Professional Documents
Culture Documents
Policy
Policy
Registered and Head Office: Bajaj Allianz House, Airport Road, Yerwada, Pune
A. Proposer details
B.Vehicle Details
Registration Vehicle Vehicle Vehicle CC/KW Year Of Vehicle Vehicle/Trail- Vehicle Engine
Number Make SubType Model Manufac- Seating Ca- er Chassis Number
turing pacity Number
KA17C1100 SML ISU- SCHOOL WT 50 0 2014 32 194566 188234
ZU BUS (32+1) LWB
Fuel Type Vehicle IDV Electrical Non- Trailer Trailer Re- CNG/LPG Total Sum In-
(in Rs.) Accessor- Electrical Ac- gistration Unit (Extra sured
ies IDV (in cessories IDV Number fitted) IDV (in
Rs.) (in Rs.) Rs.)
DIESEL 7,14,000 0 0 0 7,14,000
C. Coverage opted
Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons,
etc; No. 879-340, 1st Floor, , KCV towers, Kote road, , Shimoga ? 577201, , Shimoga-577201 Phone No :0818-2408271
Policy Number OG-20-1715-1812-00000024 Product N Commercial Vehicle Package Policy
Vehicle Type School Buses: Passenger Carrying-4 WH & CC>6
Period Of Insurance From: 06-Jun-2019 00:01 Policy issued on 06-Jun-2019 -
To: 05-Jun-2020 Midnight Cover Note No /
Application No Scrutiny No 118814406
Insured Name THE HEAD MASTER Zone A
Insured Address GENIUS SCHOOL DO NO 50 SHAKTHI
NAGAR, , DAVANGERE,, DAVANGERE -
577001
Customer ID 96782622 Premium Payer ID 96782622
Transaction Id
HYPOTHECATED WITH : CANARA BANK Policy Status ISSUED
GSTIN / UIN NA Place of Supply/State 29 - Karnataka
Code/Name
Invoice No. 84718150/3
Company GST No 29AABCB5730G1ZT
Company PAN No AABCB5730G
Registration Make SubType Model CC/KW Mfg Seat Cap Vehicle/ Engine Num-
No. year Trailer ber
Chassis
No
KA17C1100 SML ISUZU SCHOOL BUS WT 50 LWB 0 2014 32 194566 188234
(32+1)
Fuel Type Vehicle IDV Elec Acc Non Elec Acc Trailer Trailer Reg No CNG/LPG Unit Total Sum Insured
LIMITS OF LIABILITY: 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. Under Section II-1(ii) of the policy -> Damage to Third Party Property : Rs.7,50,000.00/-
LIMITATION AS TO USE: The Policy covers use only under a permit within the meaning of the Motor Vehicle Act, 1988 or such a carriage falling under Sub-
section 3 of Section 66 of the Motor Vehicle's Act 1988. The Policy does not cover use for : Organised racing, Pace Making, Reliability Trials, Speed Test-
ing,Use whilst drawing a trailer except the towing (other than for reward) of any one disabled Mechanically propelled vehicle.
DRIVER : : Any person including the insured : Provided that a person driving holds an effective driving licence at the time of the accident and is not disquali-
fied from holding or obtaining such a licence. Provided also that the person holding an effective Learner's licence may also drive the vehicle when not used for
the transport of passengers at the time of the accident 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".
Subject To IMT Endorsement Nos : 21, 7,23, 28, & Policy wordings attached herewith
Warranted that insured named herein or owner of the vehicle insured holds a valid Pollution Under Control (PUC) and
/ or Fitness Certificate on the date of commencement of the Policy. If the PUC and/or Fitness Certificate is not found to
be valid on the date of commencement of the Policy, the Company reserves its right to consider the policy void ab ini-
tio.
Bank Reference No.1 : 01
Agency Code 10045514 Channel Name : BA
Agency Name : CANARA BANK
Contact No : 0-9800000001/0-0
Regd. Office : Bajaj Allianz House, Airport Road, Yerawada,Pune - 411006 (India),A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance
Regulatory and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.Principal Location : Golden Heights,
4th Floor, No.1/2, 59th C Cross, 4th M Block, Rajajinagar, BANGALORE - 560010 PH:080-67195000 | Services Accounting Code : 997134 - Motor vehicle insurance ser-
vices. No reverse charge is payable on these services. - Latest Schedule - 27-Oct-2023 11:57:45 AM (Web)
Email - NA@NA.COM
Damage Details as per Annexure I
Premium Collection Details :- [Receipt No/Collection No/Amount] 1715-00017204 / 118814406 / Rs. 49,366.00 ,
*** If premium paid through cheque, the policy is void ab-initio in case of dishonour of cheque.
This certificate of insurance is issued in accordance with the provision of Chapter X and Chapter XI of M.V. Act, 1988.
It is hereby understood and agreed that for the purpose of application of Endorsement IMT-21 attached to and forming part of the above policy, the towing vehicle and trailer(s) while attached
thereto shall be treated as a single unit.
Damage Details Annexure : OK NA
Remarks -
In case of any claim, please contact our 24 Hour Call centre at 1800-102-5858 (Toll Free) / 91-020-30305858 (chargeable, add area
code before this number in case of mobile call) or email us at 'Bagichelp@bajajallianz.co.in'.
118814406/-/10045514/1590/-
This is a one page Policy Document [without enclosing the Terms and Conditions (T&C) of the Policy] issued by the Company, pursuant to the authorization of Insured to display the T&C of the Policy on its website (www.bajajallianz.com) that enables access by the In-
sured. The T&C of the Policy are available on the Company's website and can be accessed by the Insured.
Kindly contact our nearest / local office(s) for No Claim Bonus Confirmations.
Authorized Signatory This document is digitally signed, hence counter signature / stamp is not required
Printed , Signed and Executed at Pune
Regd Office : Bajaj Allianz House,Airport Road, Yerwada Pune-411006 (India), A Company incorporated under Indian Companies Act, 1956 and licensed by In-
surance Regulatory and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.
Consolidated Stamp Duty of Rs.0.25/- paid towards Insurance Stamps vide Challan No. MH000896742201920M Defaced No. '0000837480201920 dated
13-MAY-19 timing 16:26:27 of General Stamp Office,Mumbai,India.
Generated by Silent_Printing
Regd. Office : Bajaj Allianz House, Airport Road, Yerawada,Pune - 411006 (India),A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance
Regulatory and Development Authority of India [IRDA] vide Reg No.113, Corporate Identification Number U66010PN2000PLC015329.Principal Location : Golden Heights,
4th Floor, No.1/2, 59th C Cross, 4th M Block, Rajajinagar, BANGALORE - 560010 PH:080-67195000 | Services Accounting Code : 997134 - Motor vehicle insurance ser-
vices. No reverse charge is payable on these services. - Latest Schedule - 27-Oct-2023 11:57:45 AM (Web)
Bajaj Allianz General Insurance Company Ltd.
No. 879-340, 1st Floor, KCV towers, Kote road, Shimoga ? 577201, Shimoga - 577201
Contact No:Contact No: 0818-2408271
RECEIPT
Authorised Signatory