Policy Schedule Motor Vehicle Third Party Liability

Branch/Agency: ONLINE AGGREGATORS Code: TP/755897/PL Policy No : 20081924

Endorsement No. :0
Insured Name : VIJAYA SRINIVASA RAO GUDISEVA

ID No : 2402389767

Address : 3260 -
-
ALHAFOUF - 36441 - 8590
Occupation : Other
Period of Insurance : 2021-08-29 To: 2022-08-28
Contribution : 510.00 SR
Admin Fee : 25 SR
Surplus : 0.0 SR

No Claim Discount : 0.00 SR

Loyalty Discount : 0.00 SR
Claims loading : 0.00 SR

Vatable Amount : 535.00

VAT Amount (15%) : 80.25 SR

Total Contribution : 615.25 SR

Commission Amount : 10.7

- Geographical scope: Kingdom of Saudi Arabia

Added Vehicle(s)
Effective Year of Seat * Benefits and
Make/Model/Body Type Chassis No Serial Number Plate Number Contribution Usage Type
Date Mfg. Capacity Extensions

2021-08-29 TOYOTA / YARIS / SEDAN MHFBW9F38G5064009 532622510 2016 5 ‫ ﺡ ﻩ ﻱ‬3834 510 SR

* these are as described below:

Tawuniya VAT\Tax Registration No.300002788500003

 Conditions :-
- All other terms and conditions as per Tawuniya standard policy.
- Excluding any liability or expenses caused by or arising whilst exceeding the red traffic signal by the Insured
or the Authorized Driver or drive the Motor Vehicle in the contrary direction .
- Excluding any liability or expense sustained or incurred whilst the motor vehicle insured under this Policy is
being used otherwise than in accordance with the Limitations as to the Use indicated in the Policy Schedule.
- Excluding cover whilst the Motor Vehicle is being driven by any person under 18 years of age for new policy
and renewals issued on 26/08/2018. Otherwise, the driver of the vehicle is less than 21 years old for new
policy and renewals issued prior to the date of 26/08/2018
- Excluding use as a tool of trade.
- Warranted that all drivers be duly licensed.
- Every claim must be accompanied by a police report.
- Excluding Aviation Liability.
- Excluding Airside Liability.
- Excluding cover whilst the vehicle is being driven by any driver who is not licensed to drive such vehicle .
- Excluding cover whilst the vehicle is used for the purpose not legally meant for .

Limits of Liability :-
- Third Party Liability Limit in respect of Death and/or Bodily Injury and Property Damage per any one
occurrence shall not exceed SR.10,000,000.

Limitation of use :-
- Social Purposes, domestic & personal.

Driver Warranty :-
- It is warranted that any person driving the insured motor vehicle holds a valid driving license to drive such a
motor vehicle as so required by the Saudi Authorities

Value Added Tax :-

- The amounts stated in this policy and its endorsements have been charged VAT - where applicable -
according to the prevailing rate as per KSA VAT LAW

Tawuniya VAT\Tax Registration No.300002788500003

 Plate Number Driver Name Driver ID Birth Date Gender

‫ ﺡ ﻩ ﻱ‬3834 VIJAYA SRINIVASA 2402389767 1976-06-26 Male

GUDISEVA

Tawuniya VAT\Tax Registration No.300002788500003