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~ 3f)QQUampif if4l~8 CSaqatt ~f)fu THE ORIENTAL INSURANCE COMPANY LIM qGft~n mi VflTltir 1114FCfq

TJ-25127 3IRtQS 3Rft _ ifI ~ - 110002 Regd amp Head Office --shyA~~527 Asaf Ali Road New Delhi - 110002 )

~~~~iitRt1IIftf~ tt I

~wwwOrintallnSUl1lnC8orgJn ~ VISit us at wwworientalinsuranceorgin Address all communications to Policy Issuing 6ffic-~e

LiABILITY INSURANCE (UNDER PUBLIC LIABILITY INSURANCE ACT 1991) POLICY SCHEDULE ~

Policy No 4547004820183625 Prevo Policy No

Cover Note No Cover Note Date

Insureds Code bull 79232475 Issue Office code 454700

Insureds Name bull SOUTHERN REGION BULK Issue Office Name bull DO NAMAKKAL (GSTIN LPGTRANSPORT OWNERS 33AAACT0627R3Z4 ) ASSOCIATION Ac Various Parties as per List attached (GSTN 33AAGAS5195R1Z0)

Address 87SALEM ROAD Address KVA COMPLEX NAMAKKAL 637001 90-A THURAIYLJR ROAD

NAMAKKAL - 637001

NAMAKKAL TAMIL NADU 637001 NAMAKKAL TAMIL NADU 637001 TelFaxEmail I I 9442177088 I TelFaxl Email 04286-220504 222504 04286-222104 I

srblpgtoayahoocoin 454 700orientalinsurancecoin

AgentBroker Details

- DevOffCode NA0000002595 M SELVARAJU

AgentBroker BA0000118557 RMOHAN M SELVARAJU Address 138A VAGURAMPATTYVASANTHAP URAMNAMAKKALSALEMTAMIL NADU6370ltBlIsines~ Ass TelFaxlEmail middot 944222709194422270911Nt The Oriental su OClate

_ Namakkal Ce ranee CoUa Period of Insurance FROM 0000 ON 22012018 TO MIDNIGHT OF 21012019 bull 119443251 UJ5 Collection No amp Dt middot CHQ 8935005335 - 18012018 GST INVOICE NO 331610116477

Gross Premium 81160 GST 14608 Stamp Duty 5 Total 176928

Co-insurance Details NIL

Ndture of Business TRANSPORT OPERATIONS

Category of Industry GREEN Policy Purchaser Category Handler

lndomnity Limit Rs 5000000000 Any One Accident

Aggregate during the Policy Period (Not exceeding three times Rs of anyone accident of Indemnity Limit) 150000000 00

Retroactive Date 11012018

Contribution to the 8116000 (included in the Total Premium) Environmental Relief Fund

TERRITORYJURISDICTION INDIA I INDIA

The Insurance under this policy is subject to terms and conditions given in the policy attached here to

Specific Conditions if any SRBLPGTOA AC200 NUMBER OF LPG TANKERS AS PER LIST ATTACHED

Excess NIL

Place NAMAKKAL For and on behalf of111II II [l i lll~lDate 1101 2018

Authorised Signatory

CIN U66010DL 1947GOI007158 All the Amounts mentioned 1tliUpoundolooJil(are in Indian Rupees of 2

IRDA Regn No 556 - Now you can buy and renew selected policies online at wwworientalinsuranceorgin

I~ttached to and forming part of policy number 45470048201 83625

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 hashave herein to set histheir hands at DO NAMAKKAL (GSTIN 33AAACT0627R3Z4) on 11TH DAY OF JANUARY 2018

For and on behalf of Entered By M SELVARAJU

The Oriental Insurance Company Limited Examined By MR V AADHITHIYANATHAN

Policy Printed By 426865 IP 1041

Authorised Signatory Policy Printed On bull 18-JAN-18 123244 MAC

Place NAMAKKAL For and on behalf ofI [ II~I ~I I ~ ~ Il ll~ The Oriental Insurance Company Limited Date 11 01 201 8

In case of any query regarding the Policy please call Toll Free No 1800 11 8485 and 011 33208485 Authorised Signatory

CIN U66010DL 1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 2


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PLiINSURANCE 13 AITACHED TO AND FORMING PART OF POLICY NUMBER 454700482018 3b 2-shy

1 TN28AQ5368 MMANOKARAN SRK TRANSPORTS


3 TN28AH9344 MMANOKARAN NIVISHNA BULK CARRIERSS

4 TN52V5393 PKMOHAN PKM BULK CARRIERS

5 TN28BB8057 MKAVITHA AJANTA GAS CARRIER

6 TN28AH7666 S GANESAN THIRUMURUGAAN LORRY SERVICE

7 TN28AH7018 SGANESAN THIRUMURUGAAN LORRY SERVICE

8 TN04MOS53 SSRINIVASAN KARTHICK BULK CARRIERS

9 TN28BA6436 SSRINIVASAN KARTHICK BULK CARRIERS

10 ITN28BA3620 SSRINIVASAN KARTHICK BULK CARRIERS


12 KA01AE3489 SSRINIVASAN KARTHICK BULK CARRIERS

13 ~ KA0 1AG1122 SSRINIVASAN KARTHICK BULK CARRIERS

14 TN28AJ4650 KBALASUBRAMANIAN ANU TRANSPORTS

15 TN28AJ4653 KBALASUBRAMAN IAN ANU TRANSPORTS

16 TN88C3560 K BALASU BRAM AN IAN ANU TRANSPORTS

17 TN88C3650 K BALASUB RAM ANIAN ANU TRANSPORTS

18 TN28AJ0048 KBALASUBRAMANIAN SRBLPGTOA

19 TN28AA7530 NRAJE ND RAN JAYALAKSHMI TRANSPORTS

20 KA01D3363 PCHINNATHANGAM SK TRANSPORTS

21 KA01AA6160 NCHIN NUSAMY SAKTHI SIVAN TRANSPORTS

22 KA0 1AA6163 A KUPP USAMY SAKTHI SARAVANA TRANSPORTS

23 TN28AJ2810 A KUPPUSAMY SAKTHI SARAVANA TRANSPORTS

24 iKA01AA6158 SPSELVARAJ SAKTHI LAKSH M I TRANSPORT

25 TN56E9899 SPSELVARAJ SAKTHI LAKSH M I TRANSPORT

26 AP16TW7789 GBALASANKAR SHIVA SHANKAR TRANSPORT

27 KA01 AF9996 GBALASANKAR SHIVA SHANKAR TRANSPORT

28 TN30BF9532 G BALASANKAR SHIVA SHANKAR TRANSPORT

29 TN523697 AV C RAJA KARUMALAI TRANSPORTS

30 TN47M4912 ASNASAMY SSIDDHARTH

31 TN47AJ6433 SSIDDHARTH SSIDDHARTH

32 KA21A1318 BRE KHA S5IDDHARTH

33 KA2 1A2549 BREKHA SSIDDHARTH

34 TN 28AA6899 E ROGAN NR BROS TRANSPORTS

35 TN28AA8255 E ROGAN NR BROS TRANSPORTS

36 TN28AJ2389 M SAMBASIVAM SMS TRAIJSPORTS

37 TN 28AJ3389 M SAMBASIVAM SMS TRANSPORTS

38 KA01AF5789 M SAM BASIVAM SMS TRANSPORTS

39 i KAOIAG7789 MSA M BASIVA M SMS TRANSPORTS

40 KA21A1162 KSEN THILKUMAR SHRI RAMANACHALA TRANSPORTS

41 KA01AG6876 RKALAMANI SRI KANTHAMURUGAN TRANSPORT

42 KA01AH1112 M SAR AVANAN SHRI SIVASEKAR TRANSPORT

43 KA01B3101 KKANAGARAJU RK ROADLINES

44 KAOIAG6544 KKANAGARAJU RK ROADLINES

PERIOD OF INSURANCE 22012018 TO 21012019

For Southern Region Bulk LPG Transport Owners Association

I

r

3 111

- ATTACHED TO AND FORMING PART OF POLICY NUMBER 4547004820183b2~ 1--

4S KAOIAG6644 KKANAGARAJU SRI AP TRANSPORT

46 KA01AG7544 KKANAGARAJU SUMITHA TRANSPORT

47 KA21A05 32 KKAVIN PRASHATH SVS BULK CARRI ER

48 KA01AA6221 S RAMAN VARAlAKSHMI ROAD CARRIER

49 KA01AH0689 SRAMAN VARALAKSHMI ROAD CARRIER

50 KA0 1AC1368 SRAMAN VARALAKSHMI ROAD CARRI ER

51 KA01C9695 SRAMAN VARALAKSHMI ROAD CARRIER

52 KA01AG6159 M BALAN BSK LORRY SERVICE

53 KA01AE1866 RSU SILA SKT BU LK SERVICE

54 KA0 1AD2383 MRAJKUMAR PRANIESH TRANSPORT

55 KA01AH083 8 M RAJKU MAR KISHORE TRANS PORTS

56 TN28 BB9452 MRAJKUMAR NSR TRANSP ORTS

57 TN88X3904 M SARAVAN AN SRI PONKALIAM M AN TRA NSPORT

58 TN28Al9520 NSENTH ILKUMAR NAVALADI GAS SERVICE

59 TN18 E2999 SSUBRAMANI SAMVARTHIKA TRANSPORT

-shy 60 TN05X4075 SsUBRAMANI SAMVARTHIKA TRANSPORT ------~----------+-------------------~------------------------~

61 KA01AE5919 SSUBRAMANI SAMVARTHIKA TRANSPORT

62 TN20AK5745 SSUKUMAR PRIYAN TRANSPORT

63 KA01AF31 59 SSUKUMAR PRIYAN TRANSPORT

64 KAO IAF5851 SSUKUMAR CIMA ROAD LI NERS

65 KA01AG5065 SS UK UMAR PRIYAN TR ANSPORT

66 AP15X2789 PSU BRAMANI SAMVARTHIKA TRANSPORT

67 TN28APll02 KARU LSELVAN SML TRANSPORT

68 TN28AE0589 KARU LSE LVAN EVE REST TANKE RS SERVICES

69 KAOlAG6889 SLOGACHANDAR MATHAN TRANSPORT

70 TN28AE1440 PMATHAN KUMAR SRI MOOKAM BIGAI TRANSPO RTS

71 TN28AD1209 PMATHANKUMAR SRI MOOKAM BIGAI TR ANS PORTS

72 KA01 AG7162 PMATH ANKUMAR SRI MOOKAMBIGAI TRANSPORTS

73 KAOIAG6829 PMATHANKUMAR SRI MOOKAMBIGAI TRANSPORTS

74 TN88 5689 KRAMASAMY RAMESH TRANSPORT CO

75 TN 88621 2 KRAMASAMY RAM ESH LORRY SERVICE

76 TN886 25 6 KR AMASAMY RAM ESH LORRY SERVICE

77 TN 28AJ8003 KR AMASAMY RAM ESH LORRY SERVI CE

78 TN28AJ7922 K RAMASAMY RAM ES H LORRY SERVI CE

79 TN52Y0273 KRAMASAMY RAM ESH TRANSPORT CO 80 TN52Y115 3 KRAMASAMY RAMESH TRANSPORT CO

81 KA01AF9873 KRAMASAMY RAM ESH LORRY SERVICE

82 TN88C4275 KRAMASAMY RAM ESH LORRY SERVICE

83 TN 52Y1392 jRSUR ES H RAM ESH TRAN SP ORT CO

84 KAOlAE9 322 RSURE SH RAM ESH TRANSPORT CO

85 KA01AF6003 RSU RES H RAMESH TRANSPORT CO

86 KA01AG2768 RSURES H RAMESH LORRY SERVICE

87 KAOlAG3397 AMUSTHRIJAN MSK TRANSPORTS 88 TN88C6163 AMUSTHRlJAN MSK TRANSPORTS

89 TN28AW4581 PRAMASAMY PPSTRANSPORT

PERIOD OF INSURANCE 22012018 TO 21012019 -

For Southern Regioa Bulk LPG Transport ~ers ASSOclatloabull

M~~ ~ - - _ _

-ATTACHED TO AND FORMING PART OF POLICY NUMBER 454700482018] bL5

90 TN28AW4582 PRAMASAMY PPS TRANSPORT

91 TN886169 PRAMESH YASHVANTH BULK CARRIER

92 TN04Q3588 RMANIVEL AMMAN THUNAI TRANSPORTS

93 KA21D5469 CKTHANGAVEL CKT TRANSPORTS

94 KA01AF5566 CKTHANGAVEL CKT TRANSPORTS

95 HR38K5838 C KTHANGAVEL CKT TRANSPORTS

96 TN18F4362 CKTHANGAVEL CKT TRANSPORTS

97 TN28AW7848 CKTHANGAVEL CKT TRANSPORTS

98 TN88C3980 CKTHAIJGAVEL CKT TRANSPORTS

99 TN45AV6789 CKTHANGAVEL CKT TRANSPORTS

100 KA21D9797 TLATHA CKT TRANSPORT SERVICE

101 TN88C4882 TLATHA SRI LAKSHMI TRANSPORT SERVICE


103 TN 28AK3472 TLATHA CKT TRANSPORT SERVICE

104 TN18D9702 CKTHANGAVEL CKT TRANSPORTS

105 TN88C3997 CKTHANGAVEL SRI LAKSHMI TRANSPORT SERVICE

106 GJ14W3109 TLATHA CKT TRANSPORT SERVICE


108 GJ06VV9372 TLATHA CKT TRANSPORT SERVICE

109 GJ06TI9669 BSURESH BABU BGS TRANSPORT

110 TN88C4790 RANBAZHAGAN ANBU GAS SERVICE

111 KA01AA5719 MSARAVANAN ANBU BULK CARRIER


113 KA01AG3565 RSEKAR SML ROADLINES

114 TN01AQ5677 RBALUSAMY SRI MAHALAKSHMI BULK CARRIERS

115 KA01AG4668 RBALUSAMY SRI MAHALAKSHMI BULK CARRIERS



118 KA01AE6384 RSEKAR SRI MAHALAKSHMI BULK CARRIERS

119 TN886872 RSEKAR SRI MAHALAKSHMI GAS CARRIER

120 KA01AF4784 RSEKAR SRI MAHALAKSHMI GAS CARRIER

121 MH09BC6187 RSOKKALINGAM SWARNAKAMAL ROADWAYS

122 MH09BC6487 RSOKKALI NGAM SWARNAKAMAL ROADWAYS

123 MH09BC6587 R50KKALINGAM SWARNAKAMAL ROADWAYS





128 KA01AD3387 TPUGALENTHI JPS TRANSPORTS


130 TN28AJ6734 PBASKAR KAVITHA TRANSPORT

131 KA01AE3697 SARULRAJ PSA TRANSPORTS

~ TN28AH9979 SARULRAJ PSA BULK CARRIER shyf33 KA01AG8649 SARULRAJ PSA BULK CARRIER

134 TIJ28AK6489 SARULRAJ PSA TRANSPORTS

PERIOD OF INSURANCE 2201 2018 TO 21012019

For Southern Region Bulk LPG Transport Owners Associ~tion

t- ~~~--~~

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ATTACHED TO AND FORMING PART OF POLICY NUMBER 4547004820183 ()-( 135 TN28AC4689 SARULRAJ PSA TRANSPORTS

136 TN28AL1343 SARULRAJ PSENGODAN TRANSPORT

137 TN28AJ2100 KPALANIVEL KTS TRANSPORTS

138 TN28AR2251 M PALANIVEL SRI PASUPATHI BULK CARRIER


140 KA01AD2441 MPALANIVEL SRI PASUPATHI BULK CARRIER

141 KA01AD2451 M PALANIVEL SRI PASUPATHI BULK CARRIER

142 TN28AF4759 KSOUNDRARAJAN SIDDARTH TRANSPORT

143 TN59AF2125 RSELVARAJ PRAVIEN ROADLIINS

144 TN28AR9047 RSELVARAJ PRAVIEN ROADLIINS

145 TN28AW2761 SSHANTHI PRAVIEN ROADLIINS

146 TN04AA5376 VMURUGESAN ABHISHEK ROADLINES

147 KA21A4821 SVENNILA AA CARRIERS

148 KA21A4822 M SENTHILKUMAR AA CARRIERS


150 TN887224 PSELVAM SOLAMUTHU IYYA TRANSPORT -1 151 TN28AF5019 NMUTHUSAMY ANNAl BULK CARRIERS

152 TIJ28AL5911 SMARAPPAIJ Cl BI PANDIAN TRANSPORT

153 KA01AG9757 KNALLUSAMY JOTHIANDAVARTRANSPORT

154 KA01AG9457 IJSADASIVAM RKS TRANSPORTS

155 KA01ADll10 PVIJAYAKUIVIAR SREE KANNIMARR TRANSPORTS

156 KA01AC3053 PVIJAYAKUIVIAR SREE KANNIMARR TRANSPORTS

157 TN28AH0919 PVIJAYAKUIVIAR SREE KANNIMARR TRANSPORTS

158 KA01AB8577 AVENKATESWARAN VSL TRANSPORT


160 TIJ28AC5482 CSIVAKUM AR SUN BULK CARRIERS

161 TN28AC5682 CSIVAKUMAR SUN BULK CARRIERS

162 TN28AH8056 CSIVAKUMAR SUN BU LK CARRIERS

163 TN28AJ6451 CSIVAKUMAR SUN BULK CARRIERS

164 KA01AA5735 C SIVAKUMAR SUN BULK CARRIERS

165 AP04V5098 SMATHESWARI SSP ROADWAYS

166 KA01AF8449 PPOONGOTHAI SSP ROADWAYS I 167 TN28AH7355 SMATHESWARI THIRUMURUGAN LORRY SERVICE

168 KA01AH0789 KPALANISAMY EMAYAM TRANSPORT

169 TN28AJ1013 KPALANISAMY EMAYAM TRANSPORT

170 TN28AH7277 PBHUVANESWARI CIBIDHARAN TRANSPORTS

171 TN28ARll01 M RSHIVAKUMMAR SURYA ASHOK TRANSPORTS

172 TN28AR1090 M R5HIVAKUMMAR SURYA ASHOK TRANSPORTS

173 TN28AJ6958 RPERIYASAMY KPR amp CO TRANSPORTS



176 HR55C3145 RPERIYASAM Y KPR amp CO TRANSPORTS

177 TN04T7275 PBALU KPR amp CO TRANSPORTS

178 TN28BB8379 S PONNUSAMY SRI SELLANDIAMMAN BULK CARRIER

179 KA01AG7163 VSHANKAR GAN ESH VELU TRANSPORTS


For Southern Region Bulk LPG kr THE OR1ENTAllNSUR NeE co ~TC f~ ~ Transp~ O~SeASS~ciationtf-~~~fn(

-1 ____ I ~ t1 1 A_ y - _

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-AITACHED TO AND FORMING PART OF POLICY NUMBER 454700482018 3~os

180 TN88C4039 KPRABAHARAN KRP(BULK)LPG TRANSPORTS 181 TN28BA3568 ASENGODAN TMT AUTO GAS

182 TN887420 R VIJAYARAN I AAR VEE AAR TRANSPORTS

183 TN887421 RVIJAYARANI AAR VEE AAR TRANSPORTS

184 KA21A6SS6 NLAKSHMI VIJAYPANDIYAN ROADWAYS

185 KA01AG8750 TLRAMRAJAN SR I GANAPATHY TRANSPORTS

186 KA21A2358 ABISHEK SUBA SURYA ROADWAYS


188 TN28AE9943 SARTHY PR ROADWAYS

189 KA21A1l57 NVIJAYPANDIAN RAM YA ROADWAYS

190 KA21A2360 NVIJAYPAN DIAN RAMYA ROADWAYS

191 KA21A2361 NVIJAYPANDIAN RAMY A ROADWAYS

192 KA21A2646 NVIJAYPANDIAN RAMYA ROADWAYS

193 MH43U6476 VRAVIKUMAR CHAN DRASEKARAN IYER S

194 TN885674 GIYAPPAN SIDDARTH TRANSPORT

195 TN52Y6859 RMAHESWARAN SIDDARTH TRANSPORT

196 TN885681 KSARAVANAKUMAR ANNAl BULK CARRIERS

197 TN28AH6359 DSIVAKUMAR SRM TRANSPORT

198 KA21A4459 KALAGARSAMY SIDDARTH TRANSPORT

199 TN886891 RMAHESWARAN SRM TRANSPORT

200 TIl28AR1492 RMAHESWARAN SRM TRANSPORT


R ion Bulk LPG For southeroDj AssssoociciaautioopnmiddotmiddotA ~~errss Ar mE ORlfNTAL INSURANCECO LTD Transport~

~ V ice President I middot Divisional ~

Manager

I~ttached to and forming part of policy number 45470048201 83625

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 hashave herein to set histheir hands at DO NAMAKKAL (GSTIN 33AAACT0627R3Z4) on 11TH DAY OF JANUARY 2018

For and on behalf of Entered By M SELVARAJU

The Oriental Insurance Company Limited Examined By MR V AADHITHIYANATHAN

Policy Printed By 426865 IP 1041

Authorised Signatory Policy Printed On bull 18-JAN-18 123244 MAC

Place NAMAKKAL For and on behalf ofI [ II~I ~I I ~ ~ Il ll~ The Oriental Insurance Company Limited Date 11 01 201 8

In case of any query regarding the Policy please call Toll Free No 1800 11 8485 and 011 33208485 Authorised Signatory

CIN U66010DL 1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees of 2


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111!! iii[l i!lll~l for and on behalf - srblpgtoa.comsrblpgtoa.com/pli2018/pli-13.pdf · 137...

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