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MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE

GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS


PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4427

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 71200222

Issue Office Code : 443100

Insured's Name

: THILAKOM MOHAN KUMAR

Issue Office Name : DO BADAGARA

Address

: GUPTA CRANE & STORAGE


WARE HOUSE VILLAGE
DADUDA ANJUR RD,THANE 421301

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 15/07/2016 TO MIDNIGHT OF 14/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 24,508

Service Tax :

Geographical Area : INDIA

3,677

Stamp Duty :

.5

Total :

28,185

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 04 CA 4408
Thane - Thane

Type Of Body

Engine No. &


Chassis No.

Make - Model

62341462
122535

TATA LPT 1613


EX

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2004 1 + 1

5675

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

14/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4427


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,15,000

4,15,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
8,653.80

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,192.00

BASIC TP TOTAL

22,577.00

BASIC OD TOTAL

3,461.80

ADD :PA FOR OWNER DRIVER-GR36A

100.00

OD TOTAL

3,462.00

100.00

LESS :NO CLAIM BONUS-GR27

1,731.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

22,777.00

MOTOR TOTAL OD

1,731.00

TOTAL PREMIUM

24,508.00

BASIC OD COVER

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

123.00

ADD :Swachh Bharat Cess

123.00

ADD :SERVICE TAX

3,431.00

TOTAL AMOUNT

28,185.00

* NCB discount - 50 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

KOTAK MAHINDRA BANK LTD

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
14/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4427


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 14-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

SASEENDRAN K P

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

14/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4429

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 71200222

Issue Office Code : 443100

Insured's Name

: THILAKOM MOHAN KUMAR

Issue Office Name : DO BADAGARA

Address

: GUPTA CRANE & STORAGE


WARE HOUSE VILLAGE
DADUDA ANJUR RD,THANE 421301

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 15/07/2016 TO MIDNIGHT OF 14/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 24,508

Service Tax :

Geographical Area : INDIA

3,677

Stamp Duty :

.5

Total :

28,185

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 04 CA 4410
Thane - Thane

Type Of Body

Engine No. &


Chassis No.

Make - Model

62341677
122535

TATA LPT 1613


EX

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2004 1 + 1

5675

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

13/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4429


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,15,000

4,15,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
8,653.80

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,192.00

BASIC TP TOTAL

22,577.00

BASIC OD TOTAL

3,461.80

ADD :PA FOR OWNER DRIVER-GR36A

100.00

OD TOTAL

3,462.00

100.00

LESS :NO CLAIM BONUS-GR27

1,731.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

22,777.00

MOTOR TOTAL OD

1,731.00

TOTAL PREMIUM

24,508.00

BASIC OD COVER

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

123.00

ADD :Swachh Bharat Cess

123.00

ADD :SERVICE TAX

3,431.00

TOTAL AMOUNT

28,185.00

* NCB discount - 50 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

ICICI BANK LTD

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
13/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4429


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 13-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

SASEENDRAN K P

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

13/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4360

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 71200222

Issue Office Code : 443100

Insured's Name

: THILAKOM MOHAN KUMAR

Issue Office Name : DO BADAGARA

Address

: GUPTA CRANE & STORAGE


WARE HOUSE VILLAGE
DADUDA ANJUR RD,THANE 421301

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 12:00 ON 13/07/2016 TO MIDNIGHT OF 12/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 15,488

Service Tax :

Geographical Area : INDIA

2,322

.5

Stamp Duty :

Total :

17,810

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 04 FP 3739
Thane - Thane

Engine No. &


Chassis No.
075954
033440

Type Of Body
Make - Model
ACE

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

G.V.W
OPEN BODY

1550

2012 1 + 1

702

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

13/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4360


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

2,00,000

2,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
3,452.00

ADD :BASIC TP COVER

14,390.00

LESS :BO UNDERWRITER DISCOUNT

2,071.00

BASIC TP TOTAL

14,390.00

BASIC OD TOTAL

1,381.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

OD TOTAL

1,381.00

100.00
14,590.00
15,488.00

BASIC OD COVER

LESS :NO CLAIM BONUS-GR27

483.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

MOTOR TOTAL OD

898.00

TOTAL PREMIUM
STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

77.00

ADD :Swachh Bharat Cess

77.00

ADD :SERVICE TAX

2,168.00

TOTAL AMOUNT

17,810.00

* NCB discount - 35 %
Deductibles under Section-I : Compulsory Deductible 500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

ICICI BANK LTD

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well
as :company's website.
Place
For and on behalf of
The
Oriental
Insurance Company Limited
13/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4360


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 13-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

SASEENDRAN K P

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

13/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4119

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: SHOP NO-4 GRD FLR


COSMOPOLITAN CHS,
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 10/07/2016 TO MIDNIGHT OF 09/07/2017
Collection No & Dt

: CHQCSH 9514003476 - 07/07/2016

Gross Premium

: 25,563

Service Tax :

Geographical Area : INDIA

3,835

Stamp Duty :

.5

Total :

29,398

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 06 AC 4169
Pen - Pen

Engine No. &


Chassis No.
62465677
004675

Type Of Body
Make - Model
LPO 1610 TC

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2006 1 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4119


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,50,000

4,50,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
9,288.00

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,573.00

BASIC TP TOTAL

22,577.00

LESS :RO UNDERWRITER DISCOUNT

929.00

BASIC OD COVER

ADD :PA FOR OWNER DRIVER-GR36A

100.00
100.00
22,777.00
25,563.00

BASIC OD TOTAL

2,786.00

OD TOTAL

2,786.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

MOTOR TOTAL OD

2,786.00

TOTAL PREMIUM
STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

128.00

ADD :Swachh Bharat Cess

128.00

ADD :SERVICE TAX


TOTAL AMOUNT

3,579.00
29,398.00

Deductibles under Section-I : Compulsory Deductible 500


Subject to IMT Endorsement Printed herein/attached to : IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4119


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 07-JUL-16
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

RAJAN A.

Examined By

JOHN K.S.

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4120

Prev Policy No

: -

Cover Note No

: 4400001113071

Cover Note Dt

: 06/07/2016 00:00

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: SHOP NO-4 GRD FLR


COSMOPOLITAN CHS,
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 07/07/2016 TO MIDNIGHT OF 06/07/2017
Collection No & Dt

: CHQCSH 9514003476 - 07/07/2016

Gross Premium

: 25,563

Service Tax :

Geographical Area : INDIA

3,835

Stamp Duty :

.5

Total :

29,398

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place

Engine No. &


Chassis No.

MH 06 AC 4170
Pen - Pen

60062465683
CPZ004674

Type Of Body
Make - Model
LPO 1610 TC

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2006 1 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4120


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,50,000

4,50,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
9,288.00

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,573.00

BASIC TP TOTAL

22,577.00

LESS :RO UNDERWRITER DISCOUNT

929.00

BASIC OD COVER

ADD :PA FOR OWNER DRIVER-GR36A

100.00
100.00
22,777.00
25,563.00

BASIC OD TOTAL

2,786.00

OD TOTAL

2,786.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

MOTOR TOTAL OD

2,786.00

TOTAL PREMIUM
STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

128.00

ADD :Swachh Bharat Cess

128.00

ADD :SERVICE TAX


TOTAL AMOUNT

3,579.00
29,398.00

Deductibles under Section-I : Compulsory Deductible 500


Subject to IMT Endorsement Printed herein/attached to : IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4120


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 07-JUL-16
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

JOHN K.S.

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4121

Prev Policy No

: -

Cover Note No

: 4400001113072

Cover Note Dt

: 05/07/2016 00:00

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: SHOP NO-4 GRD FLR


COSMOPOLITAN CHS,
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 07/07/2016 TO MIDNIGHT OF 06/07/2017
Collection No & Dt

: CHQCSH 9514003476 - 07/07/2016

Gross Premium

: 25,563

Service Tax :

Geographical Area : INDIA

3,835

Stamp Duty :

.5

Total :

29,398

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 06 AC 4270
Pen - Pen

Engine No. &


Chassis No.
62461536
064112

Type Of Body
Make - Model
LPO 1610 TC

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2006 1 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4121


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,50,000

4,50,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
9,288.00

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,573.00

BASIC TP TOTAL

22,577.00

LESS :RO UNDERWRITER DISCOUNT

929.00

BASIC OD COVER

ADD :PA FOR OWNER DRIVER-GR36A

100.00
100.00
22,777.00
25,563.00

BASIC OD TOTAL

2,786.00

OD TOTAL

2,786.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

MOTOR TOTAL OD

2,786.00

TOTAL PREMIUM
STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

128.00

ADD :Swachh Bharat Cess

128.00

ADD :SERVICE TAX


TOTAL AMOUNT

3,579.00
29,398.00

Deductibles under Section-I : Compulsory Deductible 500


Subject to IMT Endorsement Printed herein/attached to : IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4121


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 07-JUL-16
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

JOHN K.S.

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4122

Prev Policy No

: -

Cover Note No

: 4400001113073

Cover Note Dt

: 05/07/2016 00:00

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: SHOP NO-4 GRD FLR


COSMOPOLITAN CHS,
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 07/07/2016 TO MIDNIGHT OF 06/07/2017
Collection No & Dt

: CHQCSH 9514003476 - 07/07/2016

Gross Premium

: 25,563

Service Tax :

Geographical Area : INDIA

3,835

Stamp Duty :

.5

Total :

29,398

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 06 AC 5570
Pen - Pen

Engine No. &


Chassis No.

Type Of Body
Make - Model

60C62461541
LPO 1610 TC
442061CTZ00467
3

G.V.W
Aluminium
container van

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

16200

2006 1 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
07/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4122


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

Total Value

4,50,000

4,50,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE

B. LIABILITY
9,288.00

ADD :BASIC TP COVER

22,577.00

LESS :BO UNDERWRITER DISCOUNT

5,573.00

BASIC TP TOTAL

22,577.00

LESS :RO UNDERWRITER DISCOUNT

929.00

BASIC OD COVER

ADD :PA FOR OWNER DRIVER-GR36A

100.00
100.00
22,777.00
25,563.00

BASIC OD TOTAL

2,786.00

OD TOTAL

2,786.00

ADD :LL-PAID DRIVER,


CONDUCTOR,CLEANER-IMT-40
TP TOTAL

MOTOR TOTAL OD

2,786.00

TOTAL PREMIUM
STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

128.00

ADD :Swachh Bharat Cess

128.00

ADD :SERVICE TAX


TOTAL AMOUNT

3,579.00
29,398.00

Deductibles under Section-I : Compulsory Deductible 500


Subject to IMT Endorsement Printed herein/attached to : IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

Hire Purchase/Lessor Agreement with: In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
IMPORTANT NOTICE
Place
:
The
Insured
is not Indemnified if the vehicle is used or driven otherwise than in accordance with For
thisSchedule.Any
payment
and on behalf of
The
Oriental
Insurance
Company
Limited
07/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4122


The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 07-JUL-16
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

Rohit Menon A

Examined By

JOHN K.S.

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

07/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4428

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 16/07/2016 TO MIDNIGHT OF 15/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4891
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ406299
ASHOK LEYLAND Aluminium
MB1CTDYC8EEA TAURUS 2516H3/4 container van
M8636

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4428


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4428


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4424

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 70820335

Issue Office Code : 443100

Insured's Name

: M/S.GEEKOM TECHNOLOGIES PVT


LTD

Issue Office Name : DO BADAGARA

Address

: GATE NO.20/1,LONIKAND BEHIND


TULSI HOTEL,PUNE NAGAR
ROAD,TAL HAVELI,PUNE-411028

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 16/07/2016 TO MIDNIGHT OF 15/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4892
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EYEZ408096
ASHOK LEYLAND Aluminium
MB1CTDYC9EEY TAURUS 2516H3/4 container van
N0447

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
14/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4424

and coming under the purview of Workmen's Compensation Act 1923.


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Place :
Date :

14/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4424


Hire
Purchase/Lessor
Agreement
Hypothecation
Agreement
with: with: - INDUSIND BANK LTD
In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 14-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

14/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4430

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 16/07/2016 TO MIDNIGHT OF 15/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4893
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ406689
ASHOK LEYLAND Aluminium
MB1CTDYC6EEA TAURUS 2516H3/4 container van
M8635

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4430


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4430


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4362

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 14/07/2016 TO MIDNIGHT OF 13/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4894
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ406862
ASHOK LEYLAND Aluminium
MB1CTDYC7EEA TAURUS 2516H3/4 container van
M9180

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4362


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4362


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4359

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 14/07/2016 TO MIDNIGHT OF 13/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4895
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ407891
ASHOK LEYLAND Aluminium
MB1CTDYCOEEY TAURUS 2516H3/4 container van
N0448

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4359


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4359


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

JOHN K.S.

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4357

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 14/07/2016 TO MIDNIGHT OF 13/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 32,039

Service Tax :

Geographical Area : INDIA

4,805

Stamp Duty :

.5

Total :

36,844

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4896
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EYEZ408094
ASHOK LEYLAND Aluminium
MB1CTDYC7EEY TAURUS 2516H3/4 container van
N0446

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4357


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

1,764.00

MOTOR TOTAL OD

7,056.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

32,039.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

160.00

ADD :SERVICE TAX

4,485.00

ADD :Swachh Bharat Cess

160.00

TOTAL AMOUNT

36,844.00

* NCB discount - 20 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4357


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4425

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 16/07/2016 TO MIDNIGHT OF 15/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4897
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ407311
ASHOK LEYLAND Aluminium
MB1CTDYC5EEY TAURUS 2516H3/4 container van
N0445

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4425


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4425


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4361

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 14/07/2016 TO MIDNIGHT OF 13/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4898
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ406883
ASHOK LEYLAND Aluminium
MB1CTDYC4EEA TAURUS 2516H3/4 container van
M8972

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4361


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4361


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4426

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 16/07/2016 TO MIDNIGHT OF 15/07/2017
Collection No & Dt

: CHQ 9514003746 - 14/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4899
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EAEZ406885
ASHOK LEYLAND Aluminium
MB1CTDYC8EEA TAURUS 2516H3/4 container van
M8975

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4426


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4426


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

MOTOR INSURANCE CERTIFICATE CUM POLICY SCHEDULE


GCCV-PUBLIC CARRIERS OTHER THAN THREE WHEELERS
PACKAGE POLICY - ZONE C
Policy No

: 443100/31/2017/4358

Prev Policy No

: -

Cover Note No

: -

Cover Note Dt

Insured's Code

: 72303341

Issue Office Code : 443100

Insured's Name

: M/S GEEKOM LOGISTECH PVT LTD.

Issue Office Name : DO BADAGARA

Address

: GATE NO.20,LONIKAND H D
PLOT NO-182/C, SEC-17 NERUL,
NAVI MUMBAI -400703.

Address

Tel /Fax /Email

/ / 0 / NA

: DIVISIONAL OFFICE
Rajaram Building, Second Floor,
Opp. New Bus Stand,Badagara , Calicut
Dist.
KERALA 673101
: 0496 2525062 / 0 /
443100@orientalinsurance.co.in

Tel /Fax /Email

Agent/Broker Details
Dev.Off.Code
: NA0000003349 MR A RAJAN,
Agent/Broker

: BA0000134685 VASU. T. K.

Address

: THEVARKANDI THAZHAKUNI,,VAIKKILASSERY POST,,VATAKARA,


KOZHIKODE,CALICUT,KERALA,673104

Tel /Fax /Email


: //9447014120//vasutk9@gmail.com
Period of Insurance : FROM 00:00 ON 14/07/2016 TO MIDNIGHT OF 13/07/2017
Collection No & Dt

: CHQ 9514003688 - 13/07/2016

Gross Premium

: 31,598

Service Tax :

Geographical Area : INDIA

4,740

Stamp Duty :

.5

Total :

36,338

Area Extension :
Particulars of Insured Vehicle:

Registration
Mark & Place
MH 12 KP 4901
Pune - Pune

Engine No. &


Chassis No.

Type Of Body
Make - Model

EYEZ408097
ASHOK LEYLAND Aluminium
MB1CTDYC7EEY TAURUS 2516H3/4 container van
N0429

G.V.W

Year Of Seating Cap Cubic


Manf.
(incl Driver) Capacity

25000

2014 2 + 1

Limitations as to Use
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 Vehicles Act 1988.
1

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.
Place :
For and on behalf of
The
Oriental
Insurance Company Limited
12/07/2016
Date :

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 1 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4358


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.
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
Insured's Declared Value (IDV)
For the
Vehicle

For Trailers

Non Electrical
Accessories

Electrical
Accessories

Value of CNG
LPG Kit

15,00,000

Total Value
15,00,000

SCHEDULE OF PREMIUM
A. OWN DAMAGE
BASIC OD COVER

B. LIABILITY
29,400.00

LESS :RO UNDERWRITER DISCOUNT

2,940.00

LESS :BO UNDERWRITER DISCOUNT

17,640.00

BASIC OD TOTAL

8,820.00

OD TOTAL

8,820.00

LESS :NO CLAIM BONUS-GR27

2,205.00

MOTOR TOTAL OD

6,615.00

ADD :BASIC TP COVER

24,708.00

BASIC TP TOTAL

24,708.00

ADD :PA FOR OWNER DRIVER-GR36A

100.00

ADD :LL TO NFPP - EXCLUDING


EMPLOYEES (OWNER OF GOODS)IMT-37A
ADD :LL-PAID DRIVER,
CONDUCTOR,CLEANER-IMT-40
TP TOTAL

24,983.00

TOTAL PREMIUM

31,598.00

75.00

100.00

STAMP DUTY

0.50

ADD :Krishi Kalyan Cess

158.00

ADD :Swachh Bharat Cess

158.00

ADD :SERVICE TAX

4,424.00

TOTAL AMOUNT

36,338.00

* NCB discount - 25 %
Deductibles under Section-I : Compulsory Deductible 500, Compulsory Deductible 1500
Subject to IMT Endorsement Printed herein/attached to : IMT-6 , IMT-21 , IMT-37A , IMT-40 , IMT-23
(Details of IMT Endorsements and GR also available on internet TAC website www.tac.org.in)
Hypothecation Agreement with:

INDUSIND BANK LTD

Hire Purchase/Lessor Agreement with: Place :


Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 2 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

Attached to and forming part of policy number 443100/31/2017/4358


In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured
will comply with the provisions of the AML policy of the Company.The AML policy is available in all our operating Offices as
well as company's website.
The insurance under this policy is subject to conditions, clauses, warranties, exclusions, IMTs and OIC
endorsements mentioned herein above which are available on Company's website: www.orientalinsurance.org.in or
on demand from the policy issuing office
WARRANTED THAT AT NO TIME THE GROSS LADEN OF WEIGHT OF THE VEHICLE EXCEEDS THE GROSS
VEHICLE WEIGHT MENTIONED IN THE SCHEDULE OF THE POLICY.
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.
25% will be deducted from Claim Amount in the absence of Spot Survey.
No claim is admissible if driving license is found fake or is not valid,whether or not in the knowledge of the insured.
In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
DO BADAGARA on 12-JUL-16
IMPORTANT NOTICE
The Insured is not Indemnified if the vehicle is used or driven otherwise than in accordance with thisSchedule.Any payment
made by the Company by reason of wider terms appearing in the Certificate in order to comply with the MVAct, 1988 is
recoverable from the Insured. See the Clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY".

Entered By

SASEENDRAN K P

Examined By

Rohit Menon A

For and on behalf of


The Oriental Insurance Company Limited

Authorised Signatory

Place :
Date :

12/07/2016

For and on behalf of


The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll


Free No. 1800 11 8485 and 011 33208485.
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rup

Authorised Signatory
Page 3 of 3

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in