Motor Comprehensive Fidelity Plus - Quotation Schedule
Day & Date : Wednesday, April 16, 2025 Q/20/400/25/63350 : Quotation Number
Insured Person Details ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺆﻣﻦ ﻟﻪ
Insured Name SAIF ALI RASHED SUWAILEM ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ
Age 64 ﺍﻟﻌﻤﺮ
Driving Experience in UAE 45 ﺧﺒﺮﺓ ﺍﻟﻘﻴﺎﺩﺓ ﺩﺍﺧﻞ ﺍﻟﻤﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ
Mortgaged By ﺟﻬﺔ ﺍﻟﺮﻫﻦ
Insurance Period (From and To) 16/04/2025 To 15/05/2026 ﺇﻟﻰ/ ﺍﻟﻔﺘﺮﺓ ﺍﻟﻤﺆﻣﻦ ﻋﻠﻴﻬﺎ ﻣﻦ
Basic Premium AED 4,051.41 ﻗﺴﻂ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻟﺴﺎﺳﻲ
VAT Amount AED 202.57 ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ
Total Premium (including VAT) AED 4,253.98 (ﺍﺟﻤﺎﻟﻲ ﺍﻟﻘﺴﻂ)ﺑﻤﺎ ﻓﻲ ﺫﻟﻚ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ
Specification of the insured ﻣﻮﺍﺻﻔﺎﺕ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺆﻣﻦ ﻋﻠﻴﻬﺎ
vehicle
Vehicle Make & Model LEXUS LX570 ﻧﻮﻉ ﺍﻟﻤﺮﻛﺒﺔ
Body Type 4X4 ﺷﻜﻞ ﺍﻟﻬﻴﻜﻞ
Non-GCC Specifications / Modified GCC ﻣﺮﻛﺒﺔ ﻣﻌﺪﻟﺔ/ﻣﻮﺍﺻﻔﺎﺕ ﺍﻟﻤﺮﻛﺒﺔ ﻏﻴﺮ ﺧﻠﻴﺠﻴﺔ
Vehicle
Vehicle Colour ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ
Vehicle Value (AED) 252,588.00 ﻗﻴﻤﺔ ﺍﻟﻤﺮﻛﺒﺔ ﺩﺭﻫﻢ
Vehicle Age by Years (Manuf. Year) 8 (2018) ﻋﻤﺮ ﺍﻟﻤﺮﻛﺒﺔ ﺑﺎﻟﺴﻨﻮﺍﺕ ﺳﻨﺔ ﺍﻟﺘﺼﻨﻴﻊ
Place of Registration ﻣﻜﺎﻥ ﺍﻟﺘﺴﺠﻴﻞ
Registration Number ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ
Chassis Number JTJHY00W4J4256505 ﺭﻗﻢ ﺍﻟﺸﺎﺳﻴﻪ
Engine Number ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ
Seating Capacity (inc. driver) 8 ﻋﺪﺩ ﺭﻛﺎﺏ ﺍﻟﻤﺮﻛﺒﺔ
Traffic File Number ﺭﻗﻢ ﺍﻟﻤﻠﻒ ﺍﻟﻤﺮﻭﺭﻱ
Geographical area United Arab Emirates and Sultanate ﺍﻟﺤﺪﻭﺩ ﺍﻟﺠﻐﺮﺍﻓﻴﺔ
Oman(Own Damage only)
Repair Condition Non Agency Repair ﺷﺮﻁ ﺍﻟﺼﻠﺢ
Basic Deductible 1200 ﻣﺒﻠﻎ ﺍﻟﺘﺤﻤﻞ ﺍﻟﺠﺒﺎﺭﻱ ﺍﻟﺴﺎﺳﻲ
UNITED FIDELITY INSURANCE COMPANY
In Conformity with the Federal Law No. 6/2007 Reg. No (8) dated 22/12/1984. Authorized paid-up Capital Dh. 100,000,000
Ras Al Khaimah T: +971 7 2351584, F: +971 7 2353213, P.O. Box: 1010 - Sharjah T: +971 6 5682277, F: +971 6 5681586,
P.O. Box: 5333 Dubai T: +971 4 2502501, F: +971 4 2502504, P.O. Box: 1888 - Abu Dhabi T: +971 2 6263313, F: +971 2
6263526, P.O. Box: 721 Fujairah T: +971 9 2222302, F: +971 9 2220294, P.O. Box: 4417
1
Covers and benefits forming part of the policy.
Day & Date : Wednesday, April 16, 2025 Q/20/400/25/63350 : Quotation Number
Coverage ﺍﻟﺘﻐﻄﻴﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ
Vehicle Own Damage Covered ﺿـﺪ ﺍﻟﻔﻘـﺪ ﻮﺍﻟﺘﻠـﻒ ﻮﺍﻟﻣﺳـﺆﻟﻴﺔ
Third Party Liability (property damage) AED 2,000,000.00 ﺿـﺪ ﺍﻟﻣﺳﺆﻟﻴﺔ ﺍﻟﻣﺪﻨﻴﺔ
Third Party Liability (bodily injury) Covered (ﺍﻟﻣﺳﺆﻮﻟﻴﺔ ﺍﻟﻣﺪﻨﻴﺔ )ﺍﻻﺼﺎﺒﺎﺕ ﺍﻟﺟﺳﻣﺎﻨﻴﺔ
Natural Perils Covered ﺍﻟﻌﻮﺍﻣﻞ ﺍﻟﻃﺒﻴﻌﻴﺔ-ﺍﻟﻌﻮﺍﻣﻞ ﺍﻟﻃﺒﻴﻌﻴﺔ
Windscreen Damage AED 2,000.00 ﺗﻐﻃﻴﺔ ﺍﻟﺰﺟﺎﺝ ﺍﻻﻣﺎﻣﻲ-ﺗﻐﻃﻴﺔ ﺍﻟﺰﺟﺎﺝ ﺍﻻﻣﺎﻣﻲ
Replacement Of Door Locks AED 500.00 ﺇﺳﺘﺒﺪﺍﻝ ﺍﻗﻔﺎﻝ ﺍﻻﺒﻮﺍﺐ-ﺇﺳﺘﺒﺪﺍﻝ ﺍﻗﻔﺎﻝ ﺍﻻﺒﻮﺍﺐ
National Ambulance AED 6,770.00 ﺨﺪﻣﺔ ﺍﻻﺳﻌﺎﻒ ﺍﻟﻮﻃﻨﻲ-ﺨﺪﻣﺔ ﺍﻻﺳﻌﺎﻒ ﺍﻟﻮﻃﻨﻲ
Personal Belongings AED 2,000.00 ﺗﻐﻃﻴﺔ ﺍﻟﻣﻣﺘﻠﻜﺎﺕ ﺍﻟﺷﺨﺼﻴﺔ-ﺗﻐﻃﻴﺔ ﺍﻟﻣﻣﺘﻠﻜﺎﺕ ﺍﻟﺷﺨﺼﻴﺔ
Valet Parking Theft Covered ﺳﺮﻗﺔ ﺍﻟﻣﺮﻛﺒﺔ ﻋﻨﺪ ﺍﺳﺘﺨﺪﺍﻢ ﺨﺪﻣﺔ ﺼﻒ ﺍﻟﺳﻴﺎﺭﺍﺕ
Emergency Medical Expenses Covered ﺍﻟﻣﺼﺎﺭﻳﻒ ﺍﻟﻌﻼﺟﻴﺔ ﺍﻟﻃﺎﺭﺌﺔ
Road Side Assistance - Bronze Covered ﺒﺮﻮﻨﺰ- ﺨﺪﻣﺔ ﺍﻟﻣﺳﺎﻋﺪﺓ ﻋﻠﻰ ﺍﻟﻃﺮﻳﻖ
Towing Service (Accident) Covered ﺨﺪﻣﺔ ﻗﻃﺮ ﺍﻟﻣﺮﻛﺒﺔ ﻓﻲ ﺤﺎﻟﺔ ﺍﻟﺤﺎﺪﺙ
Towing Service (Mechanical) Covered ﺨﺪﻣﺔ ﻗﻃﺮ ﺍﻟﻣﺮﻛﺒﺔ ﻓﻲ ﺤﺎﻟﺔ ﻋﻃﻞ ﻣﻴﻜﺎﻨﻴﻜﻲ
Battery Boosting Covered ﺷﺤﻦ ﺍﻟﺒﻃﺎﺭﻳﺔ
Fuel Delivery Covered ﺨﺪﻣﺔ ﺗﻮﺼﻴﻞ ﺍﻟﻮﻗﻮﺪ
Flat Tyre Fixing Covered ﺨﺪﻣﺔ ﺗﺒﺪﻳﻞ ﺍﻻﻃﺎﺭﺍﺕ
Car Replacement (Not At Fault - Up to 15 Days) Up to 15 Days ﺨﺪﻣﺔ ﺍﻟﺳﻴﺎﺭﺓ ﺍﻟﺒﺪﻳﻠﺔ ﻓﻲ ﺤﺎﻝ ﺍﻟﻣﺆﻣﻦ ﻏﻴﺮ ﻣﺘﺳﺒﺐ ﺒﺎﻟﺤﺎﺪﺙ
2
Covers and benefits forming part of the policy.
Day & Date : Wednesday, April 16, 2025 Q/20/400/25/63350 : Quotation Number
As per Unified Policy Wordings issued by the Insurance 25 ﺣﺳﺐ ﺻﻴﻐﺔ ﺍﻟﻮﺛﻴﻘﺔ ﺍﻟﻣﻮﺣﺪﺓ ﺍﻟﺼﺎﺩﺭﺓ ﻋﻦ ﻫﻴﺌﺔ ﺍﻟﺘﺄﻣﻴﻦ )ﻗﺮﺍﺭ ﺭﻗﻢ
Authority (decision 25 of 2016). 2016(. ﻟﺳﻨﺔ
The Company’s maximum third party Property Damage liability in ﺍﻟﺤﺪ ﺍﻟﻘﺼﻰ ﻟﻣﺳﺆﻭﻟﻴﺔ ﺍﻟﺷﺮﻛﺔ ﻋﻦ ﺃﻳﺔ ﻣﻃﺎﻟﺒﺔ ﺃﻭ ﺟﻣﻠﺔ ﻣﻃﺎﻟﺒﺎﺕ ﻧﺷﺄﺕ ﻋﻦ
respect of one claim or series of claims resulting from one ﺩﺭﻫﻢ2,000,000 ﺣﺎﺩﺙ ﻭﺍﺣﺪ
accident is AED 2,000,000
Licensed Driver: ﺍﻟﺴﺎﺋﻖ ﺍﻟﻤﺮﺧﺺ ﻟﻪ
The Insured or any person driving the insured vehicle should hold ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺃﻭ ﺃﻱ ﺷﺨﺺ ﻳﻘﻮﺩ ﺍﻟﻤﺮﻛﺒﺔ ﺑﺎﺫﻥ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺑﺸﺮﻁ ﺃﻥ ﻳﻜﻮﻥ ﺍﻟﺴﺎﺋﻖ
a UAE valid license to use the vehicle in accordance with the ﻣﺮﺧﺼﺎ ﻟﻪ ﺑﻘﻴﺎﺩﺓ
traffic laws and regulations and has not had his/her license ﺍﻟﺴﻴﺎﺭﺓ ﻃﺒﻘﺎ ﻟﻘﺎﻧﻮﻥ ﺍﻟﺴﻴﺮ ﻭﺍﻟﻤﺮﻭﺭ ﻭﺍﻟﻠﻮﺍﺋﺢ ﺍﻟﺨﺮﻯ ﻭﺃﻥ ﻝ ﻳﻜﻮﻥ ﺍﻟﺘﺮﺧﻴﺺ
withdrawn by order of a Court of Law or traffic regulations ﺍﻟﻤﻤﻨﻮﺡ ﻟﻪ ﻗﺪ ﺍﻟﻐﻲ ﺑﺄﻣﺮ ﻣﻦ ﺍﻟﻤﺤﻜﻤﺔ ﺍﻭ ﺑﻤﻘﺘﻀﻰ ﻗﻮﺍﻧﻴﻦ ﻭﻟﻮﺍﺋﺢ ﺍﻟﻤﺮﻭﺭ
Limitation of use: ﻗﻴﻮﺩ ﺍﻟﺴﺘﻌﻤﺎﻝ
The Insured must not use the vehicle except for the purpose of ﻳﺠﺐ ﻋﻠﻰ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺍﻝ ﻳﺴﺘﻌﻤﻞ ﺍﻟﺴﻴﺎﺭﺓ ﺍﻝ ﻟﻠﻐﺮﺽ ﺍﻟﻤﺮﺧﺺ ﻣﻦ ﺍﺟﻠﻪ
which it is licensed for
Deductible as per Schedule 3 of the Unified Policy Wordings ﻣﻦ ﺍﻟﻮﺛﻴﻘﺔ ﺍﻟﻤﻮﺣﺪﺓ ﺍﻟﺼﺎﺩﺭﺓ ﻋﻦ ﻫﻴﺌﺔ3 ﺍﻟﺘﺤﻤﻞ ﺍﻟﺠﺒﺎﺭﻱ ﺣﺴﺐ ﺍﻟﺠﺪﻭﻝ ﺭﻗﻢ
issued by the Insurance Authority(decision 25 of 2016) 2016( ﺳﻨﺔ25 ﺍﻟﺘﺄﻣﻴﻦ )ﻗﺮﺍﺭ ﺭﻗﻢ
DHS 1200 per at fault or damage by unknown accident ﺩﺭﻫﻢ ﻋﻦ ﻛﻞ ﺣﺎﺩﺙ ﻧﺎﺟﻢ ﻋﻦ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺍﻭ ﺍﻱ ﺗﻠﻒ ﻧﺎﺗﺞ ﻋﻦ ﺣﺎﺩﺙ ﻣﺠﻬﻮﻝ1200
Ancillary Deductible ﺍﻟﺘﺤﻤﻞ ﺍﻟﻀﺎﻓﻲ
a. 10% of the amount of compensation if the Motor Vehicle ﺳﻨﺔ25 ﻣﻦ ﻗﻴﻤﺔ ﺍﻟﺘﻌﻮﻳﺾ ﺍﺫﺍ ﻗﻞ ﻋﻤﺮ ﺍﻟﺴﺎﺋﻖ ﻋﻦ10% .ﺃ
Driver is below the age of 25 years
b. 10% of the amount of compensation in case of taxi and public ﻣﻦ ﻗﻴﻤﺔ ﺍﻟﺘﻌﻮﻳﺾ ﻟﻤﺮﻛﺒﺎﺕ ﺍﻟﺘﺎﻛﺴﻲ ﻭﺍﻟﻌﻤﻮﻣﻲ10% .ﺏ
transport vehicles
c. 15% of the amount of compensation of sports cars and modified ﻣﻦ ﻗﻴﻤﺔ ﺍﻟﺘﻌﻮﻳﺾ ﻟﻠﻤﺮﻛﺒﺎﺕ ﺍﻟﺮﻳﺎﺿﻴﺔ ﻭﺍﻟﻤﺮﻛﺒﺎﺕ ﺍﻟﻤﺰﻭﺩﺓ15% .ﺝ
vehicles
d. 20% of the amount of compensation of vehicles modified ﻣﻦ ﻗﻴﻤﺔ ﺍﻟﺘﻌﻮﻳﺾ ﻟﻠﻤﺮﻛﺒﺎﺕ ﺍﻟﻤﺰﻭﺩﺓ ﺧﺎﺭﺝ ﺍﻟﻤﺼﻨﻊ20% .ﺩ
outside the factory
e. 20% of the amount of compensation of rental vehicles ﻣﻦ ﻗﻴﻤﺔ ﺍﻟﺘﻌﻮﻳﺾ ﻟﻤﺮﻛﺒﺎﺕ ﺍﻟﺘﺄﺟﻴﺮ20% .ﻩ
** The Following Quotation Is Subject To Motor Underwriting Approval Prior Any Policy Booking.
UNITED FIDELITY INSURANCE COMPANY
Dubai, United Arab Emirates
NOTE : This Policy is subject to the Unified Policy Wordings issue by Insurance Authority (decison 25 of 2016)
which is available on our website (www.fidelityunited.ae)
