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Policy
1104782349001925
No.
AgentCo
Schedule cum Certificate of Insurance de:
Maharashtra
Limits of Liability:
As per requirements of Motor Vehicle Act, 1988
a. Under Section II-1 ( i ) of the Policy –Death of or bodily injury such amount as is necessary to meet there requirements of the Motor Vehicle Act, 1988
b. Under Section II (1 ) (ii ) of the Policy-Damage of Third Party Property Rs. 100,000.00 /-
Deductible under Section-I Rs. 50.00 /-
Voluntary Deductible under Section-I: Rs. /- (IMT-22A)
PA Cover for owner-driver under section 3 CSI Rs. 100,000.00/-.
Additional Excess Rs. /-.
I/we hereby certify that the Policy to which this certificate relates as well as this certificate of insurance are issued in accordance with the provisions of
Chapter X and Chapter XI of M.V.Act, 1988.
*Service Tax Reg. No. GIS/Mumbai – I/1528/2001
The policy wording with detailed terms, condition and exclusions are available on our website www.reliancegeneral.co.in
“The stamp duty of Re. 25,00,000/- paid in by pay order, vide Receipt No 184147 dated 22.3.2007.”**
** Not Applicable for Jammu & Kashmir State.
For claims please contact us on 30338282 or email us at claims.rgi@relianceada.com or visit our website www.reliancegeneral.co.in
Note: If Premium is paid through cheque, the policy is void ab-initio in case of dishonour of cheque.
“It is hereby declared and agreed that all pre-exisitng damages to the vehicle having occurred prior to the commencement of cover are excluded from
the scope of the policy.
Registered Office: 19,Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai – 400 038, India
Address Of Servicing Branch Office:
Reliance General Insurance Co. Ltd,
Avirahi 2nd Floor, S.V Road, Borivali (W) Mumbai, ,
Reliance PRIVATE VECHAIL Policy No. 1104782349001925
Insured’s Declared Value
For the Vehicle For Side Car Non Electrical Accessories Electrical/Electronic Value of CNG/LPG Kit Total Value
Accessories
0 0
Schedule Of Premium
A. Own Damage Rs. B. Liability Rs.
Basic Premium on Vehicle 00.00 Basic Premium Including Premium for TPPD Vehicle 5580.00
Non Electrical Accessories 0.00 Less: Restricted Third Party Property Damage to Rs.6000/- 00.00
Electrical & Electronic @ 4% (Endt. IMT – 24) 0.00 Liability Premium for Trailers (Endt. IMT – 30)
Bi-Fuel Kit (CNG/LPG) @ 4% (Endt. IMT – 25) 0.00 CNG / LPG Bi-fuel Kit (Endt. IMT – 25) 0.00
Loss Of Accessories 0.00 Total 0
Total Net Basic Own Damage Premium 0 PA Benefits
Geographical Area Extn. (Endt. IMT – 1) 0.00 Compulsory PA Covers for Owner – Driver (Endt. IMT – 15) 100.00
30% for Imported Vehicles without custom duty PA for Named Passenger (Endt. IMT – 15)
0.00
(Endt. IMT – 19) Sr. No. Name of Passenger CSI 0.00
Fibre Glass Fuel Tanks 0.00
PA for Unnamed Passenger (Endt. IMT – 16)
60% on OD Premium for Driving Tuition (Endt. IMT – 61) 0.00 00.00
No. 0f Passengers: 1 CSI Per Person: 50,000.00
PA benefits to paid drivers, cleaners and conductors
Extension of Rally Cover as per number of days 0.00 50.00
No. of People: & Driver
Extension for Racing, Speed Tests, Dexterity Trails, Hill 0.00 Legal Liability
Climbs
Additional Towing Cover 0.00 Liability Premium for Geographical Extension 0.00
Legal Liability to paid drivers, cleaners and conductors (Endt. IMT –
28) 0.00
Total Schedule OD Premium 00.00
No. of People: 0 250.00
25% LOADING
Voluntary Excess 0.00 Liability extension for Rally Cover as per no. of days 0.00
Discount for Anti-theft Devices (Endt. IMT – 10) 0.00 Liability Extension for Racing, Speed Tests, Dexterity Trails, Hill 0.00
Automobile Association Discount (Endt. IMT – 8) 0.00 Climbs
TOTAL LIABILITY PREMIUM 5980.00
50% Discount for Vehicles specially designed / modified
for Blind, Handicapped and mentally challenged 0.00 PACKAGE PREIMUM (Total ODP + Total Liability Premium)
persons (Endt. IMT – 12)
Vintage Car Discount Add: Service Tax 10.30 % 616.00
Used of Vehicle within Insured’s premises 0.00
Side Car Discount 0.00 FINAL PREMIUM (Rounded Off) 6595.00
Deduct 0.00% for NCB
Sub Total (deductions) 0.00
Add30% loading for adverse history / break in 0
insurance
TOTAL OWN DAMAGE PREMIUM 768
S
Electrical Accessories Non Electrical Accessories
Serial Number of Serial Number of
Sl. No. Make and Model Net Premium Sl. No. Description Net Premium
Accessory Accessory
Registered Office: 19,Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai – 400 038, India