Royal Sundaram General Insurance Co.

Limited
(Formerly known as Royal Sundaram Alliance Insurance Company Limited)
Corporate Office :Vishranthi Melaram Towers No. 2 / 319,
Rajiv Gandhi Salai (OMR),Karapakkam,Chennai - 600097.
Registered Office: 21, Patullos Road, Chennai 600 002.
Call : 1860-425-0000 ,E-mail:customer.services@royalsundaram.in
Website: www.royalsundaram.in
IRDA Registration No.102 | CIN-U67200TN2000PLC045611
Quote
Private Car Package Policy
This quote is issued only for quotation purpose and its not a policy document.
Address:
Mr.SNEHA V PAWAR

VASAI(MAH), MAHARASHTRA
Tel: Mobile: 9800000000
Name of Proposer Mr.SNEHA V PAWAR
Proposer's Date of Birth Occupation
Quote No. QVPC08651928 Inception Date 21/11/2019
Geographical Area India Issued Date 05/11/2019
Registration Authority Registration Date: 30/11/2015
Ref Code BA503094 OA Code: BR503094
Policy Period 1
PRIVATE CAR VEHICLE DETAILS
Registration Number MH48AH0048 Type of Body Sedan
Engine Number Cubic Capacity 1,995
Chassis Number Year of Manufacture 2015
Registration City VASAI(MAH) Registration State MAHARASHTRA
Make of the Vehicle BMW Seating Capacity (including driver) 5
Gran Turismo Luxury Line 3
Model Description Net Premium (in Rs.) 69,201
Series
INSURED'S DECLARED VALUE (IDV) (in Rs.)
Non Electrical / Value Loss For Life
For the For Total Invoice
Electrical Electronic of CNG Of Time
Vehicle Trailers IDV Price
Accessories Accessories Kit Baggage Road Tax
2,700,500 0 0 0 0 2,700,500 10,000 0 0
A - OWN DAMAGE Rs. B - LIABILITY Rs.
Basic premium on Vehicle and Non-Electrical Accessories 31,597.00 Basic premium including premium for TPPD 7,890.00
Less: For restricted TPPD cover for Rs.6000
0.00
(IMT 20)
Electrical & Electronic accessories @ 4% (IMT 24) 0.00 Trailers (IMT30) 0.00
Bi-fuel kit (CNG) @ 4% (IMT 25) 0.00 Bi-fuel kit (CNG) 0.00
Add: Add:
a) Trailer 0.00 Personal Accident Benefits
b) Geographical Area Extn.Endt.IMT-1 0.00 a) Geographical Area Extn.Endt.IMT-1 0.00
b) Under Section III (Owner Driver), CSI Rs.
315.00
1,500,000
c) 30% for Imported vehicles without custom duty 0.00 c) Named Passengers, CSI Rs.0 each as per
0.00
(IMT 19) list attached (IMT 15)
d) Fibre Glass Tanks 0.00
d) Unnamed Passengers, CSI Rs.50,000 each
e) 60% on OD Premium for Driving Tution 0.00 (IMT 16) 125.00
f) Additional Towing ChargesCover
0.00 e) P.A Cover to Paid Driver, CSI Rs.0(IMT 0.00
g) For any Other extra 17)
0.00
Less: Legal Liability
h) Discount for Anti-theft devices (IMT 10) 0.00 To Paid Driver (IMT 28) 50.00
i) 50% Discount for Vehicles specially designed/ modified 0.00 To Employees (IMT 29)
0.00
for blind, handicapped and mentally challenged persons.
j) Automobile Association Discount (IMT 8) 0.00
For any other extra 0.00
k) Any other discount 0.00
% for Voluntary Deductible (IRDAN102A0006V01200910) of 0.00
Rs.0 TOTAL LIABILITY PREMIUM (B) 8,380.00
(IMT 22 A)
l) Vintage Car Discount 0.00 PACKAGE PREMIUM (A + B) 58,645.00
Deduct:20% No Claim Bonus -6,319.40 Add: Underwriter Loading % 0.00
Final Discount @0% 0.00
0.00 Less: Special Discount @ %
Add: Underwriter Loading 0.00 NET PREMIUM 58,645.00
Add: Additional Cover for Package Policies
1)Depreciation Waiver (IRDAN102A0011V02201213) 19,443.20
2)Windshield Glass (IRDAN102A0004V01200910) 0.00
3)Facilities in Lieu of Spare Car (IRDAN102A0007V01200910) 0.00 ADD:SGST 5,278.05
4)Full Invoice Price Insurance (IRDAN102A0008V01200910) 0.00 ADD:CGST 5,278.05
5)Life Time Road Tax (IRDAN102A0005V01200910) 0.00
6)Loss of Baggage (IRDAN102A0009V01200910) 100.00
7)NCB Protector Cover (IRDAN102A0002V01201314) 0.00
8)Aggravation Cover (IRDAN102A0001V01201314) 4,752.80
9)Key Replacement Cover (IRDAN102A0001V01201516) 691.20
10)Tyre Cover (IRDAN102A0003V01201718) 0.00
TOTAL OWN DAMAGE PREMIUM (A) 50,265.00 TOTAL PREMIUM PAYABLE 69,201.10
Quote Valid Up To : 20/11/2019
GSTIN : 27AABCR7106G1ZJ UIN: IRDAN102P0004V02201617 PAN Number : AABCR7106G

IRDA Registration No.102