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    PolicySchedule PDF

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    Sandeep Borse
    This document is a certificate of insurance and policy schedule for a private car owned by Mr. Sandeep Suresh Borse. It provides details of the insured vehicle such as make, model, registration number, IDV value, and policy period from 29/09/2015 to 28/09/2016. The total premium due is Rs. 15,359 which covers own damage, liability, and add-on coverage. The policy is issued by Tata AIG General Insurance Company and complies with Motor Vehicles Act provisions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PolicySchedule PDF

    Uploaded by

    Sandeep Borse
    519 views1 page
    This document is a certificate of insurance and policy schedule for a private car owned by Mr. Sandeep Suresh Borse. It provides details of the insured vehicle such as make, model, registration number, IDV value, and policy period from 29/09/2015 to 28/09/2016. The total premium due is Rs. 15,359 which covers own damage, liability, and add-on coverage. The policy is issued by Tata AIG General Insurance Company and complies with Motor Vehicles Act provisions.

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    _PolicySchedule.pdf

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    This document is a certificate of insurance and policy schedule for a private car owned by Mr. Sandeep Suresh Borse. It provides details of the insured vehicle such as make, model, registration number, IDV value, and policy period from 29/09/2015 to 28/09/2016. The total premium due is Rs. 15,359 which covers own damage, liability, and add-on coverage. The policy is issued by Tata AIG General Insurance Company and complies with Motor Vehicles Act provisions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    519 views1 page

    PolicySchedule PDF

    Uploaded by

    Sandeep Borse
    This document is a certificate of insurance and policy schedule for a private car owned by Mr. Sandeep Suresh Borse. It provides details of the insured vehicle such as make, model, registration number, IDV value, and policy period from 29/09/2015 to 28/09/2016. The total premium due is Rs. 15,359 which covers own damage, liability, and add-on coverage. The policy is issued by Tata AIG General Insurance Company and complies with Motor Vehicles Act provisions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    CertificateOfInsuranceandPolicyScheduleForm51oftheCentralMotorVehicleRules,1989

    Agent/Broker/ProducerName:DIRECT
    Agent/BrokerLicenseCode:2Agent/BrokerContactNo.:24*7TollfreeHelpline18002667780/
    1800119966*(*TollfreefromMTNL/BSNLlinesonly)
    Certificate&PolicyNo.:
    PeriodofInsurance:

    010083833400
    From00:00Hrson29/09/2015

    PolicyType:
    DateofExpiry

    AutoSecurePrivateCarPackagePolicy
    Tomidnightof28/09/2016

    InsuredName&Address:
    MRSANDEEPSURESHBORSE
    1003STEEPESVASANT,
    PLAWANSOFF,EEHIGHWAY
    THANE400601
    MAHARASHTRA

    Premium(Incl.S.Tax)
    Occupation:
    GeographicalArea:
    RegistrationAuthority:
    HPA/Hyp/Leaseto:

    15,359.00
    OTHER
    India
    Nashik
    HDFCBANKLTD

    RegistrationNo.

    Make&Model

    EngineNo.

    ChassisNo.

    CC

    Mfg.Year

    BodyType

    Seating
    Capacity

    MH15CT1340

    SKODALAURA1.8TSI
    AMBIENTE

    CDA147232

    TMBLKJ1Z1AA154920

    1798

    2010

    SALOON

    IDVofnonbuiltinAccessories( )

    IDVofVehicle
    ()

    IDVofSideCar
    ()

    BiFuel/CNG/LPG
    Kit( )

    Electrical

    NonElectrical

    659,478.00

    0.00

    0.00

    0.00

    0.00

    TotalInsured
    Declared
    Values(IDV)( )
    659,478.00

    SCHEDULEOFPREMIUM

    A.OWNDAMAGE
    PremiumonVehicleandnonelectricalaccessories

    B.LIABILITY
    11,023.17 Basic

    Less:25%forNCB

    2,755.79 Add:CompulsoryPACoverforOwnerDriver 2,00,000

    A.TOTALOWNDAMAGEPREMIUM

    8,267.38 Add:LegalLiabilitytopaiddriverasper(IMT28)

    C.TOTALADDONPREMIUM

    4,931.00
    100.00
    50.00

    0.00 PAcovertounnamedpassengers(IMT16)No.ofPassengers:5CSIper
    passenger 50,000.00
    B.TOTALLIABILITYPREMIUM

    125.00
    5,206.00

    COMPREHENSIVEPREMIUM(A+B+C)

    13,473.38

    NETPREMIUM

    13,473.00

    Add:14%ServiceTax
    TOTALPREMIUM

    1,886.00
    15,359.00

    DriversClause:Personsorclassesofpersonsentitledtodrive:Anypersonincludingtheinsured.Providedthatapersondrivingholdsaneffectivedrivinglicenseatthetime
    oftheaccidentandisnotdisqualifiedfromholdingorobtainingsuchalicense.ProvidedalsothatthepersonholdinganeffectiveLearner'sLicensemayalsodrivethevehicle
    andthatsuchapersonsatisfiestherequirementsofRule3oftheCentralMotorVehiclesRules,1989.
    LimitationsastoUse:ThePolicycoversuseofthevehicleforanypurposeotherthan:a)HireorRewardb)Carriageofgoods(otherthansamplesorpersonalluggage)c)
    Organizedracingd)PaceMakinge)Speedtestingf)ReliabilityTrialsg)AnypurposeinconnectionwithMotorTrade
    LimitsofLiability:UnderSectionII1(i)ofpolicy(Deathoforbodilyinjury):Suchamountasis I/weherebycertifythatthePolicytowhichthisCertificaterelatesas
    necessarytomeettherequirementsoftheMotorVehiclesAct,1988.
    wellasthisCertificateofInsuranceareissuedinaccordancewith
    UnderSectionII1(ii)ofpolicy(ThirdPartyPropertyDamage): 7,50,000.00
    provisionsofChapterXandXIofMotorVehiclesAct,1988.
    UnderSectionIII:PAtoOwnerDriverCSI: 200,000.00
    InwitnesswhereofthisPolicyhasbeensignedatMUMBAIon
    Nominee:PRANALIAge:41Relationship:Wife
    25/09/2015
    DeductibleUnderSectionI: 2,000.00(CompulsoryDeductible: 2,000,VoluntaryDeductible: 0, ForTataAIGGeneralInsuranceCompanyLTD.
    ImposedExcess: 0)Franchisee:
    NoClaimBonus:TheinsuredisentitledforaNoClaimBonus(NCB)ontheowndamagesectionofthe
    policy,ifnoclaimismadeorpendingduringtheprecedingyear(s),asfollows:Theprecedingyear
    20%,,precedingtwoconsecutiveyears25%,precedingthreeconsecutiveyears35%,precedingfour
    consecutiveyears45%,precedingfiveconsecutiveyears50%ofNCBonODPremium.NCBwillonlybe AtriChakraborty
    allowedprovidedthepolicyisrenewedwithin90daysoftheexpirydateofthepreviouspolicy.
    NationalHeadOperations&Systems
    Subjectto:A)IMTEndorsementNo.:07,16,22,28
    B.TATAAIGAutoSecureendorsementNo.(TA):08
    ServiceTaxRegistrationNo:AABCT3518QST004
    StampDuty 0.25paidvideChallanNo:dated
    PolicyServicingOffice:Mumbai,A6,6thFloor,TradeWorld,KamalaMillsCompound,SenapatiBapatMarg,LowerParel,Mumbai400013,TelNo:02266382333,Fax
    No:02266382390
    IMPORTANTNOTICE
    TheInsuredisnotindemnifiedifthevehicleisusedordrivenotherwisethaninaccordancewiththisSchedule.AnypaymentmadebytheCompanybyreasonofwiderterms
    appearingintheCertificateinordertocomplywiththeMotorVehiclesAct,1988isrecoverablefromtheInsured.Seetheclauseheaded"AVOIDANCEOFCERTAINTERMS
    ANDRIGHTOFRECOVERY".
    Note:ThisSchedule,theattachedPolicyandEndorsementsmentionedhereinaboveshallreadtogetherandwordorexpressiontowhichaspecificmeaninghasbeen
    attachedinanypartofthisPolicyoroftheScheduleshallbearthesamemeaningwhereveritmayappear.Anyamendments/modifications/alterationsmadeonthissystem
    generatedpolicydocumentisnotvalidandCompanyshallnotbeliableforanyliabilitywhatsoeverarisingfromsuchchanges.Anychangesrequiredtobemadeinthepolicy
    onceissued,wouldbevalidandeffective,onlyafterwrittenrequestismadetotheCompanyandCompanyacceptstherequestedamendments/modifications/alterationsand
    recordsthesamethroughseparateendorsementtobeissuedbytheCompany.

    Insuranceisthesubjectmatterofthesolicitation.Formoredetailsonriskfactors,termsandconditions,pleasereadsalesbrochurecarefullybeforeconcludingasale.
    TATAAIGGeneralInsuranceCompanyLtd.Regd.Office:15thfloor,TowerA,PeninsulaBusinessPark,GanpatraoKadamMarg,OffSenapatiBapatMarg,LowerParel,Mumbai400013.
    IRDARegistrationNo.108,CINNo:U85110MH2000PLC128425
    Website:www.tataaiginsurance.in24X7TollfreeHelpline18002667780Email:customersupport@tataaig.com

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