Brery
Geneeal aurance
LIBERTY
cOMMRCIAL VEIIICLE GENERAL PACKAGE
INSURANCELIMITED
CERIIEICATE OF POLIOV-G00DS
CUM POLIV CARRYING VEHICLES
IMPORTANT DThe V'alidity of this Certificate of INSURANCE
aka Rons will only he Insuranceecnm SCHEDULE
1) In the (vent of allowed provided theSehedele is nbject to
realization of the
fraud or non P'oltey is renewed within
misrepresentation,
policy from inception disclómre of material facte, 90thedays of thepreminm eheque.
exniry date of the
roerves the right toprevlons
Policy ssuing office :10TH FLOOR, TOWER A, nliey
Phone:+91 22 67001300 fax: 4 91 22 06700 1606 PENINSULA BUSINESS PARK, cómpanv
Poliey Servicing offite :KANKARIA GANPATRAO KADAM caneel the
STREET PARK CIRCUS, MARGLOWER PAREL. MUMRAT. MAHARASHTRA 400013
CENTRE 2/1, 2nd FLOOR, RUSSELL
Geopphial Area 20130|401237(0T|24000 Period of fnnrance KOLKATA, West Bengal 200071 PH: +91
From I8:8 Hrof 12K/2021 33
nsure
India
40951200
MOHAMMAD SADDAM HUSSIN Midnight of |IM6/2024
Addrrss
PRASASTHA DOMIUR Policy Issued on
|OWRAONRAL WEST Covernote No
Contn Vumbt
Hstonct GSTIN
BÊNGAI HOWRAH PROSASTHA.7||30)
780048RARS
Covernote Date
2013301401232001|3400000
12/06/202 3
IRDANISORPOO32VO1201213 RIO Location
TiOWRAL
POSP Name Zone: lone (
Aadhar Number
ent Name PAN Number
AgentCode Pohcybazaar Insurance Brokers Private Limited
IMDI046412 Agent Contact No
INSURED MOTOR VEICLE DETAILS AND (8002585970
Reristrtion
Mark & No.
Vesr ol \Monnfacture
Date of Registrution
Engine No. Chasis Na
Trailer
PREMIUM
Trailer
COMPUTATION
Makenlodel/ Type Tyne of Rody Velicle Suh ClassLcCHP) Publicl Lieense
Invoice Datc Registration Chassis No of Vehicle GVW/K Private Carry ing
No
Carrierl cupacity
ineiuding
priver
2021 12.06-2023 12-06
TIPIDI3600MAIRA2TTK
MA
MAINDRA BOLER
ID37504
Govds arrying
O NMAXX PUP HD OPLN (Other than vh). 1460 Public
LX
Publ1c Carriers
D\ O \ehicleChassis JDV Body |D\
IDV
(INSURED DECLARED VALUE)
Non Electrical Acccssorics Electrical &
Elcctronies Acccssories Bi-Fucl kit(CNG/LPG) Trailer
Total Value
O05 350 00 005 350 00 0 00
( g05 350 00
()
Section| - 0W NDAMAGE (A)
Onn Dunae Premionn on \chice and aceessories Sectivn |I- LIABILITY (B)
Third l'arty Premium
Baste 0er
Basic OD
Basic Cover
3125 27 Basic TP 16.049.00
E\TENSIONS VDER O\N DAMAGE SECIONS
UVer loH Lamps Ivres tubus nhudgu.irdstIMI 23)
EXTENSIONS LNDER TIIRD PARTY SECTION
468 70 Legal Liubility
LOADINGU\DER OW\DANMAGE SECTION Legal ab1l1ty to Drivert l yCleanert | Conductor) 100 00
T0TAL OW\DAMAGE PREMIUM (A)
3.594 06 TOTAL LI ABILITY PREMIUM 16,149 00
3594 06
Section III -PA OVNERDRIVER (D)
Net Premium(A+B+C)Taxable Value 19.743 00o
State CeSs
CGST(WEST BENGAL) 1295.40
SGST(WEST BENGAL) 1295.40
TOTAL POLICY PREMIUM 22.334.00
Hre Putchasc/LeaseHypothecated with IDCFIRST BANK LIMITED, KOLKATA
LIMIIAIONS AS TO(SE -The Pulicy cUvers use onls lor carriage ul guvds within the meaning of the Mutor Vehicles Act
I PoCy dos not covr Use lor Orvanzed acing Pce Mak1ng, Relabilty Ioal., Specd TCsting 2) Use wlulst draw1ne a
*E c CC me owing toher than lor reward) of any onc disabled Mcchanca
propelicd velucle 3)Use fo carrvng passengerN n \ehicles, excepl employees (other thun driver) not exceed1ny the no. femitted in reyIstration lcument and comng under purview of Workmen's ConpA
DRIVERS CLAUSE
Persons or Classes of Person 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 hold1ng or obta1n1ng such a license.Provided also that the person holding an effective learner's license may also drive the vehicle when not
used for transport of goods at the tume of the acc1dent and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Limits of Liability
Deductibie Compulsory Deductible:RS 500
Under Section
(Death II-1(i)injury):
of or bodily of the Such amount as i5 necessary to
policy meet Under Section I[-1(i) of the 7,50,00 P.A, cover for owner-NÀ
Voluntary Deductible: Rs 0.00o there requrements of the policy(Damage to third party 0 Driver under section
ction-] Motor Vehicles Act, 1938. property) II: cSI
Subjet to 1.M.T Endorsement Nos IMT 2, IMT 28,IMT 23 IMT 21
NOMINATION DEIAILS
Name of the Nominee Relationship with Insured Name of Appuintee (if nominee is minor) Relationship with the Nominee
NA NA NA
IWe cIsby sst, that (he Polcy to uhih ths Crtiticalcraless ell as this CCtticte ul Insurance ac isuCd in urdan th the povisins ol chapter X and chupler Klol M Act)9XS
n wn» wef thts Polc hus hcn NIgCd at Munhat on (2% 023
Fur Liberty General usurance Limited
lncasc of cluim ,Plcuse couluct us at: Toll Frec No -I8002065844,
Email id - careaibertyinsurance.in lRDA Registration Nu. I50
Jasurance is the subjct nalter of sulicitativn;C1N No. Uo6000MH2010PLC209656
Date of lssue :12/06/2023
Place: kOLKATA
onsoliduted Stanp duty has buen paid as per letter of Authurization no. LOA/CSDTN2023/2131
IDated 2|042023Ihsucd by Maun Stanp Oftice. Mumbui * Not Applicable tor the Stateot Junmu
&Kashnu
LGI Ba GSTIN 19AABCI9)50AIZI
SAC Codc w7|14 Desepion of SenveGcneral lnsurane Servxe
|'lace ol Supply WESI BENGAL
IaA Ik bot pat abie utdet trvetse charge by the tecipient Authorised Sigautury
Wc hcrcby declauc that thouyh our oguepate unoveI inouy pivcodwy tinucial yesr tom 2017.I8 uawards (s More than the aggivg1te tunovet notuticd unuter sub-rule 4) ofods 1
icquitcd to prcpe an inC ) leIms of the piusibns of the suid sub-ule
IMPOKIANTNOTIE
tth thus shedulk Auy puyuit tLde by te (ouiy by
ICuNu T wider lcns appcuug n the cedie,
lcvnplv wilh the Molor \chcle Act. 19K6 Icuovcrablele fou the lased See he clause lieaded"AVOUDANCL O| CLK\|\ TLKNIS ASD RIGtI Or RLCOVLRY" e
legal unterpretaion Laglah
be guvd venun ill
