Bajaj Allianz General Insurance Company Ltd.

Registered and Head Office: Bajaj Allianz House, Airport Road, Yerwada, Pune

Transcript of Proposal for Two Wheeler Policy - Bundled

Dear MR PANKAJ,
We wish to inform you that the contract under policy number 'OG-24-1149-1826-00011731' has been finalized based on the
information and declaration given by you, the transcript whereof is mentioned below. You are requested to reconfirm the same.
In case of any disagreement or objection or any changes with respect to information mentioned below, we request you to
please revert back within a period of 15 days from date of your receipt of this, failing which it will be deemed that you are
satisfied with the correctness of the details mentioned below. Kindly note that as the contents and declarations contained in this
transcript is the basis on which we have issued the policy to you, we advise you to please ensure that you have
provided/disclosed and or not withheld any material facts/information and declarations, as Policy becomes Void ab initio if
material facts are not provided/disclosed and or withheld and in such case no claim, if any, will be considered by us apart from
forfeiture of the premium.
Details provided by you:

A. Proposer details
1. Proposer Name : MR PANKAJ
2. Proposer Address : A-21 THIRD FLOOR , GALI NO 1,, HARDEV NAGAR, JHARODA MAJRA,
BURARI,
, BURARI, NORTH DELHI, DELHI-110084
3. Proposer Mobile Number : 9711113911
4. Proposer Residential Number : NA
5. Proposer e-mail id : RG@SWADESHIBAJAJ.COM
6. Proposer Profession : NA

B.Vehicle Details
Registration Month / Year Vehicle Vehicle Vehicle Sub Cubic Capa- Fuel Type Year of Man- Seating Ca-
Number of Regn Make Model Type city/Kilowatt ufacture pacity
NEW JUL/2023 BAJAJ CHETAK 2413 4 Battery 2023 2
PREMIUM

Engine Number Chassis Number Vehicle IDV (in Electrical Non-Electrical CNG/LPG Unit Total IDV (in
Rs.) Accessories Accessories (Extra fitted) Rs.)
IDV (in Rs.) IDV (in Rs.) IDV (in Rs.)
E30CPC65715 MD2B35300PCC 1,36,587.00 0 0 0 1,36,587.00
71834
 C. Coverage opted

1. Period of Insurance
For Own Damage Section From 29-JUL-2023 15:14(Hrs) To 28-JUL-2024 Midnight
For Third Party Liability Section From 29-JUL-2023 15:14(Hrs) To 28-JUL-2028 Midnight
2. Is your vehicle fitted with external LPG/CNG kit : No.
3. Electrical Accessories cover Opted (If Applicable) : No.
4. Non - Electrical Accessories cover Opted (If Applicable): : No.
5. Is Voluntary Excess opted : No.
Amount of voluntary excess opted : Rs.NA.
6. Whether PA cover is opted for owner-driver : Yes.
7. compulsory deductible : Rs.100.00
8. Is any additional compulsory deductible imposed and agreed upon : No.
Amount of additional compulsory deductible imposed : NA.
9. Whether geographical area extension is opted : No.
Details of Countries to which geographical area extension cover is given : NA.
10. Is LL to person for Paid driver/Operation/Maintenance opted : No.
11. Whether PA cover is opted for paid driver other than owner driver : No.
Sum Insured for Paid Driver : Rs.NA.
13. Is TPPD restricted to statutory limit of Rs.6,000? : No.
14. Pre Existing damages in the vehicle : NA.
15. 1 Premium for Liability coverage, quoted and agreed upon is :
16. 1 Premium for OD coverage, quoted and agreed upon is :
17. Do you have valid PUC certificate of the vehicle : NA
18. Do you have valid Fitness certificate of the vehicle : NA
19. Total Premium (excluding Goods and Service Tax (GST)) for Liability and OD coverages, quoted and agreed upon is
:
20. NCB (No Claim Bonus) claimed by you and granted by us based on your declaration of no claim during your previous
previous policy : 0 %.
21. About the last insurance company
(i) Insurance Provider : NA.
(ii) Previous Policy No : NA , Previous Policy Expiry Date : NA
22. Whether your vehicle is Hypothecated and if so the details of Pledgee whose name is registered by us : Yes.
Name of Pledgee : BAJAJ FINANCE LTD.
23. Add on Cover(s) optedm2 : Yes, Plan Name:Drive Assure Basic And 24x7_Spot Assistance Plan Description: 24x7 spot
assistance , depreciation shield ,
Please call us on 1800 103 5858 for any emergency.

24. To support our Go Green initiative, send policy copy link on registered mobile number / email id: NO
Please note Cover Note No. / issued to you basing on the above information.
In case of Disagreement or objection or any changes with respect to information and contents mentioned hereinabove, please
contact our toll free number & register your objections/changes/disagreement to the contents of this transcript or you may also
send us email or written correspondence at the following details within a period of 15 days from date of your receipt of this
transcript along with Policy:
I/We hereby unconditionally allow the Company to share all my / our information being collected in this proposal form or
through telephonic / email / web-inputs means or other means, as updated from time to time within group entities.
Toll free Number : 1800-102-5858,1800-209-5858
Email address : Bagichelp@bajajallianz.co.in
Website : www.bajajallianz.com
Contact our policy servicing branch at: New Delhi, New Delhi, , , WEST DELHI-110015 PH:011-66278000.
INSURANCE ACT, 1938 SECTION 41 - PROHIBITION OF REBATES
No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or
continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the
commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing a policy
accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer.
ANY PERSON IN BREACH OF COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE PUNISHABLE
WITH FINE WHICH MAY EXTEND TO RUPEES TEN LAKH.Bajaj Allianz General Insurance Co Ltd
   

BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED

Regd. Office & Head Office: GE Plaza, Airport Road, Yerwada,Pune-411006(India)
IRDAI Registration No. 113
Corporate Identity Number: U66010PN2000PLC015329
Certificate of Insurance (Two Wheeler Policy - Bundled)
UIN : IRDAN113RP0008V01201819
Policy Number: OG-24-1149-1826-00011731 Customer ID: 398812506
Particulars of Vehicle Insured:
Registration Number Place of Registration Engine Number Chassis Number Make & Model
NEW DELHI E30CPC65715 MD2B35300PCC7183 BAJAJ - CHETAK
4

Sub Type Year of Mfg NCB % CC Seating Capacity

2413 PREMIUM 2023 0 4 2

Name of Registration Authority : DELHI

Name and Address of Insured : MR PANKAJ
: A-21 THIRD FLOOR , GALI NO 1,, HARDEV
NAGAR, JHARODA MAJRA, BURARI,, BURARI,
NORTH DELHI, DELHI-110084
Geographical Area : .00
Business or Profession : NA
Effective date of commencement of Insurance for the purpose of act:
For Own Damage Section From 29-JUL-2023 15:14(Hrs) To: 28-JUL-2024 Midnight
For Third Party Liability Section From 29-JUL-2023 15:14(Hrs) To: 28-JUL-2028 Midnight
Persons or Class of Persons entitled to drive:
Any person including the insured:
a) 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.
b) Provided also that the person holding an effective learner's license may also drive the vehicle and that such a person satisfies
the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989.
IMT-Endorsements/Add on Package
7, 22, & Plan Name:Drive Assure Basic And 24x7_Spot Assistance & Plan Description: 24x7 spot assistance , depreciation
shield ,
Limitations as to Use:
The Policy covers use for any purpose other than
a) Hire or Reward, b) Carriage of goods (other than samples or personal luggage), c) Organized racing, d) Pace Making, e)
Speed testing, f) Reliability Trials, g) Any purpose in connection with Motor Trade
I/We hereby certify that the Policy to which this certificate relates as well as this Certificate of Insurance are issued in
accordance with the provisions of Chapter X and Chapter XI of M.V. Act, 1988.
Policy issuing office and correspondence address for communication by holder of Certificate of Insurance for claim,
service request, notice, summons, etc:
New Delhi, New Delhi, , , WEST DELHI-110015 PH:011-66278000
Date of issue :29-JUL-2023
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.
Now carry your m-policy on your mobile. Click here to download. https://bagic.page.link/VUQ5vo

For help and more information:

Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at
Bagichelp@bajajallianz.co.in or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 29-Jul-2023 15:14:02 PM- 40002227@md bajajallianz co in (Web) (NA)
Authorized Signatory
   

BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED

(A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of
India [IRDA] vide Reg No.113)
Regd. Office: Bajaj Allianz House, Airport Road, Yerwada,Pune-411006(India))
TWO WHEELER POLICY - BUNDLED SCHEDULE
UIN : IRDAN113RP0008V01201819
Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons, etc:
New Delhi, New Delhi, , , WEST DELHI-110015 PH:011-66278000
INSURED DETAILS POLICY DETAILS
Insured Name MR PANKAJ Policy Number OG-24-1149-1826-00011731
A-21 THIRD FLOOR , GALI NO 1,, Policy Issued on 29-JUL-2023 15:14 PM
Insured HARDEV NAGAR, JHARODA MAJRA,
BURARI, , BURARI, NORTH DELHI, For Own Damage Section
Address DELHI-110084
Geographical From : 29-JUL-2023 15:14 (Hrs)
India
Area To : 28-JUL-2024 Midnight
Customer ID Policy Period For Third Party Liability Section
398812506
From : 29-JUL-2023 15:14 (Hrs)
Bank Reference
No 1 To : 28-JUL-2028 Midnight
Cover Note
GSTIN / UIN NA /
Details
Place of Supply/ 07 - Delhi
State Code/Name Previous Policy No 0

Invoice No 387914868/1

Company GST No 07AABCB5730G1ZZ

Company PAN AABCB5730G

Make & Mod-

Registration Number Place of Registration Engine Number Chassis Number SubType
el
MD2B35300PCC7 BAJAJ - 2413 PREMI-
NEW DELHI E30CPC65715
1834 CHETAK UM
NCB % CC/KW Seating Capacity Year Of Manufacturing Hypothecation Details
0 4 2 2023 BAJAJ FINANCE LTD
Non electrical Electrical/Elec- Value of CNG/
Vehicle IDV Value For Side Car Total Value
accessories tronic accessories LPG kit
1,36,587.00 0 0 0 0 1,36,587.00
Own Damage Premium(Rs.) Liability Premium(Rs.)
Own Damage Premium 2,361.00 Basic Third Party Liability 3,273.00
Special Discount PA Cover for Owner-Driver - SI - Rs.1500000 331.00
Total OD Premium - A 2,361.00 Period: From 29-Jul-2023 To 28-JUL-2024
Total Premium (Net Premium) (A+B) 5,965.00 Total Act Premium - B 3,604.00
State GST (9%) 537.00
Central GST (9%) 537.00
Final Premium ( Rupees Seven Thousand Thirty Nine 7,039.00
Only )
**Note: The above Total OD Premium is inclusive of all applicable Loading /Discounts viz (Automobile association membership, Voluntary Excess,
Anti Theft, Handicap Person, Driver Tuition, Fiber Glass, CNG/LPG Unit, Geographical Extension, Imported Vehicle Etc. wherever Applicable)

As per the GST regulations, the amount of GST will not be refunded if the policy / endorsement is cancelled after 30th September of the next financial year

For help and more information:

Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at Ba-
gichelp@bajajallianz.co.in or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 29-Jul-2023 15:14:02 PM- 40002227@md bajajallianz co in (Web) (NA)
   

I/We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover noti-
fied 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.

MISP Code 40002227 Contact No. 09818250200/09818250200

MISP Name SWADESHI AUTO PVT LTD
E-Mail ID. D12876@BALDEALER.COM

Limitation as to Use The Policy covers use of the vehicle for any purpose other than : Hire or reward, Carriage of
goods( other than samples or personal luggage),Organised racing,Pace making, Speed testing,
Reliability trials. Any purpose in connection with Motor Trade.
Driver Any person including the insured provided that a person driving holds an effective driving li-
cense 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
when not used for the transport of goods/passengers at the time of the accident and that such a
person satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
Limits of Liability Under section II-I(i) of the policy -> Death of or bodily injury : Such amount is necessary to meet
there requirements of the Motor Vehicles Act,1988. Under section II-I(ii) of the policy -> Dam-
age to Third Party Property : Rs. 1,00,000.00
No Claim Bonus
Existing Damage Details NA
Nominee Details Name :SONIA - Relationship :Wife
Subject to Warranties/ 7, 22, & Plan Name:Drive Assure Basic And 24x7_Spot Assistance & Plan Description: 24x7
IMT-Endorsements/ spot assistance , depreciation shield ,
Add on Package
Additional Details Coinsurance Details: - . Transaction Id: -
Premium Details Receipt No. 1149-01486638,1149-01483227, Date ** If Premium paid through Cheque, the
Policy is void ab-initio in case of dishonour of Cheque.
Excess Details Compulsory Excess: Rs.100.00 Additional Excess: Rs.0 Voluntary Excess: Rs..00
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 Company by reason of wider terms appearing in the Certificate in order to comply with the Motor Vehicle Act,
1988 is recoverable from the Insured. See the clause headed AVOIDANCE OF CERTAIN TERMS AND RIGHT OF RECOVERY.
For & On Behalf of
Bajaj Allianz General Insurance Company Ltd.

Stamp
Duty Rs.
0.5

Authorized Signatory
This document is digitally signed, hence counter signature / stamp is not required.
Consolidated Stamp Duty of Rs.0.5/- paid towards Insurance Stamps vide Challan No. MH018043478202223M Defaced No. 0000250675202324 ORDER NO.CSD/685/2023/2054 OR-
DER DATED 13.04.2023DEFACED DATE dated 13-APR-23 timing 13:04:23 of General Stamp Office,Mumbai,India.

Principal Location : Block No-4, 7th Floor, DLF Towers, 15, Shivaji Marg, -, New Delhi - 110015 PH:011-66278000 | Services Accounting
Code : 997134 - Motor vehicle insurance services. No reverse charge is payable on these services.
 TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Drive Assure Basic And 24x7_Spot Assist-
ance): POLICY WORDINGS

S1 - 24x7 SPOT ASSISTANCE

(UIN No. IRDAN113RP0008V01201819/A0032V01201819)
A. Endorsement Wordings
In consideration of the payment of additional premium, it is hereby agreed and declared that You shall be entitled to one or
more of the below mentioned benefits stated in the plan as shown in the Policy Schedule:
BENEFITS:
(a) Flat Battery: In the event of the Insured Vehicle being immobilized due to a flat battery, We will make alternative
arrangements to make the Insured Vehicle mobile again provided the event has occurred within a radius of 100 kilo-
meters from the center of the cities as listed in the attached annexure and the Insured Vehicle has not reached a work-
shop/repairer.
(b) Spare Keys: In the event of You losing the keys of the Insured Vehicle, We will arrange for the pickup and deliv-
ery of spare keys to the spot where the Insured Vehicle is located provided the event has occurred within 100 kilomet-
ers from the center of the cities as listed in the attached annexure and the Insured Vehicle has not reached a workshop/re-
pairer.
(c) Flat Tyre: In the event of the Insured Vehicle being immobilized due to flat tyre, We would assist You by:
i. Arranging for the assistance of a vehicle technician to replace the flat tyre with the spare Stepney tyre of the
vehicle at the location of immobilization.
ii. In case the spare tyre is not available in the insured vehicle, the flat tyre will be taken to the nearest flat tyre
shop for repairs and re-attachment to the vehicle. Any expenses on material, if required while carrying out the re-
pairs, would be borne by You.
Provided always that the immobilization has occurred within a radius of 100 kilometres from the centre of the cities as
listed in the attached annexure and the Insured Vehicle has not reached a workshop/ repairer.
(d) Minor Repairs: In the event of the Insured Vehicle being immobilized due to mechanical and/or electrical break-
down, We will arrange for minor mechanical and/or electrical repairs to make the Insured Vehicle mobile again
provided the breakdown has occurred within 100 kilometers from the center of the cities as listed in the attached annex-
ureand the Insured Vehicle has not reached a workshop/repairer.
(e) Urgent Message Relays: In the event of the Insured Vehicle getting immobilized as a result of Accident and/or
breakdown, We will send urgent message on Your request to the specified persons through available means of commu-
nication.
(f) Breakdown support over phone: In the event of minor mechanical errors/faults/non-functioning of the Insured's
Vehicle or any part thereof, the Company would provide the Insured with telephonic assistance to come up with solu-
tions for such minor mechanical errors/faults/non-functioning of the Insured's Vehicle
(g) Fuel Assistance: In the event of the Insured Vehicle being immobilized due to an empty fuel tank and/or contamin-
ated fuel, We shall arrange for supply of one liter of fuel on chargeable basis at the location of the immobilization and /
or towing of the insured vehicle to our nearest preferred workshop, provided the event has occurred within 100 kilomet-
ers from the center of the cities as listed in the attached annexure and the Insured Vehicle has not reached a workshop/re-
pairer.
(h) Towing Facility: In the event of the Insured Vehicle getting immobilized as a result of Accident and/or breakdown,
We shall arrange for towing away of the We from the spot of immobilization to our nearest preferred workshop/ re-
pairer provided the accident/ breakdown has occurred within 100 kilometers from the center of the cities as listed in the
attached annexure and the We has not reached a workshop/repairer.
(i) Taxi Benefits: In the event of the Insured Vehicle meeting with an accident /breakdown, We will arrange for a free
travel of the occupants of the Insured Vehicle to a single destination within a vicinity of 40 kilometers from the spot of
immobilization through a taxi or any other transportation service provided the event has occurred within 100 kilometers
from the center of the cities as listed in the attached annexure and the Insured Vehicle has to be towed away to a work-
shop/ repairer. The expenses for travel beyond 40 kilometers shall be borne by you. In the unlikely event of We being
unable to arrange for this service, We may request You to arrange for a taxi to transfer the occupants of the Insured
Vehicle on Your own and submit the bills for a pre-communicated amount agreed by us and to be reimbursed by Us.
(j) Accommodation Benefits: In the event of the Insured Vehicle meeting with an accident /breakdown, We will
provide the occupants of the Insured Vehicle with a hotel accommodation for one day provided the event has occurred
beyond 100 kilometers from the center point of the city of your residence but within 100 kilometersfrom the center of
the cities as listed in the attached annexure and the time to repair the Insured Vehicle will exceed 12 hours from the
time of reporting the incident. In the unlikely event of We being unable to arrange for this service, We may request you
to arrange for a hotel accommodation for the occupants of the Insured Vehicle on Your own and submit the bills for a
pre-communicated amount agreed by us and to be reimbursed by Us.
(k) Legal Advice: In the event of the Insured Vehicle meeting with an Accident, You shall be entitled fora free legal
advice from a legal advisor over the phone for a maximum duration of 30 minutes. Subsequent to the expiry of the spe-
cified period of 30 minutes per year of the policy, You may continue with the same legal advisor on direct payment
basis.
B. Conditions :
1. In case of transfer of ownership of the Insured Vehicle, the cover under #24x7 Spot Assistance# shall expire
2. The benefits under #24x7 Spot Assistance# can be utilized for a maximum of 4 times per year of the policy except for
following:
 TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Drive Assure Basic And 24x7_Spot Assist-
ance): POLICY WORDINGS

a.i. Fuel Assistance- which shall be limited to 2 times per year of the policy and One litre per event.
a.ii. a.ii. Taxi Benefits- which shall be limited to 2 times per year of the policy and Rs. 1500 per event .
a.iii. Accommodation Benefits- which shall be provided only for 1 day only once during a year of the policyand
up to a maximum of Rs. 3000 per day.
a.iv. Legal Advice- which shall be provided only once during a year of the policy for a maximum of 30 minutes
duration.
C. Exclusions :
We will not be liable to indemnify You for the following events:
1. Where the Insured Vehiclecan be safely transferred on its own power to nearest dealer/workshop
2. Any Accident, loss, damage and/or liability caused, sustained or incurred whilst the Insured Vehicle is being used
otherwise than in accordance with the limitations as to use.
3. Any liability of whatsoever nature directly or indirectly caused by or contributed to by or arising from ionizing radi-
ations or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nucle-
ar fuel. For the purpose of this exception, combustion shall include any self-sustaining process of nuclear fission.
4. Any Accident, loss, damage and/or liability directly or indirectly or proximately or remotely occasioned by contrib-
uted to/by or traceable to or arising out of or in connection with war, invasion, the act of foreign enemies, hostilities or
warlike operations (whether before or after declaration of war), civil war, mutiny rebellion, military or usurped power
or by any direct or indirect consequences of any of the said occurrences
5. Any loss or damage caused due to riots, strikes and Act of God perils like flood, earthquake etc.
6. Claims pertaining to theft losses.
7. Any consequential loss arising out of claims lodged under #24x7 Spot Assistance#.
8. Where a loss is covered under Motor Insurance Policy or any other type of insurance policy with any other insurer
or manufacturer#s warranty or recall campaign or under any other such packages at the same time.
9. Replacement cost of battery and/or any associated repair cost.
10. Cost of supply of parts or replacements elements or consumables .
11. Replacement cost of any part or consumable.
12. Repair cost of tyre and or parts or replacement cost of any part or consumable at a third party workshop repairer.
13. Any taxes, levy and expenses incurred in excess of the limit described under the plan opted by You
14. Loss of valuables and personal belongings kept in the Insured Vehicle
15. Any loss or damage to the Insured Vehicle arising out of participation in a motor racing competition or trial runs
16. Any loss or damage caused due to pre- existing damages
17. Any loss or damage arising out of intervention of Government Authorized Agencies, Police Authorities or Law En-
forcing Agencies .
18. Any loss or damage resulting from the use of Insured Vehicle against the recommendations of the owner#s manual
and/or manufacturer#s manual.
19. Any loss resulting from Your deliberate or intentional and/or unlawful or criminal act
20. Benefits under #Taxi Benefits# and #Accommodation Benefits# for occupants in excess of the seating capacity as
per the registration certificate of the Insured Vehicle.
21. Additional cost incurred in towing the Insured Vehicle to a dealer/workshop as specified by You instead to nearest
authorized workshop.
22. Services organized without Our prior consent for the various assistance services.
23. No benefit shall be provided after the Insured Vehicle has been taken by you or your representative to the garage or
from the place of recovery in case of a stolen Insured Vehicle.
24. Mechanical and/or electrical breakdowns that require replacement of spare parts and/or specialized tools/equipments
that are usually available only in automotive workshops.
D. Definitions :
The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
1. You, Your, Yourself: The person or persons We insure as set out in the Schedule
2. We, Our, Us: Bajaj Allianz General Insurance Company Limited and/ or the Service Provider with whom Ba-
jaj Allianz General Insurance Company Limited has entered into a contract to provide the benefits under this
cover to You
3. Accident, Accidental: A sudden, unintended and fortuitous external and visible event
4. Policy/ Motor Insurance Policy: Two Wheeler Package Policy issued by Us to which this cover is extended
5. Insured Vehicle: The vehicle insured by Us under the Motor Insurance Policy
6. Schedule: The Schedule and any Annexure or Endorsement to it which sets out Your personal details and the
type of insurance cover in force
E. Cancellation :
 TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Drive Assure Basic And 24x7_Spot Assist-
ance): POLICY WORDINGS

Cancellation conditions of the add-on cover will be identical to the base policy to which the add-on cover is at-
tached.
Annexure # List of Cities :
State City
Andhra Pradesh Hyderabad, Vizag
Assam Guwahati
Bihar Patna
Chattisgarh Bilaspur, Raipur
Delhi Delhi
Goa Goa
Gujrat Ahmedabad, Baroda, Gandhidham, Mehsana, Rajkot, Surat,
Vapi
Haryana Ambala, Faridabad, Gurgaon, Hissar, Karnal
Himachal Pradesh Mandi, Shimla
Jammu Kashmir Jammu
Jharkhand Jamshedpur, Ranchi
Karnataka Bangalore, Belgaum, Bellary, Hubli, Mangalore, Mysore
Kerala Calicut, Kochi,Thrissur,Trivandrum
Madhya Pradesh Bhopal, Gwalior, Indore, Jabalpur
Maharastra Aurangabad, Jalgaon, Kolhapur, Mumbai, Nagpur, Nasik,
Pune, Solapur
Orissa Bhubaneswar
Pondicherry Pondicherry
Punjab Amritsar, Bhatinda, Chandigarh, Jalandhar, Ludhiana, Patiala
Rajasthan Ajmer, Jaipur, Jodhpur, Udaipur
Tamil Nadu Chennai, Coimbatore, Trichy
Uttar Pradesh Agra,Allahabad,Bareilly,Ghaziabad,Gorakhpur,Kanpur,Luckn
ow,Meerut,Noida,Varanasi
Uttarakhand Dehradun,Haldwani,Rudrapur
West Bengal Asansol,Durgapur,Kolkata,Siliguri

S3 - DEPRECIATION SHIELD
A. Endorsement Wordings
(UIN No. IRDAN113RP0008V01201819/A0024V01201819)
In consideration of payment of additional premium, it is hereby agreed and declared that this Policy extends to cover the
depreciation amount, partly or fully, on assessed damaged parts allowed for replacement during repairs in the event of a
Partial Loss to the Insured Vehicle .
In the event You have opted for co-payment, Your contribution shall be to the extent agreed by You as shown in the
Schedule for the depreciation amount on the assessed parts for each and every Partial Loss claim.
The benefits under 'Depreciation Shield' would be available only if the Insured Vehicle is repaired at Our authorized
workshops. In case You have opted to repair the Insured Vehicle at a non-authorized workshop, Our liability will be
restricted to 90% of the assessed total claim amount under this cover.
B. Conditions
(1) Claims made by You against Us under 'Depreciation Shield' are subject to the terms and conditions set forth
under the Motor Insurance Policy. (2) In case of transfer of ownership of the Insured Vehicle , the cover under
'Depreciation Shield' shall expire. (3) The benefits under 'Depreciation Shield' can be utilized for a maximum of
two times during the Policy Period
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events:
 TWO WHEELER POLICY - BUNDLED : ADD ON COVERS(Plan Name:Drive Assure Basic And 24x7_Spot Assist-
ance): POLICY WORDINGS

(1) Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is not payable (2)
Depreciation pertaining to any part/ sub part/ accessories not approved for replacement by Us under Motor Insur-
ance Policy. (3) Loss or damage to tyres and/or battery of the Insured Vehicle . (4) Consequential loss of any
kind arising out of claims lodged under 'Depreciation Shield'. (5) Where a loss is covered under Motor Insurance
Policy or any other type of insurance policy with any other insurer or manufacturer's warranty or recall campaign
or under any other such packages at the same time
If You do not agree whether any of these exclusions apply to Your claim, You agree to accept the burden of proving that
they do not apply.
D. Definitions
The words and phrases listed have special meanings We have set below whenever they appear in bold type and initial
capitals. Please note that references to the singular or to the masculine also include references to the plural or to the fe-
male the context permits and if appropriate.
(1) You,Your,Yourself: The person or persons We insure as set out in the Schedule .(2) We, Our, Us: Bajaj Alli-
anz General Insurance Company Limited. (3) Accident, Accidental: A sudden, unintended and fortuitous external
and visible event.(4) Policy/Motor Insurance Policy: Two Wheeler Package Policy issued by Us to which this
cover is extended (5) Insured Vehicle : The vehicle insured by Us under the Motor Insurance Policy and as
shown on the Schedule .(6) Policy Period: The period between and including the commencement date and expiry
date as shown in the Motor Insurance Policy Schedule . (7) Schedule : The Schedule and any Annexure or En-
dorsement to it which sets out Your personal details and the insurance cover in force. (8) Own Damage Claim:
The claims raised by You against Us for loss or damage to the Insured Vehicle due to the perils mentioned under
Section 1 of Motor Insurance Policy. (9) Total Loss/ Constructive Total Loss: A loss under the Motor Insur-
ance Policy where the aggregate cost of retrieval and/ or repair of the Insured Vehicle , subject to terms and con-
ditions of the Policy, exceeds 75% of the IDV of the Insured Vehicle . (10)Partial Loss: Any loss falling into a
category other than (A) the loss mentioned under Sr. No. 9 above and (B) theft of the Insured Vehicle