Og 22 1102 1801 00008362

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Bajaj Allianz General Insurance Company Ltd.

Registered and Head Office: Bajaj Allianz House, Airport Road, Yerwada, Pune

Transcript of Proposal for Private Car Package Policy

Dear MUKESH KUMAR,


We wish to inform you that the contract under policy number 'OG-22-1102-1801-00008362' has been finalized based on the
information and declaration given by you, the transcript whereof is mentioned below. You are requested to reconfirm the same.
In case of any disagreement or objection or any changes with respect to information mentioned below, we request you to
please revert back within a period of 15 days from date of your receipt of this, failing which it will be deemed that you are
satisfied with the correctness of the details mentioned below. Kindly note that as the contents and declarations contained in this
transcript is the basis on which we have issued the policy to you, we advise you to please ensure that you have
provided/disclosed and or not withheld any material facts/information and declarations, as Policy becomes Void ab initio if
material facts are not provided/disclosed and or withheld and in such case no claim, if any, will be considered by us apart from
forfeiture of the premium.
Details provided by you:

A. Proposer details
1. Proposer Name : MUKESH KUMAR
2. Proposer Address : S/O RAMAHER SINGH R/O VPO , MANGAWAS PALRA 120 JHAJJAR
, JHAJJAR, JHAJJAR, HARYANA-124103
3. Proposer Mobile Number : 9812972786
4. Proposer Residential Number : NA
5. Proposer e-mail id : [email protected]
6. Proposer Profession : NA

B.Vehicle Details
Registration Month / Year Vehicle Vehicle Vehicle Sub Cubic Capa- Fuel Type Year of Man- Seating Ca-
Number of Regn Make Model Type city/Kilowatt ufacture pacity
HR77C9355 AUG/2019 HYUNDAI i 20 1.2 MAGNA 1197 Petrol 2019 5

Engine Number Chassis Number Vehicle IDV (in Electrical Non-Electrical CNG/LPG Unit Total IDV (in
Rs.) Accessories Accessories (Extra fitted) Rs.)
IDV (in Rs.) IDV (in Rs.) IDV (in Rs.)
272459 689430 5,50,000.00 0 0 0 5,50,000.00
C. Coverage opted

1. Period of Insurance : From 26-JAN-2022 15:45(Hrs)


To 25-JAN-2023 Midnight
2. Is your vehicle fitted with external LPG/CNG kit : No.
3. Electrical Accessories cover Opted (If Applicable) : No.
4. Non - Electrical Accessories cover Opted (If Applicable): : No.
5. Is Voluntary Excess opted : No.
Amount of voluntary excess opted : Rs.NA.
6. Whether PA cover is opted for owner-driver : Yes.
7. Is any additional compulsory deductible imposed and agreed upon : Yes.
Amount of additional compulsory deductible imposed : Rs.1000
8. Whether geographical area extension is opted : No.
Details of Countries to which geographical area extension cover is given : NA.
9. Is LL to person for Paid driver/Operation/Maintenance opted : Yes.
10. Whether PA cover is opted for paid driver other than owner driver : No.
Sum Insured for Paid Driver : Rs.NA.
12. Is TPPD restricted to statutory limit of Rs.6,000? : No.
13. Pre Existing damages in the vehicle : Cost of Repair / Replacement
towards the damaged parts noticed
during the inspection of your vehicle
prior to enrolment under this policy
as per Inspection report reference
number 2022-07745998 duly signed
by you or your representative as well
as the photographs shall be excluded
in the event of any future claims.
14. 1 Premium for Liability coverage, quoted and agreed upon is :
15. 1 Premium for OD coverage, quoted and agreed upon is :
16. Do you have valid PUC certificate of the vehicle : NA
17. Do you have valid Fitness certificate of the vehicle : NA
18. Total Premium (excluding Goods and Service Tax (GST)) for Liability and OD coverages, quoted and agreed upon is
:
19. NCB (No Claim Bonus) claimed by you and granted by us based on your declaration of no claim during your previous
previous policy : 0 %.
20. About the last insurance company
(i) Insurance Provider : NA.
(ii) Previous Policy No : NA , Previous Policy Expiry Date : NA
21. Whether your vehicle is Hypothecated and if so the details of Pledgee whose name is registered by us : Yes.
Name of Pledgee : INDUSIND BANK LTD.
22. Add on Cover(s) optedm2 : Yes, Plan Name:Consumable Expenses_S And Drive Assure Welcome_S Plan Description:
24x7 spot assistance , consumable expenses , depreciation shield ,
Please call us on 1800 103 5858 for any emergency.

23. To support our Go Green initiative, send policy copy link on registered mobile number / email id: YES
Please note Cover Note No. / issued to you basing on the above information.
In case of Disagreement or objection or any changes with respect to information and contents mentioned hereinabove, please
contact our toll free number & register your objections/changes/disagreement to the contents of this transcript or you may also
send us email or written correspondence at the following details within a period of 15 days from date of your receipt of this
transcript along with Policy:
I/We hereby unconditionally allow the Company to share all my / our information being collected in this proposal form or
through telephonic / email / web-inputs means or other means, as updated from time to time within group entities.
Toll free Number : 1800-102-5858,1800-209-5858
Email address : [email protected]
Website : www.bajajallianz.com
Contact our policy servicing branch at: 3rd Floor, JMD Regent Plaza, Sikanderpur, Mehrauli -Gurgaon road, Gurgaon-122002
PH:4064501.
INSURANCE ACT, 1938 SECTION 41 - PROHIBITION OF REBATES
No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or
continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the
commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing a policy
accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer.
ANY PERSON IN BREACH OF COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE PUNISHABLE
WITH FINE WHICH MAY EXTEND TO RUPEES TEN LAKH.Bajaj Allianz General Insurance Co Ltd
  

BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED


Regd. Office & Head Office: GE Plaza, Airport Road, Yerwada,Pune-411006(India)
IRDAI Registration No. 113
Corporate Identity Number: U66010PN2000PLC015329
Certificate of Insurance ( PRIVATE CAR PACKAGE POLICY)

UIN : IRDAN113RP0025V01200102
Policy Number: OG-22-1102-1801-00008362 Customer ID: 245462512
Particulars of Vehicle Insured:
Registration Number Place of Registration Engine Number Chassis Number Make & Model
HR77C9355 BERI 272459 689430 HYUNDAI - i 20

Sub Type Year of Mfg NCB % CC Seating Capacity


1.2 MAGNA 2019 0 1197 5

Name of Registration Authority : BERI


Name and Address of Insured : MUKESH KUMAR
: S/O RAMAHER SINGH R/O VPO , MANGAWAS
PALRA 120 JHAJJAR, JHAJJAR, JHAJJAR,
HARYANA-124103
Geographical Area : India
Business or Profession : NA
Effective date of commencement of Insurance for the purpose of act:
Policy Inception Date: From 15:45 O' Clock on 26-JAN-2022
Policy Expiry Date: Midnight on 25-JAN-2023
Persons or Class of Persons entitled to drive:
Any person including the insured:
a) Provided that a person driving holds an effective driving license at the time of the accident and is not disqualified from
holding or obtaining such a license.
b) Provided also that the person holding an effective 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.
IMT-Endorsements/Add on Package
7, 22, 28, & Plan Name:Consumable Expenses_S And Drive Assure Welcome_S & Plan Description: 24x7 spot assistance ,
consumable expenses , depreciation shield ,
Limitations as to Use:
The Policy covers use for any purpose other than
a) Hire or Reward, b) Carriage of goods (other than samples or personal luggage), c) Organized racing, d) Pace Making, e)
Speed testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade
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.
Policy issuing office and correspondence address for communication by holder of Certificate of Insurance for claim,
service request, notice, summons, etc:
3rd Floor, JMD Regent Plaza, Sikanderpur, Mehrauli -Gurgaon road, Gurgaon-122002 PH:4064501
Date of issue :25-JAN-2022
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.
Now carry your m-policy on your mobile. Click here to download. https://bagic.page.link/rnrLao

For help and more information:


Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 25-Jan-2022 15:47:56 PM- Silent_Printing (Web) (NA)
Authorized Signatory
  

BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED


(A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of
India [IRDA] vide Reg No.113)
Regd. Office: Bajaj Allianz House, Airport Road, Yerwada,Pune-411006(India)
PRIVATE CAR PACKAGE POLICY SCHEDULE
UIN : IRDAN113RP0025V01200102
Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons, etc:
3rd Floor, JMD Regent Plaza, Sikanderpur, Mehrauli -Gurgaon road, Gurgaon-122002 PH:4064501
INSURED DETAILS POLICY DETAILS
Insured Name MUKESH KUMAR Policy Number OG-22-1102-1801-00008362
S/O RAMAHER SINGH R/O VPO , Policy Issued on 25-JAN-2022 15:45 PM
Insured MANGAWAS PALRA 120 JHAJJAR ,
JHAJJAR, JHAJJAR, HARYANA-124103 From : 26-JAN-2022 15:45 (Hrs)
Address
Policy Period To : 25-JAN-2023 Midnight
Geographical India
Area Cover Note
/
Customer ID Details
245462512
Previous Policy No 0
Bank Reference
No 1 330223915/1
Invoice No
GSTIN / UIN NA Company GST No 06AABCB5730G1Z1
Place of Supply/ 06 - Haryana
State Code/Name Company PAN AABCB5730G

Make & Mod-


Registration Number Place of Registration Engine Number Chassis Number SubType
el
HYUNDAI - i
HR77C9355 BERI 272459 689430 1.2 MAGNA
20
Year Of Manufactur- Trailer Registra-
NCB % CC/KW Seating Capacity Hypothecation Details
ing tion Number
0 1197 5 2019 -,- INDUSIND BANK LTD
Non electrical Electrical/Elec- Value of CNG/
Vehicle IDV Value For Trailers Total Value
accessories tronic accessories LPG kit
5,50,000.00 0 0 0 0 5,50,000.00
Own Damage Premium(Rs.) Liability Premium(Rs.)
Own Damage Premium Basic Third Party Liability 3,221.00
12,082.00 PA Cover for Owner-Driver - SI - Rs.1500000 331.00
Special Discount Period: From 26-Jan-2022 To 25-JAN-2023
Total OD Premium - A LL to person for Paid driver/Opera- 50.00
12,082.00 tion/Maintenance
Total Premium (Net Premium) (A+B) Total Act Premium - B 3,602.00
15,684.00
State GST (9%) 1,412.00
Central GST (9%) 1,412.00
Final Premium ( Rupees Eighteen Thousand Five Hun-
dred Eight Only ) 18,508.00
**Note: The above Total OD Premium is inclusive of all applicable Loading /Discounts viz (Automobile association membership, Voluntary Excess,
Anti Theft, Handicap Person, Driver Tuition, Fiber Glass, CNG/LPG Unit, Geographical Extension, Imported Vehicle Etc. wherever Applicable)

As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th September of the next financial year

For help and more information:


Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at Ba-
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 25-Jan-2022 15:47:56 PM- Silent_Printing (Web) (NA)
  

Agency Code BAG100013526 Contact No. 9312593949/09312593949


Agency Name HEM YADAV
E-Mail ID. [email protected]

Limitation as to Use The Policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of
goods( other than samples or personal luggage),Organised racing,Pace making, Speed testing,
Reliability trials. Any purpose in connection with Motor Trade.
Driver Any person including the insured provided that a person driving holds an effective driving li-
cense at the time of the accident and is not disqualified from holding or obtaining such a license.
Provided also that the person holding an effective Learner's license may also drive the vehicle
when not used for the transport of goods/passengers at the time of the accident and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Limits of Liability Under section II-I(i) of the policy -> Death of or bodily injury : Such amount is necessary to meet
there requirements of the Motor Vehicles Act,1988. Under section II-I(ii) of the policy -> Dam-
age to Third Party Property : Rs. 7,50,000.00
Existing Damage Details Cost of Repair / Replacement towards the damaged parts noticed during the inspection of your
vehicle prior to enrolment under this policy as per Inspection report reference number
2022-07745998 duly signed by you or your representative as well as the photographs shall be
excluded in the event of any future claims.
Nominee Details Name :NA - Relationship :NA
Subject to Warranties/ 7, 22, 28, & Plan Name:Consumable Expenses_S And Drive Assure Welcome_S & Plan De-
IMT-Endorsements/ scription: 24x7 spot assistance , consumable expenses , depreciation shield ,
Add on Package
Additional Details Coinsurance Details: - . Transaction Id: -
Premium Details Receipt No. 1102-00475782, Date 25-JAN-22 ** If Premium paid through Cheque, the Policy is
void ab-initio in case of dishonour of Cheque.
Excess Details Compulsory Excess: Additional Excess: Rs.1000 Voluntary Excess: Rs..00
Rs.1,000.00
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.
Warranted that insured named herein or owner of the vehicle insured holds a valid Pollution Under Control (PUC) and / or Fitness Certificate on the date of
commencement of the Policy. If the PUC and/or Fitness Certificate is not found to be valid on the date of commencement of the Policy, the Company reserves
its right to consider the policy void ab initio.
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.

Stamp
Duty Rs.
0.5

Authorized Signatory
This document is digitally signed, hence counter signature / stamp is not required.
Consolidated Stamp Duty of Rs.0.5/- paid towards Insurance Stamps vide Challan No. MH002405964202122M Defaced No. 0001482221202122 dated 05-JUL-21 timing 12:58:03 of
General Stamp Office,Mumbai,India.

Principal Location : 3rd Floor, JMD Regent Plaza, Sikanderpur, Mehrauli -Gurgaon road, Gurgaon - 122002 PH:4064501 | Services Ac-
counting Code : 997134 - Motor vehicle insurance services. No reverse charge is payable on these services.
  

For help and more information:


Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at Ba-
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 25-Jan-2022 15:47:56 PM- Silent_Printing (Web) (NA)
Bajaj Allianz General Insurance Company Ltd.
3rd Floor, JMD Regent Plaza, Sikanderpur, Mehrauli -Gurgaon road, Gurgaon - 122002
Contact No:Contact No: 4064501,4064505; Fax No: 23351427

RECEIPT

Receipt Number 1102-00475782


Receipt Date 25/01/2022
Business Channel ML

Received with thanks from MUKESH KUMAR


(Customer ID : 245462512 ) a total sum of Rupees Eighteen Thousand Five Hundred Eight
Only by,

Instrument Instrument No. Instrument Bank Name Branch Name Amount


Type Date
Online Pay- 91802121 25/01/2022 NA NA 18,508
ment

Total Amount Rs. 18,508.00


Issuance of this receipt does not amount to acceptance of the risk by Bajaj Allianz General In-
surance Company Limited. The insurance cover for the risk shall be as per the terms and con-
ditions of the Insurance Policy if and when issued.
* Cheque/DD/PO receipt is valid subject to realisation of the instrument.

For & on behalf of


Bajaj Allianz General Insurance Company Ltd.

Authorised Signatory

Regd.Office: Bajaj Allianz House,Airport Road, Yerwada, Pune - 411006


PRIVATE CAR PACKAGE POLICY: ADD ON COVERS(Plan Name:Consumable Expenses_S And Drive Assure Wel-
come_S): POLICY WORDINGS

S1 - 24x7 SPOT ASSISTANCE


(UIN No. IRDAN113RP0025V01200102/A0024V01200910)
A. Endorsement Wordings
In consideration of the payment of additional premium, it is hereby agreed and declared that You shall be entitled to one or
more of the below mentioned benefits depending on the plan opted by You and as shown on the Schedule :
(A) Flat Battery: In the event of the Insured Vehicle being immobilized due to a flat battery, We will make al-
ternative arrangements to make the Insured Vehicle mobile again provided the event has occurred within 100
kilometers from the center point of the city of Your residence and the Insured Vehicle has not reached a work-
shop/repairer. (B) Spare Keys: In the event of You losing keys of the Insured Vehicle , We will arrange for the
pick up and delivery of spare keys to the spot where the Insured Vehicle is located provided the event has oc-
curred within 100 kilometers from the center point of the city of Your residence and the Insured Vehicle has not
reached a workshop/repairer. (C) Flat Tyre: In the event of the Insured Vehicle being immobilized due to flat
tyres, We will arrange for the refill of the flat tyres and/or replacement of the flat tyres with a usable spare tyre to
make the Insured Vehicle mobile again provided the event has occurred within 100 kilometers from the center
point of the city of Your residence and the Insured Vehicle has not reached a workshop/repairer . (D) Minor Re-
pairs: In the event of the Insured Vehicle being immobilized due to mechanical and/or electrical breakdown, We
will arrange for minor mechanical and/or electrical repairs to make the Insured Vehicle mobile again provided
the event has occurred within 100 kilometers from the center point of the city of Your residence and the Insured
Vehicle has not reached a workshop/repairer. (E) Towing Facility: In the event of the Insured Vehicle getting im-
mobilized as a result of Accident and/or breakdown, We shall arrange for towing away of the Insured Vehicle
from the spot of immobilization to Our nearest preferred workshop provided the event has occurred within 100
kilometers from the center point of the city of Your residence. (F) Urgent Message Relays: In the event of the In-
sured Vehicle getting immobilized as a result of Accident and/or breakdown, We will send urgent message on
Your request to the specified persons through available means of communication (G) Medical Co-ordination: In
the event of the Insured Vehicle meeting with an Accident, You can call Us on our Toll Free Number, mentioned
on the Schedule , to obtain details regarding the nearest medical center that can provide emergency relief services.
(H) Fuel Assistance: In the event of the Insured Vehicle being immobilized due to an empty fuel tank and/or con-
taminated fuel, We will either arrange for supply of 3 litres of petrol or diesel on chargeable basis and/or towing
of the Insured Vehicle to Our nearest preferred workshop provided the event has occurred within 100 kilometers
from the center point of the city of Your residence and the Insured Vehicle has not reached a workshop/repairer.
(I) Taxi Benefits: In the event of the Insured Vehicle meeting with an Accident/breakdown, We will arrange for a
free travel of the occupants of the Insured Vehicle to a single destination within a vicinity of 50 kilometers from
the spot of immobilization through a taxi or any other transportation service provided the event has occurred with-
in 100 kilometers from the center point of the city of Your residence and the Insured Vehicle has to be towed
away to Our nearest preferred workshop. Any travel beyond 50 kilometers can be covered on payment of addi-
tional amount as specified by Us. In the unlikely event of We being unable to arrange for this service, We may re-
quest You to arrange for a taxi to transfer the occupants of the Insured Vehicle on Your own and submit the bills
for a pre-communicated amount for re-imbursement to Us. (J) Accommodation Benefits: In the event of the In-
sured Vehicle meeting with an Accident/breakdown, We will provide occupants of the Insured Vehicle with a
hotel accommodation for one day provided the event has occurred beyond 100 kilometers from the center point of
the city of Your residence but within 100 kilometers of another covered city and the time to repair the Insured
Vehicle will exceed 12 hours from the time of reporting the incident.
The accommodation benefits would be offered subject to a per day limit of Rs. 2,000 per occupant and a maxim-
um total limit of Rs. 16,000 for all the occupants of the Insured Vehicle through out the Policy Period. In the un-
likely event of We being unable to arrange for this service, We may request You to arrange for a hotel accom-
modation for the occupants of the Insured Vehicle on Your own and submit the bills for a pre-communicated
amount for re-imbursement to Us. (K)Legal Advice: In the event of the Insured Vehicle meeting with an Acci-
dent, You shall be entitled for a free legal advice from a legal advisor over the phone for a maximum duration of
30 minutes. Subsequent to the expiry of the specified period of 30 minutes, You may continue with the same legal
advisor on direct payment basis
B. Conditions
(1) . In case of transfer of ownership of the Insured Vehicle , the cover under '24x7 Spot Assistance' shall expire.
(2) The benefits under '24x7 Spot Assistance' can be utilized for a maximum of 4 times during the Policy Period
except for 'Fuel Assistance', 'Taxi Benefits', 'Accommodation Benefits' and 'Legal Advice' for which the aggregate
utilization limit is 2 times during the Policy Period
C. Exclusions
(1) Where the Insured Vehicle can be safely transferred on its own power to nearest dealer/workshop. (2) Any
Accident, loss, damage and/or liability caused, sustained or incurred whilst the Insured Vehicle is being used oth-
erwise than in accordance with the limitations as to use. (3) Any liability of whatsoever nature directly or indir-
ectly caused by or contributed to by or arising from ionising radiations or contamination by radioactivity from any
nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. For the purpose of this exception,
combustion shall include any self-sustaining process of nuclear fission. (4) Any Accident, loss, damage and/or li-
ability directly or indirectly or proximately or remotely occasioned by contributed to/by or traceable to or arising
out of or in connection with war, invasion, the act of foreign enemies, hostilities or warlike operations (whether
before or after declaration of war), civil war, mutiny rebellion, military or usurped power or by any direct or indir-
ect consequences of any of the said occurrences. (5) Any loss or damage caused due to riots, strikes and Act of
PRIVATE CAR PACKAGE POLICY: ADD ON COVERS(Plan Name:Consumable Expenses_S And Drive Assure Wel-
come_S): POLICY WORDINGS

God perils like flood, earthquake etc. (6) Claims pertaining to theft losses. (7) Any consequential loss arising out
of claims lodged under '24x7 Spot Assistance' .(8) Where a loss is covered under Motor Insurance Policy or any
other type of insurance policy with any other insurer or manufacturer's warranty or recall campaign or under any
other such packages at the same time.(9) Replacement cost of battery and/or any associated repair cost. (10) Cost
of supply of parts or replacements elements or consumables. (11)Repair cost of tyre and/or parts or replacement
cost of any part of consumable at a third party workshop/repairer. (12)Any taxes, levy and expenses incurred in
excess of the limit described under the plan opted by You . (13)Loss of valuables and personal belongings kept in
the Insured Vehicle . (14) Any loss or damage to the Insured Vehicle arising out of participation in a motor ra-
cing competition or trial runs. (15)Where it is proved that You have abused the benefits under '24x7 Spot Assist-
ance'. (16)Any loss or damage caused due to pre- existing damages. (17)Any loss or damage arising out of inter-
vention of Government Authorized Agencies, Police Authorities or Law Enforcing Agencies . (18)Any loss or
damage resulting from the use of Insured Vehicle against the recommendations of the owners manual and/or
manufacturer's manual. (19)Any loss resulting from Your deliberate or intentional and/or unlawful or criminal act
(20)Benefits under 'Taxi Benefits' and 'Accommodation Benefits' for occupants in excess of the seating capacity
as per the registration certificate of the Insured Vehicle . (21)Additional cost incurred in towing the Insured
Vehicle to a dealer/workshop as specified by You instead to Our specified nearest authorized workshop. (22)Ser-
vices organized without Our prior consent for the various assistance services. (23)If You or Your personal repres-
entative is already at a garage for delivery of the Insured Vehicle or at the place of recovery in case of theft
(24)Mechanical and/or electrical breakdowns that require replacement of spare parts and/or specialized tools/
equipments that are usually available only in automotive workshops
If You do not agree whether any of these exclusions apply to Your claim, You agree to accept the burden of proving that
they do not apply.
D. Definitions
The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
(1) You,Your,Yourself: The person or persons We insure as set out in the Schedule . (2) We, Our, Us: Bajaj Al-
lianz General Insurance Company Limited and/or the Service Provider with whom Bajaj Allianz General Insur-
ance Company Limited has entered into a contract to provide the benefits under this cover to You . (3) Accident,
Accidental: A sudden, unintended and fortuitous external and visible event. (4) Policy/Motor Insurance Policy:
Private Car Package Policy issued by Us to which this cover is extended. (5) Insured Vehicle : The vehicle in-
sured by Us under the Motor Insurance Policy. (6) Policy Period: The period between and including the com-
mencement date and expiry date as shown in the Motor Insurance Policy Schedule . (7) Schedule : The Sched-
ule and any Annexure or Endorsement to it which sets out Your personal details and the type of insurance cover
in force

S3 - DEPRECIATION SHIELD
(UIN No. IRDAN113RP0025V01200102/A0001V01200910)
A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that this Policy extends to cover the
depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a
Partial Loss to the Insured Vehicle .
In the event You have opted for co-payment, Your contribution shall be to the extent agreed by You as shown in the
Schedule for the depreciation amount on the assessed parts for each and every Partial Loss claim.
The benefits under 'Depreciation Shield' would be available only if the Insured Vehicle is repaired at Our authorized
workshops. In case You have opted to repair the Insured Vehicle at a non-authorized workshop, Our liability will be
restricted to 90% of the assessed total claim amount under this cover.
B. Conditions
(A) Claims made by You against Us under 'Depreciation Shield' are subject to the terms and conditions set forth
under the Motor Insurance Policy. (B) In case of transfer of ownership of the Insured Vehicle , the cover under
'Depreciation Shield' shall expire. (C) The benefits under 'Depreciation Shield' can be utilized for a maximum of
two times during the Policy Period
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events:
(1) Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is not payable (2)
Depreciation pertaining to any part/ sub part/ accessories not approved for replacement by Us under Motor Insur-
ance Policy. (3) Loss or damage to tyres and/or battery of the Insured Vehicle . (4) Consequential loss of any
kind arising out of claims lodged under 'Depreciation Shield'. (5) Where a loss is covered under Motor Insurance
Policy or any other type of insurance policy with any other insurer or manufacturer's warranty or recall campaign
or under any other such packages at the same time
If You do not agree whether any of these exclusions apply to Your claim, You agree to accept the burden of proving that
they do not apply.
D. Definitions
PRIVATE CAR PACKAGE POLICY: ADD ON COVERS(Plan Name:Consumable Expenses_S And Drive Assure Wel-
come_S): POLICY WORDINGS

The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
(1) You,Your,Yourself: The person or persons We insure as set out in the Schedule .(2) We, Our, Us: Bajaj Alli-
anz General Insurance Company Limited. (3) Accident, Accidental: A sudden, unintended and fortuitous external
and visible event.(4) Policy/Motor Insurance Policy: Private Car Package Policy issued by Us to which this cov-
er is extended (5) Insured Vehicle : The vehicle insured by Us under the Motor Insurance Policy and as shown
on the Schedule .(6) Policy Period: The period between and including the commencement date and expiry date as
shown in the Motor Insurance Policy Schedule . (7) Schedule : The Schedule and any Annexure or Endorse-
ment to it which sets out Your personal details and the insurance cover in force. (8) Own Damage Claim: The
claims raised by You against Us for loss or damage to the Insured Vehicle due to the perils mentioned under Sec-
tion 1 of Motor Insurance Policy. (9) Total Loss/ Constructive Total Loss: A loss under the Motor Insurance
Policy where the aggregate cost of retrieval and/ or repair of the Insured Vehicle , subject to terms and conditions
of the Policy, exceeds 75% of the IDV of the Insured Vehicle . (10)Partial Loss: Any loss falling into a category
other than (A) the loss mentioned under Sr. No. 9 above and (B) theft of the Insured Vehicle

S17:CONSUMABLE EXPENSES
(UIN No. IRDAN113RP0025V01200102/A0022V01201314)
A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that if the Insured Vehicle is
damaged by a covered peril mentioned under the own damage section of the Motor Insurance Policy and needs to be
repaired, We will cover cost of consumables required to be replaced/ replenished during the repair of the damaged
vehicle. Consumable for the purpose of this cover shall include engine oil, gear box oil, power steering oil, coolant, AC
gas oil, brake oil, AC refrigerant, battery electrolyte, windshield washer fluid, radiator coolant, nut & bolt, screw, oil fil-
ter, fuel filter, bearings, washers, clip, wheel balancing weights , and items of similar nature excluding fuel.
B. Conditions
(a) This cover is applicable if it is shown on Your schedule. (b) Claims made by You against Usunder 'CONSUM-
ABLE EXPENSES' are subject to the terms and conditions set forth under the Motor Insurance Policy. (c)In case
of transfer of ownership of the Insured Vehicle , the cover under 'CONSUMABLE EXPENSES' shall expire.
(d) The benefits under under 'CONSUMABLE EXPENSES' would be available only if the Insured Vehicle is re-
paired at Our authorized workshops.
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events: (1)Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is
not payable. (2) Consumables pertaining to any part/ sub part/ accessories not approved for replacement by Us under
Motor Insurance Policy. (3)Where a loss is covered under Motor Insurance Policy or any other type of insurance
policy with any other insurer or manufacturer's warranty or recall campaign or under any other such packages at the
same time.
D. Definitions
The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
(1)Authorized workshop / garage / service station - A motor vehicle repair workshop / garage / service station author-
ized by us. (2)Insured Vehicle: The vehicle insured by Us under the Motor Insurance Policy and as shown on the Sched-
ule. (3)Policy/ Motor Insurance Policy: Motor Package Policy issued by Us to which this cover is extended.
(4)Schedule: The Schedule and any Annexure or Endorsement to it which sets out Your personal details and the insur-
ance cover in force. (5)We, Our, Us: Bajaj Allianz General Insurance Company Limited. (6)You, Your, Yourself: The
person or persons We insure as set out in the Schedule.

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