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HDFC ERGO General Insurance Company Limited

Hi KA 69 0653,
GOODS CARRYING VEHICLE QUOTE - PUBLIC CARRIER
Period of Insurance : to

Vehicle Make Model Bolero pick up


Registration No. Passengers
IDV of the Vehicle 880000 Zone C
Year of Manufacture 2022 Gross Vehicle Weight 2995
Age of Vehicle Upto 5 Years

Own Damage Premium (A) Rupees Addon Coverage (B) Rupees


Vehicle Basic Rate 1.726 Zero Depreciation 0.00
Basic for Vehicle 15188.80 RSA/Additional for Addons 0.00
Electrical/Electronics Accessories 0.00 Total Addon Premium (B) 0.00
CNG/LPG Kit(Externally Fitted) 0.00
Basic OD Premium 15188.80 Liability Premium (C) Rupees
Geographical Ext. 0.00 Basic Liability Premium (TP) 16049.00
IMT 23 2278.32 Restricted TPPD 0.00
Anti Theft 0.00 CNG/LPG Kit 0.00
Basic OD Before Discount 17467.12 Geographical Ext. 0.00
Discount on OD Premium 12226.98 PA to Owner Driver 325.00
Basic OD Before NCB 5240.14 LL to Paid Driver 50.00
No Claim Bonus 1048.03 LL to Employee Other Than Paid 100.00
Driver
Net Own Damage Premium (A) 4192.11 Total Liability Premium (C) 16524.00

Premium Before GST [A+B+C] 20716.11


GST @ 12% on Basic Liabilty Premium 1925.88
GST @ 18% on Rest Others 840.08
Other Cess 0.00
Final Premium 23483.00
Addon Coverage: ,,,,,,,,,,,,,,,,.
Other Coverage : .

Kindly pay cheque/DD in favor of HDFC ERGO General Insurance Company Limited.

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.
Quote Validity: This Quote is valid for 7 days from date of generation.

Insurance is subject matter of the solicitation.


Producer Name : Guru Raj Producer Contact : 8792109153
Producer Email : Gurubasavarajajmsb@gmail.com Quote Date : 31-05-2023

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