TATA AIG GENERAL INSURANCE COMPANY LIMITED

QUOTATION WORKSHEET FOR Bundled Auto Secure - Private Car Policy (1 Year Term for Own
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Damage & 3 years for Third Party)
Quote Generation Date : 10/04/2023
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Producer Code : 0022841006 Producer Name : TATA CAPITAL FINANCIAL SERVICES LTD
Producer Contact : 2261828282 Client Name : TE CONNECTIVITY INDIA PVT LTD
Producer Email : dummy10@tatacapital.com Vehicle Number : NEW
Policy Plan : Package (1 year OD + 3 years TP)
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Make , Model & Variant RTO Mfg Year Date of Cubic Capacity/KW Seating Capacity Fuel
Location Registration Type
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AUDI Q3 SPORTBACK PUNE 2023 1984 5 PETROL
TECHNOLOGY PLUS S LINE
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Policy Year IDV of IDV of Bi-Fuel/CNG IDV of Electrical IDV of Non-Electrical Total IDV
Vehicle Trailer /LPGKit Accessories Accessories
1 4885850 0 0 0 0 4885850
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PREMIUM BREAK UP
QT/23/6202979020 QT/23/6202979021
Description
SAPPHIRE ++ choice1 SAPPHIRE PLUS choice1
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Section - I Own Damage (A)

Basic OD premium 168073.24 168073.24
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A: TOTAL OWN DAMAGE PREMIUM 168073.24 168073.24

Section - I ADD ON COVERS (C)

Add : Depreciation Reimbursement (TA 01) 12214.63 11726.04
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(Count of Claim 2) (Count of Claim 2)

Add : Emergency transport and hotel 110.00 110.00
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expenses (TA 10) Any One Accident : 5000 Any One Accident : 5000
Any One Year : 10000 Any One Year : 10000
Add : Consumables Expenses(TA 18) 2931.51 2442.93
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Add : Key Replacement (TA 15) 265.00 265.00

Sum Insured:25000 per occurrence Sum Insured:25000 per occurrence
limit 50% of SI limit 50% of SI
Add : Loss of personal belongings (TA 09) 110.00 110.00
Sum Insured:10000 Sum Insured:10000
Add : Tyre Secure (TA 17) 9283.11 8305.95
Add : Engine Secure (TA 16) 7817.36 6840.19
Add : Repair of Glass, Rubber & Plastic Parts 0 0
(TA 08)
Add : Return to invoice (TA 05) 5863.02 -NA-
C: TOTAL ADD ON PREMIUM 38594.63 29800.10

Section - II Liability (B)

Basic TP premium 24596.00 24596.00
PA Benefits
PA cover to unnamed passengers (IMT 16) 750.00 750.00
(No. of Passengers) (5) (5)
(CSI per passenger:) 100000 100000
Legal Liability
Add : Legal Liability to paid driver (IMT 28) 150.00 150.00
(Number of persons) (1) (1)

B: TOTAL LIABILITY PREMIUM 25496.00 25496.00

Total Premium
NET PREMIUM (A+B+C) 232164.00 223369.00
Net IGST@18% 41790.00 40206.00
TOTAL PREMIUM FO 273954.00 263575.00
Road Side Assistance (Inclusive of All 136.88 136.88
Applicable Taxes)
Final Premium With Road Side 274091.00 263712.00
Assistance
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Note: Above mentioned Premium is subject to Positive vehicle inspection, if required as per Underwriting Guidelines.
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Important Note :

Insurance is subject matter of the solicitation. For more details on benefits/exclusions, risk factors, terms and conditions please refer policy
wordings/sales brochure carefully before concluding a sale. You are requested to visit our website www.tataaig.com for policy wording.
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This Quote will remain valid only for today (up to midnight 11:59:59 PM).This is a system generated quote and does not require signature.
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Premium and Risk period may change at the time of issuance of Policy.

TATA AIG General Insurance Company Limited, Regd. Office : Peninsula Business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel,
Mumbai - 400 013.
IRDAI of India Regn. No.108, CIN No.: U85110MH2000PLC128425, UIN : IRDAN108RP0006V02201819
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Website : www.tataaig.com 24X7 Toll free Helpline 1800-266-7780 Fax: 022 6693 8170 E-mail: customersupport@tataaig.com
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