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    Tata Aig

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    sunnyb77
    1) This document is an insurance certificate and policy schedule for an Hyundai I20 vehicle registered in Bangalore, India. 2) It provides coverage from August 30, 2013 to August 29, 2014 for a premium amount of Rs. 8,626. The insured is Srinivas Rao Balla and the vehicle identification details and insured declared value are also specified. 3) The policy covers use of the vehicle for any purpose other than commercial use. It also lists the drivers covered and limits of liability under different sections of the policy.

    Copyright:

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

    Tata Aig

    Uploaded by

    sunnyb77
    3K views1 page
    1) This document is an insurance certificate and policy schedule for an Hyundai I20 vehicle registered in Bangalore, India. 2) It provides coverage from August 30, 2013 to August 29, 2014 for a premium amount of Rs. 8,626. The insured is Srinivas Rao Balla and the vehicle identification details and insured declared value are also specified. 3) The policy covers use of the vehicle for any purpose other than commercial use. It also lists the drivers covered and limits of liability under different sections of the policy.

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    TATA AIG

    Original Title

    TATA AIG

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    © © All Rights Reserved

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    1) This document is an insurance certificate and policy schedule for an Hyundai I20 vehicle registered in Bangalore, India. 2) It provides coverage from August 30, 2013 to August 29, 2014 for a premium amount of Rs. 8,626. The insured is Srinivas Rao Balla and the vehicle identification details and insured declared value are also specified. 3) The policy covers use of the vehicle for any purpose other than commercial use. It also lists the drivers covered and limits of liability under different sections of the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3K views1 page

    Tata Aig

    Uploaded by

    sunnyb77
    1) This document is an insurance certificate and policy schedule for an Hyundai I20 vehicle registered in Bangalore, India. 2) It provides coverage from August 30, 2013 to August 29, 2014 for a premium amount of Rs. 8,626. The insured is Srinivas Rao Balla and the vehicle identification details and insured declared value are also specified. 3) The policy covers use of the vehicle for any purpose other than commercial use. It also lists the drivers covered and limits of liability under different sections of the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Tata AIG General Insurance Company Ltd.

    Certificate of Insurance and Policy Schedule Form 51 of the Central Motor Vehicle Rules, 1989

    Agent/Broker Name - Srihari Udupi Raghavendra


    Agent/Broker License Code - 9005286 : Agent/Broker:Contact No - 9845378678 (mobile
    or landline)
    Certificate & Policy No.

    Policy Type

    AutoSecure Package Policy

    0100829465 0100829465 00
    Effective time and date of commencement of Insurance

    From 13:00 Hours on 30/08/2013

    Date of Expiry

    Midnight on 29/08/2014

    Premium (incl.S.Tax)

    Place of Registration

    BANGLORE NORTH

    Rs. 8626.00
    Insured's Business/Profession OTHER
    Geographical Area
    INDIA
    Under Hire Purchase/Hypothecation/Lease with

    Name and address of the Insured


    SRINIVAS RAO BALLA
    Name:
    Address : No 104, Indu Arcade
    4th Main, Maithri Layout
    Kadugodi
    Near Hope Farm Junction
    BANGALORE 560066
    KARNATAKA

    Registration No.
    KA04MG4671

    N/A

    Make & Model

    Body Type

    Mfg. Year

    CC

    HYUNDAI I 20 ASTA

    SALOON

    2009

    1197

    Engine No.

    Chassis No.

    G4LA9M212676
    MALBB51BR9M082997

    IDV of non-built-in Accessories(Rs.)


    Electrical
    Non-Electrial

    IDV of vehicle(Rs.) IDV of Side Car(Rs.) Bi-Fuel/CNG/LPG


    Kit(Rs.)
    3,25,786

    Seating Capacity

    Total Insured Declared


    Value (Rs.)

    3,25,786

    SCHEDULE OF PREMIUM
    Rs.

    6,417.33

    Basic

    Rs.

    A. TOTAL OWN DAMAGE PREMIUM (rounded off) Rs.

    6,417.00

    Add:Legal Liability to paid driver as per Endt. IMT 28

    Rs.

    50.00

    Add: Compulsory PA Cover for Owner-Driver


    Rs.2,00,000

    Rs.

    100.00

    Premium on Vehicle and non electrical accessories


    C. TOTAL ADD ON PREMIUM

    Rs.

    Drivers Clause : Persons or classes of persons entitled to drive :

    1,110.00

    B. TOTAL LIABILITY PREMIUM

    Rs.

    1,260.00

    COMPREHENSIVE PREMIUM(A+B+C)

    Rs.

    7,677.00
    7,677.00

    NET PREMIUM

    Rs.

    Add : 12.36% Service Tax

    Rs.

    949.00

    TOTAL PREMIUM

    Rs.

    8,626.00

    Limitations as to use:

    Any person including the insured: Provided that a person driving 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 Licence may also drive the vehicle and that such a
    person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

    The Policy covers use of the vehicle for any purpose other than :
    a) Hire or Reward b) Carriage of goods (other than samples or personal luggage) c) Organised racing d) Pace
    Making e) Speed testing f) Reliability Trials g) Any purpose in connection with Motor Trade.

    Limits of Liability:

    Subject to

    Under Section II-1 (i) of the policy (Death of or bodily injury) : Such amount as is necessary to
    meet the requirements of the Motor Vehicles Act, 1988.
    Under Section II-1 (ii) of the policy (Damage to Third Party Property ) : Rs. 7,50,000/P.A. Cover for Owner - Driver under Section III: CSI
    : Rs. 2,00,000/Deductible under Section - I
    : Rs. 1,000/Compulsory Deductible
    : Rs. 1,000/Voluntary Deductible
    : Rs. /Imposed Excess
    : Rs. /-

    A. Indian Motor Tariff Endorsement No. (IMT)


    22,28

    b.TATA AIG Auto Secure endorsement No.TA08

    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 XI of Motor Vehicles Act, 1988.

    For Tata AIG General Insurance Company Ltd.

    In witness whereof this Policy has been signed at Mumbai on 04/09/2013.


    Receipt(s): APN05873585
    The stamp duty of Rs.0.50/- paid in cash or demand draft or by pay order,vide Receipt/Challan no:
    MH000334024201314E
    dated the 12/08/2013

    Atri Chakraborty
    National Head - Operations & Systems

    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 Vehicles Act, 1988 is recoverable from the Insured. See the clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY".
    Note: This Schedule, the attached Policy and Endorsements mentioned herein above shall read together and word or expression to which a specific meaning has been attached in any part of this Policy or of the Schedule
    shall bear the same meaning wherever it may appear.
    Any amendments/modifications/ alterations made on this system generated policy document is not valid and Company shall not be liable for any liability whatsoever
    arising from such changes. Any changes required to be made in the policy once issued, would be valid and effective, only after written request is made to the Company
    and Company accepts the requested amendments/modifications/alterations and records the same through separate endorsement to be issued by the Company.

    TOLLFREE HELP LINE: 1 800 119966


    (Regd.Office: 15th floor, Tower A, Peninsula Business Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg,Lower Parel, Mumbai- 400 013)
    05
    Insured Copy
    DA27
    Page 1

    of 1

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