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    This document is a certificate of insurance and policy schedule for a private car insured with Future Generali India Insurance Company. It provides details of the insured vehicle (a 2014 Hyundai i20), policyholder (Ramesh Chandra Dixit), and insurance coverage and premium amounts. The total annual premium is Rs. 18,315 which covers own damage of the vehicle for Rs. 14,717 and liability to third parties for Rs. 1,582. It also lists additional coverage purchased through an add-on plan and details of the nominee for the compulsory personal accident coverage of the owner-driver.

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    Document in Return For Download

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    This document is a certificate of insurance and policy schedule for a private car insured with Future Generali India Insurance Company. It provides details of the insured vehicle (a 2014 Hyundai i20), policyholder (Ramesh Chandra Dixit), and insurance coverage and premium amounts. The total annual premium is Rs. 18,315 which covers own damage of the vehicle for Rs. 14,717 and liability to third parties for Rs. 1,582. It also lists additional coverage purchased through an add-on plan and details of the nominee for the compulsory personal accident coverage of the owner-driver.

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    This document is a certificate of insurance and policy schedule for a private car insured with Future Generali India Insurance Company. It provides details of the insured vehicle (a 2014 Hyundai i20), policyholder (Ramesh Chandra Dixit), and insurance coverage and premium amounts. The total annual premium is Rs. 18,315 which covers own damage of the vehicle for Rs. 14,717 and liability to third parties for Rs. 1,582. It also lists additional coverage purchased through an add-on plan and details of the nominee for the compulsory personal accident coverage of the owner-driver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    378 views2 pages

    Document in Return For Download

    Uploaded by

    Sama
    This document is a certificate of insurance and policy schedule for a private car insured with Future Generali India Insurance Company. It provides details of the insured vehicle (a 2014 Hyundai i20), policyholder (Ramesh Chandra Dixit), and insurance coverage and premium amounts. The total annual premium is Rs. 18,315 which covers own damage of the vehicle for Rs. 14,717 and liability to third parties for Rs. 1,582. It also lists additional coverage purchased through an add-on plan and details of the nominee for the compulsory personal accident coverage of the owner-driver.

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    of 2

    FUTURE GENERALI INDIA

    Insurance Company Limited


    IND-0293513-01
    MOTOR SECURE - PRIVATE CAR INSURANCE - COMPREHENSIVE POLICY
    CERTIFICATE OF INSURANCE CUM POLICY SCHEDULE - Form 51 of the Central Motors Vehicles Rules, 1989
    Policy Servicing Office : Future Generali India Insurance Company Limited, 2nd and 3rd Flr, Embassy 9-1-3, M.G.Rd, Indore, Madhya Pradesh, 452001,
    Tel_No:0731-6670001
    Policy and Certificate Number : 2014-V3157247-FPV Period of Insurance i : From 19:00 hrs of 11/07/2014 To midnight of 10/07/2015.
    Insured : Ramesh Chandra Dixit Covernote No :8F8378903zzzz Dated:z11/07/2014zzzzzzZone: B
    Address : 71 Shivdham Colony, Tel Limbodi, Indore, Madhya Intermediary Name/Code : Landmark Insurance Brokers Pvt Ltd / 60024724
    Pradesh, 452001 Telephone (Off) : 18004194199
    Email Id : [email protected]

    INSURED MOTOR VEHICLE DETAILS AND PREMIUM COMPUTATION


    Registration No., Make/Model of Vehicle Year of Engine No. Chassis No. Cubic Seating Type of Body
    RTA Location Manufacture Capacity Capacity

    INDORE HYUNDAI i20 SPORTZ CRDI 2014 150873 975675 1396 5 SALOON

    INSURED'S DECLARED VALUE


    For Vehicle-Rs. For Non-Electrical Accessories-Rs. For Trailers-Rs. For Electrical/Electronic Accessories-Rs. For Bi-Fuel Kit (CNG/LPG)-Rs. Total Value-Rs.
    692,550 - - - - 692,550
    SCHEDULE OF PREMIUM
    A-OWN DAMAGE Rs. B-LIABILITY Rs.
    Basic Premium on Vehicle 12,154.60 Basic Premium Including Premium for TPPD 1,332.00
    Add : Add-on Premium 2,562.44 Add : Compulsory PA to Owner-Driver - Rs. 2 lacs 100.00
    Add : PA to persons other than Owner/Driver 100.00
    No. of persons 5 P.A. Limit - Rs. 40000 per person
    Add : Legal Liablity to Paid Driver/Cleaner/Employees 50.00
    No. of persons 1
    Total Own Damage Premium (A) (rounded off) 14,717.00 Total Liability Premium (B) 1,582.00
    Total Annual Premium (A+B) 16,299.00 Total Premium for the Policy Period 16,299.00
    Service Tax (Including Cess) 2,016.00
    Total Premium (rounded off) 18,315.00
    Subject to Endorsement Nos. 22 ,16 ,28 ,15 ,07 Hypothecation Agreement with:- STATE BANK OF INDIA
    LIMITATIONS AS TO USE – As per Motor Vehicle Rules, 1989 :- The Policy covers DRIVERS CLAUSE :- Any person including the insured: Provided that a person driving
    use of the vehicle for any purpose other than: a) Hire or Reward, b) Carriage of goods holds an effective driving license at the time of the accident and is not disqualified from
    (other than samples or personal luggage), c) Organized racing, d) Pace making, e) Speed holding or obtaining such a license; Provided also that the person holding an effective
    testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade Learner’s License may also drive the vehicle and that such a person satisfies the
    requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
    Limits of Liability
    Under Section II-I (i) : Death of or bodily injury - Under Section II-I (ii) : Damage to Third Party Property-Rs. Under Section III : PA Owner – Compulsory
    Such amount as is necessary to meet the requirements 750000/- in respect of any one claim or series of claims arising Driver as per premium computation Deductible Under
    of Motor Vehicles Act, 1988 out of one event. table Sec I - Rs. 1,000.00
    SPECIAL CONDITIONS – ADDITIONAL EXCESS –
    The nominee for Compulsory PA to owner driver cover is 01) LEGAL HEIR, aged: 21 Years, Relationship: Legal Executor, Nomination %: 100%
    IMPORTANT - 1. All other Terms, Conditions and Exclusions as per attached Policy Wordings. 2. In case of payment by cheque, in the event of dishonor of cheque for any reason
    whatsoever, insurance cover provided under this document automatically stands cancelled from the inception irrespective of whether a seperate communication is sent or not.
    I/We hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued in accordance with the provisions of chapter X and chapter XI of
    M.V. Act, 1988.
    Receipt No : For FUTURE GENERALI INDIA INSURANCE CO. LTD.
    Date of Issue : 14/07/2014
    Place of Issuance : Mumbai*
    *Address as mentioned below.
    This policy is not valid unless it is countersigned by an authorised signatory

    For registration of your Motor claims SMS MOTORCLAIM to 9222211100 (Standard SMS charges applicable) (Authorised Signatory)
    IMPORTANT NOTICE
    The Insured is not indemnified if the vehicle is 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 Vehicle Act, 1988 is recoverable from the Insured. See the clause headed “AVOIDANCE OF CERTAIN TERMS AND RIGHT OF
    RECOVERY”. For legal interpretation English verison will be good.
    For full details on coverage, terms, conditions and exclusions, please refer the standard policy wordings attached with this schedule.
    The stamp duty of Rs. 0.50 paid by GRAS DEFACE NO.0000078202201415, dated 09/04/2014.Mudrank 2004/4125/CR/690/M-1,dated 31/12/2004.

    Corporate & Registered Office: 6th Floor, Tower - 3, Indiabulls Finance Center, Senapati Bapat Marg, Elphinstone Road, Mumbai-400013, Maharashtra
    Care Lines:- 1800-220-233, 1860-500-3333, 022-67837800, Email: [email protected], Website: www.futuregenerali.in
    IRDA Regn. No 132, CIN - U66030MH2006PLC165287, Service Tax Registration Number: AABCF0191RSD002
    FUTURE GENERALI INDIA
    Insurance Company Limited

    Annexure
    Forming part of policy number:-2014-V3157247-FPV
    Motor Add-on Cover
    Serial No. Add-on Description Premium Amount - Rs.
    0001 Plan 1 2,562.44

    Total Premium 2,562.44


    -
    Forming part of policy number:-2014-V3157247-FPV
    Motor Add-on Cover Details
    Zero Depreciation Cap
    Theft Or Loss Of Keys
    Loss Of Personal Belongings - Maximum payable amount Laptop: Rs. 50,000 ;Maximum payable amount Mobile: Rs. 25,000
    Road Side Assistance
    Please refer the attached detailed policy wordings for the above mentioned coverages.

    Corporate & Registered Office: 6th Floor, Tower - 3, Indiabulls Finance Center, Senapati Bapat Marg, Elphinstone Road, Mumbai-400013, Maharashtra
    Care Lines:- 1800-220-233, 1860-500-3333, 022-67837800, Email: [email protected], Website: www.futuregenerali.in
    IRDA Regn. No 132, CIN - U66030MH2006PLC165287, Service Tax Registration Number: AABCF0191RSD002

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