Date : 01/09/2023

Intermediary Code : 0047759

Intermediary Name : Pelican Insurance Brokers P Ltd

Private Motor 4W Insurance Quote

Motor Insurance Quote No-: Q0101092326634548

Dear Sir / Madam,

We hereby extend our gratitude of having given us an opportunity to participate in quoting for the captioned risk.

Appended hereunder is a brief summation of the Terms we propose:-

MAKE MODEL FUEL CUBIC CAPACITY SEATING FIRST PURCHASE / NIGHT PARKING PIN
CAPACITY REGISTRATION CODE
DATE
KIA MOTORS SELTOS Diesel 1493 5 30/09/2022 600022

Policy Period : From : 29/09/2023 00:00:00 To Midnight of : 28/09/2024

Cover Type : Stand Alone

APPLICABLE NCB % : 25 %

Net Premium Taxes Applicable Kerala Flood Cess @1% Total Premium

19455.00 3502.00 22957.00

IDV of the Vehicle Non Electrical Accessories Electrical/Electronic Accessories CNG/LPG Kit Value Total Sum Insured

1300000 0 0 0 1300000

Clauses Applicable Add on Covers Opted

Depreciation Reimbursement
Basic Road Side Assistance | Addittional Road Side Assistance Basic road side assistance
Additional Towing Charges
TPPD Limit (750000)

Exclusions: For detail list of exclusions, refer policy wordings available on web site www.sbigeneral.in

Please note that this quote is based on the information provided by you and valid for 30 days from date of issuance. Any change in material
information may lead to change in Premium amount.

SBI General Insurance Company Limited :

Registered and Corporate Office: 9th Floor, A & B Wing, Fulcrum Business Centre, Sahar Road, Ashok Nagar, Andheri (East), Mumbai - 400 099.
³SBI General Insurance Products are not a Product of SBI´
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