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SHRIRAM TRANSPORT FINANCE CO LTD

CERTIFICATE CUM POLICY SCHEDULE

GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS PACKAGE POLICY - ZONE C

Issue Office: 10003 - Address:- E - 8, RIICO INDUSTRIAL AREA SITA PURA -JAIPUR RAJASTHAN 302022

Tel

 

 

Policy No

: 10003/31/13/500485

Prev Policy No

-

 

Geographical Area

Insured's Code/ Name: 3550156 MAHENDRA

 

 

 

 

 

 

 

 

 

Address: MOHALLA KHATIKAN WARD NO-12TEH amp;amp; DIST- JHUNJHUNU -

Tel

 

 

 

 

 

JMJMU Fax JMJMUO011020010

 

 

 

 

 

 

 

 

 

 

 

Executive: NA0000000386 Broker Details :LB0000000002 M/S.BHARAT RE-INSURANCE BROKERS PVT. LTD. Contact No:

 

Period of Insurance

: From 00:00 on 07/02/2013 To Midnight of 06/02/2014

Cvr Note No. -

 

Issue date

Gross Premium: 12,099

S Tax: 1,495

GST:0

Total: 13,594

 

Collection No & Dt BG

 

 

 

 

 

 

 

 

 

 

Registration

Engine No

Make - Model

 

Type of Body

Cubic

Year Of Seating Capacity

Mark & Place

Chassis No

 

 

 

 

 

Capacity G. V. W Manf(Including Driver)

RJ 31 G 0438

497D21BTQ716623

TATA MOTORS LTD-709 (STDII) STDII

 

1

7000

1996 2 + 1

Hnumangarh

386040BTQ805854

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDV For

the

IDV For

Non Electrical

 

 

Electrical

 

CNG KIT SI

 

Total Value

 

Vehicle

Trailers

Accessories

 

Accessories

 

 

 

 

 

 

 

1,25,000

0

 

 

 

 

 

 

 

 

0

1,25,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. OWN DAMAGE

SCHEDULE OF PREMIUM

 

 

B. LIABILITY

 

 

 

 

 

 

 

 

 

 

BASIC OD COVER

 

 

 

2,265.00

 

BASIC TP COVER

 

 

 

10,902.00

LESS :DETARIFF DISCOUNT ON BASIC OD

 

456.00

 

ADD :GR36A-PA FOR OWNER DRIVER

100.00

LESS :NO CLAIM BONUS-GR27

 

 

815.00

 

 

 

 

ADD :LL TO PAID DRIVER COUNT : 1

100.00

OD TOTAL

 

 

 

997.00

 

 

 

 

 

TP TOTAL

 

 

 

 

11,102.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL PREMIUM

 

 

 

12,099.00

 

 

 

 

 

 

 

 

ADD :SERVICE TAX

 

1,495.00

 

 

 

 

 

 

 

 

TOTAL AMOUNT

 

 

 

13,594.00

*NCB discount - 45 % Previous Policy : 10003/31/12/400015 - Previous Insurer : SHRIRAM GENERAL INSURANCE COMPANY LTD Nominee for Owner/Driver : NA- Age : NA - Relationship : NA - Appointee Name : NA - Appointee Relationship : NA

Deductibles under Section-I :

Compulsory Deductible Rs.500

Subject to IMT Endorsement Printed herein/attached to : IMT-40 , IMT-28 , IMT-39 , IMT-21

Hypothecation Agreement with:

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)

: Rs. 200000

Driver's Clause

Any person including 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 when not used for the transport of goods at the time of the accident 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 carriage of goods within the meaning of the Motor Vehicles Act. The Policy does not cover: 1) Use for organised racing, pace-making, reliability trial or speed testing. (2) Use whilst drawing a trailer except the towing (other than for reward) of any one disabled mechanically propelled vehicle. (3) Use for carrying passengers in the vehicles; except employees (other than the driver) not exceeding the number permitted in the registration document and coming under the purview of Workmen's Compensation Act 1923.

The Policy covers use only under a permit within the meaning of the Motor Vehicle Act, 1988 or such a carriage falling under Sub-section 3 of Section 66 of the Motor Vehicle's Act 1988

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 - III on 06/02/2013

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

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.

Place :

JAIPUR

Date :

06/02/2013

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 dnd@shriramgi.com

All the Amounts mentioned in this policy are in Indian Rupees

Note :- Claim intimation after 48 hours will be

Service Tax Reg. No. AAKCS2509KST001

considered as delayed intimation.

For and on behalf of

SHRIRAM GENERAL INSURANCE COMPANY LTD

Authorised Signatory

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