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CARI Sample

This document outlines the insurance schedule for Arabian Shield Cooperative Insurance Company, covering the contracting work at Solitaire Mall in Riyadh from January 2, 2024, to September 30, 2024. It details the insured parties, policy number, premium payment terms, geographical limits, and coverage specifics including material damage and third-party liability. The document also specifies deductibles and sums insured for various items related to the construction project.

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0% found this document useful (0 votes)
68 views2 pages

CARI Sample

This document outlines the insurance schedule for Arabian Shield Cooperative Insurance Company, covering the contracting work at Solitaire Mall in Riyadh from January 2, 2024, to September 30, 2024. It details the insured parties, policy number, premium payment terms, geographical limits, and coverage specifics including material damage and third-party liability. The document also specifies deductibles and sums insured for various items related to the construction project.

Uploaded by

arshak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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SCHEDULE

The Insurers i;_,la.:i.ll 6:f.-lll.l �JLII e_;�I �_,.!,


ARABIAN SHIELD COOPERATIVE INSURANCE COMPANY

The Insured (JJI.W) OJI� �I.JJ')'I uS.J �.,.. .JI/J (�1) J,.. ..>(,+I.,..

Solitaire Mall ( as Principal) &/or -GC name- as Contractor


and/or sub-contractor and/or consulting engineers for their
respective rights and interest for onsite activities only

Business �')'.Jll.. J.,..11


Contracting

Polley No.
-policy number-

Period of Insurance CD.II� uP-;Jl:JI �, .. 't t .. ,. 't'/YV ui, .. \ t to/, V/T. Vo


'-i�i..,..i�I IT J.,..!..
From 01/0212024 to 3010912024 (Both days inclusive)
including 12 months extended maintenance period

Premium 4'- Jll.,JI � J::i...ill


As Agreed

Premium Payment Terms �_,JI .JIJ..aJ c.s.ll o/o I , ,


1 00% at inception of cover

Geographical Limits '-IJ.J&,wll �.;a,11 �I


Kingdom of Saudi Arabia

Insured Contract
-GC name-- Fit-Out Works - Solitaire Mall. Riyadh

Contract Value
SR -contract amount-

Site of Erection �J.,._JI �.;a,11 �I •<.J.:1�1


Riyadh, Kingdom of Saudi Arabia

The Principal J,.. ..>(,+I.,..


Solitaire Mall

Section 1 - Material Damage Jl..,.-ll �;.JI �w....JI � �


As per the attached Schedule of Property Insured

Section 2 - Third Party Liability: Ji..,.-JI �;.JI �l1ll....11 JJ� �


As per the attached Schedule of Property Insured

Deductible JS..,.-Jl�IJJ�� �I
As per the attached Schedule of Deductibles

Ref 00027_ Tools Cornu Esr (CW) / "'M Page 10 of 27


Attaching to and forming part of Contractors' All
Risks Policy No. -policy number-
In the name of -GC name-

Section I - Material Damage

Item
Property Insured (J..u)�I� ll.),oll� ,J.;
No. Sum Insured (SR) �
Contract Work
1 (permanent and temporary work, including all -contract value-
materials to be incorporated herein)

-..._;.$ �
2 Materials or items supplied by the principal �I � u,o oJJj.oll Jl,_Jl
Not Insured

3 Construction Plant and Equipment -..._;.$


Not Insured
�1.:.1.-...,.:.i..!.l.. ,.
4 Clearance of Debris -..._;..$
Not Insured �• 1.1.'JI 4.11J,·1 '
Principal property or property under care, � JI ii� JI �1.s,.; i} u,s. JI �l J� i,;.11 .:..l.£l:i...l1
5 custody and control of the insured 1,000,000 0
4.1 u,o),ol1 .JI�!

Total Sum Insured under Section I -total amount-

Section II - Third Party Llabllity j:ILII � 4.J.,.....JI : T �I

SR 5,000,000/- Combined Single Limit for Death, Bodily Injury and ..!....WI )fa"Jlf'oa,11(�1 �� ..!l_ji.!..JI 1J4Jpl .a o,,, ,,,, ,
Property Damage any one occurrence and in the aggregate. Sub-limited ir.J9 � _, �l:ill ii. J� ..,]4)S., �1,11 w.iW wllll u_).11 ..:.l5l:i...J
to SR 300,000/- any one occurrence and in the aggregate per person for .:,.,.:; �1.,..n ,p,.... JI,,_; o,,, ••• J .�1.,11 � .,J.,.... J!,.,_; i •• ,, , ,
Death / Bodily Injury and SR 500,000/- in respect of underground
<fa}il
properties/ facilities.

Deductible J-.lll
Item No.1 For each and every loss. 1 % of Claim Amount subject ,�.l�I ).J...a.."Jl �\SJ J!,.,.; \ •,,,, �I�� :i..i.lU..J1 �,i c),o % \ . '.i..,.11
to a minimum of SR 10,000/- for All Perils and act of �I ()y.-}I_, �I u41fa'ilJ �I ..�4
God major perils, except Strike, Riot and Civil
Commotion (SRCC)

Item No. 2 For each and every loss, the first amount(SR as shown (') J.i)I.; � _,. t..s (v'.J)) J.,'i1 �1 u\.i ,,_;L.....i.. � .,<ii� T.i..,.11
in Item 1 above) (o::Ac.l

Item No. 3 For each and every loss, the first amount (Not (� 'i) J.,'i, �, ul-' ••_;� � ., <.11 � ,. .i..,.11
Applicable)

Item No.4 For each and every loss. the first amount (Not (� 'i) J}Jl �1 ,.;.Li ••.)� �_, .,1 � '.i..,.11
Applicable)

Item No. 5 For each and every loss, the first amount (Not (� 'i) J_,'il �I u\.i ,i_;� �J 1$1 � 041
Applicable)
Third For each and every loss, the first amount of SR li,i �l_;Jl � :i..iJlb,JI � c),o iJ� J!,_, (jl � JI,,_; io ,,,,
Party 35,000/- for above ground facilities. <fa_;"ii
�.,_,......11
Liability �IM
NIL in respect of Third Party Bodily/ Death Injury. �I� .,iJ_,,...Jl � �� 't
For each and every loss, 20% of the claim amount �Jl,u io,,,, �1 �•).,.... �Ji$\� :i..iJLb.Jl�c)..0/oY,
subject to a minimum of SR 35,000/- for underground .Lf,,_;"il.:,.,.:; L. Jilyol
orooerties/ facilities.

R�(" 00027. Tools Corner Est. (CW) I""" Pag� 12 of 27

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