THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
                                                                                POLICY SCHEDULE CUM CERTIFICATE OF INSURANCE
                                                                                                  Commercial Vehicle PackagePolicy
                                                                                            UIN Number - IRDAN190RP0044V01100001
        Policy Number :36080031240100001031
       POLICY ISSUING OFFICE:                                                   BUSINESS CHANNEL/CPSC User:                                                     CLAIM CONTACT:
       THE NEW INDIA ASSURANCE CO. LTD.                                         NAME:                                                                           Jalandhar Non Suit Claim Hub (369004)
       (360800),                                                                Turtlemint Insurance Broking Services Private                                   ADDRESS: SCO 30-31,GURU RAM DASS DIVINE
       DIVISIONAL OFFICE (360800) , IST FLOOR,                                  Limited - (BR00000175),                                                         TOWER,PUDA COMPLEX OPP SUVIDHA
       THIARA COMPLEX, , BUS STAND ROAD,                                        PHONE NUMBER:18002660101 / /                                                    CENTRE,JALANDHAR , , , PUNJAB , 144001.
       HOSHIARPUR ,                                                             LAND/FAX NUMBER:02261149800/                                                    PHONE NUMBER: 1234567890 /
       PUNJAB , 146001.                                                         EMAIL:payment@turtlemint.com /                                                  MOBILE NUMBER:
       PHONE NUMBER:01882251691 /                                               po_turtlemintinsurance@turtlemint.com                                           Email: ch369004@newindia.co.in
       01882253467 / 9888015153
       FAX NUMBER:01882250932 / NA
       Email:nia.360800@newindia.co.in
       INSURED DETAILS
       Insured's Name                                 KAPSHA CONSTRUCTIONS PVT LTD                                                                   Customer ID                                    POB4518419 (PAN No :NA)
       Insured's Address                              SCO 20 URBAN ESTAE NEAR RADHA SWAMY DERA                                                       Contact Number                                 / / XXXXXX9003
                                                      ,RAM TIRATH RAOD ,AMRITSAR,
                                                      AMRITSAR ,PUNJAB, 143001
                                                                                                                                                     Email                                          accounts@kapshaconcrete
                                                                                                                                                                                                    .com
                                                                                                                                                     GSTIN                                          03AAHCK1834E1ZZ
      POLICY DETAILS
      Period of cover                                29/05/2024 12:00:01 AM to 28/05/2025 11:59:59 PM                                                Receipt Number                                  10000089240500587188 -
                                                                                                                                                                                                     27/05/24
      Previous Insurer                               THE ORIENTAL INSURANCE CO. LTD.                                                                 Previous Policy Number                          233301/31/2024/476
      VEHICLE DETAILS
      Geographical Area / Zone:                      India/C                                                                                         Year of manufacture:                            2019
      Type of Commercial                             D - Misc-Special Type                                                                           Sub Type:                                       MOBILE PLANT
      Vehicles:
      Name of the Financier:                         TATA MOTORS FINANCE LTD                                                                         Chassis no./Engine no.:                         MAT448864K3E14554/9B4
                                                                                                                                                                                                     S180K191E63790990
      Type of fuel:                                  Diesel                                                                                          Cubic capacity ( cc):                           0
      Type of body:                                  Closed                                                                                          Gross Vehicle Weight                            25000
                                                                                                                                                     (GVW):
      Make/Model:                TATA MOTOR/LPK 2518                                                                                                 Registration no.                                PB-02-DV-1305
      Seating capacity including 2                                                                                                                   Variant:                                        TATA LPK 2518 CRE BS-IV
      Driver:                                                                                                                                                                                        HD
      Automobile Association     none                                                                                                                Colour:                                         BROWN
      membership:
      Cover Note No/Cover        /                                                                                                                   Name of registration                            Amritsar
      Note Issue Date:                                                                                                                               authority:
      INSURED DECLARED VALUE (Rs)
      Vehicle           Trailer                                                   Non-Elec Acc                          Electrical Acc                        Bi-fuel kit                            Total Value
      1950000           0                                                         0                                     0                                     0                                      1950000
      SCHEDULE OF PREMIUM
                                    Own Damage                                                                                                               Liability
      Basic OD Premium                                                                               3176                    Basic TP Premium                                      7267
      (-)Calculated NCB Discount(50%)                                                                1826.18                 (+)LL to paid driver conductor cleaner employed for
      (+)Loading for Inclusion of IMT 23                                                             476.39                  oprn                                                  50
                                                                                                                             (+)LL to persons employed for opn and/or maint.and/or
                                                                                                                             loading and/or unloading(1)                           50
            Signature Not
            Verified
            Digitally signed
            by DHIRAJ                                                       Policy No. : 36080031240100001031Document generated by 34362 at 2024/05/27 12:29:25.
            KUMAR
                                                             Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
            Date: 2024.05.27
            12:29:25 IST                                                        Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
      For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
                                          approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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        THE NEW INDIA ASSURANCE CO. LTD.
        (Government of India Undertaking)
      Calculated OD Premium                                                                          1827                    Calculated TP Premium                                                                          7367
      Total OD Premium (Rs)                                                                          1827                    Total TP Premium (Rs)                                                                          7367
      Net Premium (Rs)                                                                                                                                                                                                              9,194
      GST (Rs)                                                                                                                                                                                                                      1,654
      Total Payable (Rs)                                                                                                                                                                                                           10,848
      Total Payable in Rs(in words):                              RUPEES TEN THOUSAND EIGHT HUNDRED FORTY-EIGHT ONLY
      GSTIN(Issuing Office)                                                     03AAACN4165C1Z1
      SAC                                                                       997134 (Motor vehicle insurance services)
      Limitation as to use:The Policy covers use only under a permit within the meaning of the Motor Vehicles Act, 1988 or such a carriage falling
      under Sub-section 3 of Section 66 of the Motor Vehicles Act, 1988.The Policy does not cover use FOR a)Organised racing b) Pace Making c)
      Reliability Trials d) Speed Testing
      Limits of Liability:Limit of the amount the Company's Liability Under Section II 1(i) in respect of any one accident: as per the Motor Vehicles
      Act, 1988. Limit of the amount of the Company's Liability Under Section II 1(ii) in respect of any one claim or series of claims arising out of one
      event: Up to Rs. 7,50,000
      For individual covers (OD) in RS:1950000                                  Compulsory excess in Rs:9750
      Imposed excess in Rs:0                                                    Voluntary excess in Rs:0
      Persons or classes of persons 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 holding or obtaining such a license. Provided also that the person holding an
      effective Learner's License may also drive the vehicle and that such a person satisfies the requirement of Rule 3 of the Central Motor Vehicles
      Rules, 1989.
       PA cover for Owner Driver
      Name of Nominee                 Age of Nominee              Relationship with the          Name of the Appointee (if Relationship to the
                                                                  Insured                        Nominee is a minor)         Nominee
      none                            0                           none                           none                        none
      PA cover for named persons
      Name                                   CSI Opted(Rs.)                     Nominee                               Relationship
      NA                                     NA                                 NA                                    NA
         Premium and GST Details
                                                                                     Rate of Tax                                                                  Amount in INR
        Premium                                                                                                                                                   Rs                 9,194
        SGST                                                                         9                                                                            827
        CGST                                                                         9                                                                            827
        IGST                                                                         0                                                                            0
      In witness where of this policy has been signed at THE NEW INDIA ASSURANCE CO. LTD. on this 27/05/2024
      WARRANTED THAT IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED ABINITIO
      This policy is subject to the Terms, conditions and exceptions applicable to Package/Liability policy attached/available on the web site
      http://newindia.co.in; IMT Endorsement Number(s) printed herewith attached 21,23,40,47,7.
      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 Vehicles Act, 1988 is recoverable from the
      insured: see clause headed "AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY". It is clarified that in case the declaration regarding
      the ncb or other previous policy details made by the insured, is found to be incorrect, all the benefits (including claim) under section-1 of this
      policy, will stand forfeited.
      Anti Money Laundering Clause: In the event of a claim under the policy exceeding Rs 1lakh or a claim for refund of premium exceeding Rs 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 website.
      I/We hereby certify that the policy to which this Certificate                                                               For and on behalf of The New India Assurance Company Limited
      relates as well as this Certificate of Insurance are issued in
      accordance with the provisions of Chapter X and XI of M.V. Act,
      1988.
        Date of Issue: 27/05/2024
                                                                            Policy No. : 36080031240100001031Document generated by 34362 at 2024/05/27 12:29:25.
                                                             Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
                                                                                Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
      For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
                                          approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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        THE NEW INDIA ASSURANCE CO. LTD.
        (Government of India Undertaking)
                                                                                                                                  Duly Constituted Attorney(s)
                                                                                   IRDA Registration Number: 190
                                                                                   NIA PAN NUMBER: AAACN4165C
                                                                            Policy No. : 36080031240100001031Document generated by 34362 at 2024/05/27 12:29:25.
                                                             Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
                                                                                Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
      For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also
                                          approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in.
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