COMPREHENSIVE BIKE INSURANCE POLICY

Cert ificat e of Insurance cum Policy Schedule

POLICY DET AILS VEHICLE DET AILS

Insured Nam e: Ram das N Sanas Registration Num ber: MH06BR5125

P incode: 400601 Make/Model: Honda Activa 5G
(110C C )
P eriod of Insurance: 16 Jun 20 (00:00 hrs) to 15 Jun 21 (23:59
hrs) Manufacturing Year: 2016
P olicy Issuance Date: 13 Jun 20
P olicy Num ber: DBC R00295854749/00
O wner Num ber: 9220075524

INSURED DECLARED VALUE (IDV)

T e nur e Pe r io d IDV o f t he ve hic le (₹) IDV o f Ac c e s s o r ie s (₹) T o t al IDV (₹)

Year 1 16 Jun 2020 - 15 Jun 2021 28500 0 28500

PREMIUM DET AILS (₹)

O wn Damage Pr e mium (A) Liabilit y Pr e mium (B)

Basic O wn Dam age ₹ 146.03 Basic Third P arty Liability ₹ 752.00

P A for O wner Driver ₹ 0.00

Net O wn Dam age P rem ium (A) ₹ 146.03 Net Liability P rem ium (B) ₹ 752.00

Total P ackage P rem ium (A+B) ₹ 898.03

GST (18% ) ₹ 161.65

Total P rem ium ₹ 1059.68

Geographical Area: India C om pulsory Deductible: ₹ 100

No-C laim Bonus: 0% Voluntary Deductible: ₹0

Ple as e No t e : In case of a claim event arising within 30 days from the start of this P olicy, the Insured is required to subm it a copy of his P revious Insurance P olicy.
Limit at io ns As T o Us e: Th e P o licy co ve rs u s e o f t h e ve h icle fo r a n y p u rp o s e o t h e r t h a n : a ) H ire o r Re wa rd b ) Ca rria g e o f g o o d s ( o t h e r t h a n s a m p le s o r p e rs o n a l lu g g a g e ) c) Org a n iz e d
ra cin g d ) P a ce m a kin g e ) S p e e d t e s t in g f) Re lia b ilit yTria ls g ) An y p u rp o s e in co n n e ct io n wit h Mo t o r Tra d e . P ers o ns o r C las s o f P ers o ns ent it led t o d rive: An y p e rs o n ( in clu d in g t h e
in s u re d ) , p ro vid e d t h a t a p e rs o n d rivin g h o ld s a va lid d rivin g lice n s e a t t h e t im e o f t h e a ccid e n t a n d is n o t d is q u a lifie d fro m h o ld in g o r o b t a in in g s u ch a lice n s e . P ro vid e d a ls o t h a t t h e
p e rs o n h o ld in g a va lid le a rn e r' s lice n s e m a y a ls o d rive t h e ve h icle a n d t h a t s u ch a p e rs o n s a t is fie s t h e re q u ire m e n t s o f Ru le 3 o f t h e Ce n t ra l Mo t o r Ve h icle s Ru le s , 19 8 9 . Limit s o f Liabilit y.
1. U n d e r S e ct io n II-1 ( i) o f t h e p o licy - D e a t h o f o r b o d ily in ju ry - S u ch a m o u n t a s is n e ce s s a ry t o m e e t t h e re q u ire m e n t s o f t h e Mo t o r Ve h icle s . Act , 19 8 8 . 2. U n d e r S e ct io n II - 1( ii) o f t h e p o licy
-D a m a g e t o Th ird P a rt y P ro p e rt y - Rs . 10 0 0 0 0 3 . P . A. Co ve r u n d e r S e ct io n III fo r Own e r - D rive r( CS I) : Rs . 0 .0 . T erms , C o nd it io ns & Exclus io ns : As p e r t h e In d ia n Mo t o r Ta riff. A p e rs o n a l co p y
o f t h e s a m e is a va ila b le fre e o f co s t o n re q u e s t & t h e s a m e is a ls o a va ila b le a t o u r we b s it e .
I / We h e re b y ce rt ify t h a t t h e p o licy t o wh ich t h e ce rt ifica t e re la t e s a s we ll a s t h e ce rt ifica t e o f in s u ra n ce a re is s u e d in a cco rd a n ce wit h t h e p ro vis io n o f ch a p t e r X, XI o f M. V.Act 19 8 8 . "Th e
s t a m p d u t y o f Rs . 0 .5 0 p a id b y e le ct ro n ic m e d iu m vid e G RAS D e fa ce n o . 0 0 0 49 76 8 26 20 19 20 d a t e d 19 /12/20 19 a s p re s crib e d in G o ve rn m e n t N o t ifica t io n Re ve n u e & Fo re s t D e p a rt m e n t N o .
Mu d ra n k - 20 17/C.R.9 7/M-1, d a t e d 0 9 /0 1/20 18 . G S TN : 27AAOCA9 0 5 5 C1ZJ. IMP O RT ANT NO T IC E: Th e In s u re d is n o t in d e m n ifie d if t h e ve h icle is u s e d o r d rive n o t h e rwis e t h a n in a cco rd a n ce wit h
t h is S ch e d u le . An y p a ym e n t m a d e b y t h e Co m p a n y b y re a s o n o f wid e r t e rm s a p p e a rin g in t h e Ce rt ifica t e in o rd e r t o co m p ly wit h t h e Mo t o r Ve h icle Act , 19 8 8 is re co ve ra b le fro m t h e In s u re d .
S e e t h e cla u s e h e a d e d "AVOID AN CE OF CERTAIN TERMS AN D RIG H T OF RECOVERY” in t h e p o licy wo rd in g s . Dis claimer: Th e P o licy s h a ll b e vo id fro m in ce p t io n if t h e p re m iu m ch e q u e is n o t
re a liz e d . In t h e e ve n t o f m is re p re s e n t a t io n , fra u d o r n o n -d is clo s u re o f m a t e ria l fa ct , t h e Co m p a n y re s e rve s t h e rig h t t o ca n ce l t h e P o licy. Th e p o licy is is s u e d b a s is t h e in fo rm a t io n p ro vid e d
b y yo u , wh ich is a va ila b le wit h t h e co m p a n y. Th is P o licy is t o b e re a d in co n ju n ct io n wit h t h e P o licy wo rd in g s ( h t t p s ://www.a cko .co m /d o wn lo a d ) a va ila b le o n t h e we b s it e o f t h e Co m p a n y. On
re n e wa l, t h e b e n e fit s p ro vid e d u n d e r t h e p o licy a n d /o r t e rm s a n d co n d it io n s o f t h e p o licy in clu d in g p re m iu m ra t e m a y b e s u b je ct t o ch a n g e .

INT ERMEDIARY DET AILS

P olicy Issuing O ffice: Direct - Mum bai Interm ediary Nam e: Direct
P hone Num ber: N/A Interm ediary C ode: N/A

Ac ko Ge ne r al Ins ur anc e Lt d.
Unit No. 301, 3rd Floor, E Wing, Lotus C orporate P ark, Goregaon (E), Mum bai- 400063
For Acko General Insurance Ltd.
Em ail: hello@ acko.com | P hone : 1800 266 2256 | www.acko.com
Duly C onstituted Attorney
C IN : U66000MH2016P LC 287385 | IRDAI Reg No. 157 | UIN: IRDAN157P 0002V01201819