Office Copy
UNITED INDIA INSURANCE COMPANY LIMITED
MICRO OFFICE,KANG MARKET NEAR HDFC BANK,MAIN ROAD,BASSI PATHANA DISTT. FATEHGARH
SAHIB
FATEHGARH SAHIB - 140412 PUNJAB
PHONE: (01763) 503781 FAX: EMAIL:
CARRIER' S LEGAL LIABILITY POLICY
POLICY NO.:2017832724P104596422
PERIOD OF INSURANCE
From 00:00 hrs of 29/06/2024
To Midnight of 28/06/2025
Insured
M/S CHEEKA INDANE GAS SERVICE
129 CHEEKA INDANE GAS SERVICE KAITHAL ROAD CHEEKA
KAITHAL
136034
HARYANA
Agent Name : SANJEEV KUMAR
Agent Code : AGN1042269
9056188000
Mobile/Landline Number/Email :
[email protected] The genuineness of the policy can be verified through "Verify Your Policy" link at www.uiic.co.in.
For any Information, Service Requests, Claim intimation and Grievances please write to [email protected]
Download Customer App(www.uiic.co.in). REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014.
Website: http://www.uiic.co.in
Printed By : CUSTOMER @ 30/06/2025 10:17:56 AM
This document is digitally signed
Signer: DS UNITED INDIA INSURANCE CO LTD 1
Date: Mon, Jun 30, 2025 10:17:54 IST
Location: United India Insurance Company Ltd
1/3 Reason: Signing Policy for UIIC by Harmeet Singh Chahal
Office Copy
CARRIER'S LEGAL LIABILITY POLICY
SCHEDULE
Policy No. 2017832724P104596422 Prev. Pol. No. 2017002722P111943096
Name Of Insured/ID M/s CHEEKA INDANE GAS SERVICE/23026626311
Tel.(O) Fax Tel.(R) Mobile ******0000
Business/Occupation None Email
Period of Insurance From 29/06/202400:00 Hours To Midnight of 28/06/2025
CO-INSURANCE DETAILS: UIIC 201783 : 100%
PREMIUM: 3,356.00
Territory(Geographical Limits):-HARYANA Jurisdiction:- INDIA
Subsidiaries:-
Vehicle Registration Carrying Capacity in Details of issuing office of
Vehicle Registration Date Motor Package Policy no
Number Tones Package policy
HR39E3482 05/04/2019 12.5 2019033123P107154579 UIIC
LIMIT OF LIABILITY PER EVENT 500,000.00
LIMIT OF LIABILITY PER POLICY PERIOD 500,000.00
EXCESS(MINIMUM DEDUCTIBLE PER ACCIDENT) 2,000.00
Net Premium : 3,356.00
IGST(18%) : 604.00
Stamp Duty : 1.00
Total : 3,960.00
Receipt No. : 10120178324105001304
Receipt Date : 28/06/2024
Agency/Broker Code : AGN1042269
Dev.Officer Code :
2/3
Office Copy
Coverage Details:-
Cover Name SI( ) Premium( )
Basic Cover 500,000.00 3,356.47
Customer GST/UIN No.: 06AARFC9521B1ZJ Office GST No.: 03AAACU5552C1ZT
SAC Code: 997139 Invoice No. & Date: 2724I104596422 & 28/06/2024
Amount Subject to Reverse Charges-NIL
We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the
aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said
sub-rule.
Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding
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's web site.
LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in.
Date of Proposal and Declaration: 29/06/2024
IN WITNESS WHEREOF,the undersigned being duly authorised has hereunto set his/her hand at MO BASSI PATHANA 201783 on
this 28th day of June 2024
For United India Insurance Co. Ltd.
Affix Policy
Stamp here.
Authorised Signatory.
Underwritten By - ABH37530 ( MO INCHARGE )
'Policy form - Claims made with right to defend.'
This is a system generated document and any manual alteration / correction / overwriting in the document will make it invalid.
(ARCHIVED POLICY)
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