INSURED DETAILS Insured's Name MR.UMESH GARG . Customer ID PO24929412 (PAN No :NA) Insured's Address SHARDA ROAD LINES TANKER SERVICE,TRANSPORT Contact Number / / XXXXXX6637 NAGAR,, NAGDA (UJJAIN) ,MADHYA PRADESH, 456335 Email GSTIN NA
POLICY DETAILS Period of cover 23/08/2023 12:00:01 AM to 22/08/2024 11:59:59 PM Receipt Number 45020381230000003664 - 18/08/23 Previous Insurer THE NEW INDIA ASSURANCE COMPANY LTD. Previous Policy Number 45020331220100002149 VEHICLE DETAILS Geographical Area / Zone: India/C Year of manufacture: 2012 Type of Commercial A - Goods Carrying Sub Type: Other than 3 wheeler - Vehicles: Public Carrier Name of the Financier: Chassis no./Engine no.: MAT448045C1B02839/B59 1803121A63228888 Type of fuel: Diesel Cubic capacity ( cc): 0 Type of body: Open Gross Vehicle Weight 28000 (GVW): Make/Model: TATA MOTOR/LPT 2518 Registration no. MP-09-HG-6939 Seating capacity including 3 Variant: LPT2518 TC EX BSIII Driver: Automobile Association Colour: NOT SPECIFIC membership: Cover Note No/Cover / Name of registration Indore Note Issue Date: authority: FASTag ID:
INSURED DECLARED VALUE (Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value 950000 0 0 0 0 950000
SCHEDULE OF PREMIUM Own Damage Liability Basic OD Premium 3443 Basic TP Premium 43950 (+)Additional premium for GVW above 12000KG 864 (+)LL to persons employed for opn and/or maint.and/or (-)Calculated NCB Discount(25%) 1076.7 loading and/or unloading(2) 100 (+)PA Cover for Paid Drivers Cleaner Conductor No of Paid Drivers(2) 150 Signature Not Verified Digitally signed by JAGATJAYEE Policy No. : 45020331230100002351Document generated by AG_0102979 at 2023/08/18 15:39:47. PANIGRAHI Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415. Date: 2023.08.18 15:39:47 IST Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen. For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in. Página 1 de 3
Page 1 of 3 THE NEW INDIA ASSURANCE CO. LTD. (Government of India Undertaking)
PA Cover for Paid Drivers Cleaner Conductor No of
Cleaners(1) Calculated OD Premium 3231 Calculated TP Premium 44200 Total OD Premium (Rs) 3231 Total TP Premium (Rs) 44200 Net Premium (Rs) 47,431 GST (Rs) 5,900 Total Payable (Rs) 53,331 Total Payable in Rs(in words): RUPEES FIFTY-THREE THOUSAND THREE HUNDRED THIRTY-ONE ONLY GSTIN(Issuing Office) 23AAACN4165C1ZZ SAC 997134 (Motor vehicle insurance services) Limitation as to use:The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling under Sub-section 3 of Section 66 of the Motor Vehicles Act, 1988.The Policy does not cover use FOR a)Organised racing b) Pace Making c) Reliability Trials d) Speed Testing Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one event: Up to Rs. 7,50,000 For individual covers (OD) in RS:950000 Compulsory excess in Rs:1500 Imposed excess in Rs:0 Voluntary excess in Rs:0 Persons or classes of persons entitled to drive:Any person including the 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 and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles Rules, 1989. PA cover for Owner Driver Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the Insured Nominee is a minor) Nominee none 0 none none none PA cover for named persons Name CSI Opted(Rs.) Nominee Relationship NA NA NA NA Premium and GST Details Rate of Tax Amount in INR
In witness where of this policy has been signed at NAGDA BRANCH on this 18/08/2023 WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 17,21,28. 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 Vehicles Act, 1988 is recoverable from the insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this policy, will stand forfeited. Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 1
Policy No. : 45020331230100002351Document generated by AG_0102979 at 2023/08/18 15:39:47.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415. Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen. For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in. Página 2 de 3
Page 2 of 3 THE NEW INDIA ASSURANCE CO. LTD. (Government of India Undertaking)
lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as well as Company website. I/We hereby certify that the policy to which this Certificate For and on behalf of The New India Assurance Company Limited relates as well as this Certificate of Insurance are issued in accordance with the provisions of Chapter X and XI of M.V. Act, 1988. Date of Issue: 18/08/2023
(Mrs. Sneha Rathore)
[Sr. Branch Manager]
Duly Constituted Attorney(s)
We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule.
Tax Invoice No : 45020323E0003184
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 45020331230100002351Document generated by AG_0102979 at 2023/08/18 15:39:47.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415. Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen. For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in. Página 3 de 3
