Go Digit General Insurance Ltd.

Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

Name DILEEP TANK Vehicle Registration No. RJ27EA4009

RAJESH MOTORS RAJASTHAN
348 UDAI SAGAR CHOURAHA BASTI BICHHRI Partner Name PRIVATE LIMITED
Address
UDAIPUR,Udaipur-313024
KFZ Partner Code 1060520
Misc Mobile xxxxxxxxx3747 Partner Email jcb.insurance@rajeshmotors.com
Email ixxxxo@rxxxxxxxxxxs.com Partner Mobile No. 9251621382
Aadhar No. -- For claims,contact us at 1800-258-5956
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1 YOUR POLICY DETAILS
Policy No. D107106275 / 21092023 Policy Issue Date 21-Sep-2023 Invoice Date 21-Sep-2023
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From 23-Sep-2023 00:00:01
Period of Policy To 22-Sep-2024 23:59:59
NCB % (Current Policy) 0% Policy Type Public Carrier
Compulsory Deductible 8400 Voluntary Deductible --
YOUR VEHICLE DETAILS

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Make JCB Trailer Reg. No. RTO Location Udaipur,RAJASTHAN
MISP
Model/Vehicle Variant 3 DX 2WD / BACKHOE

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Year of Regn. / Licensed Seating

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LOADER 2017 / -- 1
(Sub-Type) Manufacturing Capacity

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Engine No. H00132929 Chassis No. HAR3DXSSL02524360

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Cubic Capacity 4765 CC

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Fuel Type Diesel Gross Vehicle Weight 7510KG Vehicle Body Type BACKHOE LOADER

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Goods Type -- Permit Type Public Carrier Wheels 4

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HDB FINACIAL SERVICES LIMITED
Odometer FASTag Number 1 Financier Details
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YOUR VEHICLE
Motor IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
Dealer
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29 MISP
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Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
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(`) Accessories (`) Accessories (`) (`) (`) (`) (`)

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G01 1680000 -- -- 1680000.00

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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Own Damage Premium (`) 5914.05 Basic Third-Party Liability (`) 7267.00
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Add-Ons Premium (`) 0.00

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PA cover for Owner-Driver (`) 330.00

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NCB Discount Amount (`) -0.00

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4. Legal Liability to Paid (`) Driver (Persons:1) 50.00

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Total Act
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Total OD 5914.05
Premium
(`) Premium (`) 7647.00
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53 Net Premium [A+B} 13561.05

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(`)

CGST @ 9% = (`1220.49) + SGST/UTGST @ 9% = (`1220.49) 2440.98

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Total Premium (`) 16002.03

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Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
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Public handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
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If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
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of “Act only” policy for the Third Party Cover during the remaining period of policy.
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ENDORSEMENT
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Invoice Number Invoice Date Net Premium Igst Cgst Sgst Utgst Cess Gross Premium
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IA099922269 2023-09-21 13561.05 0.00 1220.49 1220.49 0.00 0.00 16002.03

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Policy No: D107106275

Page No: 1 of 2
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 08AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Jaipur Business
Centre,No 701,Manglam Ambition mall, Near Agrasen circle, C scheme,Jaipur,Rajasthan,PIN-302001
 Go Digit General Insurance Ltd. Schedule/Certificate
Digit Commercial Vehicle Package Policy - Miscellaneous & Special Types of Vehicle UIN No.: IRDAN158RP0003V01201819

OTHER DETAILS
Previous Insurer Go Digit General Insurance Limited
Previous Policy No. D076864423 Previous Policy Expiry Date 22-Sep-2023
IMT - Endorsements IMT-21,IMT-28,IMT-47(Overturning covered),IMT-7

Invoice Number IA099922269

GSTIN/UIN No. Unregistered State Code 8

Payment Mode Float Cheque/Transation No
Bank Name IFSC/MICR No --
Premium Payment Details Receipt No. RA111447722 Receipt Date
Nominee Details --

Details of Existing Damages --

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Other details --

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Follow these rules like you follow the rules of the road.

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Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and

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Conditions, unless specifically agreed and endorsed. Limitation as to use - Use in connection with the insured's business.The Policy does not

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cover (1) Use for racing, pace making, reliability trial or speed testing.(2) Use for the carriage of passengers for hire or reward.(3) Use whilst

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drawing a trailer except the towing (other than for reward) of any one disabled mechanically propelled vehicle. Person or Class of persons
entitled to drive - Any person including the insured 1) Provided that a person driving holds a valid & effective driving license at the time of the

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accident and is not disqualified from holding or obtaining such a license.2) Provided also that the person holding a valid & effective Learner's

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license may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any
subsequent amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) Under Section II - 1

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(i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under
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Section II - 1 (ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): ` 1500000
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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
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before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages
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under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of
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issuance of policy or before the start date of period of insurance whichever is earlier.
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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
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Break in Insurance: In case of a break-in, the company may conduct pre-inspection of the vehicle and in such a case, Own Damage cover
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(Section -I) of the policy would not commence unless the pre-inspection of the vehicle has been done and the acceptance of risk is subject to
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evaluation of the vehicle inspection report. In case of any adverse findings in the report, the Company, at its discretion, may cancel the Policy as
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per the Motor Tariff.

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Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement.
Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
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particular.
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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-
receipt of payment.
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Violation of Motor Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any
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subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
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vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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conditions applicable for this product in addition to Indian Motor Tariff. Any payment made by the Company by reason of wider terms appearing
in Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the Clause headed (Avoidance Of Certain
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Terms And Right Of Recovery) in the policy.

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Note: The policy is issued in utmost good faith, relying on the information shared by insured at the time of obtaining the policy. The terms and
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conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.
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For & On Behalf of Go Digit General Insurance Ltd.

In case of claim or any other query, please contact our 24-hour
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Call Centre at 1800-258-5956 or email us at hello@godigit.com

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or visit our website www.godigit.com.

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Praveen Bhat
Senior Vice President - Customer Experience
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praveen.bhat@godigit.com
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Authorized Signatory
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Printed, Signed, and Executed at Bengaluru

Consolidated Stamp Duty has been paid as per Letter of
Authorization No.67-B/04/2017-18 Date: 30th May 2017
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issued by Department of Stamps and Registration ,

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Bengaluru- 560009 - KARNATAKA.

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Hey,our document is now digitally signed

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Click here to view the certificate.

For instant resolution, you can ping us “Hi”
on WhatsApp at 702 606 1234

Policy No: D107106275

Page No: 2 of 2
Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg
No. 158 CIN U66010PN2016PLC167410, GST Reg. No.: 08AACCO4128Q1Z0 HSN: 997134/General Insurance Services, GSTIN Address: Jaipur Business
Centre,No 701,Manglam Ambition mall, Near Agrasen circle, C scheme,Jaipur,Rajasthan,PIN-302001