ICICI LOMBARD General Insurance Co. Ltd.

QUOTATION
IDV of the Vehicle[A] 280000.00 Vehicle's Cubic Capacity 998
Year of Manufacture 2016 Zone A

Own Damage Premium(A) Rupees Liability Premium(B) Rupees

Vehicle Basic Rate 3.127 Liability Premium (TP) 1850.00
Basic for vehicle 8755.60 CNG/Fuel Kits 0.00
Discount on OD premium 3502.24 PA owner driver 750.00
Basic OD premium after 5253.36 PA benefits for unnamed pass. 500.00
discount
Electric/Electronics accessories 0.00 LL to paid driver 50.00
CNG/Fuel Kits 0.00
Total Basic premium 5253.36
Anti-theft Discount 0
Automobile associate 0
Membership discount
Basic own damage premium 5253.36
Total Own Damage Premium 5253.36
No Claim Bonus 0.00
Net Own damage premium 5253.36
Zero Dep Premium 2380.00
Net Own Damage Premium (A) 7633.36 Total Liability Premium (B) 3150.00

Total Premium before Service Tax (A+B) 10783.36

GST @18% 1941.00
Final Premium 12724.0

Kindly pay cheque/DD in favor of ICICI LOMBARD General Insurance Co. Ltd..

Documents Required:-

1. Previous Policy Copy

2. RC copy
Note : In case of any claim, NCB will be revised and hence Quotation is Subject to Change.