Insured's Name MOHD BABU AHMED SAHEB SHAIKH

Period of Insurance : From: 18/01/2012 : 14:24:00

To : Midnight on 17/01/2013 00:00:00
Geographical Area : Within India Only
Pin Code 400000
Address:
Date of Issuance : 18/01/2012 PLT 10 GANESH APT KALHER BHIWADI THANE
Phone#: 0000000000
Regd. Office: IFFCO Sadan C1 Distt. Centre, Saket, New Delhi - 110017
IFFCO TOKIO GEN INSUR CO LTD, 3RD FLOOR, OFFICE
NO. 32-33, WHITE CASTLE OVER MTNL EXCHANGE,
UNION PARK
Servicing Office:
COMMERCIAL VEHICLE CERTIFICATE OF INSURANCE cum SCHEDULE
Cover Note # :
MUMBAI
400074 MAHARASHTR
INDIA
IFFCO-TOKIO GENERAL INSURANCE CO. LTD
( AUTO)
THANE
INDIA
Policy # : 1-G9JYOX
Agent Name FAIZAL KHAN
Agent #:
Agent Mobile #:
Registration
Mark & No.
Year of Org.
Sale/Year of
Manuf.
Type of Body
Make of Vehicle
CC IDV in Rs.
Engine No.
Chassis No.
Seating
Capacity
MH04DK5869
2008
APE PIAGGIO
ICVCLASS C.1B
3WHEELED VEHICLE
90384
7 195 542815 1
1
Insured Motor Vehicle Details & Premium Calculation
Coverage
GVW
Act Only
Vehicle Trailer Non Electrical Access. Elec./Elect. Acc. Bi-Fuel Kit Total Value Net Premium Rs.
1.00 0.00 0.00 0.00 1.00
B. Third Party (Rs.) A. Own Damage (Rs.)
Basic OD Premium Basic TP Premium
Electrical/Electronics Accessories (IMT 24)
Bi Fuel Kit (IMT 25)
Add :
Geographical Area Extension (IMT 1)
Basic Trailor OD Premium Basic Trailers TP Premium (IMT 30)
Bi Fuel Kit (IMT 25)
Add :
Legal Liability to Driver (IMT 28)
PA Paid Driver/Cleaner/Conductor (IMT 17)
PA Owner Driver
Geographical Area Extension (IMT 1)
Less :
Third Party Property Damage (IMT 20)
Limit of Liability Under Section II-I (ii)
Any Other Loading/Discount
Net (A)
Any Other Loading Discount
Net (B)
Co-Insurance Details
2.00 2697.00
Less :
Anti Theft Device (IMT 10)
Handicap Discount (IMT 12)
Vehicle User (IMT 13)
No Claim Discount
Service Tax/GST 252.17
2697.17
2445.00
Registration Authority :
0.00
0.00
0.00
2360.00
0.00
60.00
0.00 0.00
0.00
25.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 2445
0.00 0.00
Co-Insurer 1
Co-Insurer 2
Agent No./Share
No Co-Insurer!
No Co-Insurer!
Overturning Extensions( IMT 47) 0.00
Hire Reward/Commercial Usage (IMT 44) 0.00
LL to Non Fare Paying PAX (IMT 37)
LL To PAX on Ambulance/Hearses (IMT 46)
0.00
(0)
0.00
( 0.0% )
( 0.0% )
IMT 23
LL to Employee (IMT29) 0.00 ()
Fiber Glass Fuel Tank
0.00
0.00
(1)
(0)
0.00
Driving/Tuitions 0.00
Total Premium (A + B)
Premium Paid Rs.
Under Hire Purchase /Hypothecated/Lease Agreement with NA
Limitation as to use :
Driver Clause :
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
Period of Insurance Percentage of NCB on OD Premium
The preceding year 20 %
Preceding two consecutive year 25%
Preceding three consecutive year 35%
Preceding four consecutive year 45%
Preceding five consecutive year 50% Goods Carrying
Vehicles
PA Owner- Driver as per premium computation table Under Section III
Deductible under Section I
Under Section II-I(ii) As per premium computation table
Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988 Under Section II-I(i)
Limit of Liability
Passenger Carrying Vehicles - Class C
Use only in Connection wit insured's business. Use only for carriage of passengers in accordance with the permit (Contract Carriage or Stage
Carriage) instead within the meaning of the Motor Vehicles Act
1. Use for Organised racing, pace making, reliability trail or speed testing
2. Use whilst drawing a trailer except the towing (other than reward) of any one disabled mechanically propelled vehicle
3. Use for the Conveyance of passenger for hire or reward by any person to whom the Motor Vehicle is hired
4. Use for the conveyance of passenger for hire or reward, other than the guests of hotel. Private Car type vehicles owned by hotels and hired by
them to their guests
The Policy does not Cover:
Private Car type vehicles let out on private hire and driven by hirer or any driver with hire permission.
Subject to IMT Endorsement Nos., 20, 17, 25, 27 Printed herein / attached
Not Exceeding 7500 Kg. GVW 500/- : Rs. 500/-
Taxis and Three Wheelers rated as Commercial Vehicles (Exceeding 1500 cc) : Rs. 1000/-
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 : CASH Dated :
Amount :
Bank Details :
For IFFCO-TOKIO General Insurance Co. Ltd.
Authorised Signature.
2697.00

FOR CLAIMS CALL 1800 103 5499(Toll Free),0124-4285499 or SMS"CLAIM" to 56161
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Note-: 1)"Policy Issuing Office: Delhi" 2)" Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi"