Servicing Office

Service Office : IFFCO TOKIO GEN INS CO LTD, Bandra Retail office 181
IFFCO Bhawan 3rd Floor, Waterfield Road, Opp National College
BANDRA MAHARASHTRA
IFFCO-TOKIO GENERAL INSURANCE CO. LTD INDIA 400050
Regd. Office: IFFCO SADAN, C1 Distt Centre,Saket,New Delhi- 110017 Phone#: 022 61487434
Goods Carryiing Liability Policy Agent Name : Mishra, Nitin
Corporate Identification Number (CIN)u9878OLK1563457, Agent #: 400006757
IRDA Reg. No. 106 Agent Mobile#: 9176624189
Insured's Name : MR.CHANDRASHEKAR S BIRADAR Policy #: 7986456315 P400 Policy #:
Address : AT- AMRUT HIRA PATIL NIWAS SHIVAJI NGR BALKUM Date of Insurance 24/01/2018
TAL-BHIWANDI,DIST-THANE Pin Code Period of Insurance From : 24/01/2018 14:09:21
INDIA To: Midnight On 23/01/2019 23:59:59
Phone# : 0000000000 Cover Note #: Geographical Area : WithiIn India Only

Registration Make of Vehicle Engine No. Seating Capacity

Year of Manuf. GVW Coverage IDV in Rs
Marks & No 60595
MAHINDRA P/VAN
MODEL Chassis No
MH04DK2185 2007 2523 Liability - 2
ICV CLASS A-1 GVW LT 7500 55285
Vehicle Trailer Non Electrical Acc. Electrical Acc. Bi-Fule Kit Total Value Gross Premium Rs.
16980.00
A. Own Damage Amount Rs. B. Third Party Amount Rs.
Basic Premium Basic Premium 14390.00
Electrical Accessories (IMT 24) Trailers (IMT 30)
Bi Fuel Kit (IMT 25) Bi Fuel Kit (IMT 25)
Add. Add
Rallies (IMT 31)
Foreign Vehicle Loading (IMT 19) Legal Liability to Driver (IMT 28)
Geographical Area Exth (IMT 1) Legal Liability to Employees (IMT 29)
Trailers (IMT 30) PA to Passengers (IMT 16)
Usage Rallies (IMT 31)
Less PA Owner:Driver CSI Rs 200000 0.00
Voluntary Excess Less (IMT 22A) Geographical Area Extension (IMT 1)
Anti Theft Device (IMT 10)
Automobile Association (IMT 8) Less:
Handicap Discount (IMT 12) Third Party Property Damage (IMT 20)
Vehicle Use (IMT 13) Limit of Liability Under Section II-I (ii)
No Claim Bonus
Special Discount
Any Other Loading/Discount Any Other Loading/Discount
Net (A)
Name Type % Net (B) 14390.00
Total Preminum 14390.00
Co-insurance CGST 9% 1295.00
Details SGST 9% 1295.00
Premium Paid 16980.00
Under Hire Purchase/Hypo/Lease Agreement with :-NA
Subject to IMT Endorsement Nos. 28 Printed herein / attached hereto
Limitation as to use: Driver Clause:
Goods Carrying Vehicles - Class A
Use Only for Carriage of goods within the meaning of the Motor Vehicle Act. Any person including insured provided that the person driver
The Policy Does not Cover. holds an effective driving license. Provided also that the person
1. Use for Organised racing, pace making, reliability trail or speed testing. holding an effective learner's liscense may also drive the
2.Use whilst drawing a trailer except the (other than reward) of any one disabled mechanically propelled vehicle. vehicle and that such a person satisfies the requirements of
3.Use for carrying passengers in the vehicles: except employees (other than the Driver) not exceeding the number Rule 3 of The Central Motor Vehicles Rules, 1989.
permitted in the registration document and coming under the purview of workmen's Compensation Act 1923.
Use of Trailers No Claim Bonus: The insured is entitled for a No Claim
Where additional premium paid for Trailers amend (2) to read: Bonus (NCB) on own damage section of the policy, if no claim
Use whilst towing any trailer/s, except the trailers/s insured with the company, or the towing (other than for reward) is made or pending the preceding year(s) as mentioned
of any one disabled mechanically propelled vehicle. is made or pending the preceding year(s) as mentioned
Period of Insurance percentage of NCB on OD Premium Under Section II-I (i) - Such amount as is necessary to meet the requirement of the Motor Vehicle Act, 1988.
The preceding Year 20% Under Section II-I (ii) - As per premium computation table
Preceding 2 consecutive years 25% Under Section III - PA Owner - Driver as per premium computation table
Preceding 3 consecutive years 35% Deductible under section l - A
Preceding 4 consecutive years 45% Goods Carrying Vehicles
Preceding 5 consecutive years 50% Not exceeding 7500 kg. GVW 500/-
Service Tax No. D-III/ST/R-IV/GEN INS/01/03 Exceeding 7500 kg. GVW but not exceeding 16500 Kg. GVW 1000/-
Exceeding 16500 kg. GVW 1500/-
No Claim Bonus will only be allowed, provided the policy is renewed within 90 days of the expiry of the previous policy. For IFFCO- TOKIO General Insurance Co. Ltd
I/we hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued
accordance with the provisions of Chapter X and XI of M.V.Act.1988.

In the event of Claim Call 1854-345-3333 (Toll Free) or SMS "CLAIM" to 6161 Authorized Signatory
Corp, Off. 4,5th Floor, IFFCO Tower, Plot No. 3, Sector 29, Gurgaon- 122 001.
Underwriting Hub - AFL House, 2nd Floor, Lokbharti Complex, Marol Maroshi Road, Andheri (E), Mumbai - 400 059.
Tel.:91-22-6765 1234 . Fax: 91-22-2320 3580/2920 0302 . e-mail: customersupport.mumbai@itgi.co.in . Website - www.itgi.co.in