UNITED INDIA INSURANCE COMPANY LIMITED 1ST FLOOR, NILKANTH AVENUE-1 NR. C. U. SHAH COLLEGE, NAV JIVAN PRESS ROAD AHMADABAD - 380014 GUJARAT PH: (79) 27546652 FAX: (79) 27546653 EMAIL: PRIVATE CAR - PACKAGE POLICY UIN: IRDAN545RP0047V01199900 POLICY NO.:0677003120P108677318 VEHICLE NO.:GJ - 01 - RG - 8793 PERIOD OF INSURANCE From 00:00 Hrs of 03/11/2020 To Midnight of 02/11/2021 Insured MR RAJENDRA JAYENDRARAI JOSHIPARA 401, RAIVANSH SOC, NR. JUDGES BUNGLOW, BODAKDEV, AHMEDABAD. DIST. : AHMADABAD, GUJARAT 380001 AHMADABAD. GUJARAT CONTACT NUMBER: 9825500247 (M) ‘mWwonraN NOTICE: KINDLY UPOATE YOUR AADHAAR NO. AND PAN/FORM 6D. PLEASE IGNORE IF ALREADY UPDATED. ‘The genuineness of the policy can be verified through “Verity Your Polley” link at www ull. con For any Information, Service Requests, Claim intimation and Grievances please write to 067700@uiie.co.in fond Customer Appel. a), REGD,B HEAD OFFICE 24, WHTES ROAD, CHENAAL £0004, Website: nspid/uaw.uleceo Printed By : CUSTOMER © 04/11/2020 1:39:07 PMPRIVATE CAR PACKAGE POLICY VIN: IROANS45RP0047V01159500 Fae Na, srrousiz0PiOse77Si8 ravious Polley Naz PILOT LTPSTSTIST nsures Oetars —feustomer 14 Bs010s08z0s, Name MR RAJENDRA JAYENDRARAI JOSHIPARA 210) ica) | Trax [rai rajendrajoshipara@gmall.com Mobile: 9875500247 usiness / Occupation one eviod of insurance [From 00°00 Hrs of 03/11/2030 To Midnight of 3/11/2031 Escinsurance Twpel Paniculars of Vehicle Insured sepa sree] 252!8t® | engine no Chassis No. [oakey moaer] Tyegef | Yearof | cubic | tuain Vehicle uray Vehicle al Boy Mfg apacitysxwy eng ONDA 33-01- RG 115z11704339}aaKoD47s3ENo02697] MOTORS / -ptzne No 1821170439 33EN002657] fomrtto. | Saloon | 2014 7 TesMT eureds Dedired Valve 257000. 3 z 2 Saar RegsTavon Author Auta Assocation Nemibersip No,|Gaograptical rem Tienes ‘ior aimeoana ho Persons or classes of persons entitied to drive imGUNE In words: Nine thousand one hundred ffy-tive rupees only ny person including Insured praviced that 2 person hold an effective driving licence at the time of accident and Is not disqualified from ‘olaing or obtaining such 2 licence, Provided also that tne person holding an effective Learner's Licence may also érive the vehicle and ) Carriage of Goods (other than samples or personal luggage) ich a person satieties the requirements of Rule 3 of Control Motor Vehicle Rule, 1989, [imitations as to use Premium: ERETET he polley covers use only under a permit within the meaning of [eGsT(a%e) 698.01 Woter Vehicles Aet, 1988 or such a carriage Yaling under Subsection sesT(S%b} 698.01 of Section 66 of the Motor Vehicles Act, 1988, fame Dah a rhe policy does net cover use for Peer om isso receipt number 01 0677002010820139: y inder Section It (1) Death or bodily Injury in respact of any one ccident, AS per Motor Vehicles Act 1988 Inder Seetion 11-1 (I) Damage to third party property In resgect of ny one claim or series of claims arising aut of one event: & Ksicwa INS. SROKING PVT. LTD. Direct dusiness fbevelopment 50000, ) reat a fessacoa tas >) Speed Testing and Reliability Trails [DebitNote Number: ‘) Use in connection with Motor Trade Pocument Date: srsonal Accident covers for Owner-Driver CSI: © 1500000 “This policy is subject to terms and conditions and IMT Endorsement Nos, printed ne attached hereto 16,22,28 impased Excess o aluntary Excess o. ‘ampulsory Excess Tan‘SCHEDULE OF PREMTUM (INS) tom @ sis25 | Less PA for Unnamed persons z 350.00 No Claim Bonus 20% z 965.85 | LL to Paid Driver IMT 28 z 50.00 ‘Sub Total (Deductions) z 965.85, ‘Sub Total (Additions) g 675.00 reat 0008) 3,963.00 Gross TP(B) Z 3,896.00 roe 09 & 7 @ 7,758.00 WARRANTED THAT IN CASE OF DISHONOUR OF PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED "Al INITIO" THE INSURED IS NOT INDEMNIFIED IF THE VEHICLE 1S USED OR DRIVEN OTHERWISE THAN IN ACCORDANCE WITH THIS SCHEDULE. ANY PAYMENT MADE BY THE COMPANY BY REASON OF WIDER TERMS APPEARING IN THE CERTIFICATE IN ORDER TO COMPLY WITH THE MOTOR FC SAL INTERPRETATION, ENGLISH VERSION WILL HOLD GOOD. [Customer GST/UIN Nes office GST Nos BaARRCUSSSECIEN [SAC Code: lpa7i invoice No. & Date: [51201108677316 & 02/11/2020 [Amount Subject to Reverse Charges-NIL [Anti Money Laundering Clause:-In the event of 9 claim under the policy exceeding € 1 lakh or a claim for refund of premium exceeding T'iakh, the Insured mill comply with the provisions ot AML policy ef the company. the AMC policy is available in all cur operating offices as well as Company's web sit LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT httos://pledae.cve.nic.in. Date of Proposal ane Declaration: 02/11/2020 IN WITNESS WHEREOF, this poliey has been signed at DO 7 AHMEDABAD 067700 on this O2nd day of November 2020. For and On behalf of United india Insurance Co, Ltd. Affix Policy Stamp here, Duly Constituted attorney: Underwritten By - KET21465 ( DO UNDERWRITER )PRIVATE CAR PACKAGE POLICY UIN: TRDANS4SRP0047V01199900 Whereas the Insured by a proposal and declaration dated as stated In the Schedule which shall be the basis of this contract and is Gerad to be incorporated herein has applied to the Company for the insurance hereinafter contained and has pale the premium mentioned in the schedule a8 consideration far such insurance in respect of accidental lass ar gomage securing curing the period of NOW THIS POLICY WITNESSETH: ‘That subject to the Terms Exceptions and Conditions contained herein or endorsed or expressed hereon; SECTION - 1. LOSS OF OR DAMAGE TO THE VEHICLE INSURED 4. __The Company will indemnify the Insured against loss or damage to the vehicle Insured hereunder and / or Its accessories whilst by fire explosion self ignition or lightning i, By burglary housebreaking or theft; Hi By rt ang strikes Iv. By earthquake (fire ané shock damage): \. by flood typhoon hurricane storm tempest inundation cyclone hallstorm frost Vin by accidental external means: vi. by malicious act; Vill. By terrorist activity; xs whtst in transit by road rail inland~ waterway lift elevator or air; x by langslige rockslide; Subject to a deduction for depreciation at the rates mentioned below in respect of parts replaced (1) For all rubber/ nyton/ plastic parts, tyres and tubes, batteries ane alr bags 50% (2) For fibre glass components 30% (3) Far all parts made of glass Nil (4) Rate of depreciation for al ot ler parts including wooden parts wil be as per the following schedule (GE OF VERTCLE % OF DEPRECIATION jot exceeding 6 months Ni [Exceeding 6 months but not exceeding 1 year Ea [Exceeding 1 year but not exceeding 2 years B08 [exceeding 2 years bul nol exceeding 3 years 536. lexcescing 3 years but not exceeding 4 years. 25% ceeding 4 years but ot exceeding 5 years 35% lexcessing 5 year but not exceeding 10 years 40% xcoeaing 10 years 50% (5)Rate of Depreciation for Painting: In the case of painting, the depreciation rate of 50% shall be applied enly on the material cost of fatal painting charges. In case of consolicated bill for painting charges, the material companent shall be considered as 25% of {otal painting charges for the purpose of applying the depreciation 2. The Company shall not de lable to make any payment in respect of (2) consequential loss, depreciation, wear and tear, mechanical or electrical breakdown failures or breakages. (©) damage to tyres and tubes unless the vehicle insured Is damaged at the same time in which case the liability of the company shall be limited to 50% of the cost of replacement (c) any accidental loss or damage suffered whilst the insured or eny person driving the vehicle with the knowledge and consent of the Insured le under the influence of Intoxiesting quar or drugs 3. _In the event of the vehicle being disabled by reason of loss or damage covered under this Policy the Company will bear the ‘asonable cost of protection and removal to the nearest repairer and redelivery to the insured but nol exceeding tn all Rs. 1500/- in respect of any one accident. 4. ‘The insured may authorise the repair of the vehicle necess provided that 3) the estimated cost of such repair including replacements, if any, does not exceed Rs.500/ 8) the Company Is furnished forthwith with a-detalled estimate of the cost of repairs; and £6) the insured shall give the Company every assistance to see thet such repair is necessery and the cherges are reasonable. red by damage for which the Company may be liable under this Policy‘SUM INSURED - INSURED'S DECLARED VALUE (IDV) ‘The Insureds Declared Vatue (IDV) of the vehicle will be deemed to be the SUM INSURED for the purpose of this polley which is fixed at tne commencement af each policy period for the Insured vehicle The IDV of the vehicle (and accessories if any fitted to the vehicle) isto be fixed on the basis of the manufacturers listed selling price of the brand and model as the vehicle Insured at the commencement of Insurance/renewal and adjusted for depreciation (as per sehedule below. ‘The schedule of age-wise depreciation as shown below is applicable for the purpose of Total Loss/Constructive Total Loss (TL/CTL) claims only ‘THE SCHEDULE OF DEPRECIATION FOR FIXING IDV OF THE VEHICLE INot exceeding 6 months 5 [Exceeding 6 months but not exceeding 1 year 15% lexceesing 1 year but not exceeding 2 years 20% xceeding 2 years but not exceeding 3 years 30% [exceeding 5 years but not exceeding 4 years 40% xcoeding 4 years but not exceeding 5 years 30% IDV of vehicles beyond 5 years of age and of obsolete models of the vehicles (|e, models which the manufacturers have discontinued to manufacture) is to be determined on the basis of an understanding between the insurer and the Insured, IDV shall be treated as the Market Value throughout the policy period without any further depreciation for the purpose of Total Loss (TL) Honstructive Total Lose (C71) claims The insured vehicle shall be treated as a CTL if the aggregate cost of retrieval and / oF repair of the vehicle, subject to terms and sof the policy, exceeds 75% of the IDV of the vehicle SECTION - II: LIABILITY TO THIRD PARTIES. 1. Subject to the limits of liability as laid down in the Schedule hereto the Company will indemnify the insured In the event of an accident caused by or arising out of the use of the Insured venicle against all sums which the Insured shall become legally lable to pay In respect of = (1) Geath of oF bodiy injury te any person including occupants carried in the vehicle ( provided such occupants are not carried for hire or reward) but except so far a5 It Is necessary to meet the requirements of Motor Vehicles Act, the Company shall not be liable where Such death or injury arises out of and in the course of the employment of such person by the insured, (li) damage to property other than property belonging to the Insured or els In trust o in the Custody or control af the Insured 2. The Company will pay all costs ang expenses incurred with Its written consent 3. _ In terms of and subject to the limitations of the indemnity granted by this section to the insured, the Company will indemnify any Stiver who is driving the vehicle on the Insurea"s order oF with insureds permission provided that such driver shall as though he/ane was the insures observe fulfil and be subject to the terms exceptions and conditions of thls Policy n so far as they apply. 4. “In the evant of the death of any person entitled to Indemnity under this policy the Company will in respect of the liabity Incurred by Such person indemnify his/her personal representative in terms of and subject ta the limitations of this Policy provided that such personal Tepresantative shall 26 though euch representative was the insured cbserve fulfil and be subject to the terms exceptions and conditions of this Policy n'so far as tney apply. 5. Tne Company may at its oWin option (8) arrange for representation at any Inquest or Fatal Inquiry in respect of any death whicn may be the subject of Indemnity under this Policy and (O)undertake the defence of proceedings in any Court of Law in respect of any act oF alleged offence causing or relating to any event which may be the subject of indemni AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY Nothing in this Policy or any endorsement hereon shall affect the right of any person indemnified by this Policy or any other person to recover an amount under oF by virtue of the provisions of the Motor Vehicles Act ur the insured shall repay to the Company all sums paid by the Company which the Company would nat have been liable to pay but for the said provisions. In the event of any accident involving indemnity to more than one person any limitation by the terms of this Policy and/or of any Endorsement thereon of the amount of any indemnity shall apply to the aggregate amount of indemnity to all persons indemnified and such indemnity shail apply In priority to the insured.‘SECTION - 111: PERSONAL ACCIDENT COVER FOR OWNER-DRIVER ‘Name Of the Nominee Age ‘Name of the Appointee(If Nominee is Minor) Relationship RE RI JOSAIPARA is BeF fe The Company undertakes to pay compensation as per the following scale for bodily injury/ death sustained by the owner-driver of the vyenicie,ia direct connection with the vehicle insured or whilst driving or mounting into/dismounting from the vehicle Insured or whilst reveling in it a6 a co-driver, caused by violent accidental external and visible means which Independent of any other cause shall within six {elendar months of such injury result In (ature of injury ‘Scale of compensation Death 00% i} Loss of two limbs or sight of two ayes or one limb and sight of ona aye 100%. Loss of one limb of sight of one eye 50% Wv) Permanent total disablement from injuries other (han named sbove 700% Provided always thet 1). compensation shall be payable under only one of the items (i) to (Iv) above in respect of the owner-driver arising out of any one ccurrenee and the total liability of the Insurer shall not in the aggregate exceed the sum as per schedule during any one period of 8) no compensation shall be payable in respect of death or bodily injury directly or Indirectly wholly or in part arising or resulting from or faceable te (a) intentional self injury suicide or attempted suicide physical cafect or infirmity or (b) an accident happening whilst such person is under the influence of intoxicating quot of drugs, Cy "such compensation shall be payable directly to the Insured or to his/her legal representatives whose receipt shall be the full Giscnarge in respect of the injury to the Insured ‘This cover ls subject to (2) the ovtner-drver Is the registered owner of the vehicle Insured herein (b) the owner-driver le the insured named in this pay. (©) the owner-driver holds an effective driving licence, in accordance with the provisions of Rule 3 of the Central Motor Vehicles GENERAL EXCEPTIONS ( Applicable to all Sections of the Policy) ne Company shallot be hable under this Policy in respect of 1° any accidental loss damage and/or liability caused sustained or incurred outside the geographical area. 2. any claim arising out of any contractual liabilty. 5. ny eccidental loss Gamage and/or Habilty caused sustained or Incurred whilst the vehicle Insured herein Is (2) Being used otherwise than in accordance with the “Limitations as to Use" (0) being driven by or is for the purpose of being driven by himyher in the charge of any person other then 2 Oriver as stated in the Driver's clause 4." ()) Any accident loss or damage to any property whatsoever or any loss or expense whatsoever resulting or arising there from or any {id any labllty of whatsoever nature directly or Indirectly caused by or contributed te by or arising fram ionising radiations or contamination by radioactivity from any auclear fuel or from any uclear waste from the combustion of nuclear fuel. For the purposes of {his exception combustion shall include any self-sustaining process of nuclear fission, 5. “Any accidental loss or damage or llablty directly oF Indirectly causes by er contributed to by or arising from nuclear weapons material 6. ‘Any accidental loss damage and/ar liability dicectly or indirectly or proximately or remotely occasioned by or contributed to by or traceable to or arising out of oF in cormection with war, invasion, the act of foreign enemies, hostilities or warlike operations (whether before or after declaration of war), civil war, mutiny rebellion, military or usurped power or by any direct or indirect consequences of any of 2 said occurrences and in the vent of any claim hereunder the Insured snall prove that the accidental loss damage anc/or Hiability {arose independently of and was in no way connected with or occasioned by or contributed to by oF traceable to any of the said occurrences Sr any consequences thereof and in defauit of suen proot the Company ahall ot be lable ko make any payment in respect of such 0 DEDUCTIBLE ‘The Company shall not be liable for each and every claim under Section - I (loss of or damage to the vehicle insured) of this Policy in Fespect of the deductible stated in the schedule ‘CONDITIONS ‘This Policy and the Schedule shall be read together and any word or expression to whieh @ specific meaning has been attached in any part Of this Policy or of the Schedule shall bear the same meaning wherever it may appear. 4," Notice shall be given in writing to the Company Immediately upon the occurrence of any accidental loss or damage in the event of hy claim and thereafter the insured shall give all suen information and assistance as the Company shall require, Every letter claim writ Summons and/or process or copy thereof shall be forwarded to the Company immediately on receipt by the insured. Notice shall alse be Sven in writing to the Company Immediately the insured shall have knowledge of any Impending prosecution inquest or fatal Injury in Fespect of any occurrence which may give rise to a claim under this policy. Io case of theft or criminal act which may be the subject of a Claim unger this Polley the Insured shall give immediate notice to the palice and co-operate with the Company in securing the convletion of fhe offender. 2, "No admission offer promise payment or indemnity shall be made or given by or on behalf of the Insured without the written consent of the Company whien shall be entitled If so desires to take over and conduct in the name of the Insured the defence or settlement of ny claim ar to prosecute in the name of the Insured for its own benefit any claim for indemnity or damages or otherwise ang shall have {il discretion in the conduct of any proceedings or in the settlement of any claim and the Tnsured shall give all such information and assistance as the Company may require 3. The Company may at its own option repair reinstate or replace the vahicle or part thereof and/or Its accessories or may pay in cash @ amount af the loss oF damage and the liability of the Company shall not exceed (a) for total loss / constructive total loss of the Vehicle = the insureds Declared Value (IDV) of the vehicle (Including accessories jeraon) a5 specified in the Schedule less the value of the wreck (b) fer partial losses, Le. losses other than Total Loss/Constructive Total Loss of the vehicle - actual and reasonable costs of repair ‘and/or replacement of parts lost/damagea subject to depreciation os per limits specified ao "rhe Insured shall take all reasonable steps to safeguard the venicle from lors or camage and to maintain it inefficient condition ‘nd the Company shall have at all times free and full access to examine the vehicle or any part thereat or any driver or employee of the sured. im the event of any accident or breaxdown, the vehicle shall nat be lelt unattendes without proper precautions being taken to prevent further damage or loss and ifthe vehicle be driven before the necessary repairs are effected any axtension of the Gamage or any further damage to the vehicle shall be entirely at the Insured" own risk 5. The Company may at any time cancel the policy on grounds of misrepresentation, fraud. non-disclosure of material fact or non Cooperation by the insured by sending seven days notice by recorded delivery to the Inaured at insured's last known address and In such ‘Cooperation by the insured by sending seven days notice by recorded delivery to the insured at insured s last known address and in such’least for Liability Only cover is produced and original Certificate of Insurance Is produced fer cancellation. 6. That the time of occurrence of an event that gives rise to any claim uncer this polley there js in existence any other insurance covering the same liability, the Company shall not be lable to pay ar contribute mare than Its ratable proportion of any compensation, ost or expense. 7.” Af any dispute or difference shall arise as to the quantum to de paid under this policy (liability being otherwise admitted), such Gitference shall independent of ail other questions be referrea ta the decision of a sole arbitrator to be appointed in writing by the parties fo\the dispute or If they cannot agree upon a single arbitrator within 30 days of any party Invoking Arbitration, the same shall be referred fo a panel of three arbitrators comprising two arbitrators one to be appointed dy each of the parties to the disaute /difference, and a third brbitrator to be appointed by such two afbitraters who shall act as the presiding arbitrator snd Arbitration shall be conducted under and In ccorzanca with the provisions of the Arsitration and Conciliation Act, 1996. itis clearly agreed and understood that no difference of dispute shall De referable to Arbitration as hereinbefore proviced, i the Company has disputed or not accepted liability under oF n respect of this policy. Its nereby expressly stipulated and declared that It shal be condition precedent to any right of action or suit upon this policy that the award by sven arbitrator/ arbitrators oF the amount of the loss or damage shall be first obtained. Tis also hereby further expressly agreed and declared that I the Company shall disclaim ability to the insuced for any claim hereunder and such claim shall not, within twelve calendar months from the date of such gisclaimer have been made the subject matter of 2 suit in a court of law, then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder 8. The due observance anc fulfillment of the terms, conditions and endorsements af this Policy in s0 far as they celate to anything te bbe done or complied with by the insurec and the truth of the statements and answers In the said proposal shall be consitions precedent to any lability of the Company to make any payment under this Poly, 3” "in the event of the death of the sole insured, this policy will not immediately lapse but will remain valid for a period of three months from the date of the death of insured or until the expiry of this policy (whichever Is earlier). During the said period, legal heir(s) of the Ingured to whom the eustody ane Use of the Motor Vehicle passes may apply to have this Poliey transferred to the name(s) of the helr(s) fr obtain a new insurance palcy for the Motor Vehicle, Where such legal heir(s) desire(s) to apply for transfer of this policy or obtain a new policy for the vehicle such heir(s) should make an applieation to the Company accordingly mithin the aforesaid period. All such applications should be accompanied by:~ '3) Death Certificate in respect of the Insured 5) Proof of title to the vehicle ©) Original PolieyNo Claim Bonus The insured is entitled for a No Claim Bonus (NCB) on the Own Damage section of the policy, ifn claim is made or pending during the preceding year(s), as per the following table riod of insurance: % OT NCB on OD premium [The preceding year 20% Prececing Two consecutive years 25% Preceding Three consecutive years 35% Preceding Four consecutive years 459% receding Five conscculive years. 50%, No Claim Bonus will only be allowed provided the poly renewed wit = 90 days af the expiry date of the previous policy NB. di- In Liability with Fire and / or Theft Only policies NCB az above will be applicable only on the Fire and / or Theft component of 2! Th Fire and / oF Theft onty policies the Insured is not entitled for NCB. IMT ENDORSEMENTS 16,22,28, IMT.16. Personal accident to unnamed passangers other than Insured and the paid driver and cleaner { For vehicles rated as Private ‘ears and Motorised two wheelers (not for hire or reward) with or without side ear) In consideration of the payment of an additional premium it is hereby understood and agreed that the Insurer undertakes to pay compensation on the scale provided below for Dodily injuries hereinafter cefined sustained by any passenger other than the insured Snd/or the paid driver atvendant or cleaner and/or a person in the employ af the insured coming mithin ene scape of the Warkmene Compensation Act, 1923 and subsequent amencments of the said Act and engaged in and upon the service of the insured at the time Such injury is sustsined whilst mounting into, dismounting from or traveling In but hot driving the Insured motor car and caused dy wiolent, ccisental, external anc visible means which Independently of any other cause shall within three calendar months of the occurrence of such injury Fesule In| Details of injury Seale of Compensation )Death 200% 1) ess of two timbs or sight af to eyes or one limb and SISK of soo % 1) Loss of one limb or sight of one eye ') Permanent Total Disablement from injuries other than o shove Provided always that (1) compensation shall be payable under only one of the items (I) to (iv) above In respect of any such person arising out of any one ‘Sccurrence and total liability of the ineurer shall not in the aggregate exceed the sum of Ke. 700000 during any ane gerlod of insurance In respect of any such person (2)'no compensation shall be payable In respect of death or Injury cirectl oF nairectly wholly oF In part arsing or resuting fram oF {@) Intentional self injury suicide or attempted suleide physical defect or infirmity or (b) an accident happening whilst such person Is under the Influence of intoxieating liquor or drugs G) such compensation shall be payable only with the approval of the insured named in the policy and directly Ais/har legal fepresentativa(s) whose receipt shall be a full discharge in respect of the injury of such person. (2) not more than 7 persons/pessengers are in the vehicle Insured at the time of occurrence of Sue Injury ‘Subject otherwise to the terms exceptions conditions and limitations of this policy. IMT.22. Compulsory Deductible (Applicable to Private Cars, thr Private car type vehicle plying for public/private hire, private ty @ Injured person or a private cars, all motorized two wh tout on private hire) lors, taxis, Notwithstanding anything to the contrary contained in the policy itis hereby understood and agreed that the insured shall bea under Section 1 of the policy in respect of each and every event (including event giving rise to a total loss/constructive total loss) the frst & 1900 (or any less expenditure which may be Incurred) of any expendicure for which provision has bean made under this pollcy and/or of any expenditure by the Insurer in the exercise of his discretion under Condition 3 of this policy. Ifthe expenditure incurred by the insurer shall Include eny amount for which the Insured Is responsible hereunder such amount shall be rapald oy the Insured to the insurer forthwith For the purpose of this Endorsement the expression "event" shall mean an event or series of events arising out of one cause in connection with the vehicle Insured in respect af which Indemnty is provided under this pelicy Subject otherwise to the terms conditions imitations anc excaption® of this Pally. IMT. 28. LEGAL LIABILITY TO PAID DRIVER AND/OR CONDUCTOR AND/OR CLEANER EMPLOYED IN CONNECTION WITH THE ‘OPERATION OF INSURED VEHICLE (For all Classes of vehicles.) In consideration of an additional premium of & 50 /- notwithstanding anything to the contrary contained in the policy It is hereby understood and agreed that the insurer snail indemnify the insured against the insuree’s legal liability under the Workmen's ‘Compensation Act, 1923, the Fatal Accidents Act, 1855 or at Common Law and subsequent amendments of these Acts prior to the date of this endorsement in respect af personal injury to any paid driver and/ar conductor and/or cleaner whilst engaged in the service of the ured In auch occupation in connection with the vehicle insured herein and will in adeition be responsible far al costs and expenses ineurred with is writen consent, Provided always that (1) this Endorsement does not indemnify the insured in respect of any liability in cases where the insured holds or subsequently effects with any insurer or group of insurers a Policy of insurance In respect of lability as herein Gefined for insureds general employees; (2) the insured shall take reasonable precautions to prevent accidents and shall comply with al statutory obligations: *(3) the insured shall keap record of the name of each paid driver conductor cleaner or persons employed in loading and/or unloading and the amount of wages and salaries and other earnings paid to such employees and shail at all times allow the insurer to inspect such facores on demand (4) in the event of the Policy being cancelled at the request of the insured no refund of the premium paid in respect of this Endorsement willbe aliowee Subject otherwise to the terms conditions limitations ané exceptions of the Policy except so far as necessary to meet the requirements of ‘In case of Private cars/ motorised two wheelers (not used for hire or reward) delete this para.UNITED INDIA INSURANCE COMPANY LIMITED CERTIFICATE OF INSURANCE UIN: IRDANS4SRP0047V01359900 (FORM 51 OF CENTRAL MOTOR VEHICLE RULES 1989) Foley Wa, 16770031 ZOPIONGT7SIS [eriticate Number _ePIUNEHUSSTTSIS ustomer Td 13010508209 issuing Office Aaaresa [Code fpe7700 Wame of the Ingurea MR RAJENDRA JAVENDRARAT JOSHIPARA [1ST FLOOR, NILKANTH AVENUE-1 NR, CU. SHAM COLLEGE, NAV IVAN PRESS ROAD ANMADABAD GUIARAT dares of the Insured}Ol, RAIANSH SOC_ NR. JUDGES BUNGLOW, JOBAKDEV, AHMEDABAD. DIST. + AHMADABAD, [Telephone WI BTSAGEEE SU)ARAT 380001 AHMAGABAD GUJARAT. Business/Occupation None Telephone Particulars of Vehicle Insured insured’s Dectared value © 467000 eriod of Insurance: [From 00:00 Hrs of 03/11/2020 To Midnight of 2/11/2031 Registration No, Obsolete Type ot | vearor | cue | Seating 7 Trailer] P8215 | engine no. Chassis No. [Maker Model] TYPS oe ap eet ef including venice | (elle, | vehick Body | Mf ye river HONDA won: 17043990 | motors / Jar or =e ho #4SZi2704335MaKDDA7aIENDo26e7 MOTORS / | | | a , L5SMT Regatration Antnorky ‘Geographical Area ‘mount in words:_Nine thousand one hundred Afty-five rupees Only Persons or classes of persons entitied to drive ich a person satisfies the requirements of Rule 3 of Control Motor vehicle Rule, 1989, ny person including Insured proviced that 2 person hold an effective driving licence at the time of accident and is not disqualified from ‘alain or obtaining such 2 licence. Provided also that the person holding an effective Learner's Licence may also drive the vehicle and )) Carriage of Goods (other than samples or personal luggage) [Receipt Number l10106770020109201: ») Speed Testing and Reliability Trails [DebitNote Number: #) Use in connection with Motor Trade Document Date: iny one claim or series of claims arising out of one event:@ the certificate of insurance are issued in eccordance with provisions of United tnd Chapter X 8 XI of MLV Act, 1988 ‘nsurance Co. Ltd Date of Issue: 02/11/2020 Duly Constituted attorney This is @ system generated document ang any manuel alteration / correction / overwriting in the document will make it