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    PLCYMANL

    Uploaded by

    Thusitha Weerathunga
    This document is a motor insurance policy schedule issued by Allianz Insurance Lanka Ltd. to Mr. T S Weerathunga for his 2008 Suzuki Swift (vehicle number WP KO-9343). The policy provides comprehensive motor insurance coverage from March 4, 2022 to March 3, 2023 for a premium of LKR 60,616.30. The policy covers third party liability and damage to the insured vehicle. It also provides several additional benefits including emergency medical expense reimbursement, taxi fees, and lease payoff in case of the insured's death or disability.

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    © All Rights Reserved
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    PLCYMANL

    Uploaded by

    Thusitha Weerathunga
    29 views3 pages
    This document is a motor insurance policy schedule issued by Allianz Insurance Lanka Ltd. to Mr. T S Weerathunga for his 2008 Suzuki Swift (vehicle number WP KO-9343). The policy provides comprehensive motor insurance coverage from March 4, 2022 to March 3, 2023 for a premium of LKR 60,616.30. The policy covers third party liability and damage to the insured vehicle. It also provides several additional benefits including emergency medical expense reimbursement, taxi fees, and lease payoff in case of the insured's death or disability.

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    This document is a motor insurance policy schedule issued by Allianz Insurance Lanka Ltd. to Mr. T S Weerathunga for his 2008 Suzuki Swift (vehicle number WP KO-9343). The policy provides comprehensive motor insurance coverage from March 4, 2022 to March 3, 2023 for a premium of LKR 60,616.30. The policy covers third party liability and damage to the insured vehicle. It also provides several additional benefits including emergency medical expense reimbursement, taxi fees, and lease payoff in case of the insured's death or disability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views3 pages

    PLCYMANL

    Uploaded by

    Thusitha Weerathunga
    This document is a motor insurance policy schedule issued by Allianz Insurance Lanka Ltd. to Mr. T S Weerathunga for his 2008 Suzuki Swift (vehicle number WP KO-9343). The policy provides comprehensive motor insurance coverage from March 4, 2022 to March 3, 2023 for a premium of LKR 60,616.30. The policy covers third party liability and damage to the insured vehicle. It also provides several additional benefits including emergency medical expense reimbursement, taxi fees, and lease payoff in case of the insured's death or disability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Allianz Insurance Lanka Ltd.

    POLICY SCHEDULE FOR MOTOR INSURANCE

    04/03/2022 17:34:40
    Mr. T S Weerathunga,
    287/7C
    Panadura.

    Product : Comprehensive (SL)


    Policy No : LP8013937177
    Period of Insurance : From 04/03/2022 17:34 Hrs to 03/03/2023 Midnight
    Currency : LKR
    Premium Due : 60,616.30 LKR

    Policy holder / Insured person : Mr. T S Weerathunga,


    287/7C
    Panadura.

    Geographical Area covered : Sri Lanka Usage : Private

    Insured Object : Vehicle number : WP KO-9343 Make : SUZUKI


    Model : SWIFT Chassis number : ZC71S453521
    Body Type : Closed Year built : 2008
    Engine number : K12B-1115507 Number of seats : 5
    Engine CC : 1240

    Insured declared value : 4,665,000.00 LKR


    Compulsory Excess : 0.00
    Hire Purchase / Leasing : NATIONAL DEVELOPMENT BANK KALUTARA
    No claim bonus : ALLOWED

    Main Class Coverage Units Sum Insured Deductible Premium


    LKR LKR LKR
    Third party liability Third Party Bodily Injury Unlimited 0.00 1.00
    Comprehensive (SL) Third Party Property Damage 10,000,000 0.00
    Full Casco(SL) Theft of Part 0.00 0.00 43,734.66
    Own Damage 4,665,000 0.00
    SRCC SRCC 4,665,000 0.00 9,330.00
    Terrorism Terrorism 4,665,000 0.00 2,332.50
    NET PREMIUM 55,398.16

    Cess 166.19
    Policy Fees 500.00
    Road Safety Tax 10.00
    Stamp Duty Tax 56.00
    NBT 0.00

    Business Office :No: 675 Dr Danister De Silva Mawatha, Colombo - 09, Sri Lanka.
    Tel: 011 2303 300, Email:[email protected]

    1/3
    Allianz Insurance Lanka Ltd.

    VAT 4,485.95
    Total Premium 60,616.30

    Amount in words Sixty Thousand Six Hundred Sixteen Rupees And Thirty Cents

    Special Benefits of Package name

    Pay as you work New NWPAW

    Policy Document

    Please obtain your Motor policy via our website by visiting www.allianz.lk. or you can obtain a copy of the policy document through
    any of our branches upon request.
    The terms, conditions, warranties, exceptions and the clauses applicable to your motor insurance cover are stated in the Motor policy
    and subject to the Schedule and motor insurance certificate issued.

    Special Free Benefits & Covers


    · Flood & Natural Perils Cover as per Section 1-1 (v) in the Motor Insurance Policy 
    · Leasing & Hire Purchase assignment as per Additional Clause 1
    · Air Bag Cover 
    · Taxi Fee – Reimbursement 
    · Allianz 2 in 1 Benefit
    · Emergency Medical Expenses Reimbursement due to an accident - up to Rs 25,000/- per person
    · Special Windscreen Cover up to Rs 100,000/-as per Additional Clause 7 
    · Towing Charges Reimbursement up to Rs 10,000/-as per Additional Clause 6 
    · Baby on board protection - Up to Rs. 100,000/- 
    · In event of a death or Total disablement of the insured, settlement of capital outstanding in leasing ( Maximum Rs 500,000/=)
    · Third-Party Property Damage Cover Up To A Maximum Of 10 Million 

    Special Condition

    Emergency Medical Expenses Reimbursement 


    Reimbursement is only allowed due to an accident involving with the vehicle insured. Reimbursement is limited to Rs 2,500/= per day
    up to a maximum limit of Rs. 25,000/- per person and up to maximum of 5 occupants including the Insured. Hospital diagnosis card
    should be provided in the event of a claim.

    Baby on Board Protection 


    Reimbursements of medical expenses are only allowed due to an accident involving with the vehicle insured. Maximum limit is Rs.
    100,000/- per child and maximum 2 children are covered under any single event. Age of the child should not exceed 15 years.

    In the event of a Death or Total Disablement of the insured, settlement of capital outstanding in leasing
    In the event of a death or total disablement of the insured due to a road traffic accident in connection with the vehicle insured, the
    company will settle the total capital outstanding of your lease agreement subject to a maximum of Rs. 500,000/=. If the vehicle claim
    settlement is on total loss basis, this benefit is not applicable.

    Taxi Fee
    If your vehicle repairs exceed 3days, we will reimburse alternative transport fee of LKR 1,000/- per day in excess of first 3 days for the
    maximum period of 15 days. This extension is subject to an evaluation of the motor assessor’s recommendation based on extent of
    the damage.

    Allianz 2 in 1 Benefit 
    Your 1st year renewal premium with Allianz will not be increased provided that clams made for the inception year have not exceeded
    number of three claims subject to the revisions of Government taxes and levies. The entitlement of no claim bonus will remain
    unchanged.

    Business Office :No: 675 Dr Danister De Silva Mawatha, Colombo - 09, Sri Lanka.
    Tel: 011 2303 300, Email:[email protected]

    2/3
    Allianz Insurance Lanka Ltd.

    Limitation As To Use
    Not being within the definition of excluded use as defined in the certificate of insurance

    Authorized Drivers
    Not being as excluded driver as defined in the certificate of insurance

    Age Excess
    A compulsory age excess will be applies in respect of claims on the damage to vehicle insured.
    If the vehicle age exceeds -10 years – Rs 1,000/=
    15 years – Rs 2,500/=
    20 years – Rs 5,000/=
    Sanction clause
    No insurer shall be deemed to provide cover and the insurer shall not be liable to pay any claim or provided any benefit hereunder to
    the extent the provision of such cover, payment of such claim or provision of such benefit would expose the insurer to any sanction,
    prohibition or restriction under United Nations resolutions or the trade or economic sanctions, laws or regulations of the European
    Union, United Kingdom or United States of America.

    Special Benefits & Features

    Pay as you work New

    Special Notes:

    (1) "Please be informed that Allianz Insurance Lanka Ltd is sharing the required details of your Motor Insurance policy with
    Information and Communication Technology Agency of Sri Lanka[ICTA], the Provincial Departments of Motor Traffic and /or the
    Department of Motor Traffic or any other entity as is required by the Government of Sri Lanka in order to facilitate E-Revenue license
    process."

    For any clarifications or objection, please reach out to [email protected]

    (2)This policy does not provide any insurance coverage nor provide any benefit hereunder to the extent that the provision of such
    insurance coverage and/or the provision of such benefit would expose the insurer to any breach of applicable sanction laws.
    (3)"This policy does also not provide any insurance coverage or other benefits if and to the extent this would violate any sanction law
    or regulations of the UN, the EU or Germany".

    This is a computer generated document hence no signature is required

    Agent : 0012335 Introducer : 0002933

    Business Office :No: 675 Dr Danister De Silva Mawatha, Colombo - 09, Sri Lanka.
    Tel: 011 2303 300, Email:[email protected]

    3/3

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