PRIVATE CAR PACKAGE POLICY

Quote No:MOTQ031222173112_79.3.5 Quotation Date 03/12/2022

Agent Zone B
Ownership Individual Age of Vehicle 6.01
Business Type Rollover Seating Capacity 5
Segment SUV 1 CC Band 1248
Make of Vehicle MARUTI Fuel Type Diesel
Model of Vehicle VITARA BREZZA Cover Type Comprehensive
Vehicle Variant VDI AMT IDV of Vehicle 359711
Vehicle Registration Number PB-31 Non Electrical Accessories IDV 0
Risk Start Date 09/12/2022 Electrical Accessories IDV 0
Previous policy Expiry Date 08/12/2022 External CNG/LPG Fuel Kit IDV 0
Date of Registration 9/12/2016 Total IDV 359711
Place of Registration MANSA Key Loss Sum Insured 20000
Year of Manufacture 2016

Premium Computation
A- OWN DAMAGE B- LIABILITY
Basic OD- Premium 12054 BASIC TP 3416
CNG/LPG Kit Premium 0 CNG Kit - TP(IMT-25) 0
Electrical Accessories 0 PA to Paid Driver (0) 0
Non Electrical Accessories 0 PA to Owner Driver 375
No Claim Bonus (35) 1688 PA to Unnamed Passenger (0), No (5) 0
Discount (60.00) 7232 Legal Liability to Paid Driver 50
TOTAL OWN-DAMAGE PREMIUM (A) 3134 TOTAL LIABILITY PREMIUM (B) 3466
ADD ON COVERS(C) Net Premium (A+B+C) 11551
Depreciation Cover- (AD 01) 3777 GST 2079
Consumables (AD 02) 0 TOTAL POLICY PREMIUM 13630
Gap Value Cover (Incl. Taxes & Regn. 0
charges) AD 10
Passenger Assistance Cover (AD 04) 250
Roadside Assistance Cover (AD 05) 249
Key Loss Cover (AD 06) 300
Engine Safe Cover (AD 07) 0
Tyre Protection Cover (AD 16) 0
TOTAL ADD ON COVER PREMIUM(C) 4576
TOTAL OWN-DAMAGE PREMIUM + 7710
TOTAL ADD ON COVER PREMIUM
(A+C)

Disclaimer: The calculator is an online tool to facilitate the premium computation and is not intended to replace (or incorporate) the
underwriting guidelines. The company reserves the right to modify the rates, IDV, underwriting guidelines etc without prior intimation. For
cases having gap in insurance & for cases requiring cover enhancements, vehicle inspection shall be applicable as per the Company
guidelines. This quote is valid for 7 days from quote date or existing policy expiry date whichever is earlier.Further, changes in Third Party
premium rates & applicable taxes shall be effective as & when mandated by the regulator / government.

Web Site: www.libertyinsurance.in/ Toll Free No -18002665844/Fax: +912267001606

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