Quotation Worksheet For Auto Secure - Private Car Package Policy
Quote Generation Date: 07/02/2025
Producer Code : NA Producer Name : NA
Producer Contact : NA Client Name : ANSHU CHOUDHARY
Producer Email : NA Vehicle Number : 22 BH 2 981A
Policy Plan : Package (1 year OD + 1 year TP)
Make , Model & Date of Cubic
RTO Location Mfg Year Seating Capacity Fuel Type
Variant Registration Capacity/KW
HONDA CITY 1.5 V
MUMBAI 2022 16/03/2022 1497 5 PETROL
CVT
IDV of Non-
Bi-Fuel/CNG /LPG IDV of Electrical
Policy Year IDV Of Vehicle IDV Of Trailer Electrical Total IDV
Kit Accessories
Accessories
1 959286 0 0 0 0 959286
PREMIUM BREAK UP
QT/25/6208141865
Description
PEARL choice1
Section - I Own Damage (A)
Basic OD premium ₹ 4724.00
Discounts Under Own Damage Section
Less: No claim bonus(35% ) ₹ 1653.40
A: TOTAL OWN DAMAGE PREMIUM ₹ 3070.60
Section - I ADD ON COVERS(C)
Add: Depreciation Reimbursement (TA 01) ₹ 4412.72
(Count of Claim 2)
Add : Emergency transport and hotel expenses (TA 10) ₹ 135.00
Any One Accident : 5000
Any One Year : 10000
Add : Key Replacement (TA 15) ₹ 315.00
Sum Insured:25000per
occurrence limit 50% of SI
Add : Loss of personal belongings (TA 09) ₹ 135.00
Sum Insured:10000
Add : Repair of Glass, Rubber & Plastic Parts (TA 08) ₹ 0
C:TOTAL ADD ON PREMIUM ₹ 4997.72
Section - II Liability (B)
Basic TP premium ₹ 3416.00
PA Benefits
Compulsory PA Cover for Owner Driver 1,500,000 Tenure: 1 ₹ 375.00
Legal Liability
Add : Legal Liability to paid driver (IMT 28) ₹ 50.00
(Number of persons) (1)
TOTAL LIABILITY PREMIUM(B) ₹ 3841.00
Total Premium
NET PREMIUM (A+B+C) ₹ 11909.00
SGST/UGST @9% ₹ 1071.84
CGST @9% ₹ 1071.84
TOTAL PREMIUM ₹ 14053.00
Road Side Assistance (Inclusive of All Applicable Taxes) ₹ 136.88
Final Premium With Road Side Assistance ₹ 14190.00
Note: Above mentioned Premium is subject to Positive vehicle inspection, if required as per Underwriting Guidelines
The quotation is subject to Underwriter approval for below deviations.
Deviation 1 - UW Approval required for Discount exceeding Branch Grid/Pre approved discount