1

Personal Details

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Risk Details

Personal Details

Note: Machinery Breakdown policy from Bunna Insurance S.C. is a mandatory requirement for the Deterioration of stock Insurance Policy.

Period of Insurance

Building Details

Location Details

Building Details

Cold Storage House particulars:

Room Details:
Insulation types:*

Particulars of Refrigerant facilities:

What is the type of refrigerant used?*

Pipes carrying refrigerant are on the?*

Who carries out supervision?*

Maintenance Carried Out?

Maintenance Carried Out by?*

Refrigerating plant details:

Control and Alarm systems

State the total number of measuring devices for
What are the check intervals in hours for the following
Alarm is given
Maintenance carried out?

Controlled Atmosphere Storage

Power Supply

Power supply:
Laid:

Schedule of Goods to be insured

Do you require the following extensions