ICICI LOMBARD General Insurance Co. Ltd.

QUOTATION
IDV of the Vehicle 350000.00 Zone A
Year of Manufacture 2018 Gross Vehicle Weight 1550

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate 1.751 Liability Premium (TP) 15746.00
Basic for vehicle Premium 6128.50 PA owner driver 350.00
Discount on OD premium 3677.10 LL To Paid Driver 50.00
Total Basic Premium 2451.40 LL to Employees Other Than 50.00
Paid Driver
Geographical Ext. 0.00 Geographical Ext. 0.00
IMT 23 0.00
No Claim Bonus (NCB) 0.00
Net Own Damage Premium (A) 2451.40 Total Liability Premium (B) 16196.00

Total Premium Before Service Tax (A+B) 18647.40

GST @12% on Basic Liabilty Premium 1889.52
GST @18% on Rest Others 522.25
Final Premium 21059.0

Kindly pay cheque/DD in favor of ICICI LOMBARD General Insurance Co. Ltd..

Documents Required:-

1. Previous Policy Copy

2. RC copy
Note : In case of any claim, NCB will be revised and hence Quotation is Subject to Change.