 801/Rs. 2,480/-

Rs. 7,281/-

(Rupees Seven Thousand Two Hundred & Eighty One only) Please mention our invoice # while making payments Yours sincerely, For Puri Crawford Insurance Surveyors & Loss Assessors (I) P Ltd, Vikas Ahuja Surveyor

Our Ref. #: PCA/D-220228 Insurer Ref. #: N.A 29 September 2012 IFFCO - TOKIO General Insurance Co. Ltd, IFFCO House, 3rd floor, 34, Nehru Place, New Delhi - 110019 Kind Attention: Dear Sir, Loss/Damage to the consignment of Chanti Masoor during transit from Bareilly to Assam under Invoice # 211 dated 02.07.2012 & GR # 1291 dated 02.07.2012. Insured under Marine Cargo Open Policy # 21710739 issued by IFFCO TOKIO General Insurance Co. Ltd. ----------------------------------------------------------------------------------------------Please find enclosed the following documents pertaining to the above survey conducted by us: -

1. Survey Report # PCA/D-220228, dated 28 September 2012 2. Our bill cum pre-receipt # PCA/D-220228/1099 for a sum of Rs.
7,281/We hope you will find the above documents in order. Thanking you, Yours sincerely, For Puri Crawford Insurance Surveyors & Loss Assessors (I) P Ltd, Vikas Ahuja Surveyor

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