Insured Declared Value incl. Non elec Accessories Rs. 583,200 Age of Vehicle as per Yr of Manf. Upto5Yrs Elec Acc value (IMT 24) Rs. - Zone B Bi Fuel System (IMT 25) Rs. - Cubic Capacity 1001to1500 Invoice value Seating Capacity 5 Policy Period (in Months) Above 8 100% Type of Cover Comprehensive Premium Calculation OD Calculation TP Calculation Basic OD Rs. 18,610 Basic TP Rs. 1,110.00 Do you wish to restrict TPPD Elec Acc (IMT 24) Rs. - Cover to Rs 6000/- No Rs. 1,110.00 Does the vehicle carry Manf fitted Bifuel/CNG Kit (IMT 25) N Rs. - Bi Fuel system (IMT 25) Rs. - Basic OD Rs. 18,610 Basic TP1 Rs. 1,110.00 PA to Owner Driver Y Rs. 100.00 Unnamed PA to Passangers (IMT 16) 50000 Rs. 125.00
LL to Paid Driver (IMT 28) N Rs. -
Voluntary Excess 0 Rs. - Anti Theft (IMT 10) N Rs. - Basic TP2 Rs. 1,335.00 Handicap (IMT 12) N Rs. - AAI (IMT 8) No - Basic TP Premium Rs. 1,335.00 Rs. 18,609.91 NCB 20% Rs. 3,722 ###### Break Up for addon Plan Code Add on Premium Loading/Discount (%) -45.0% Rs. (6,700) Depreciation Cover B2 Rs. - Add on Cover Package MidSize Second Year Not Required Hospital Cash Cover HA Rs. - Segment Of Vehicle MidSize 0.0% Medical Expenses Cover MA Rs. - Vehicle Type Second Year Rs. 8,188 Ambulance Charges Cover S5 Rs. - Invoive Price Cover No Invoice Price Cover - Rs. - Vehicle Type New Vehicle Rs. - 0 Road Side Assistance Cover - Rs. - Roadside Assistance Cover No Rs. - 0 Total Add On Premium Rs. - Total OD Premium Rs. 8,188.00 Total TP Premium Rs. 1,335.00 -45.0 Total Premium Rs. 9,523 -45.000 S.Tax @ 12.36% Rs. 1,177 -45.000% Total payable Rs. 10,700 Version 1.23