Download

Save Vehicle Insurance Policy Format For Later

Info

Vehicle Insurance Policy Format

Uploaded by arunavonline_9478350 on Nov 17, 2013

Reliance Private Car Veh

icle Certificate cum Polic
y Schedule
Policy / Certificate No. :
9202732311004278
Proposal /Covernote No :
040813701642
Business/Occupation:
NA
Name of Insured :
MR. ARUNAV TALUKDAR
Period of Insurance :
From 00:00 Hrs on 06/08/2013 t
o 05/08/2014 on 23:59
Address :
4/19, GROUND FLOOR OLD DOUB
LE STOREY LAJPATNAGAR-
IV DELHI NORTH WEST 110024 D
ELHI
Contact details :
9899725745 / 9899725745
Hypothecated with HDFC BAN
K LTDEmail ID :
arunavonline@gmail.com
Z o n e A G e o g r a
p h i c a l A r e a
India
Particulars of vehicle Insured :
Premium Schedule
Registration Number andPlaceM
ake / ModelEngine / Cha
ssis No.VehicleCubic Cap
acityYear of MFGSeating
C a p a c i t y of side car (if any)incl
uding driverNet Premium Rs.ID
V (Insured's DeclaredValue) RsD
L04CAD8812DELHI WEST JANAK
PURICHEVROLETSPARK LTB10S1
521830KC2MA6MF481EAH0489
229 9 5 2 0 1 0 5
3 , 9 0 0 . 0 7 2
3 7 , 4 8 5 . 0 0
Limitations As To Use
The Policy covers use for any pur
pose other than: a. Hire or Rewar
d, b. Carriage of goods (other tha
n samples or personal luggage), c
. Organized racing, d. Pace makin
g, e. Speed testing, f. Reliability tri
als, g. Anypurpose in connection
with Motor Trade
Persons/Classes of Persons ent
itled to drive :
Any person including the Insured
provided that a person driving h
olds an effective driving license a
t the time of the accident and is n
ot disqualified from holding or o
btaining such a license. Provided
also that theperson holding an eff
ective Learner's License may also
drive the vehicle and that such a
person satisfies the requirements
of Rule 3 of the Central Motor Ve
hicles Rules, 1989.
Limits of Liability :
a. Under Section II-
1(i) of the Policy-
Death of or bodily injury to any p
erson so far as it is necessary to
meet the requirements of the Mo
tor Vehicle Act, 1988. b. Under Se
ction II (1)(ii) of the Policy-
Damage toproperty other than pr
operty belonging to the insured o
r held in trust or in the custody of
control of the insured up to the li
mits specified Rs.7.5 lakhs .
Deductible under Section-
(i)Compulsory deductible Rs. 100
0/-
(ii) Additional compulsory deduc
tible Rs. 0/-
(iii) Voluntary deductible Rs. 0 /-
(iv) PA Cover for owner-
driver under section III CSI Rs. 20
0000/-
Nominee Details :PA Owner Dri
ver :Nominee Name : MONMI
BHARALI TALUKDAR Nomin
ee Age : 30Relationship with
Owner Driver : SPOUSE
Special Conditions: NA
It is hereby declared and agreed t
hat all pre-
existing damages to the vehicle h
aving occurred prior to the com
mencement of cover are exclude
d from the scope of the policy.Th
e policy wording with detailed te
rms, conditions and exclusions ar
e available on our website
www.reliancegeneral.co.in
Consolidated stamp duty paid vid
es Receipt No. MH00002389020
1314E dated 10/04/2013 Not ap
plicable for the State of Jammu a
nd Kashmir.I/We hereby certify t
hat the Policy to which the certifi
cate relates as well as this certific
ate of insurance are issued in acc
ordance with the provision of Ch
apter X and Chapter XI of M.V. Ac
t, 1988. Note: In the eventof dish
onor of cheque, this policy docu
ment automatically stands cancel
led from inception irrespective of
whether a separate communicati
on is sent or not. No Claim Bonus
will only be allowed, provided th
e policy isrenewed within 90 day
s of the expiry of the previous pol
icy.
Insured's Declared Value
For the Vehicle (Rs)Fo r Tra
ilers (Rs)Non Elec. Accesso
ries(Rs)Elec./Electronic Access
ories (Rs) Value of CNG/LPG Ki
t(Rs)Total Cover SI(Rs)Total IDV
(Rs)2 3 7 , 4 8
5 . 0 0 0 . 0
0 0 . 0 0 0 .
0 0 0 . 0 0 0
. 0 0 2 3 7 ,
4 8 5 . 0 0
Own Damage
B a s i
c O D
5 , 1 9
8 . 0 0
B a s i c O w n
D a m a g e P
r e m i u m 5 ,
1 9 8 . 0 0
Deduct 45% for NCB -2,339.24
T O T A L O W
N D A M A G E
P R E M I U M 2 ,
8 5 9 . 0 7 Liability
B a s i c
L i a b
i l i t y
9 4 1 . 0
0
Basic Liability Premium
941.00
PA Benifits
Compulsory PA cov
er to Owner Driver
of CSI 200000(IMT-
15)100.00
T o t a l
P A P r
e m i u m
1 0 0 . 0
0
Legal LiabilityT o t a l
L i a b i l i t
y P r e m i u
m 1 , 0 4 1 . 0
0
P a c k a g
e P r e m
i u m 3 , 9
0 0 . 0 7
A d d : S e r v i c e
T a x ( 1 2 % o
f N e t P r e m i
u m ) 4 6 8 . 0 1 Add:E
ducation Cess (2% of Service Tax
)
9.36
Add:Secondary &
Higher Education
Cess(1% of Servic
e Tax)4.68
F I N A L
P R E M
I U M 4 ,
3 8 2 . 0
0
Subject to I.M.T. Endt.Nos. & Me
morandum printed/herein/attac
hed hereto. IMT22,15
Service Tax Reg.No. AABCR674
7BST001Category-
General Insurance Business Se
rvice 00440005
The policy has been issued based
on the information provided by y
ou and the policy is not valid if an
y of the information provided is i
ncorrect. Subject otherwise the t
erms, conditions and exclusions
of the ReliancePrivate Car Packag
e Policy. In Witness whereof this
Policy has been signed at Mumba
i on 04/08/2013 in lieu of Cover
Note No. 040813701642 dated 0
4/08/2013
In the unfortunate event of a cl
aim, Please call along with you
r Policy No.on 1800 103 1999 (
toll free) or 022 41112600 (Sta
ndard STD Rates Apply) and re
gister your claim immediately
within 7 days from the date of l
oss. For Customer service, Plea
se call along with your Policy N
o. on 1800 300 28282(toll free
) or 39898282 (local charges a
pply)|www.reliancegeneral.co.
in
IMPORTANT NOTICE :The insu
red is not indemnified if the ve
hicle is used or driven otherwi
se than in accordance with this
Schedule.Any payment made b
y the Company by reason of wi
der terms appealing in the Cert
ificate in order to comply with
the Motor Vehicle Act, 1988 is
For Reliance General Insurance C
o. Ltd.
recoverable from the Insured.S
ee the clause headed 'AVOIDA
NCE OF CERTAIN TERMS AND R
IGHT OF RECOVERY'. For legali
nterpretation,English version
will hold good.NOTE: Kindly ac
knowledge receipt of this polic
y. In case you find any variatio
ns against yourproposal or any
discrepancy in the policy,kindl
y contact us immediatelyRelia
nce General Insurance Co. Ltd.
Duly Constituted Attorney(s)
Registered Office:
Reliance Centre, 19, Walchand Hi
rachand Marg, Ballard Estate, Mu
mbai - 400 001
Policy Issuing Office :
570, Naigaum Cross Road, Next t
o Royal Industrial Estate, Wadala
(W), Mumbai - 400 031
Policy servicing office :Relianc
e General Insurance Co Ltd 570
- Rectifier House, Naigaum Cro
ss Road.Wadala(W).,Mumbai,
MAHARASHTRA,India - 40003
1Intermediary Code/Name :
DIRECT / DIRECT
Intermediary Contact No:
Registered Office:
Reliance Centre, 19, Walch
and Hirachand Marg,Ballar
d Estate ,Mumbai - 400 00
1
Signedby:KishoreMukulDate:2013.08.04