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EXIT PRINT

GOODS CARRYING PACKAGE POLICY

POLICY CERTIFICATE CUM TAX INVOICE
CERTIFICATE CUM POLICY NUMBER:2315/57598997/01/000
INVOICE NUMBER : 918PR0000089684

INTERMEDIARY NAME INVICTUS INSURANCE BROKING SERVICES PRIVATE LIMITED

INTERMEDIARY CODE
201396572528 PHONE
NO.
022- E-MAIL
policy@turtlemint.com SUB
CODE
55
61149800
POLICY/INVOICE ISSUED DATE 18/09/2018
INSURED NAME GAGANDEEP SINGH MANUAL COVERNOTE NUMBER NA
PROPOSER CW 638 REGISTRATION DATE 01/01/2012
ADDRESS/PLACE OF SANJAY GANDHI TPT NAGAR
SUPPLY DELHI RTO ZONE C
DELHI - DELHI (9) CUSTOMER ID 101664278876
PIN - 110042
GST NUMBER - NA NOMINEE NAME NA
PERIOD OF INSURANCE FROM 00:01 OF 04/09/2018 RELATIONSHIP WITH PROPOSER NA
TO MIDNIGHT OF 03/09/2019
FINANCIAL INTEREST INDIA BULLS FINANCIAL SERVICES LTD : , EIA ACCOUNT NO. NA
POLICY ISSUANCE NOIDA BRANCH, 1st Floor, Shop No 9 & 10 Block - A - 15, Sector 44, NOIDA, UTTAR PRADESH, STATE CODE - 9, PIN -
OFFICE 201301, GSTIN- 09AAACU8917F1Z4
PARTICULARS OF VEHICLE INSURED
REGISTRATION CHASSIS ENGINE MAKE MODEL BODY CUBIC MFG GVW CARRYING
NUMBER NUMBER NUMBER TYPE CAPACITY YEAR CAPACITY
HR-55-R-0195 VJ1807 411334 ASHOK 2516 TRUCKS 5883 2012 25000 3
LEYLAND XL
PUC Number PUC Center
NA NA
INSURED'S DECLARED VALUE (Rs.)
VEHICLE TRAILER TRAILER CHASSIS NON-ELEC ELECTRICAL/ELECTRONIC CNG LPG TOTAL
IDV IDV NUMBER ACCESSORIES ACCESSORIES KIT KIT VALUE
940000.00 0.00 0 0.00 0.00 0.00 0.00 940000.00
SCHEDULE OF PREMIUM (AMOUNT IN Rs.)
OWN DAMAGE (A) LIABILITY (B)
Basic Own Damage 20148.00 Basic Third Party Liability 39849.00
Total Basic Own Damage 20148.00 Total 39849.00
Detariff Discount Amount 15111.00 Add:
Basic OD after Discount\Loading 5037.00 Legal Liability Cleaner/Conductor/Coolies 100.00
No Claim Bonus ( 50 % ) 2518.50 Paid Driver 50.00
Total Own Damage Premium 2519.00 PA to Owner-Driver 100.00
Sub Total (Additions) : 250.00
Total Liability Premium 40099.00
TOTAL PACKAGE PREMIUM (A+B) 42618.00
NET PREMIUM 42618.00
IGST (18%) 7671.00
TOTAL PREMIUM 50289.00
C0MPULSORY DEDUCTIBLE 1500.00
Policy subject to the following Special Condition(s) :
Warranted that the Assured named herein/owner of the vehicle insured holds a valid Pollution Under Control (PUC) Certificate on the date of commencement of the Policy and ren ws and maintains valid
and effective PUC Certificate during the duration of the Policy period. If the PUC is not found valid on the date of loss, the company shall repudiate the OD claim made under the Policy ROADSIDE
ASSISTANCE INCLUDED IN THIS POLICY Toll Free Nos-1800 209 6678/+91 22 40901520
For No Claim Bonus (NCB) No Claim Bonus will only be allowed if the policy is renewed within 90 days of the expiry date of the previous year. The insured is entitled for a No Claim Bonus on the Own
Damage Section of the policy, if no claim is made or pending during the preceding year(s).
DRIVER (Persons or classes of persons entitled to drive): Any person including insured: Provided that a person holds an effective driving licence at the time of the accident and is not disqualified from
holding or obtaining such a licence Provided also that the person holding an effective learner's license may also drive the vehicle when not used for the transport of passengers/ goods at the time of the
accident and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules 1989.
LIMITATIONS AS TO USE: The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling under Sub Section (3) of Section 66 of the Motor
Vehicles Act, 1988. The Policy covers use of the vehicle for any purpose other than (1)Organised racing (2) Pace making (3) Speed testing (4) Reliability trails (5)Use whilst drawing a trailer except the
towing (other than for reward) of any one disabled mechanically propelled vehicle.
LIMITS OF LIABILITY: a) Under Section II- 1 (i) of the Policy- Death or bodily injury-such amount as is necessary to meet the requirements of the Motor Vehicle Act 1988 b) Under Section II- 1(ii) of the
Policy-Damage to Third Party Property-in respect of any one claim or series of claims arising out of one event (Rs. 6000/- OR Rs. 7.5 Lakhs as may be applicable). P.A. Cover under Section III for Owner -
Driver (CSI).
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 the Certificate in order to comply with the Motor Vehicle Act, 1988, is recoverable from the insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY"
SUBJECT TO IMT ENDORSEMENT NOS. AND MEMORANDUM PRINTED HEREIN / ATTACHED HERETO : 21,28,7
PREMIUM COLLECTION DETAILS: - [Collection No / Amount / ReceiptDate] 1019127720 / 50289 / 03/09/2018
DISCLAIMER: For USGIC renewal policies, the policy wordings including terms and conditions were sent with the first year policy. The same policy wordings stands correct with no changes. You can also
refer the wordings at our website www.universalsompo.com. Policy is valid subject to Realization of Cheque. We accept premium only via legally recognized modes except for cash. If our representatives

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request you to pay in cash, kindly report it to us.
CLAIMS DISCLAIMER: In the unfortunate event of any loss or damage to the insured property resulting into a claim on this policy, please intimate the mishap IMMEDIATELY to our Call Centre at Toll Free
Numbers on 1-800-22-4030 (for MTNL/BSNL users) or 1-800-200-4030 (other users) or on chargeable numbers at +91-22-27639800 / +91-22-39133700. Email at contactclaims@universalsompo.com.
Please note that no delay should be allowed to occur in notifying a claim on the policy as the same may prejudice liability.

I/We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X,XI of M.V.Act 1988.
FOR UNIVERSAL SOMPO GENERAL INSURANCE CO. LTD.
IRDAI UIN NO: IRDA/USG/22/2008-09/LR/01

SAC CODE : 997134 DULY CONSTITUTED ATTORNEY(S)

USGI IRDAI REGISTRATION NO: 134
In Witness whereof this Policy has been signed at Mumbai in lieu of covernote No. NA
Consolidated stamp duty Rs 0.50 paid towards Insurance policy stamp vide receipt no. CSD/442/2018/2564/18 dated 09/03/2018 of General Stamp Office Mumbai.
In case of any discrepancy, complaint or grievance, please feel free to contact us within 15 days of receipt of the Policy. Universal Sompo General Insurance Co. Ltd. Express IT Park, Plot
No. EL - 94, T.T.C. Industrial Area, M.I.D.C., Mahape, Navi Mumbai- 400710 Toll Free Numbers: 1-800-22-4030 (for MTNL/BSNL users) or 1-800-200-4030 (other users) Landline Numbers:
+91-22-27639800 / +91-22-39133700(Local Charges Apply). E-mail Address: contactus@universalsompo.com. Fax Number: 022-39171419 Note: Please include your policy number for
any communication with us.

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