TAKAFUL IKHLAS GENERAL BERHAD 201701019705 (1233870-A) 5th Floor, Bangunan Malaysian Re, No. 17, Lorong Dungun, Damansara Heights, 50490 Kuala Lumpur Tel: 603-2723 9696 Fax: 603-2723 9998 Website: www.takaful-ikhlas.com.my (Licensed under Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia) STAMP DUTY PAIDSumbangan Bersih / Net Contribution : RM 150.00 Cukai Perkhidmatan / Service Tax : RM 9.00 Duti Setem / Stamp Duty : RM 10.00 Jumlah Sumbangan / Total Contribution : RM 169.00 W4 Kod Kerja / Job Code Drainage/ Earthworks ORIGINAL JADUAL TAKAFUL PAMPASAN PEKERJA WORKMEN COMPENSATION TAKAFUL SCHEDULE Peserta The Participant : PROLINTAS EXPRESSWAY SDN BHD (199001010509)(202079-X) as Principal and HOME ENGINEERING SERVICES SDN BHD as Main Contractor For Their Respective Rights and Interest Alamat Address : NO. 27G, JALAN BULAN CA U5/CA (PU5/P), SEKSYEN U5, SUBANG 2, No.Pendaftaran/No. KP Co. Reg.No / NRIC : 571991-H / 200201004328 No. Sijil Certificate No. : WC-CAR034237 No. Pembaharuan Renewal No. : Nombor Akaun Account No : GG15073 Tarikh Cadangan Dan Akuan Proposal & Declaration : 13/01/2024 Jenis Sijil Class of Certificate : WORKMEN COMPENSATION Tempoh Takaful: (termasukkedua-dua tarikh/ both datesinclusive) Period of Takaful: (a) Mula From : 01/01/2024 Tamat To : 31/12/2025 (b) Mana-mana tempoh selanjutnya Peserta membayar dan Syarikat hendaklah bersetuju menerima sumbangan pembaharuan. Anysubsequent period for which the Participantshall pay and the Companyshall agreeto accept a renewalcontribution Lokasi Kontrak Contract Site : Tempoh Kontrak Contract Period : 01/01/2024 to 31/12/2025 Tempoh Tanggungan Liabiliti Defect Liability Period : 01/01/2026 to 30/04/2028 : The Workmen's Compensation Ordinance 1952 The Workmen's Compensation (Amendment) Ordinance 1956 (federation of Malaya) The Workmen's Compensation (Amendment) Act, 1976 (Malaysia) Modification of Laws(Workmen's Compensation) (Extension and modification) Order 1981 The Workmen's Compensation (Amendment) Act 1996 No. Item Item No. Butiran Description Jangkaan Jumlah PendapatanEstimated Total Earnings (RM) 1.01 ROUTINE MAINTENANCE WORKS FOR AIR-CONDITIONING SYSTEM AT GUTHRIE CORRIDOR EXPRESSWAY (GCE) CONTRACT NO.: TURNPIKE/CMD/GCE/TD/2023.20 39,780.00JUMLAH / TOTAL 39,780.00
ATTACHING TO AND FORMING PART OF CERTIFICATE NO : WC-CAR034237 Page: 2Tertaklukkepada fasal/waranti/pengendorsan yang dilampirkan bersama :- Subject to theclauses/warranties/endorsements attached hereto:- Kod / Code Deskripsi / Description WM02 JURISDICTION WM04 PROPERTY DAMAGE CLARIFICATION CLAUSE WM05 EMPLOYEES TO EMPLOYEES ENDORSEMENT WM20 WARRANTY 60 WM21 WARRANTY 76 WM22 WARRANTY 77 WM23 WARRANTY 85 WM25 WARRANTY 192 WM26 WARRANTY 194 WM27 WARRANTY 197 WM28 WARRANTY 231 WM31 ENDORSEMENT A WM32 ENDORSEMENT B Dikeluarkan sebagai penggantian dan pembatalan no. nota perlindungan: Issued in lieu of and cancelling cover note no. : WC-CAR034237 Penggantian No. Sijil / Replacing Certificate No : No. Sijil Co-Takaful / Co-Takaful Certificate No. : Disaksikan bahawa sijil ini telah ditandatangani bagi pihak dan dengan kuasa daripada syarikat. In witnessed whereof thiscertificate has been signed on behalf and with the authority of thecompany. Tarikh / Date : 13/01/2024 Ditandatangani Di / Signed At : Head Office, Kuala Lumpur Disemak Oleh / Checked By ------------------------------------------------------- Tandatangan Sah (Authorised Signatory)
TAKAFUL IKHLAS GENERAL BERHAD 201701019705 (1233870-A) 5th Floor, Bangunan Malaysian Re, No. 17, Lorong Dungun, Damansara Heights, 50490 Kuala Lumpur Tel: 603-2723 9696 Fax: 603-2723 9998 Website: www.takaful-ikhlas.com.my (Licensed under Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia) STAMP DUTY PAIDSumbangan Bersih / Net Contribution : RM 397.80 Cukai Perkhidmatan / Service Tax : RM 23.87 Duti Setem / Stamp Duty : RM 10.00 Jumlah Sumbangan / Total Contribution : RM 431.67 W4 Kod Kerja / Job Code Drainage/ Earthworks ORIGINAL JADUAL TAKAFUL SEMUA RISIKO KONTRAKTOR CONTRACTOR ALL RISK TAKAFUL SCHEDULE Peserta The Participant : PROLINTAS EXPRESSWAY SDN BHD (199001010509)(202079-X) as Principal and HOME ENGINEERING SERVICES SDN BHD as Main Contractor For Their Respective Rights and Interest Alamat Address : NO. 27G, JALAN BULAN CA U5/CA (PU5/P), SEKSYEN U5, SUBANG 2, No.Pendaftaran/No. KP Co. Reg.No / NRIC : 571991-H / 200201004328 No. Sijil Certificate No. : CAR034237 No. Pembaharuan Renewal No. : Nombor Akaun Account No : GG15073 Tarikh Cadangan Dan Akuan Proposal & Declaration : 13/01/2024 Jenis Sijil Class of Certificate : CONTRACTOR ALL RISKS Tempoh Takaful: (termasukkedua-dua tarikh/ both datesinclusive) Period of Takaful: (a) Mula From : 01/01/2024 Tamat To : 31/12/2025 (b) Mana-mana tempoh selanjutnya Peserta membayar dan Syarikat hendaklah bersetuju menerima sumbangan pembaharuan. Anysubsequent period for which the Participantshall pay and the Companyshall agreeto accept a renewalcontribution Lokasi Kontrak Contract Site : Tajuk Kontrak Contract Title : ROUTINE MAINTENANCE WORKS FOR AIR-CONDITIONING SYSTEM AT GUTHRIE CORRIDOR EXPRESSWAY (GCE) CONTRACT NO.: TURNPIKE/CMD/GCE/TD/2023.20 Tempoh Tanggungan Liabiliti Defect Liability Period : 01/01/2026 to 30/04/2028 No. Item Item No. Butiran Description Amaun Yang Dilindungi Amount Covered (RM) SECTION: 1 Contract Works (Permanent and temporary works, including all material to beincorporated herein) 1.01 CONTRACTOR WORKS PRICE 198,900.00JUMLAH / TOTAL 198,900.00
ATTACHING TO AND FORMING PART OF CERTIFICATE NO : CAR034237 Page: 2DEDUCTIBLE - PER OCCURRENCE (EACH AND EVERY LOSS) SECTION : 1 Act of God : Minimum 1500.00 or 5% of loss whichever is higher Flood/Inundation : Minimum 1500.00 or 5% of loss whichever is higher Others : Minimum 1500.00 or 5% of loss whichever is higher Subsidence : Minimum 1500.00 or 5% of loss whichever is higher Theft : Minimum 1500.00 or 5% of loss whichever is higher SECTION : 2 THIRD PARTY LIABILITY Any One Accident - 1,000,000.00 Any One Period - UNLIMITED Third Party Property Damage : Minimum 1000.00 or 5% of loss whichever is higher Underground Services : Minimum 1500.00 or 5% of loss whichever is higher Vibration, Weakening Removal of Support : Minimum 1500.00 or 5% of loss whichever is higher LIMIT OF INDEMNITY IN RESPECT OF ANYONE ACCIDENT OR SERIES OF ARISING OUT OF ONE EVENT.
ATTACHING TO AND FORMING PART OF CERTIFICATE NO : CAR034237 Page: 3Tertaklukkepada fasal/waranti/pengendorsan yang dilampirkan bersama :- Subject to theclauses/warranties/endorsements attached hereto:- Kod / Code Deskripsi / Description CR01 STRIKE, RIOT AND CIVIL COMMOTION (LIMIT 10% OF SUM COVERED) CR02 CROSS LIABILITY CR03 MAINTENANCE VISITS CR07 AIRFREIGHT CR34 VIBRATION, REMOVAL OR WEAKENING OF SUPPORT CR36 DATE RECOGNITION CLAUSE CR40 LOSS NOTIFICATION (WITHIN 30 DAYS) CR42 PROPERTY DAMAGE CLARIFICATION CLAUSE CR43 TERRORISM EXCLUSION CLAUSE CR45 REINSTATEMENT OF LOSS CLAUSE CR49 MALICIOUS DAMAGE Dikeluarkan sebagai penggantian dan pembatalan no. nota perlindungan: Issued in lieu of and cancelling cover note no. : CAR034237 Penggantian No. Sijil / Replacing Certificate No : No. Sijil Co-Takaful / Co-Takaful Certificate No. : Disaksikan bahawa sijil ini telah ditandatangani bagi pihak dan dengan kuasa daripada syarikat. In witnessed whereof thiscertificate has been signed on behalf and with the authority of thecompany. Tarikh / Date 13/01/2024 Ditandatangani Di / Signed At Head Office, Kuala Lumpur Disemak Oleh / Checked By ------------------------------------------------------- Tandatangan Sah (Authorised Signatory)