Bundled - Two Wheeler Policy (1 Yr OD + 5 Yrs TP)

Issued at
Policy No. HDFC ERGO General Insurance Company Limited HERO INSURANCE BROKING INDIA PVT LTD.
2312910014582800000 New No.528, Old no.559, 2nd Floor, Anna Salai, Teynampet, IRDA Registration No.: 649
Chennai - 600 018 Toll-Free No.: 1800 102 4376
Tel:+91 02262346234 / +91 12062346234 264, Okhla Ind. Estate, Phase-III, Delhi-110020
visit the help section of www.hdfcergo.com
customer care email : [email protected]

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

S/O RAJAPANDI 3/98,PERUMAL KOVIL STREET THE
11-01-2020
Mr KARUPPSAMY R Business NNAMPATTI,KAYATHAR TUTICORIN TAMIL NADU 608 Midnight of 10-01-2025
10:27:42
714
Cubic GSTIN No.
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg
Capacity (Customer)
Hero MotoCorp
HA10AGKHL92380 MBLHAW089KHL83904 SPPDIRSCC(SP+13S 2019 100
IBS)
Declared Value (IDV) of Side Car IDV Non-Electrical Electrical Accessories CNG/LPG/Bi- Total IDV
Vehicle Accessories IDV IDV Fuel IDV
53390.00 NA 0.00 0.00 0.00 53390
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Premium
Agreement With HP/Lease/Hire- Capacity
Purchase
SHRI RAM CITY UNION
Kovilpatti Solo KAYATHAR 2 5499.00
FINANCE LTD, HPA (D)
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 895.00 Basic Third Party Liability : 3285.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3285.00
Bi-Fuel Kit : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
Geographical Extension : 0.00 Geographical Extension : 0.00
ND Cover : 160.00 Add
Less : Compulsory PA Cover (Owner Driver) : 375.00
Handicapped Discount : 0.00 Optional PA Cover(Un Named Passenger) : 0.00
For Anti-Theft Discount : 0.00 Optional PA Cover(Un Named Driver) : 0.00
NCB : 0.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Total Own Damage Premium(A) : 1001.00 Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Liablity Premium (B) : 3660.00
Total Premium (A + B) : 4661.00
For any other extra : 0.00
CGST @ 9.00% : 419.00
SGST @ 9.00% : 419.00
Gross Premium : 5499.00
RegistrationNo.:146||CINNo.:U66030MH2007PLC177117||HSN/SAC:9971|| GSTIN No.:33AABCL5045N1ZF
11-01-2020 To 10-01- 11-01-2021 To 10-01- 11-01-2022 To 10-01- 11-01-2023 To 10-01- 11-01-2024 To 10-01-
OD Policy Period
2021 2022 2023 2024 2025
IDV 53390 NIL NIL NIL NIL
CPA Sum Insured Rs. 15 lakhs. NIL NIL NIL NIL
Sum Insured of Optional PA Cover:-Sum Insured of Optional PA Cover "Unnamed Passenger"-NA and "Unnamed Driver"-NA
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 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 RIGHTS OF RECOVERY'
I/We certify that the policy to which the certificate relates as well the certificate of insurance are issued in accordance with this provisions of Chapter X & XI of M.V. Act 1988
Broker : Hero Insurance Broking India Pvt. Ltd.
Premium of Rs.5499.00 Received Vide CASH
Cash/Cheque No. The policy is subject to a compulsory excess of Rs. 100/- &
Dated Nominee Name RAJAPANDI Depreciation is applicable as per policy terms & conditions*
Drawn on Nominee Age 50 (Please turn overleaf for details)
Acknowledgement 11-01- Consolidated Stamp Duty Paid Endorsements : IMT - 22,7
Nominee Relation Father
Dt 2020
FOR RENEWALS CONTACT: ARVINTH AUTO AGENCY Ph.No- 0461- On behalf of HDFC ERGO General Insurance Company
2340413 Limited

11-Jan-2020
Date & Signature of M/s. Arvinth Auto Agency, 3/201, Periyanayagapuram,Korampallam
proposer

Dealer's Stamp & Signature Duly Constituted Attorney

# : Received with Thanks Rs 5499.00 from Mr KARUPPSAMY R as premium against the money receipt no 029100145828000
Customer Service Address : D-301, 3rd Floor, Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks
 THE AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
Nothing in this Policy or and endorsement hereon shall affect the right of any person indemnified by this policy or any other person to recover an amount under
or by virtue of the Provisions of the Motor Vehicles Act.
But the Insured shall repay to the Company all sums paid by the Company which Company would not have been liable to pay but for the said provisions..
IMPORTANT:--IN THE EVENT OF TRANSFER OF OWNERSHIP, INSURANCE IS NOT AUTOMATICALLY TRANSFERRED IN THE NAME OF TRANSFEREE
UNLESS APPLICATION IS MADE WITHIN FOURTEEN DAYS THERE OF SEEKING TRANSFER OF INSURANCE .
GRIEVANCE CLAUSE:--
SCHEDULE OF DEPRECIATION FOR ARRIVING AT IDV
AGE OF THE VEHICLE RATE 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 year 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 RATE 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 year 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 year but not exceeding 10 years 40%
Exceeding 10 years 50%
e. Rate of Depreciation for Painting:- In the case of painting, the depreciation rate of 50% shall be applied only on the material cost of total painting charges.
In case of a consolidated bill for painting charges, the material component shall be considered as 25% of the total painting charges for the purpose of applying
the depreciation
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 HDFC ERGO General
Insurance Company Limited 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.
The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending in each completed year of risk* , as
per the following table provided the policy is renewed with us on long term basis:

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