NOW, THEREFORE, IT IS HEREBY AGREED between the parties as follows:

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2 Sarvhit Bima Yojna in Uttar Pradesh (hereinafter referred to as Samajwadi Kisan & Sarvhit Bima Yojna or Scheme ) a) Out of various Bidder, Insurance Company has been found as successful bidder on the basis of L-1 and GoUP has issued LOI No. 615B/KaNi- 6/ B(4)/2015 dated 08,Aug.2016 to the Insurance Company. b) Insurance Company shall provide services for implementation of Samajwadi Kisan & Sarvhit Bima Yojna in accordance with the terms of Directorate s above mentioned tender No. Instfin /02 published on 03/06/2016. c) GoUP intends to accord to the Insurance Company the right to undertake the Project on the terms and conditions set forth in this Agreement; d) All the conditions stated in the Request for Proposal (RFP), Prebid Response sheet and the Corrigendum Documents shall form part of this Agreement. e) Both parties agree that for providing the services as per the terms of this Agreement, the Insurance Company shall be paid as per the payment schedule detailed in Annexure-A to this Agreement. NOW, THEREFORE, IT IS HEREBY AGREED between the parties as follows: 1. Insurance Company (Oriental Insurence co. Ltd.) shall provide services for implementation of Samajwadi Kisan & Sarvhit Bima Yojna in accordance with the terms of GoUP s above RFP Document No. Instfin /02 published on 03/06/2016 for below cluster(s): S.No. Cluster Annual Premium Amount inclusive of all taxes, applicable duties and other charges. (in INR) 1. Agra Rs. 105,93,81, (one hundred five crore ninty three lac eighty one thousand three hundred forty four ) only 2. Meerut Rs. 54,03,58, (Fifty four crore three lac fifty eighty thousand one hundred thirty two) only 3. Bareilly Rs. 74,22,45, (Seventy four crore twenty two lac forty five thousand ninty one) only 4. Kanpur Rs. 76,09,84, (Seventy six crore nine lac eighty four thousand seven hundred five) only The Payment Terms shall be as provided in Annexure A 2. The following documents attached hereto shall be the integral part of this Agreement: (a) Request for Proposal (RFP) - Attached in Annexure B (b) Amendment in the Scheme

3 (c) Amendment in the Scheme as per pre bid response sheet 3. Detailed Scheme: Samajwadi Kisan and Sarvhit Bima Yojna as amended is as below :

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31 6. The Scheme shall be executed on profit sharing basis. In case the Insurance Company records more than 20% profit in a year, then the additional profit shall be adjusted to the premium due for the subsequent period. The same process shall be followed for subsequent periods. The assessment of profit under the Scheme shall be done by Statutory Auditor of Insurance Company and all the expenses incurred for the same shall be borne by the Insurance Company % of the decided/ calculated annual premium amount shall be paid to the Insurance Company and if the Insurance Company s performance within the first six month is found satisfactory, then as per the recommendation of the tender committee, 50% payment shall be made to the Insurance Company. 8. Insurance Company shall work closely with Care Card Issuing Company and Service Provider/ System Integrator selected by the Directorate to ensure effective implementation of the Scheme. 9. The Insurance Company shall not receive any remuneration in connection with the assignment except as provided in this Agreement. The Insurance Company and its affiliates shall not engage in activities that conflict with the interest of the GoUP under this Agreement. 10. As the number of beneficiaries under the Scheme is an estimate, the IT Company and Insurance Company shall provide a joint certificate to the Directorate one month prior to the end of insurance term stating actual number of beneficiary families in the cluster(s) allotted to the Insurance Company. 11. The GoUP/Directorate or any of its officers, employees, contractors, agents or advisers, subject to

32 any law to the contrary, shall not be liable for any loss or damage (whether foreseeable or not) suffered by any person acting on or refraining from acting because of any information including forecasts, statements, estimates, or projections contained in the RFP document or conduct ancillary to that whether or not the loss or damage arises in connection with any negligence, omission, default, lack of care or misrepresentation on the part of Insurance Company or any of its officers, employees, contractors, agents or advisers. 12. The Insurance Company shall perform the services and carry out its obligations under this Agreement with due diligence efficiency and economy in accordance with generally accepted professional standards and practices. The Insurance Company shall abide by all the provisions/acts/rules etc. prevalent in the country. The Insurance Company shall conform to the standards laid down in the RFP in totality. 13. Applicable Law means the laws and any other instrument having the force of law in India as may be issued and in force from time to time. This Agreement shall be interpreted in accordance with the laws of the Union of India and the State of Uttar Pradesh. 14. If, after the date of the issuance of LOI, there is any change in the Applicable Laws of India with respect to taxes and duties, then the same shall be borne by the Insurance Company. 15. Arbitration i. Any dispute or difference whatsoever arising between the parties to the Agreement out of or relating to the construction, meaning, scope, operation or effect of the Agreement or validity of the breach thereof, which cannot be resolved through negotiation process, shall be referred to the sole Arbitrator. Principal Secretary (Law), GoUP or an officer nominated by him, not below the rank of Addl.L.R shall be the solo Arbitrator. The Provision of Arbitration and Conciliation Act, 1996 shall apply. The Arbitration shall be held in Lucknow, India. ii. Subject to the above, the Courts at Lucknow only shall have jurisdiction in this matter. 16. For the purpose of the liabilities under this Agreement, the Insurance Company Shall be considered as a solely liable for delivery of all the components of the Scheme as amended from time to time and scope of work of RFP. A Scheme as mentioned in clause-3 above. 17. The Insurance Company shall not misuse data and information during the execution of its responsibilities. 18. All correspondences and other documents pertaining to this Agreement, which are exchanged between the parties, shall be written in the English/ Hindi This Agreement shall terminate in case of the following conditions: a) The term of this Agreement expires. b) If Performance of Insurance Company is below desired level and the Insurance company fails to remedy a failure in the performance of its obligations. c) Non-adherence to the timelines of the Scheme as mentioned in RFP Clause 2.6 d) If the Insurance Company becomes insolvent or goes into liquidation or receivership whether compulsory or voluntary. e) If the Insurance Company fails to comply with any final decision reached because of arbitration proceedings. f) If the Insurance Company, in the judgment of GoUP/Directorate, has engaged in corrupt or fraudulent practices in competing for or in executing this Agreement. g) If the Insurance Company submits to Directorate/GoUP a false statement which has a material effect on the rights, obligations or interests of Directorate/ GoUP.

33 h) If the Insurance Company places itself in position of conflict of interest or fails to disclose promptly any conflict of interest to Directorate/ GoUP. i) If the Insurance Company is blacklisted by the Directorate/ GoUP Notwithstanding anything contained in clause 19.1, GoUP shall give 30 days notice to Insurance Company before terminating this Agreement The Insurance Company shall observe the highest standard of ethics during the selection and execution of this Agreement. In pursuance of this, the Insurance Company shall not be involved to the following: a) Corrupt practice means the offering, giving, receiving, or soliciting of anything of value to influence the action of a public official in the selection process or in contract execution; and b) Fraudulent practice means a misrepresentation of facts in order to influence a selection process or the execution of a contract and to deprive the Directorate/ GoUP of the benefits of free and open competition. c) Collusive practice is an arrangement between two or more parties designed to achieve an improper purpose, inclusive of cartelization wherein rival companies cooperate for their mutual benefit for gaining an unfair market advantage In case an Insurance company is found to be involved in the activities mentioned in clause 20.1 above then the GoUP/Directorate shall blacklist the Insurance Company. Once the Insurance Company is black listed, GoUP/Directorate shall have the authority to assign the work allotted to the black listed Insurance Company to some other Insurance Company before next payment due to the blacklisted company. In such case all the payments made to the blacklisted Insurance Company shall be recovered as arrears of land revenue. 21. In case the Insurance company under the Scheme, after receipt of the claim reimbursement application, shall not be able to reimburse the claim within the stipulated time frame, then the Insurance company shall be penalized by Rs 1000/- per claim per week and the Insurance Company shall have to deposit the penalty amount in the bank account of the Head of the Family/bread Earner, Nominee/legal heir (Whichever is applicable) in case of personal Accidental insurance in the bank account of the Head of the Family/Bread earner/ member in case of Health facility and Artificial limb replacement. 22. If the insurance company records more than 20% profit from this Scheme and expresses inability to continue for subsequent year, in that case, amount exceeding to 20% profit shall be recovered from the Insurance Company as Arear of Land Revenue. 23. In case of any Conflict or inconsistency between any provisions contained in the RFP, Scheme, Amendment in the Scheme, Amendment in the Scheme as pre bid response sheet, and this Agreement, the following order precedence shall apply, but only in so far as is necessary to resolve that conflict or inconsistency :- A. This Agreement B. Scheme along with Amendments in the Scheme and Amendment in the Scheme as pre bid response sheet C. RFP (ebid Reference No. Instfin /02) 24. The Insurance Company shall wholly indemnify Directorate and GoUP from and against any costs, loss, damages, expense, claims including those from third parties or liabilities of any kind howsoever suffered, arising or incurred inter alia during and after this Agreement period. 25. The Insurance Company (ies) shall process the claim application submitted by the beneficiaries.

34 The claims settlement shall also be done in case the Samajwadi Kisan and Sarvhit Bima card for the beneficiary has not been issued. The process of claims in case of Personal Accidental Insurance Claim process for Personal Accidental Insurance prior to the issuance of card Claim process for Personal Accidental Insurance after care card is issued a) In case of accidental death or physical disability (as the case may be), Head of the Family/ Bread Earner/ nominee/ legal heir (as applicable) shall submit claim documents through Common Service Centers/ outlets to Insurance Company. b) It would be mandatory for the beneficiary to send the physical copies of claim form with all the details and Documents to the Insurance Company for claim settlement. Also, the claim shall be required to be submitted electronically on Insurance Company website/ data Center with scanned copies of all relevant documents (as per the prescribed claim form). c) The claims are to be made within three months (but not later than one month of end of insurance period). In case, the claims are not made with in the above time frame, then District Magistrate shall have the rights to excuse the delay for claim submission for additional one month. d) Head of the Family/ Bread Winner/ Nominee/ Legal Heir (as applicable) shall submit claim form (available on Insurance Company website) with scanned copies of below documents (as applicable): 1. Khasra Khatauni certificate (including co-owner in case of a) The IT Company issuing Samajwadi Kisan & Sarvhit Bima Care Card shall provide details of all the Care Cards issued by it to the monitoring cell/ data Center. Samajwadi Kisan & Sarvhit Bima Care Card shall be issued to Head of the Family/ Bread Earner of each beneficiary family and a Care Card number shall be assigned to it. The Care card number shall be printed on the Card. Based on the Care Card number, Head of the Family/ Bread Earner/ nominee/ legal heir shall be identified by the Data Center/ insurance company (ies) and hospitals. b) Head of the Family/ Bread Earner/ nominee/ legal heir (as applicable) shall submit the claim for Physical disability or Death (as the case may be) though Common Service Centers by filling the claim form available on website of Insurance Company/ Data Center. c) The claims are to be made within three months (but not later than one month of end of insurance period). District Magistrate shall have the authority to excuse the delay for claim submission fir additional one month. d) Head of the Family/ bread winner/ nominee/ legal heir (as applicable) shall submit claim form (available on Insurance Company website) with

35 Claim process for Personal Accidental Insurance prior to the issuance of card farmer) 2. Age certificate 3. F.I.R/ G.D copy/ Certificate issued by S.D.M (if applicable) 4. Death certificate 5. In case of disability, certificate issued by Chief Medical Officer (C.M.O)/ Committee designated for this purpose 6. Legal Heir certificate (Only in controversial cases) 7. Income Certificate (In case of nonfarmers) The claim forms shall also be available on website of Mukhyamantri Banking and Bima helpline Claim process for Personal Accidental Insurance after care card is issued scanned copies of below documents(as applicable): 1. Khasra Khatauni certificate (including co-owner in case of farmer) 2. Age certificate 3. F.I.R/ G.D copy/ Certificate issued by S.D.M(if applicable) 4. Death certificate 5. In case of disability, certificate issued by Chief Medical Officer (C.M.O)/ Committee designated for this purpose 6. Legal Heir certificate (Only in controversial cases) 7. Income Certificate (In case of nonfarmers) e) Post-mortem report shall not be required in such cases where dead body could not be found due to drowning or being swept away in flood. In such cases, certificate issued by SDM shall be deemed sufficient. f) In case of death of Head of the Family/ Bread Earner due to any wild animal bite, Post mortem report/ Certificate issued by doctor of local Primary health Center shall be deemed sufficient and the claim shall not be rejected on ground that Viscera report not being submitted. g) In case of death of Head of the Family/ Bread Earner in an accident, Certificate issued by doctor of local Primary health Center and in case of certificate issued by Private Doctor, then, Senior Medical Officer of local Primary health Center attestation or attestation by District Chief Medical Officer (C.M.O) will have to be The claim forms shall also be available on website of Mukhyamantri Banking and Bima helpline e) Post-mortem report shall not be required in such cases where dead body could not be found due to drowning or being swept away in flood. In such cases, certificate issued by SDM shall be deemed sufficient. f) In case of death of Head of the Family/ Bread Earner due to wild animal bite, Post mortem report/ Certificate issued by doctor of local Primary health Center shall be deemed sufficient and the claim shall not be rejected on ground that Viscera report not being submitted. g) In case of death of Head of the Family/

36 Claim process for Personal Accidental Insurance prior to the issuance of card submitted. h) In case of physical disability to Head of the Family/ Bread Earner in an accident certificate issued by Chief Medical Officer (C.M.O)/ Committee designated for this purpose will have to be submitted. i) Head of the Family/ bread winner/ nominee/ legal heir (as applicable) while filing the claim shall also furnish his/ her bank details including: 1. Bank Name 2. Account Number 3. I.F.S.C Code 4. A copy of bank account passbook j) The Insurance company shall make the claim payment to the Bank accounts electronically k) If electronic payments cannot be made due to unavoidable reasons, claim payment is to be made through cheque which is to be provided to Head of the Family/ bread winner/ nominee/ legal heir (as applicable) within 15 days. l) The insurance Company on receiving all the document relevant to the claim shall dispose the matter within one month by making payment to Head of the Family/ bread winner/ nominee/ legal heir (as applicable) m) In case any discrepancies are found in the claim or if any controversy arises, the claim shall be investigated and the Claim process for Personal Accidental Insurance after care card is issued Bread Earner in an accident, Certificate issued by doctor of local Primary health Center and in case of certificate issued by Private Doctor, then, Senior Medical Officer of local Primary health Center attestation or attestation by District Chief Medical Officer (C.M.O) will have to be submitted. h) In case of physical disability to Head of the Family/ Bread Earner in an accident certificate issued by Chief Medical Officer (C.M.O)/ Committee designated for this purpose will have to be submitted. i) Head of the Family/ bread winner/ nominee/ legal heir (as applicable) while filing the claim shall also furnish his/ her bank details including: 1. Bank Name 2. Account Number 3. I.F.S.C Code 4. A copy of bank account passbook j) The Insurance company shall make the claim payment to the Bank accounts electronically k) If electronic payments cannot be made due to unavoidable reasons, claim payment is to be made through Cheque which is to be provided to Head of the Family/ bread winner/ nominee/ legal heir (as applicable) within 15 days. l) The insurance Company on receiving all the document relevant to the claim shall dispose the matter within one month by making payment to Head of the Family/ bread winner/ nominee/ legal heir (as

37 Claim process for Personal Accidental Insurance prior to the issuance of card investigation report shall be presented to the concerned committee (headed by District Magistrate).The Committee shall include: 1. District Magistrate 2. Chief Development Officer 3. Chief Medical Officer 4. Sub-Divisional Magistrate 5. District Level Officer, National Saving Claim process for Personal Accidental Insurance after care card is issued applicable) m) In case any discrepancies are found in the claim or if any controversy arises, the claim shall be investigated and the investigation report shall be presented to the concerned committee (headed by District Magistrate).The Committee shall include: a) District Magistrate b) Chief Development Officer c) Chief Medical Officer d) Sub-Divisional Magistrate e) District Level Officer, National Saving Representatives of the Insurance Company shall also be invited. The Committee shall take decision on all the discrepant/ Controversial claims. The Insurance Company shall be bound to adhere to the decision taken by the Committee and make the payment within one month. In such cases, Insurance Company shall submit a cheque of amount payable to the District Magistrate who will hand over the cheque to the concerned Head of the Family/ bread winner/ nominee/ legal heir (as applicable) within 15 days. Representatives of the Insurance Company shall also be invited. The Committee shall take decision on all the discrepant/ Controversial claims. The Insurance Company shall be bound to adhere to the decision taken by the Committee and make the payment within one month. In such cases, Insurance Company shall submit a cheque of amount payable to the District Magistrate who will hand over the cheque to the concerned Head of the Family/ bread winner/ nominee/ legal heir (as applicable) within 15 days. Emergency Medical Treatment to Head of the Family/ Bread Earner/ family member post-accident In case Head of the Family/ Bread Earner/ family member meets with an accident at a location wherein there is a fear that the injured person s condition may worsen or may die if taken to the Empaneled Hospitals being far from the accident location, then the injured person shall be taken to the nearest registered hospital with minimum ten beds facility. The Insurance Company shall pay expense up to a maximum of INR 25,000 incurred at the concerned hospital within 15 days of claim submission to the injured Head of the Family / Bread earner / Family member (as the case may be).

38 If due to any reason, the Insurance Company does not pay for the expenses incurred at Primary health center prior to the transfer of injured Head of the Family / Bread Earner / family member (as the case may be) to the bigger hospital/ trauma center, the injured person/ relatives shall make the payment, against the bills raised. Thereafter, the Insurance Company shall have to make the payment within 15 days to the head of Family against the claim submitted. In case of any issues/ challenges, the beneficiaries shall seek assistance from Mukhyamantri Banking and Bima help line toll free number Families covered under Samajwadi Kisan and Sarvhit Bima Yojna cannot be denied medical treatment by any hospital. For any non-compliance, Director General, Directorate of Institutional Finance, Insurance and Externally Aided Project, Uttar Pradesh shall direct District Magistrate for investigation and for necessary action. Claim process in case of Post-Accidental Medical Treatment and Artificial Limb (on need basis) Post Accidental Medical Treatment and Artificial Limb (on need basis)in case care card is not issued a) Following documents shall have to be submitted to the Insurance Company by the Claimant 1. Khasra/ Khatauni (in case of farmers) 2. Income Certificate (in case of nonfarmers) 3. Family Details certificate (as mentioned in Section 2.2.7) 4. Age Certificate (as mentioned in Section 2.2.7) b) Under this component of the Scheme, the beneficiary can claim up to INR 25,000 for post accidental medical treatment at hospitals with ten beds, up to INR 2.5 Lakhs (inclusive of primary medical treatment benefits of INR 25,000, wherever applicable and exclusive of INR 1,00,000 for artificial limb (on need basis) through Bima care card.)) c) Following Medical facilities are covered under the Scheme: 1. Patient Registration fees 2. Treatment related medical test 3. Breakfast/ food/ water for beneficiary Post Accidental Medical Treatment and Artificial Limb (on need basis)in case care card is issued a) The beneficiary can claim up to INR 25,000 for post accidental medical treatment at hospitals with ten beds, up to INR 2.5 Lakhs (inclusive of primary medical treatment benefits of INR 25,000, wherever applicable and exclusive of INR 1,00,000 for artificial limb (on need basis) through Bima care card.) (Note: The aforementioned amount of INR 2.5 Lakhs for Maximum Accidental Medical treatment cover is inclusive of primary medical treatment benefits of INR 25,000, wherever applicable and exclusive of maximum of INR 1 Lakh for artificial limb, as the case may be) b) Following Medical facilities are covered under the Scheme: 1. Patient Registration fees 2. Treatment related medical test 3. Breakfast/ food/ water for beneficiary during medical treatment 4. Bed charges 5. Medical treatment/ operation/ limb replacement

39 during medical admission 4. Bed charges 5. Medical treatment/ operation/ limb replacement 6. Ambulance facility/ rent of ambulance (if paid) 7. Medicine expenses during medical treatment at hospital 8. Medicine expenses till 15 days from discharge from the hospital 9. Providing artificial limb (if required) d) C.G.H.S rates shall be applicable for medical treatment. e) The beneficiary is free to avail medical treatment from any of the designated hospitals f) In case an injured beneficiary is referred to another district (due to non-availability of medical treatment/ artificial limb in-home district), the Insurance Company of home district shall pay the medical expenses incurred. The beneficiary shall inform the home Insurance Company before medical treatment/ artificial limb. The hospital providing medical treatment/ artificial limb shall submit the claim to beneficiary s home Insurance Company g) In case of emergency, insurance holder can get primary medical treatment at any hospital, but the treatment rates shall remain the same as in case of Central Government Health Scheme and payment shall be made as per prescribed rules under Samjwadi Kisan & Sarvhit Bima Yojna. 6. Ambulance facility/ rent of ambulance (if paid) 7. Medicine expenses during medical treatment at hospital 8. Medicine expenses till 15 days from discharge from the hospital 9. Providing artificial limb (if required) c) C.G.H.S rates shall be applicable for medical treatment. d) The beneficiary is free to avail medical treatment from any of the designated hospitals e) In case an injured beneficiary is referred to another district (due to non-availability of medical treatment/ artificial limb in-home district), the Insurance Company of home district shall pay the medical expenses incurred. The beneficiary shall inform the home Insurance Company before medical treatment/ artificial limb. The hospital providing medical treatment/ artificial limb shall submit the claim to beneficiary s home Insurance Company. f) In case of emergency, insurance holder can get primary medical treatment at any hospital, but the treatment rates shall remain the same as in case of Central Government Health Scheme and payment shall be made as per prescribed rules under Samjwadi Kisan & Sarvhit Bima Yojna Complaint Settlement (Helpline Number 1520 ) Mukhyamantri Banking and Bima helpline with toll free number 1520 has been initiated by Directorate of Institutional Finance, Insurance and Externally Aided Project, UP to resolve banking and

40 insurance related complaints. In case, Head of the Family/ Bread Earner/ family member/ nominee/ legal heir (as applicable) faces any problem in filing insurance claim/ medical treatment/ artificial limb, he/she can log a complaint on Mukhyamantri Banking and Bima Helpline through toll free number The helpline shall work towards resolving the issues. Additionally, every Insurance Company shall have to set up a grievance redressal mechanism software for the Scheme. Procedure of payment to hospitals by Insurance Company 1) The primary health centers/ Empaneled hospitals shall receive the payment from the insurance company on claiming the expenses incurred on medical treatment of the beneficiary by submitting duly filled prescribed form, mentioning beneficiary details and attaching a copy of certificates/ card (whichever applicable) received from the beneficiary. 2) Large hospitals / trauma centers shall file the claim to Insurance Company for expenses incurred on medical treatment and artificial limb of the beneficiary within 1 month (till 1 month post completion of the insurance period) after completing all the formalities. If the claim is not made within 1 month (till 1 month post completion of the insurance period), District Magistrate shall have the authority to waive the delay. Insurance Company shall not accept the claims made by the hospitals after 2 months of insurance term expiry. To receive payment amount, the hospitals shall provide bank name, insurance claim, bank account number, IFSC code to the Insurance Company. The Insurance Company shall make electronic payment to the mentioned account. 3) The Insurance Company shall make the payment within 1 month of filing of claim by the hospitals. In case Insurance Company raises any objection post-investigation, the decision taken by the committee headed by District Magistrate shall be final and accepted by the Insurance Company. The Insurance company shall make the payment of insurance claim with 15 days of decision by the said committee to the hospital(s) Government hospitals shall also be empaneled under the Scheme and shall be eligible to receive claim amount from Insurance Companies against the medical treatment provided by them to the Scheme beneficiaries. District Level Implementation & Monitoring Committee headed by District Magistrate shall be setup. The committee shall ensure smooth functioning of the Scheme through officials and workers of Revenue, Primary Education, Secondary Education, Health, Panchayat, Cooperatives, Social Welfare and Rural Development at district and village level. Various aspects of Scheme to be undertaken by the Committee through above mentioned departments shall include implementation, awareness, promotion, monitoring, inspection and verification. Addl. District Magistrate (Finance/ Revenue/Insurance) shall be the convener and district level officers of the abovementioned departments shall be members of the Committee. Divisional Commissioner/ District Magistrate shall send a monthly progress review report to Director General, Directorate of Institutional Finance, Insurance & Externally Aided Project. Heads of concerned departments shall also review the monitoring of the Scheme and send reports to Director General on need basis. Conflict resolution in case of Claims rejections

41 In case of any conflict arises due to rejection of insurance claim, incomplete Documents or inappropriate and untimely payment by Insurance Company to the hospitals, the decision taken by the committee headed by District Magistrate shall be final and accepted by the Insurance Company. 26. Project Timelines The term of Insurance cover shall be valid for one year from the date of signing of Memorandum of Understanding (MoU) between Institutional Finance, Insurance and Externally Aided Project and Insurance Company. Subsequently, the term shall be extended on annual basis. Samajwadi Kisan & Sarvhit Bima Yojna Scheme shall be not be more than 3 years + 3 years. 27. Payment Terms 1. Tax Deduction at Source (TDS) will be deducted at source (as per statutory provisions). 2. In case the performance of the Insurance Company (ies) is not found satisfactory by the tender committee: a. Tender Committee shall allot the cluster on L-1 basis to the insurance company (ies) satisfying the terms/ criteria of the tender b. Directorate/ GoUP shall consider black listing non-performing Insurance Company (ies). c. Insurance Company (ies) shall be selected for 3 years based on the terms and conditions of the Tender. The Insurance Company shall issue a master policy for the beneficiaries for a period of one year from the date of payment. Payment of premium shall be made on annual basis with six monthly advance payment. After 3 years, Insurance policy can be extended on annual basis (for next 3 year i.e. total 6 years) by Directorate/ GoUP on same rates/rules/ terms if the performance is found satisfactory. d. Insurance Company (ies) shall have to mandatorily spend 2% of the premium amount paid under the Scheme on publicity. Directorate of Institutional Finance, Insurance and Externally Aided Project, UP shall review this from time to time. 3. The total number of beneficiaries under the Samajwadi Kisan & Sarvhit Bima Scheme as mentioned in the RFP is estimated to be 3 Crores. The Bidder shall quote a lump sum total annual premium amount for each cluster. 28. However, in case the estimated number of beneficiaries is found to be higher than the actual number of beneficiaries, which shall be calculated on the number of card issued and the number of families provided insurance benefits under the Scheme (without card issuance), then the excess premium amount for a cluster paid to the Insurance Company shall be adjusted or recovered (as the case may be) on pro-rata basis against the premium payment due for subsequent period. 29. This Agreement becomes effective upon execution and is valid for a period of one year unless terminated earlier by GoUP. IN WITNESS WHEREOF, the Parties hereto have caused this Agreement to be signed in their respective names as of the day and year first above written.

42 In presence of (..) Seal For and on behalf of Insurance Company (Authorised representative) Signed by ( ) Seal For and on behalf of Governor of Uttar Pradesh (Witnesses) (i) (ii) (Name and Address) (Authorized Representative) (Witnesses) (i) (ii) (Name and Address)

43 Annexure A Payment Terms 1. 50% of the decided/ calculated annual premium amount shall be paid to the insurance company and if the Insurance Company s performance within the first six month is found satisfactory, then as per the recommendation of the tender committee, 50% payment shall be made to the Insurance Company (ies). 2. The Scheme shall be executed on profit sharing basis. In case the insurance company records more than 20% profit in a year, then the additional profit shall be adjusted to the premium due for the subsequent period. The same process shall be followed for subsequent periods. The assessment of profit under the Scheme shall be done by Statutory Auditor of Insurance Company on all the expenses incurred by the Insurance Company. 3. Tax Deduction at Source (TDS) will be deducted at source (as per statutory provisions). In case the estimated number of beneficiaries is found to be higher than the actual number of beneficiaries, which shall be calculated on the number of card issued and the number of families provided insurance benefits under the Scheme (without card issuance), then the excess premium amount for a cluster paid to the Insurance Company shall be adjusted or recovered (as the case may be) on pro-rata basis against the premium payment due for subsequent period.

44 Annexure B Request for Proposal

The Payment Terms shall be as provided in Annexure A 2. The following documents attached hereto shall be the integral part

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