AUTO SECURE-TWO WHEELER PACKAGE POLICY

Policy No.
Issued at
0189957384/000001/0
Tata AIG General Insurance Co. Ltd. HERO INSURANCE BROKING INDIA PVT LTD.
0
15th floor,Tower A,Peninsula Business Park Ganpatrao Kadam IRDA Registration No.: 649
Marg,Off Senapati Bapat Marg Lower Parel Toll-Free No.: 1800 102 4376
Prev. Policy No.
Tel:18002667780 264, Okhla Ind. Estate, Phase-III, Delhi-110020
0189957384/000000/0
customersupport@tataaig.com
0

Insured Business/Profession Address of The Insured TP Valid From TP Valid To

Mr MAHESHWAR PRASAD S/O ALP NARAYAN TRIPATHI, SUDHWAR CHAIL CHAIL 28-12-2023
Agriculture Midnight of 27-12-2024
TRIPATHI Kaushambi UTTAR PRADESH 212202 0:00:00
GSTIN
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg Cubic Capacity
No(Customer)
Hero MotoCorp PSN-PRO
UP-73-U-2501 HA10ACJHM35791 MBLHAR183JHM06012 2019 97
DRCCR BS4
Declared Value (IDV) of Side Car IDV Non-Electrical Accessories Electrical Accessories IDV CNG/LPG/Bi- Total IDV
Vehicle IDV Fuel IDV
24379.00 NA 0.00 0.00 0.00 24379.00
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Capacity Premium
Agreement With HP/Lease/Hire-Purchase
Kaushambi Solo , --- 2 1808.00
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 368.00 Basic Third Party Liability : 714.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 714.00
Bi-Fuel Kit : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
Geographical Extension : 0.00 Geographical Extension : 0.00
Less Add :
Handicapped Discount : 0.00 Compulsary PA Cover (Owner Driver) : 450.00
For Anti-Theft Discount : 0.00 Optional PA Cover(Un Named Passenger) : 0.00
NCB : 0.00 Optional PA Cover(Un Named Driver) : 0.00
Total Own Damage Premium(A) : 368.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Liablity Premium (B) : 1164.00
Total Premium (A + B) : 1532.00
For any other extra : 0.00
CGST @9.00% : 138.00
SGST @9.00% : 138.00
Gross Premium : 1808.00

1.RegistrationNo.:108||2.CINNo.:U85110MH2000PLC128425 || 3. GSTIN No. : 09AABCT3518Q1ZU ||UIN No.-IRDAN108RP0008V01200001||UIN No.-

IRDAN108RP0076V02201819||IRDAN108RP0001V01200001/A0065V01201819
OD Policy Period 28-12-2023 To 27-12-2024 NIL NIL NIL NIL
IDV 24379.00 NIL NIL NIL NIL
CPA Rs. 15 lakhs. NIL NIL NIL NIL
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) Any purpose in connection with Motor Trade.
DRIVER: Any person including 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 Vehicle Rules,1989.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per M.V. Act 1988. Limit of the amount of the
Company's liability under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs - 100000/
IMPORTANT NOTICE:-- The insured is not indemified 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 RIGHTS OF RECOVERY'
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.
Broker : Hero Insurance Broking India Pvt. Ltd Insured is Liable for a voluntary deductible of Rs.
Premium of Rs. 1808.00 ; Auto Secure- Two Wheeler Package Policy.
Dated Nominee Name SUNEETA TRIPATHI TA16. Depreciation Allowances No of claim allowed
Drawn on Nominee Age 43 4, Deductible: First Rs. 250 for each and every
claim./- for each Claim, if policy having ND product
The policy is subject to a compulsory excess of
Rs.100/ & deductible under depreciation allowance is
applicable as per policy terms &conditions*(Please
turn overleaf for details)
Acknowledgement Dt 26-12-2023 Nominee Relation Wife The policy is subject to a compulsory excess of Rs.
100/- & Depreciation is applicable as per policy terms
& conditions* (Please turn overleaf for details)
Consolidted Stamp Duty Paid Endorsements: ,TA16

on Behalf of Tata AIG General Insurance Co. Ltd.

This is a system
generated policy
certificate. FOR RENEWALS CONTACT: HIBIPL Ph. No- Ph.No- 1800-1024376
Date &Signature of
proposer
Duly Constituted Attorney

# : Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness certificate, as applicable, on
the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness Certificate, as applicable, during the subsistence
of the Policy. Further, the Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness certificate.
# : Received with Thanks Rs 1808.00 from Mr MAHESHWAR PRASAD TRIPATHI as premium against the money receipt no 020189957384/000001/00
Regd. & Head Office :Peninsula Business Park, Tower A,15th Floor, G.K. Marg, Lower Parel, Mumbai – 400013
For further information about motor insurance policy please also visit http://irda.gov.in >> Grievances >> Policyholder Handbooks
 THE AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
NOTE : This Schedule, Policy terms and conditions available on company website 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

You are advised to go through the policy schedule cum certificate of insurance which is issued based on your declaration and if any error/ discrepancy is found in respect of vehicle
details, No Claim Bonus or any other material information, it should be brought to our notice within 15 days of receipt of this policy for necessary correction along with the supporting
documents, otherwise it will be deemed correct. You may visit company website at www.tataaig.com for detailed benefits, terms &conditions &exclusions of the policy. You may also
reach us at our 24*7 helpline 1800 266 7780 in case you desire to have a printed copy of policy wording. Our grievance redressal procedure and details about ombudsman is also
available in our policy wording. Please note that any misrepresentation, non disclosure or withholding of material facts will lead to cancellation of policy ab initio with forfeiture of
premium and non consideration of claim, if any. We will specifically seek confirmation on No Claim Bonus availed by you from your previous insurer. In case we receive confirmation
that you had lodged claim with them then we will forfeit all the benefits under section I i.e. own damage section of the policy.
This policy does not cover pre-existing damages as per Inspection photographs and Report.
SCHEDULE OF DEPRECIATION FOR ARRIVING AT IDV
AGE OF THE VEHICLE % OF DEPRECIATION FOR FIXING IDV AGE OF THE VEHICLE % OF DEPRECIATION FOR FIXING IDV
Not exceeding 6 months 5% Exceeding 6 months but not exceeding 1 year 15%
Exceeding 1 year but not exceeding 2 years 20% Exceeding 2 years but not exceeding 3 years 30%
Exceeding 3 year but not exceeding 4 years 40% Exceeding 4 year but not exceeding 5 years 50%
Depreciation of Parts for Partial Loss Claims
a. Rate of depreciation for all rubber/nylon/plastic parts, tyres and tubes, batteries and air bags 50%
b. Rate of depreciation for all fibre glass components 30%
c. Rate of depreciation for all parts made of glass NIL
d. RATE OF DEPRECIATION FOR ALL OTHER PARTS INCLUDING WOODEN PARTS IS TO BE AS PER THE FOLLOWING SCHEDULE
AGE OF THE VEHICLE % OF DEPRECIATION AGE OF THE VEHICLE % OF DEPRECIATION
Not exceeding 6 months NIL Exceeding 6 months but not exceeding 1 year 5%
Exceeding 1 year but not exceeding 2 years 10% Exceeding 2 years but not exceeding 3 years 15%
Exceeding 3 year but not exceeding 4 years 25% Exceeding 4 year but not exceeding 5 years 35%
Exceeding 5 years but not exceeding 10 years 40% Exceeding 10 years 50%

DO'S FOR THE INSURED

1.In the event of accident to the vehicle, please Inform in writing to the authorised Hero MotoCorp dealer &/ or Insurance Company's office immediately.
2. Please complete and sign the claim form.
3. Documents like claim form, original driving licence, original registration certificates, copy of policy, police report (In case of the theft/third party loss) and Satisfaction Voucher be
submitted to the authorised Hero MotoCorp Dealer. .
4. If the vehicle is to be repaired at a workshop other than Hero MotoCorp authorized workshop, please intimate to the nearest office of Tata AIG General Insurance Co. Ltd. along
with copy of policy for appointment of surveyor to assess the loss.
DONT'S FOR THE INSURED
1.In case of Third Party Loss/ extensive Damage to own vehicle inform the police for obtaining proper F.I.R. and do not admit any liability or enter in to any compromise without
written consent of the Insurance Company.
2. Do not proceed with the repairs or replacement job unless approved by the Insurer/authorized surveyor.
NCB at inception of each year of risk of the policy period* NCB Earned at the end of each year of risk of the policy period
If Claim No Claim
0% Bonus 0% Bonus 20% Bonus
20% Bonus 0% Bonus 25% Bonus
25% Bonus 20% Bonus 35% Bonus
35% Bonus 25% Bonus 45% Bonus
45% Bonus 35% Bonus 50% Bonus
50% Bonus 45% Bonus 50% Bonus
No Claim Bonus will only be allowed provided the policy is renewed within 90 days of the expiry date of the previous policy.
* A policy of 3 years of duration is 3 completed year of risk &policy of 2 years of duration is 2 completed year of risk.
* NCB at inception of each year of risk shall be the NCB earned at the end of previous year of risk.
If policy is renewed as annual policy, insured’s entitlement of No Claim Bonus (NCB) will be as per following table if no claim is made or pending in each completed year of risk of
the policy period.

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