hereinafter provided.
by the ________ insurance company
_________________________ authorised signature
date of issue:
place of issue:
schedule
policy no.:
1. name and address of the insured
1.1 the insured:
1.2 address:
2. location of the property insured:
3. nature of trade:
4. insured items and sums insured:
insured items sums insured
4.1 property insured
4.1.1 building(s) (including decoration):
4.1.2 machinery and equipment:
4.1.3 furniture and fixture:
(including office equipment and supplies)
4.1.4 stock:
4.1.5 others:
4.2 additional expenses:
4.2.1 removal of debris fees:
4.2.2 fire extinguishing expenses:
4.2.3 professional fees: