Issuing Office: IFFCO TOKIO GEN INSUR CO LTD, SAHAS EMBASSY, GROUND FLOOR 145/131, NELSON MANICKAM ROAD, METHANAGAR, CHENNAI TAMILNADU INDIA Phone #
IFFCO-TOKIO GENERAL INSURANCE CO. LTD Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017 TWO WHEELER POLICY CERTIFICATE OF INSURANCE CUM SCHEDULE Insured's Name : S. VISHAL KUMAR Address: NO.7/4 BALAKRISHNAN STREET KATTABOMMAN BLOCK JAFFERKHANPET Pin Code TAMILNADU 600083 CHENNAI INDIA Cover Note # : Phone # 9841072878 Agent No. 91000341
600029
70532590 Policy # : Date of Issuance : 14/09/2009 Period of Insurance From: 14/09/2009 : 12:47:24 To : Midnight on 13/09/2010 00:00:00 Geographical Area : Within India Only
Insured Motor Vehicle Details & Premium Calculation Registration Mark & No.
Year of Manuf.
TN09AU6424
2007
Type of Body Make of Vehicle HONDA ACTIVA
Engine No.
CC
Coverage
IDV in Rs.
102
Package
27,000.00
Seating Capacity
JFO8E8957239
2
Chassis No. ME4JF082H89778581
Registration Authority : Two Wheeler
Side Car
Accessories
Elec./Elect. Acc.
Bi-Fuel Kit
Total Value
Net Premium Rs.
27,000.00
0.00
0.00
0.00
0.00
27,000.00
668.93
A. Own Damage (Rs.)
B. Third Party (Rs.) 461.16 Basic Premium 0.00 Bi Fuel Kit (IMT 25) 0.00 PA Owner:Driver CSI Rs 100000 0.00 0.00
Basic Premium Side Car Premium Electrical Accessories (IMT 24) Accessories (IMT 33) Bi Fuel Kit (IMT 25) Add : Rallies (IMT 31) Foreign Vehicle Loading (IMT 19) Geographical Area Extension (IMT 1)
Add : 0.00 Legal Liability to Driver (IMT 28) 0.00 Legal Liability to Employee (IMT 29) 0.00 PA to Passenger (IMT 16) Rallies (IMT 31) Geographical Area Extension (IMT 1)
Less : Voluntary Excess Less 0% (IMT 22A) Anti Theft Device (IMT 10) Automobile Association (IMT 8) Handicap Discount (IMT 12) Vehicle Use (IMT 13) No Claim Discount
Less : 0.00 Third Party Property Damage (IMT 20) 0.00 Limit of Liability Under Section II-I (ii) 0.00 0.00 0.00 0.00 -92.23 Any Other Loading Discount 368.93 Net (B)
Any Other Loading/Discount Net (A)
( 0.0% ) ( -20% ) Agent No./Share No Co-Insurer! No Co-Insurer! No Co-Insurer! No Co-Insurer!
Co-Insurance Details Co-Insurer 1 Co-Insurer 2 Co-Insurer 3 Co-Insurer 4
Under Hire Purchase /Hypothecated/Lease Aggreement with Subject to IMT Endorsement Nos.
300.00 0.00 50.00
0.00 0.00 0.00 0.00 0.00 -50.00 100,000.00
0.00 300.00
Total Premium (A + B)
668.93
Add Service Tax Premium Paid Rs.
68.89 737.82
NA
20
Printed herein/attached hereto
Limitation as to use :
Driver Clause :
Use only for social domestic and pleasure purpose and for the insured's business or profession. The policy does not cover use for hire or reward, tution, racing, pacemaking,reliability trails, speed testing, carriage of goods(other than samples or personal luggage) in connection with any trade or business or use for any purpose in connection with Motors Trade.
Any person including insured: provided that the person driving holds and 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 The Central Motor Vehicles Rules, 1989.
No Claim Bonus : 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 during the preceding year(s) as per the following table:s Period of Insurance Percentage of NCB on OD Premium The preceding year 20 %
Limit of Liability Under Section II-I(i)
Preceding two consecutive year 25% Preceding three consecutive year 35%
Under Section II-I(ii)
Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988 As per premium computation table
Under Section III PA Owner- Driver as per premium computation table Compulsory Excess (IMT 22) Rs. 50 0.00 Imposed Excess Partial Loss 0.00 Imposed Excess Total Loss
Preceding four consecutive year 45%
Preceding five consecutive year 50% No claim bonus will only be allowed, provided the policy is renewed within 90 days of the expiry date of the previous policy
Receipt Particulars
S.Tax.No. D-III/ST/R-IV/GEN.INS./01/03
Cash / Cheque No : CASH 738.00 Premium :
Dated :
Bank Details :
FOR CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
For IFFCO-TOKIO General Insurance Co. Ltd.
Authorised Signatory