THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
Commercial Vehicle Package Policy Enhanced Covers
UIN Number - IRDAN190RP0044V01100001
Policy Number :72040031230300009053
POLICY ISSUING OFFICE: BUSINESS CHANNEL/CPSC User: CLAIM CONTACT:
SALEM DO (720400), NAME: Salem Non Suit Claim Hub (729001)
1ST FLOOR, NM ARCADE, (OPP. ARRS Mahindra Insurance Brokers Ltd - (1D5517131), ADDRESS: No.17,. II Floor, Fort Main Road,
MULTIPLEX) , NO.252, MEYYANUR BYE PASS PHONE NUMBER:18002662626 / / Shevapet,Salem 636 002. , , , TAMIL NADU , 636002.
ROAD , SALEM , LAND/FAX NUMBER:/ PHONE NUMBER: 04272212279 /
TAMIL NADU , 636004. EMAIL:
[email protected] / MOBILE NUMBER:
PHONE NUMBER:04273552024 / Email:
[email protected] 04273552024
FAX NUMBER:NA / NA
Email:
[email protected] INSURED DETAILS
Insured's Name ARUNACHALAM G Customer ID POB0273624 (PAN No :NA)
Insured's Address S/O.MR.GOVINDHAN,#3/116(7), THATTARAPATTI, Contact Number / / XXXXXX8818
ONNAPPAGOUNDANAHALLI,DHARMAPURI,
PAUPARAPATTI ,TAMIL NADU, 636809
Email
GSTIN NA
POLICY DETAILS
Period of cover 06/12/2023 11:02:39 AM to 05/12/2024 11:59:59 PM Receipt Number 72040081230000007783 -
06/12/23
Previous Insurer Not available Previous Policy Number NEW
VEHICLE DETAILS
Geographical Area / Zone: India/C Year of manufacture: 2023
Type of Commercial A - Goods Carrying Sub Type: Other than 3 wheeler -
Vehicles: Public Carrier
Name of the Financier: KOTAK MAHINDRA BANK Chassis no./Engine no.: MA1EACMWFP6G75517/C
MP4E97733
Type of fuel: Diesel Cubic capacity ( cc): 0
Type of body: Open Gross Vehicle Weight 11990
(GVW):
Make/Model: MAHINDRA A/FURIO 12 Registration no. TN-34
Seating capacity including 3 Variant: FURIO 12 D BS6 45 D H 20
Driver:
Automobile Association Colour: C1GLDNBRWN
membership:
Cover Note No/Cover / Name of registration Trichengode
Note Issue Date: authority:
FASTag ID:
INSURED DECLARED VALUE (Rs)
Vehicle Trailer Non-Elec Acc Electrical Acc Bi-fuel kit Total Value
2300000 0 0 0 0 2300000
ENHANCED COVER
Nil Depreciation Add On Cover
SCHEDULE OF PREMIUM
Signature Not
Verified
Digitally signed
by JAGATJAYEE Policy No. : 72040031230300009053Document generated by 37421 at 2023/12/06 11:40:46.
PANIGRAHI
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2023.12.06
11:40:46 IST Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
Página 1 de 4
Page 1 of 4
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
Own Damage Liability
Basic OD Premium 7543 Basic TP Premium 27186
(+)Additional Loading on OD Premium 72 (+)Compulsory PA Premium for Owner Driver(Sum 275
(+)Loading for Additional Towing Coverage 1500 Insured Rs 1500000)
(+)Loading for Inclusion of IMT 23 1142.19 (+)LL to paid driver conductor cleaner employed for 150
(+)Nil Depreciation Cover Premium 7674.19 oprn
(+)Premium for enhancement cover 7674.19
Calculated OD Premium 16789 Calculated TP Premium 27611
Total OD Premium (Rs) 16789 Total TP Premium (Rs) 27611
Net Premium (Rs) 44,400
GST (Rs) 6,360
Total Payable (Rs) 50,760
Total Payable in Rs(in words): RUPEES FIFTY THOUSAND SEVEN HUNDRED SIXTY ONLY
GSTIN(Issuing Office) 33AAACN4165C4ZV
SAC 997134 (Motor vehicle insurance services)
Limitation as to use:The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling
under Sub-section 3 of Section 66 of the Motor Vehicles Act, 1988.The Policy does not cover use FOR a)Organised racing b) Pace Making c)
Reliability Trials d) Speed Testing
Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles
Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one
event: Up to Rs. 7,50,000
For individual covers (OD) in RS:2300000 Compulsory excess in Rs:1000
Imposed excess in Rs:0 Voluntary excess in Rs:0
Persons or classes of persons entitled to drive:Any person including the insured 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. Provided also that the person holding an
effective Learner's License may also drive the vehicle and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles
Rules, 1989.
PA cover for Owner Driver
Name of Nominee Age of Nominee Relationship with the Name of the Appointee (if Relationship to the
Insured Nominee is a minor) Nominee
NA NA NA . .
PA cover for named persons
Name CSI Opted(Rs.) Nominee Relationship
NA NA NA NA
Premium and GST Details
Rate of Tax Amount in INR
Premium Rs17214
SGST 9 1549
CGST 9 1549
IGST 0 0
Premium Rs27186
SGST 6 1631
CGST 6 1631
IGST 0 0
In witness where of this policy has been signed at SALEM DO on this 06/12/2023
WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 21,23,40,7.
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
Policy No. : 72040031230300009053Document generated by 37421 at 2023/12/06 11:40:46.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
Página 2 de 4
Page 2 of 4
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
company by reason of wider terms appearing in the certificate in order to comply with the Motor Vehicles Act, 1988 is recoverable from the
insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
policy, will stand forfeited.
Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 1
lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company website.
I/We hereby certify that the policy to which this Certificate For and on behalf of The New India Assurance Company Limited
relates as well as this Certificate of Insurance are issued in
accordance with the provisions of Chapter X and XI of M.V. Act,
1988.
Date of Issue: 06/12/2023
Duly Constituted Attorney(s)
NIL DEPRECIATION ADD ON COVER UNDER COMMERCIAL VEHICLE PACKAGE POLICY
(Endorsement Wording for Add on cover - Nil Depreciation)
UIN Number - IRDAN190RP0044V01100001/A0009V01202021
ENDORSEMENT ATTACHED TO AND FORMING PART OF POLICY NO. 72040031230300009053
Additional Premium: Rs.7675
In consideration of payment of an additional premium by the Insured, it is hereby agreed and declared that notwithstanding anything to
the contrary contained in the Policy, the Company hereby undertakes to indemnify:
1.Depreciation on replacement of parts including tyres, tubes, rubber / plastic for Partial Loss Claims.
2.Exclusion and depreciation under IMT 21 & IMT 23 respectively (wherever applicable).
3.Midterm inclusion of cover is not permitted.
4.Total Loss and Constructive Total Loss will be settled on the basis of IDV.
5.Depreciation waiver is applicable for two claims only.
The Company shall not be liable to make any payment in respect of:
1.Replacement of accessories, extra fittings and/or any internal improvements in the Insured Vehicle unless specifically covered in IDV.
2.Any damage occurred due to overturning in case of Miscellaneous D vehicle, unless covered under the policy by IMT 47.
Subject otherwise to the terms, exceptions, conditions and limitations of this Policy.
For and on behalf of The New India Assurance Company Limited
Date of Issue: 06/12/2023
Duly Constituted Attorney(s)
Policy No. : 72040031230300009053Document generated by 37421 at 2023/12/06 11:40:46.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
Página 3 de 4
Page 3 of 4
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
IRDA Registration Number: 190
NIA PAN NUMBER: AAACN4165C
Policy No. : 72040031230300009053Document generated by 37421 at 2023/12/06 11:40:46.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
Página 4 de 4
Page 4 of 4
