Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 15 views

    201220040119800071900000 (1)

    Uploaded by

    sayeedsahail7
    This document is an insurance policy certificate for a two-wheeler vehicle. It provides details of the insured person, vehicle, policy period, premium amount and covers included in the policy. The policy is issued by Liberty General Insurance and provides coverage as per the Motor Vehicle Act.

    Copyright:

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

    201220040119800071900000 (1)

    Uploaded by

    sayeedsahail7
    15 views1 page
    This document is an insurance policy certificate for a two-wheeler vehicle. It provides details of the insured person, vehicle, policy period, premium amount and covers included in the policy. The policy is issued by Liberty General Insurance and provides coverage as per the Motor Vehicle Act.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an insurance policy certificate for a two-wheeler vehicle. It provides details of the insured person, vehicle, policy period, premium amount and covers included in the policy. The policy is issued by Liberty General Insurance and provides coverage as per the Motor Vehicle Act.

    Copyright:

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

    201220040119800071900000 (1)

    Uploaded by

    sayeedsahail7
    This document is an insurance policy certificate for a two-wheeler vehicle. It provides details of the insured person, vehicle, policy period, premium amount and covers included in the policy. The policy is issued by Liberty General Insurance and provides coverage as per the Motor Vehicle Act.

    Copyright:

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

    LIBERTY GENERAL INSURANCE LIMITED

    TWO WHEELER POLICY - BUNDLED COVER


    CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE
    IMPORTANT - 1) The Validity of this Certificate of Insurance cum Schedule is subject to realization of the premium cheque.
    2) No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
    3) In the event of misrepresentation, fraud or non-disclosure of material facts, the company reserves the right to cancel the policy from inception.
    Policy Issuing Office 10th Floor, Tower A Peninsula Business Park, Ganpath Rao Kadam Marg Lower Parel MUMBAI MAHARASHTRA - 400013 Phone: +91 22 6700 1313
    Fax: +91 22 6700 1606
    Policy Servicing Office Office No.312,3rd Floor, A-2 South Block, Bahu Plaza, Rail Head Complex, JAMMU 180004 JAMMU & KASHMIR PH: +91 191 2477050 FAX: +91 0 0

    Period of insurance
    (Section I - Own Damage) From 14:32 Hrs of 15/05/2019 To Midnight of
    14/05/2020
    (Section II - Liability) From 14:32 Hrs of 15/05/2019 To Midnight of 14/05/2024
    Policy No 2012-200401-19-8000719-00-003
    Geographical Area India
    Insured SHAMSHAD AKHTER
    Address D/O SH. AHMED DIN, R/O BAGGA, MAHORE, P/O & Policy Issued On 23/05/2019
    Covernote No/Ecovernote No
    P/S SARH, TEH. MAHORE, DISTT. REASI, NEAR DEGREE
    Covernote Date
    COLLEGE,
    182315 UDHAMPUR JAMMU & KASHMIR RTO Location HOOGHLY Zone: Zone-B

    Contact Number (M) +919999999999 Customer ID 4105071960 UIN CODES IRDAN150RP0007V01201819


    Customer UIN
    GSTIN No/State Name NA/JAMMU & KASHMIR

    Agent Name ADITYA BIRLA INSURANCE BROKERS LTD (EARLIER KNOWN AS


    BIRLA INSURANCE ADVISORY & BROKING SERVICES LTD)
    Agent Code IMD1000070 Agent Contact No 7259587519
    INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION
    Year of
    Manufacture/Date
    Registration Mark & Licensed Carrying capacity
    Of Engine No. Chassis No. Make/Model/Type of Body CC/HP/GVW/KW
    No. including Driver
    Registration/Invoice
    Date
    2019/15-05- ROYAL ENFIELD/CLASSIC CLASSIC
    NEW U3S5C2KB437534 ME3U3S5C2KB457869 346 2
    2019/15-05-2019 350/Solo with Pillion
    IDV (INSURED'S DECLARED VALUE)

    Year IDV of Vehicle( ) Trailers( ) Side Car( ) Non Electrical Electrical/Electronic Bi Fuel kit (CNG/LPG)( Total Value ( )
    Accessories( ) Accessories( ) )
    1 147,516.00 0.00 0.00 0.00 0.00 0.00 / 0.00 147,516.00
    Section I - OWN DAMAGE (A) Section II - LIABILITY (B)
    Own Damage Premium on vehicle and accessories Third Party Premium
    Basic Cover Basic Cover

    Basic OD 1,168.33 Basic TP 5,453.00

    TOTAL OWN-DAMAGE PREMIUM (A) 1,167.90 TOTAL LIABILITY PREMIUM (B) 5,453.00

    Section I - ADD ON COVERS (C) Net Premium(A+B+C) Taxable Value 7,506.00


    Consumables Cover IRDAN150RP0007V01201819/A0041V01201819 147.52
    CGST(9% - JAMMU & KASHMIR) 675.54
    Depreciation Cover IRDAN150RP0007V01201819/A0040V01201819 737.58
    SGST(9% - JAMMU & KASHMIR) 675.54
    TOTAL ADD-ON COVER PREMIUM (C) 885.10
    TOTAL POLICY PREMIUM 8,857.00

    Hire Purchase/ Lease /Hypothecated with HDFC BANK LIMITED-REASI


    LIMITATIONS AS TO USE - 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)Use in connection with Motor Trade
    DRIVERS CLAUSE
    Persons or Classes of Person entitled to drive: 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 learner's license may also drive the vehicle and that such a person
    satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
    LIMITS OF LIABILITY
    Deductible Compulsory Deductible: Rs 100/-, Under Section II-I such amount necessary Under Section II-I 100,000.00 P.A. cover for 0.00
    under section Voluntary Deductible: Rs 0/-, (i) of the policy to meet the (ii) of the policy owner- Driver
    -I Imposed Excess : Rs 0/-, (Death of or bodily requirements of motor (Damage to third under section
    Theft Excess : Rs /-. injury): vehicle Act, 1988. party property) III : CSI
    Subject to I.M.T Endorsement Nos. AD01,AD02,IMT 22,IMT 7
    NOMINATION DETAILS
    Name of the Nominee Relationship with Insured Name of Appointee (if nominee is minor) Relationship with the Nominee
    .. .
    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.
    In witness whereof this Policy has been signed at Mumbai on 23/05/2019
    Receipt No:
    In case of Claims, Please contact us at : Toll Free No - 18002665844,
    email id - care@libertyinsurance.in
    Date of Issue : 23/05/2019
    Place : Mumbai

    For Liberty General Insurance Limited


    Invoice No. 0122011000085532
    Branch GSTIN No : 01AABCL9950A1ZZ
    SAC Code : ; Description of Service : General Insurance
    Service; Place of Supply : JAMMU & KASHMIR/01
    IRDA Regn. No. 150
    CIN No. U66000MH2010PLC209656
    Tax is not payable under reverse charge by the recipient

    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 version will be good.

    You might also like