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    Future Generali India: Insurance Company Limited

    Uploaded by

    Yash Godse
    This document is an insurance policy certificate from Future Generali India Insurance Company Limited providing comprehensive motor insurance coverage to Mr. Subhash Godse of Mumbai, Maharashtra for his 2014 Maruti Swift Dzire car. The policy covers the period from June 23, 2021 to June 22, 2022. The comprehensive motor insurance coverage includes own damage coverage of Rs. 2,487.52 and liability coverage of Rs. 3,221 for a total annual premium of Rs. 6,737. The policy details the insured vehicle, premium computation, and limitations of coverage according to Motor Vehicle Rules.

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

    Future Generali India: Insurance Company Limited

    Uploaded by

    Yash Godse
    67 views2 pages
    This document is an insurance policy certificate from Future Generali India Insurance Company Limited providing comprehensive motor insurance coverage to Mr. Subhash Godse of Mumbai, Maharashtra for his 2014 Maruti Swift Dzire car. The policy covers the period from June 23, 2021 to June 22, 2022. The comprehensive motor insurance coverage includes own damage coverage of Rs. 2,487.52 and liability coverage of Rs. 3,221 for a total annual premium of Rs. 6,737. The policy details the insured vehicle, premium computation, and limitations of coverage according to Motor Vehicle Rules.

    Original Title

    PolicySchedule-MH48S7158-384963588

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    This document is an insurance policy certificate from Future Generali India Insurance Company Limited providing comprehensive motor insurance coverage to Mr. Subhash Godse of Mumbai, Maharashtra for his 2014 Maruti Swift Dzire car. The policy covers the period from June 23, 2021 to June 22, 2022. The comprehensive motor insurance coverage includes own damage coverage of Rs. 2,487.52 and liability coverage of Rs. 3,221 for a total annual premium of Rs. 6,737. The policy details the insured vehicle, premium computation, and limitations of coverage according to Motor Vehicle Rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views2 pages

    Future Generali India: Insurance Company Limited

    Uploaded by

    Yash Godse
    This document is an insurance policy certificate from Future Generali India Insurance Company Limited providing comprehensive motor insurance coverage to Mr. Subhash Godse of Mumbai, Maharashtra for his 2014 Maruti Swift Dzire car. The policy covers the period from June 23, 2021 to June 22, 2022. The comprehensive motor insurance coverage includes own damage coverage of Rs. 2,487.52 and liability coverage of Rs. 3,221 for a total annual premium of Rs. 6,737. The policy details the insured vehicle, premium computation, and limitations of coverage according to Motor Vehicle Rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    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
    Policy Servicing Office : Future Generali India Insurance Company Ltd, Registered and Corporate Office address: 801 and 802, 8thFloor, Tower C, Embassy
    24X7 Park, L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra - 400083, Tel_No: 022-40976666
    Policy and Certificate Number : 2021-PBC60580 -FPV Period of Insurance : From 00:00 hours of 23-06-2021 To Midnight
    Insured : Mr. SUBHASH GODSE of 22-06-2022
    Address : 38/1383 , C G S COLONY, SECTO R 7, S Covernote No : Dated :12-06-2021 Zone : B
    M ROAD, ANTOPHILL, MU MBAI Mumbai
    Maharashtra 400037 Intermediary Name/Code : Policybazaar Insurance / 60002974
    Telephone (Hom) : 7666867997
    Email Id : [email protected]
    INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION

    Registration No., RTA Make/Model of Vehicle Year of Engine No Chassis No. Cubic Seating Type of Body
    Location Manufacture Capacity Capac ity
    MH48S7158 MARUTI SWIFT DZIRE KB ZXI 2014 1467520 616781 1197 5 0
    VASAI
    INSURED'S DECLARED VALUE

    For Vehicle-Rs. For Non-Electrical Accessories- For TrailersRs. For Electrical/Electronic AccessoriesRs. For Bi-Fuel Kit Total Value-Rs.
    Rs (CNG/LPG)-Rs.

    395,904.00 0 0 0 0.00 395,904.00

    SCHEDULE OF PREMIUM

    A-OWN DAMAGE Rs B-LIABILITY Rs

    Basic Premium on Vehicle 3,316.69 Basic Premium Including Premium for TPPD 3,221.00 Add : Compulsory PA to
    **Less : No Claim Discount 25 percent 829.17 Owner-Driver - Rs. 15 lacs 0.00
    Total Own Damage Premium (A) 2487.52 Total Liability Premium (B) 3,221.00 Total Premium for the Policy Period
    (rounded off) 5,709.00
    Total Annual Premium (A+B) 5,709.00 Goods and Service Tax 1,028.00
    Total Premium (rounded off) 6,737.00

    Subject to Endorsement Nos. 22,15

    LIMITATIONS AS TO USE◌֠As per Motor Vehicle Rules, 1989 :- The Policy DRIVERS CLAUSE :- Any person including the insured: Provided that a person
    covers use of the vehicle for any purpose other than: a) Hire or Reward, b) Carriage driving holds an effective driving license at the time of the accident and is not
    of goods (other than samples or personal luggage), c) Organized racing, d) Pace disqualified from holding or obtaining such a license; Provided also that the person
    making, e) Speed testing, f) Reliability Trials, g) Any purpose in connection with holding an effective Learner's License may also drive the vehicle and that such a
    Motor Trade person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules,
    1989

    Vehicle being insured has valid Pollution under Control (PUC) Certificate as on inception date of policy.

    Limits of Liability

    Under Section II-I (i) : Death of or Under Section II-I (ii) : Damage to Third Under Section III : PA Owner◌֠Driver as per Compulsory Deductible Under
    bodily injury - Such amount as is Party Property-Rs. 750000/- in respect of premium computation table Sec I - Rs. 1000.00
    any one claim or series of claims arising
    necessary to meet the requirements of
    out of one event.
    Motor Vehicles Act, 1988

    SPECIAL CONDITIONS ADDITIONAL EXCESS

    The nominee for Compulsory PA to owner driver cover is 01) SARIKA GODSE, aged: 37 Years, Relationship: Spouse, 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.
    **We have granted you No Claim Bonus, in good faith, based on your declaration. In case it is found later that the declaration is not correct, the Own Damage cover for
    your vehicle under the Policy will stand cancelled ab initio. You shall not be entitled to any refund or claims under the policy. Kindly, therefore, revalidate your
    declaration and arrange to remit the difference in premium, if the declaration is incorrect

    Future Generali India Insurance Company Limited, Corp. & Regd. Office: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
    L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra - 400083. Care Line:- 1800-220-233, 1860-500-3333, 022-67837800, Email:
    [email protected],
    Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287
    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

    Receipt No : Y2975026 For FUTURE GENERALI INDIA INSURANCE CO. LTD.


    Date of Issue : 12-06-2021 Place of Issuance : Mumbai* *Address as mentioned below.
    This policy is not valid unless it is countersigned by an authorised signatory (Authorised Signatory)
    For registration of your Motor claims SMS MOTORCLAIM to 9222211100 (Standard SMS charges applicable)

    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.

    Vehicle being insured has valid Pollution under Control (PUC) Certificate as on inception date of policy.

    The stamp duty of Rs. 0.25/- paid by Letter Of Authorisation No. CSD/94/2020/1693, Dated 27-08-2020. Mudrank - 2017/C.R.97/M-1,dated 09/01/2018.

    Product UIN : 1/RD/FGIICL/MOTORS/FS/07-08

    Future Generali India Insurance Company Limited, Corp. & Regd. Office: 801 and 802, 8thFloor, Tower C, Embassy 24X7 Park,
    L.B.S. Marg, Vikhroli - West, Mumbai, Maharashtra - 400083. Care Line:- 1800-220-233, 1860-500-3333, 022-67837800, Email:
    [email protected],
    Website: www.futuregenerali.in. IRDA Regn.No. 132, CIN - U66030MH2006PLC165287

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