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    Akash Singh
    This document is an insurance certificate and policy schedule issued by Shriram General Insurance Company Limited providing private car insurance coverage for a 2017 Maruti Suzuki Dzire owned by Mr. Atul Singh of Bihar. The policy covers the period from August 30, 2019 to August 29, 2020 and provides liability coverage of Rs. 750,000 as well as own damage coverage for the insured declared value of Rs. 450,000.

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    Uploaded by

    Akash Singh
    564 views1 page
    This document is an insurance certificate and policy schedule issued by Shriram General Insurance Company Limited providing private car insurance coverage for a 2017 Maruti Suzuki Dzire owned by Mr. Atul Singh of Bihar. The policy covers the period from August 30, 2019 to August 29, 2020 and provides liability coverage of Rs. 750,000 as well as own damage coverage for the insured declared value of Rs. 450,000.

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    This document is an insurance certificate and policy schedule issued by Shriram General Insurance Company Limited providing private car insurance coverage for a 2017 Maruti Suzuki Dzire owned by Mr. Atul Singh of Bihar. The policy covers the period from August 30, 2019 to August 29, 2020 and provides liability coverage of Rs. 750,000 as well as own damage coverage for the insured declared value of Rs. 450,000.

    Copyright:

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

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    Uploaded by

    Akash Singh
    This document is an insurance certificate and policy schedule issued by Shriram General Insurance Company Limited providing private car insurance coverage for a 2017 Maruti Suzuki Dzire owned by Mr. Atul Singh of Bihar. The policy covers the period from August 30, 2019 to August 29, 2020 and provides liability coverage of Rs. 750,000 as well as own damage coverage for the insured declared value of Rs. 450,000.

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    of 1

    SHRIRAM GENERAL INSURANCE COPMPANY LIMITED

    IRDA Regn No - 137 E-8,EPIP,SITAPURE INDUSTRIAL AREA , JAIPUR


    RAJASTHAN-302022
    CONTACT (TOLL-FREE):1800 103 3009 / 1800 300 30000

    CERTIFICATE CUM POLICY SCHEDULE


    PRIVATE CAR PACKAGE POLICY - ZONE B
    MOTOR PRIVATE CAR (PACKAGE POLICY) - UIN NO. IRDAN137P0016V01200809 - SAC Code. 997134
    Issue Office: 10019 - Address:- E - 8, RIICO INDUSTRIAL AREA SITAPURA -JAIPUR RAJASTHAN 302022 Tel
    Policy No :10019/31/20/009955 Geographical Area INDIA

    Insured's Code/ Name: 105799780/Mr. Atul singh


    Address : HOMEGUARD MOD,BEHIND ANIMAL HUSBANDRY KATIRA ARA BHOJPUR ,BIHAR ,802301
    Executive: NA0000000100 Broker Details / W.A.:LW0000000008 M/S.POLICY BAZAAR INSURANCE WEB AGGREGATOR PVT. LTD.
    Contact No:7070709798
    Period of Insurance : From 00:00 on 30-08-2019 00:00 To 29-08-2020 Midnight Cvr Note No. - Issue date
    Gross Premium: 10,721.86 GST:1,930.00 Cess :0 Total: 12,652.00

    Registration Engine No Type of Body / Cubic Capacity / Date Of Regn / Seat Cap
    Make - Model
    Mark & Place Chassis No Fuel Type Year of Manf Delivery (Incl Driver)
    BR-03-W-1193 045880 MARUTI SUZUKI SEDAN 1197
    07/11/2017 4+1
    Arah 168385 DZIRE VXI Petrol 2017

    IDV For the IDV For Non Electrical Electrical SI for Named
    CNG KIT SI Total Value
    Vehicle Trailers Accessories Accessories Persons
    450002 0 0 0.00 450002

    A. OWN DAMAGE SCHEDULE OF PREMIUM B. LIABILITY


    OD TOTAL 7,500.86
    BASIC TP COVER 3,221.00
    TOTAL PREMIUM 10,721.86
    ADD :IGST 18 % 1,930.00 TP TOTAL 3,221.00
    FINAL PREMIUM 12,652.00
    * NCB discount - $NCBPercentage$ Previous Policy : M2577791 - Previous Insurer : Iffco Tokio
    (UIN No IRDAN137A0006V01200910)ADD-ONS :- Zero Depreciation,
    The above Total OD Premium is inclusive of all applicable Loading/Discounts viz (Automobile Association, Voluntary Excess, Anti-Theft, Handicap Person, Driver Tuition, Fibre
    Glass, CNG/LPG Unit, Geographical Extn, Imported Vehicle etc wherever applicable).
    Deductibles under Section-I :Compulsory Deductible Rs. 1,000.00
    Subject to IMT Endorsement Printed herein/attached to : ,IMT 22A,IMT 22
    Hire Purchase/Lease Agreement with:
    Limit of Liability
    Under Section II-1(i) in respect of any one accident: as per Motor Vehicles Act, 1988.
    Under Section II-1(ii) in respect of any one claim or series of claims arising out of one event is Rs. 750000
    P.A. Cover under Section III for Owner - Driver (CSI) : 0
    Driver's 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 Learner's license may also drive the vehicle and that such
    a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.

    Limitations as to Use
    Use only for social, domestic and pleasure purposes and for the insured's business or profession. The Policy does not cover use for hire or reward, tuition, racing, pacemaking,
    reliability trial, speed testing, carriage of goods(other than samples or personal luggage) in connection with any trade or business or use for any purpose in connectionwith
    Motor Trade
    The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.Warranted that in case of dishonour of premium cheque(s)
    the Company shall not be liable under the policy and the policy shall be void abinitio (from inception). I/We hereby certify that the policy to which the certificate relates as well as
    this certificate of insurance are issued in accordance with the provision of Chapter X and Chapter XI of Motor Vehicles Act, 1988.
    In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at HEAD OFFICE on Thu Aug 29 10:38:13 IST

    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 MVAct, 1988 isrecoverable from the Insured. See the Clause headed AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

    POLICY IS SUBJECT TO EXCLUSION OF DAMAGES NOTED DOWN BY OUR AUTHORISED REPRESENTATIVE DURING THEIR INSPECTION.
    Preinspection Report: Not Applicable Broker
    POS Details : Name : - ID No : 2
    Note: In case of new vehicle, Insured have to submit registration documents within a period of 15 days from the date of issue of Registration Certificate of
    Vehicle.

    For instant renewal of your insurance policy, Log on to www.shriramgi.com


    In case of Claims, Please contact us at: Toll Free No - 180030030000, 18001033009 Email id - [email protected]

    For and on behalf of


    SHRIRAM GENERAL INSURANCE COMPANY LTD

    Place : Date : Thu Aug 29 10:38:13 IST


    We will contact you through phone,e-mail, letters, registered AD, sms, etc for renewal before/after the expiry
    date of your policy. If you do not want us to contact you, kindly send an e-mail for the same on
    [email protected] AUTHORISED SIGNATORY

    All the Amounts mentioned in this policy are in Indian Rupees Note :-Claim intimation after 48 hours will be
    GSTIN No. - 08AAKCS2509K1Z3 considered as delayed intimation.

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