Date: 31/01/2024

LIBERTY GENERAL INSURANCE LIMITED

PRIVATE CAR -PACKAGE POLICY PREMIUM QUOTE
Registered office : 10TH FLOOR, TOWER A, PENINSULA BUSINESS PARK, GANPATRAO KADAM MARG,LOWER PAREL,DELISLE ROAD, MUMBAI, MAHARASHTRA-400013 Phone:+91 22 67001300

Agent Code IMD1113235 Zone B

Ownership Individual Age Band 5-10

Business Type Roll Over Age of Vehicle 8.37

Engine/Chassis Number NA Seating Capacity 5

Segment MID SIZE CC Band 1248

Make of Vehicle MARUTI Fuel Type Diesel
Model of Vehicle CIAZ Cover Type COMPREHENSIVE
Vehicle Variant ZDI SHVS IDV of Vehicle 300000.00
Vehicle Registration Number GJ-15 Non Electrical Accessories IDV NA
Risk Start Date 01 / 02 / 2024 Electrical Accessories IDV NA
Risk End Date 31 / 01 / 2025 External CNG/LPG Fuel kit IDV NA
Date of Registration 21/ 09/ 2015 Total IDV 300000.00
Place of Registration VALSAD GAP Value Sum Insured 0
Year of Manufacture 2015 Gap Value (Incl. Taxes & Regn. charges) 0.00
Key Loss Sum Insured 0

Premium Computation
SECTION I –OWN DAMAGE (A) SECTION II -LIABILITY (B)
Basic OD-Premium ` Basic TP ` 3,416.00
10,053.00
PA to Owner Driver `
Discount (32.500%) 3267.23 375.00
TOTAL OWN­DAMAGE PREMIUM (A) ` `
6,785.77 PA to Unnamed Passenger ( 100000.00) 250.00
Legal Liability to Paid Driver ` 50.00
TOTAL LIABILITY PREMIUM (B) ` 4,091.00
Net Premium (A+B) ` 10,877.00
State Cess ` 0.00
CGST(9%) ` 978.93
SGST(9%) ` 978.93
TOTAL POLICY PREMIUM ` 12,835.00

Web Site: www.libertyinsurance.in/ Toll Free No -18002665844/Fax: +91 22 06700 1606.

CIN No. U66000MH2010PLC209656
*Disclaimer: The calculator is an online tool to facilitate the premium computation and is not intended to replace (or incorporate) the underwriting
guidelines. The company reserves the right to modify the rates, IDV, underwriting guidelines etc without prior intimation. For cases having gap in insurance
& for cases requiring cover enhancements, vehicle inspection shall be applicable as per the Company guidelines. This quote is valid for 7 days from quote
date or existing policy expiry date whichever is earlier.Further, changes in Third Party premium rates & applicable taxes shall be effective as & when
mandated by the regulator / government.
*Trade Logo displayed above belongs to Liberty Mutual and used by the Liberty General Insurance Limited under license.