PRIVATE CAR PACKAGE POLICY

Quote No:MOTQ220324123116_79.4.5 Quotation Date 22/03/2024

Agent Zone B
Ownership Individual Age of Vehicle 4.90
Business Type Rollover Seating Capacity 8
Segment SUV 1 CC Band 2755
Make of Vehicle TOYOTA Fuel Type Diesel
Model of Vehicle INNOVA CRYSTA Cover Type Comprehensive
Vehicle Variant 2.8 G 8STR IDV of Vehicle 1003948
Vehicle Registration Number GJ-18 Non Electrical Accessories IDV 0
Risk Start Date 05/04/2024 Electrical Accessories IDV 0
Previous policy Expiry Date 04/04/2024 External CNG/LPG Fuel Kit IDV 0
Date of Registration 15/5/2019 Total IDV 1003948
Place of Registration GANDHINAGAR Key Loss Sum Insured 20000
Year of Manufacture 2019

Premium Computation
A- OWN DAMAGE B- LIABILITY
Basic OD- Premium 33562 BASIC TP 7897
CNG/LPG Kit Premium 0 CNG Kit - TP(IMT-25) 0
Electrical Accessories 0 PA to Paid Driver (0) 0
Non Electrical Accessories 0 PA to Owner Driver 375
No Claim Bonus (25) 1678 PA to Unnamed Passenger (100000), No (8) 400
Discount (80.00) 26850 Legal Liability to Paid Driver 50
TOTAL OWN-DAMAGE PREMIUM (A) 5034 TOTAL LIABILITY PREMIUM (B) 8722
ADD ON COVERS(C) Net Premium (A+B+C) 25749
Depreciation Cover- (AD 01) 7028 GST 4635
Consumables (AD 02) 2008 TOTAL POLICY PREMIUM 30384
Gap Value Cover (Incl. Taxes & Regn. 0
charges) AD 10
Passenger Assistance Cover (AD 04) 400
Roadside Assistance Cover (AD 05) 249
Key Loss Cover (AD 06) 300
Engine Safe Cover (AD 07) 2008
Tyre Protection Cover (AD 16) 0
Loss of Personal Belongings (AD 12) 0
EV Secure 0
TOTAL ADD ON COVER PREMIUM(C) 11992
TOTAL OWN-DAMAGE PREMIUM + 17027
TOTAL ADD ON COVER PREMIUM
(A+C)

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.

Web Site: www.libertyinsurance.in/ Toll Free No -18002665844/Fax: +912267001606

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