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Certificate Cum Policy Schedule Package Policy - Zone B: Commercial Private Vehicle

This document is an insurance certificate and policy schedule for a commercial private vehicle. It provides details of the insured, Kewal Singh, and covers his truck registered in Ludhiana, Punjab from December 26, 2021 to December 25, 2022. The total premium listed is Rs. 52,450. The policy covers own damage to the vehicle as well as third party liability insurance as required by law in India. It notes the vehicle details, insured's address, and provides the policy terms and limitations of coverage.

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Chetan Randhawa
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0% found this document useful (0 votes)
219 views

Certificate Cum Policy Schedule Package Policy - Zone B: Commercial Private Vehicle

This document is an insurance certificate and policy schedule for a commercial private vehicle. It provides details of the insured, Kewal Singh, and covers his truck registered in Ludhiana, Punjab from December 26, 2021 to December 25, 2022. The total premium listed is Rs. 52,450. The policy covers own damage to the vehicle as well as third party liability insurance as required by law in India. It notes the vehicle details, insured's address, and provides the policy terms and limitations of coverage.

Uploaded by

Chetan Randhawa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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IRDAI Regn No - 137

CERTIFICATE CUM POLICY SCHEDULE PACKAGE


POLICY -
ZONE B

COMMERCIAL PRIVATE VEHICLE (PACKAGE POLICY) - UIN NO. IRDAN137RP0016V01200809 - SAC Code. 997134
CINNo.U66010RJ2006PLC029979

IssueOffice: 10019 - Address:- E - 8, RIICO INDUSTRIAL AREA SITAPURA -JAIPUR RAJASTHAN 302022Tel
PolicyNo :10019/31/22/032633 Prev Policy No- Geographical Area :INDIA
Insured's Code/ Name: 153827240 KEWAL SINGH
Address:WCheema Chowk, Adjacent Petrol Pump, Near Transport Nagar, Transport Nagar,
Industrial Area- A, Ludhiana, Punjab 141003
Executive:NA0000000100Broker Details/ W.A.:LCN000000009POLICYBAZAAR INSURANCEBROKERS PVT.LTD. //Contact No:
18002585970
PeriodofInsurance :From00:00on26/12/2021To Midnight of25/12/2022 Prop No. - Issue date
GrossPremium: 4665 STax:0 GST: Cess : 0 Total: 52470
4 5816

RegistrationMark&Place Engine NoChassisNo Make - Model Cubic Capacity /Year of Manf


Type of Body /Fuel Type
PB 10 HH 5677 KXPZ132664 TRUCK (OPEN BODY) / DIESEL GVW
RTA LUDHIANA
ASHOK LEYLAND 5297 12900
MB1A3CHD4KPLK9386 1618/2 2020

* NCB discount - 0 % Previous Policy : MOP6071523- Previous Insurer : Royal Sundaram Alliance
The above Total OD Premium is inclusive of all applicable Loading/Discounts viz (Automobile Association, Voluntary Excess, Anti-Theft, Handicap Person, Driver Tuition, Fibre
Glass,CNG/LPG Unit, Geographical Extn, Imported Vehicle etc wherever applicable)

A. OWN DAMAGE SCHEDULE OF PREMIUM B. LIABILITY


ODTOTALTOTAL PREMIUMADD :IGST 18 % 46654.00 BASIC TP COVERTP TOTAL 2,582.00
FINAL PREMIUM 5,164.00 2,582.00
652.00
52,450.00
Deductibles under Section-I : Compulsory
DeductibleRs.1000Subject to IMT Endorsement Printed
herein/attached to :IMT-22Hypothecation Agreement with:
Hire Purchase/LeaseAgreement with:
Limit of Liability :
Under Section II-1(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
Under Section II-1(ii) in respect of any one claim or series of claims arising out of one event is Rs. 750000
P.A. Cover under Section III for Owner - Driver (CSI) :Rs. 0
Driver's Clause
Any person including the insured, Provided that a person driving holds an effective driving license at the time of the accident and is not disqualified
fromholding or obtaining such alicense. Provided also that the person holding an effective Learner's license may also drive the vehicle and that such
aperson satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
Limitations as to Use
The Policy covers useof the vehicle for any purpose other thana) Hire or Rewardb)Carriage of goods (other than samples or personal luggage) c) Organized racing d) Pace making
e) Speed testingf) Reliability Trialsg) Any purpose in connection withMotor Trade
The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.Warranted that in case of dishonour of premium cheque(s) the Company
shallnot be liable under the policy and the policy shall be void abinitio (from inception). I/We hereby certify that the policy to which the certificate relates as well as this certificate of insurance
areissued in accordance with the provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at HEAD OFFICE - 19

IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by the Company by reason of wider terms appearing in
theCertificate in order to comply with the MVAct, 1988 is recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

POLICY IS SUBJECT TO EXCLUSION OF DAMAGES NOTED DOWN BY OUR AUTHORISED REPRESENTATIVE DURING THEIR INSPECTION.

Preinspection Report: Not


ApplicableBrokerPOSDetails:Name:-IDNo:
Note: In case of new vehicle, Insured have to submit registration documents within a period of 15 days from the date of issue of Registration Certificate of Vehicle.
For instant renewal of your insurance policy, Log on to www.shriramgi.comorcontact us at our Head office no. - 0141-4828400
In case of Claims/Grievance, Please contact us at:Toll Free No - 180030030000, 18001033009 Email id -
[email protected] NEFT/RTGS/IMPS or any other online payment kindly visit our website " www.shriramgi.com"

For and on behalf of


SHRIRAM GENERAL INSURANCE COMPANY LTD

Place: JAIPUR
We will contact you through phone,e-mail, letters, registered AD, sms, etc for renewal before/after the expiry date
ofyour policy. If you do not want us to contact you, kindly send an e-mail for the same on [email protected]
Consolidated Stamp Duty paid vide Inspector General Registration and Stamp Ajmer order No. F7(77)Gen/2021/Part-I/9239
dated26/12/2021.
All the Amounts mentioned in this policy are in Indian Rupees Note :- Claim intimation after 48 hours will Authorised Signatory
GSTIN No. - 08AAKCS2509K1Z3 beconsidered as delayed intimation.
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