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Bundled - Two wheeler Policy

Product Code: 3005 UIN:IRDAN115RP0007V01201819

CERTIFICATE CUM POLICY SCHEDULE

For all your insurance needs & query call us at our Toll free No.: 1800-2666(Accessible from your mobile also), you can also E-mail us at:
customersupport@icicilombard.com
Certificate cum Policy No : 3005/2011488631/00/0000008155
Name of the Servicing IL Bangalore
Branch
Address of IL Branch Second SVR Complex Hosur Main road Bangalore Karnataka 560068
Tenure 5 Years RTO Location KARNATAKA-BANGALORE
OD-From 16:41 30/03/2019 To 29/03/2020 midnight
Period of Insurance TP-From 16:41 30/03/2019 To 29/03/2024 midnight Intermediary Code 200006613700
PA Owner Driver 16:41 30/03/2019 To 29/03/2020 midnight
Insured Name HEMADRI K Policy Issued On 30/03/2019
NO 161/C 7TH CROSS TEACHERS COLONY J P NAGAR , BANGALORE, L AND T FINANCE
Insured Address Hypothecation With
KARNATAKA, Pin - 560078 LIMITED,BANGALORE
Invoice No 170319260191182 Category
Primary Vertical Name BANCASSURANCE-Motor Two Wheeler (M6) Contact No. 91-9945098332(Mobile No.)
Registration Mfg Seat Chassis
Make Model Type of body CC Engine Number
Number Year Cap Number
HONDA
NEW CB UNICORN Solo With Pillion 150 2019 2 K8003502 E81003531
MOTORCYCLE
Vehicle IDV Side Car Additional Acc NonElectrical Acc Electrical/Electronic Acc CNG/LPG Unit Total Value
76887 0 0 2800 0 0 79687
SCHEDULE OF PREMIUM
Own Damage(A) Liability(B)
Basic Own Damage 788.09 Basic Third Party Liability 3285.00
Zero Depreciation 478.12 PA Cover For Owner-Driver Of Rs. 1500000 375.00
Return To Invoice 159.37
Total 3660.00
Road Side Assistance 199.00
Non Electrical Accessories 28.70 Less
Total 1653.00 TPPD Discount 250.00
Sub Total(Deductions): 250.00
Total Own Damage Premium 1653.00 Total Liability Premium 3410.00
Total Package Premium (A+B) 5063.00
Net Premium 5063.00
CGST@9% 455.67
SGST@9% 455.67
Total Tax Payable 911.34
Total Premium 5974.00
UIN Details
Zero Depreciation Return to Invoice Road Side Assistance
IRDAN115A0020V01200910 IRDAN115A0017V01200910 IRDAN115A0002V01201213
For No claim Bonus (NCB), Coverages and exclusion of policy Please refer to the policy wordings attached with this schedule, in case of you have not received your
kindly write to us at the below mentioned mailing address.
Return to Invoice Coverage: Sum Insured under this add-on, determined as the difference between the Insured’s Declared Value (IDV) and the total actual
expenses incurred towards acquisition of a new vehicle of same make and model , as specified in the on-road price listed by the manufacturer/dealer upon the
occurrence of Total Loss including Theft / Constructive Total Loss as defined in the Policy.
Compulsory Deductibles : Rs.100 GeographicalArea India *** All Premium figures are in Rupees
Features of add on covers : Breakdown support over phone, Towing on breakdownaccident upto 50 KMs, Arrangement/Supply of fuel, Flat Tyre support, Minor on
spot Repairs, Accommodation Benefits for one person upto Rs 1000
Limits Of Liability : (a)Under Section II-1 (i) of the policy->Death of or bodily injury: Such amount as is necessary to meet there requirements of the Motor Vehicles
Act,1988.(b)Under Section II-1 (ii)of the policy-> Damage to Third Party Property Rs 6000.00; PA Cover for Owner-Driver under section III: CSI Rs 1500000.00. * as
opted for the above-mentioned period *
LIMITATIONS AS TO USE: The policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of goods(other than samples or personal
luggage), Organized racing, Pace making, Speed testing, Reliability trials, Any purpose in connection with Motor Trade.
DRIVER'S CLAUSES: Any person including the insured : Provided that a person driving holds an effective Driving License at the time of the accident and is not
disqualified from holding or obtaining such a license. Provided also that the person holding an effective Learner's License may also drive the vehicle and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
IMPORTANT NOTICE : The Insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the
Company by reason of wider terms appearing in the Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the Insured. See the clause
headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY". For legal interpretation,English version will hold good
Subject to IMT Endorsement Nos. & Memorandum printed herein / attached hereto : 20,22,28
Premium Collection Details :
I/We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X,XI of
M.V.Act 1988.
Disclaimer: Policy is valid subject to Realization of Cheque.

file:///C:/Program%20Files%20(x86)/ILPOS%20Motor%20Insurance/PolicySchedule.html 7/6/2019