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    B0512753 V3383925 00000 00000 00001 00130976 FPV Schedule Schedule

    Uploaded by

    shakil
    This document is a certificate of insurance and policy schedule for a comprehensive motor insurance policy issued by Future Generali India Insurance Company Limited to the insured for their 2010 Hyundai Accent GLE vehicle. The policy provides insurance coverage from November 6, 2014 to November 5, 2015. The insured and vehicle details, total insured value, premium breakdown, and policy coverage limits are specified. The policy covers liability for death, bodily injury and property damage arising from use of the vehicle subject to restrictions on vehicle use and drivers.

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

    B0512753 V3383925 00000 00000 00001 00130976 FPV Schedule Schedule

    Uploaded by

    shakil
    138 views1 page
    This document is a certificate of insurance and policy schedule for a comprehensive motor insurance policy issued by Future Generali India Insurance Company Limited to the insured for their 2010 Hyundai Accent GLE vehicle. The policy provides insurance coverage from November 6, 2014 to November 5, 2015. The insured and vehicle details, total insured value, premium breakdown, and policy coverage limits are specified. The policy covers liability for death, bodily injury and property damage arising from use of the vehicle subject to restrictions on vehicle use and drivers.

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    B0512753_V3383925_00000_00000_00001_00130976_FPV_SCHEDULE_SCHEDULE

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    This document is a certificate of insurance and policy schedule for a comprehensive motor insurance policy issued by Future Generali India Insurance Company Limited to the insured for their 2010 Hyundai Accent GLE vehicle. The policy provides insurance coverage from November 6, 2014 to November 5, 2015. The insured and vehicle details, total insured value, premium breakdown, and policy coverage limits are specified. The policy covers liability for death, bodily injury and property damage arising from use of the vehicle subject to restrictions on vehicle use and drivers.

    Copyright:

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

    B0512753 V3383925 00000 00000 00001 00130976 FPV Schedule Schedule

    Uploaded by

    shakil
    This document is a certificate of insurance and policy schedule for a comprehensive motor insurance policy issued by Future Generali India Insurance Company Limited to the insured for their 2010 Hyundai Accent GLE vehicle. The policy provides insurance coverage from November 6, 2014 to November 5, 2015. The insured and vehicle details, total insured value, premium breakdown, and policy coverage limits are specified. The policy covers liability for death, bodily injury and property damage arising from use of the vehicle subject to restrictions on vehicle use and drivers.

    Copyright:

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

    FUTURE GENERALI INDIA

    Insurance Company Limited


    MOTOR SECURE - PRIVATE CAR INSURANCE - COMPREHENSIVE POLICY
    CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE - Form 51 of the Central Motors Vehicles Rules, 1989
    : Future Generali India Insurance Company Limited, Neelyog Square, 104 and 105, 1st Floor, R.B.Mehta Road, Nr.Ghatkopar Railway Station,
    Ghatkoper (East), Mumbai, Maharashtra, 400075, Tel_No:022-66894201
    Policy and Certificate Number : 2014-V3383925-FPV
    Period of Insurance
    i : From 18:25 hrs of 06/11/2014 To midnight of 05/11/2015.

    Policy Servicing Office

    : Vishnu Sharma
    : 56 Firdaus Bldg Ground Flr, Room No 06 Road
    Marine Drive, Mumbai, Maharashtra, 400020

    Insured
    Address

    Covernote No
    Intermediary Name/Code
    Telephone (Hom)
    Email Id

    :8H0224201zzzz Dated:z06/11/2014zzzzzzZone: A
    : Samip Dilip Shah / 60025911
    : 9892932137
    : samip.shah@gmail.com

    INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION


    Registration No.,
    RTA Location

    Make/Model of Vehicle

    Year of
    Manufacture

    Engine No.

    Chassis No.

    Cubic
    Capacity

    Seating
    Capacity

    Type of Body

    MH04FZ7457
    MUMBAI

    HYUNDAI ACCENT GLE

    2010

    27975

    76490

    1495

    Saloon

    INSURED'S DECLARED VALUE


    For Vehicle-Rs.

    For Non-Electrical Accessories-Rs.

    For Trailers-Rs.

    For Electrical/Electronic Accessories-Rs.

    For Bi-Fuel Kit (CNG/LPG)-Rs.

    Total Value-Rs.

    225,000

    15,000

    240,000

    SCHEDULE OF PREMIUM
    Rs. B-LIABILITY

    A-OWN DAMAGE
    Basic Premium on Vehicle
    Add : Bi-Fuel Kit (CNG/LPG)

    Total Own Damage Premium (A) (rounded off)


    Total Annual Premium (A+B)

    5,540.06
    600.00

    6,140.00
    7,807.00

    Rs.

    Basic Premium Including Premium for TPPD


    Add : Bi-Fuel Kit (CNG/LPG)
    Add : Compulsory PA to Owner-Driver - Rs. 2 lacs
    Add : PA to persons other than Owner/Driver
    No. of persons 5 P.A. Limit - Rs. 50000 per person
    Add : Legal Liablity to Paid Driver/Cleaner/Employees
    No. of persons 1
    Total Liability Premium (B)
    Total Premium for the Policy Period
    Service Tax (Including Cess)
    Total Premium (rounded off)

    1,332.00
    60.00
    100.00
    125.00
    50.00
    1,667.00
    7,807.00
    966.00
    8,773.00

    Subject to Endorsement Nos. 22 ,25 ,16 ,28 ,15 ,


    LIMITATIONS AS TO USE As per Motor Vehicle 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) Organized racing, d) Pace making, e) Speed
    testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade

    DRIVERS 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 from
    holding or obtaining such a license; Provided also that the person holding an effective
    Learners License may also drive the vehicle and that such a person satisfies the
    requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

    Limits of Liability
    Under Section II-I (i) : Death of or bodily injury Such amount as is necessary to meet the requirements
    of Motor Vehicles Act, 1988

    Under Section II-I (ii) : Damage to Third Party Property-Rs.


    750000/- in respect of any one claim or series of claims arising
    out of one event.

    SPECIAL CONDITIONS

    Under Section III : PA Owner


    Compulsory
    Driver as per premium computation Deductible Under
    table
    Sec I - Rs. 1,000.00
    ADDITIONAL EXCESS

    The nominee for Compulsory PA to owner driver cover is 01) LEGAL HEIR, aged: 21 Years, Relationship: Legal Executor, Nomination %: 100%
    IMPORTANT - 1. All other Terms, Conditions and Exclusions as per attached Policy Wordings. 2. In case of payment by cheque, in the event of dishonor of cheque for any reason
    whatsoever, insurance cover provided under this document automatically stands cancelled from the inception irrespective of whether a seperate communication is sent or not.
    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.
    For FUTURE GENERALI INDIA INSURANCE CO. LTD.
    Receipt No : Z4623128
    Date of Issue : 13/11/2014
    Place of Issuance : Mumbai*

    *Address as mentioned below.


    This policy is not valid unless it is countersigned by an authorised signatory
    For registration of your Motor claims SMS MOTORCLAIM to 9222211100 (Standard SMS charges applicable)

    (Authorised Signatory)

    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. For legal interpretation English verison will be good.
    For full details on coverage, terms, conditions and exclusions, please refer the standard policy wordings attached with this schedule.
    Not with standing anything mentioned herein to the contrary it is agreed and declared that the cover under this policy does not extend to those parts mentioned as
    damaged/scratched/dented noted in the photographs/inspection report number 20-ATL-061114-138266 dated 05/11/2014
    The stamp duty of Rs. 0.50 paid by GRAS DEFACE NO.0001994581201415, dated 13/10/2014.Mudrank 2004/4125/CR/690/M-1,dated 31/12/2004.

    Corporate & Registered Office: 6th Floor, Tower - 3, Indiabulls Finance Center, Senapati Bapat Marg, Elphinstone Road, Mumbai-400013, Maharashtra
    Care Lines:- 1800-220-233, 1860-500-3333, 022-67837800, Email: fgcare@futuregenerali.in, Website: www.futuregenerali.in
    IRDA Regn. No 132, CIN - U66030MH2006PLC165287, Service Tax Registration Number: AABCF0191RSD002

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