TATA AIG GENERAL INSURANCE COMPANY LIMITED

QUOTATION WORKSHEET FOR

Auto Secure - Private Car Package Policy
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Quote Generation Date : 03/07/2023

Producer Code : 0012296001 Producer Name : NJ INSURANCE BROKERS PVT LTD

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Producer Contact : 9099948249 Client Name : DR RASHMI MAGAZINE
Producer Email : neha.sharma@njgroup.in Vehicle Number : DL 02 CBA 4732
Policy Plan : Package (1 year OD + 1 year TP)
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Make , Model & Variant RTO Mfg Year Date of Cubic Capacity/KW Seating Capacity Fuel
Location Registration Type
TOYOTA INNOVA CRYSTA DELHI 2019 17/07/2019 2694.0 8 PETROL
2.7 GX 8STR
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Policy Year IDV of IDV of Bi-Fuel/CNG IDV of Electrical IDV of Non-Electrical Total IDV
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Vehicle Trailer /LPGKit Accessories Accessories

1 933696 0 0 0 0 933696

PREMIUM BREAK UP
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QT/23/6206165555
Description
SAPPHIRE PLUS   choice1
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Section - I Own Damage (A)

Basic OD premium 29710.21
Discounts Under Own Damage Section
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Less: No claim bonus (45% ) 13369.59

A: TOTAL OWN DAMAGE PREMIUM 16340.61

Section - I ADD ON COVERS (C)

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Add : Depreciation Reimbursement (TA 01) 6722.61

(Count of Claim 2)
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Add : Emergency transport and hotel expenses (TA 10) 135.00

Any One Accident : 5000
Any One Year : 10000
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Add : Consumables Expenses(TA 18) 933.70

Add : Key Replacement (TA 15) 315.00
Sum Insured:25000 per occurrence limit 50% of SI
Add : Loss of personal belongings (TA 09) 135.00

Sum Insured:10000
Add : Tyre Secure (TA 17) 2520.98
Add : Engine Secure (TA 16) 1493.91
Add : Repair of Glass, Rubber & Plastic Parts (TA 08) 0
C: TOTAL ADD ON PREMIUM 12256.20

Section - II Liability (B)

Basic TP premium 7897.00
PA Benefits
Compulsory PA Cover for Owner Driver
1,500,000 Tenure: 1 375.00
Legal Liability
Add : Legal Liability to paid driver (IMT 28) 50.00
(Number of persons) (1)
B: TOTAL LIABILITY PREMIUM 8322.00

Total Premium
NET PREMIUM (A+B+C) 36919.00
SGST/UGST @9% 3323.00
CGST @9% 3323.00
TOTAL PREMIUM 43565.00
Road Side Assistance
(Inclusive of All Applicable Taxes) 136.88
Final Premium With Road Side Assistance
FO 43702.00

Note: Above mentioned Premium is subject to Positive vehicle inspection, if required as per Underwriting Guidelines.
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Important Note :

Insurance is subject matter of the solicitation. For more details on benefits/exclusions, risk factors, terms and
conditions please refer policy
wordings/sales brochure carefully before concluding a sale. You are requested to
visit our website www.tataaig.com for policy wording.
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This Quote will remain valid only for today (up to midnight 11:59:59 PM).This is a system generated quote and does not require signature.

Premium and Risk period may change at the time of issuance of Policy.

TATA AIG General Insurance Company Limited, Regd. Office : Peninsula Business Park, Tower A, 15th Floor, G.K. Marg,
Lower Parel,
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Mumbai - 400 013.

IRDAI of India Regn. No.108, CIN No.: U85110MH2000PLC128425, UIN : IRDAN108RP0002V01200001
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Website : www.tataaig.com 24X7 Toll free Helpline 1800-266-7780 Fax: 022 6693 8170 E-mail: customersupport@tataaig.com
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