Date: 27/01/2024

LIBERTY GENERAL INSURANCE LIMITED

PRIVATE CAR -PACKAGE POLICY PREMIUM QUOTE
Registered office : 10TH FLOOR, TOWER A, PENINSULA BUSINESS PARK, GANPATRAO KADAM MARG,LOWER PAREL,DELISLE ROAD, MUMBAI, MAHARASHTRA-400013 Phone:+91 22 67001300

Agent Code IMD1116185 Zone B

Ownership Individual Age Band 0-5

Business Type Roll Over Age of Vehicle 4.94

Engine/Chassis Number NA Seating Capacity 5

Segment COMPACT CC Band 1197

Make of Vehicle MARUTI Fuel Type Petrol
Model of Vehicle SWIFT DZIRE Cover Type COMPREHENSIVE
Vehicle Variant 1.2 LXI IDV of Vehicle 299200.00
Vehicle Registration Number UP-16 Non Electrical Accessories IDV NA
Risk Start Date 27 / 01 / 2024 Electrical Accessories IDV NA
Risk End Date 26 / 01 / 2025 External CNG/LPG Fuel kit IDV 18000.00
Date of Registration 20/ 02/ 2019 Total IDV 317200.00
Place of Registration NOIDA GAUTAM GAP Value Sum Insured 0
BUDDHA NAGAR
Gap Value (Incl. Taxes & Regn. charges) 0.00
Year of Manufacture 2018
Key Loss Sum Insured 0

Premium Computation
SECTION I –OWN DAMAGE (A) SECTION II -LIABILITY (B)
Basic OD-Premium ` Basic TP ` 3,416.00
9,547.47
` CNG Kit - TP(IMT-25) ` 60.00
CNG/LPG Kit Premium 720.00
No claim bonus 20% ` PA to Owner Driver `
525.90 375.00
Discount (80.000%) TOTAL LIABILITY PREMIUM (B) ` 3,851.00
7637.98
TOTAL OWN­DAMAGE PREMIUM (A) ` Net Premium(A+B+C) ` 9,562.00
2,103.59
IGST(18%) ` 1721.16
SECTION I ­ ADD ON COVERS ( C)
TOTAL POLICY PREMIUM ` 11,283.00
Depreciation Cover-(AD 01) ` 2,379.00
Consumables Cover-(AD 02) ` 729.56
Passenger Assistance Cover-(AD 04) `
250.00
Roadside Assistance Cover-(AD 05) ` 249.00
TOTAL ADD­ON COVER PREMIUM (C) `
3,607.56
TOTAL OWN-DAMAGE PREMIUM + ADD-ON COVER PREMIUM (A+C) ` 5711.00

Web Site: www.libertyinsurance.in/ Toll Free No -18002665844/Fax: +91 22 06700 1606.

CIN No. U66000MH2010PLC209656
*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.
*Trade Logo displayed above belongs to Liberty Mutual and used by the Liberty General Insurance Limited under license.