Date : 08/12/2023

Intermediary Code : 0088956

Intermediary Name : Mo Salman Khan

Private Motor 4W Insurance Quote

Motor Insurance Quote No-: Q0108122330805552

Dear Sir / Madam,

We hereby extend our gratitude of having given us an opportunity to participate in quoting for the captioned risk.

Appended hereunder is a brief summation of the Terms we propose:-

MAKE MODEL FUEL CUBIC CAPACITY SEATING FIRST PURCHASE

CAPACITY / REGISTRATION
DATE
MAHINDRA & BOLERO Diesel 1493 7 18/12/2021
MAHINDRA

Policy Period : Proposed Annual

Cover Type : Stand Alone

APPLICABLE NCB % : 0%

Net Premium Taxes Applicable Kerala Flood Cess @1% Total Premium

18704.00 3367.00 22071.00

IDV of the Vehicle Non Electrical Accessories Electrical/Electronic Accessories CNG/LPG Kit Value Total Sum Insured

832928 0 0 0 832928

Clauses Applicable Add on Covers Opted

Compulsory Deductible Depreciation Reimbursement

TPPD Limit (750000)
Cover for consumables
TPPD Limit (750000)

Exclusions: For detail list of exclusions, refer policy wordings available on web site www.sbigeneral.in

Please note that this quote is based on the information provided by you and valid for 30 days from date of issuance. Any change in material
information may lead to change in Premium amount.

SBI General Insurance Company Limited :

Registered and Corporate Office: 9th Floor, A & B Wing, Fulcrum Business Centre, Sahar Road, Ashok Nagar, Andheri (East), Mumbai - 400 099.
“SBI General Insurance Products are not a Product of SBI”.
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