Motor Two Wheeler - Bundled

Issued at
Universal Sompo General Insurance Company Ltd.
HERO INSURANCE BROKING INDIA PVT LTD.
Policy No. Flat 'A' (East, West, North), 7th Floor, Express Tower, Premise
IRDA Registration No.: 649
2369/74499750/00/000 No. 42A, Shakespeare Sarani, Kolkata - 700017
Toll-Free No.: 1800 102 4376
Tel:1800-22-4030
264, Okhla Ind. Estate, Phase-III, Delhi-110020
customerexperience@universalsompo.com
RSA Toll Free Number : 18003098618

Insured Business/Profession Address of The Insured TP Valid From TP Valid To

C O DEBASIS BASAK,VILL- DURLLABHPUR ,P.S-
26-07-2024
Mr APURBA BASAK Business KHASPUR,P.S-BALURGHAT DAKSHIN DINAJPUR WEST Midnight of 25-07-2029
18:56:25
BENGAL 733102
GSTIN
Vehicle Regn No. Engine No. Chassis No. Make & Model Year of Mfg Cubic Capacity
No(Customer)
Hero MotoCorp
New HA11E7RHE32271 MBLHAW218RHE17232 SPLENDOR+XTEC I3S DRSC 2024 100
FI
Declared Value (IDV) of Side Car IDV Non-Electrical Accessories Electrical Accessories IDV CNG/LPG/Bi- Total IDV
Vehicle IDV Fuel IDV
76153.00 NA 0.00 0.00 0.00 76153.00
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Capacity Premium
Agreement With HP/Lease/Hire-Purchase
Balurghat Solo , --- 2 6411.00
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 638.00 Basic Third Party Liability : 3851.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3851.00
Bi-Fuel Kit : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
Geographical Extension : 0.00 Geographical Extension : 0.00
ND Cover : 381.00 Add :
RSA : 338.00 Compulsary PA Cover (Owner Driver) : 225.00
Less Optional PA Cover(Un Named Passenger) : 0.00
Handicapped Discount : 0.00 Optional PA Cover(Un Named Driver) : 0.00
For Anti-Theft Discount : 0.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
NCB : 0.00 Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Own Damage Premium(A) : 1357.00 Total Liablity Premium (B) : 4076.00
Total Premium (A + B) : 5433.00
For any other extra : 0.00
CGST @9.00% : 489.00
SGST @9.00% : 489.00
Gross Premium : 6411.00

1.RegistrationNo.:108||2.CINNo.:U85110MH2000PLC128425 || 4. GSTIN No. : 19AAACU8917F1Z3 ||UIN No.-

IRDAN134RP0002V02201819||IRDAN134RP0002V01201819/A0059V01201819
OD Policy Period 26-07-2024 To 25-07-2025 26-07-2025 To 25-07-2026 26-07-2026 To 25-07-2027 26-07-2027 To 25-07-2028 26-07-2028 To 25-07-2029
IDV 76153.00 NIL NIL NIL NIL
CPA Policy Period Rs. 15 lakhs. NIL NIL NIL NIL
LIMITATIONS AS TO USE:-- -The Policy covers use of the vehicle 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.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from Holding or obtaining
such a licence.Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person satisfies the requirements of Rule 3 of the
Central Motor Vehicle Rules,1989.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) in respect of any one accident as per M.V. Act 1988. Limit of the amount of the
Company's liability under Secion II-I(ii) in respect of any one claim or series of claims arising out of one event : Upto Rs - 100000/
IMPORTANT NOTICE:-- The insured is not indemified 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 RIGHTS OF RECOVERY'
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.
Broker : Hero Insurance Broking India Pvt. Ltd The policy is subject to a compulsory excess of Rs.
Premium of Rs. 6411.00 ; 100/- & Depreciation is applicable as per policy terms
Dated Nominee Name DEBASIS BASAK & conditions* (Please turn overleaf for details)
Drawn on Nominee Age 54 Consolidted Stamp Duty Paid Endorsements: IMT -
22
Acknowledgement Dt 26-07-2024 Nominee Relation Father

on Behalf of Universal Sompo General Insurance Company

Limited
26-Jul-2024
Date &Signature of FOR RENEWALS CONTACT: Mahesh Motors Ph. No- Ph.No- 0352-259277
proposer Moktar Para Road, Balurghat

Dealer's Stamp &Signature Duly Constituted Attorney

# : Received with Thanks Rs 6411.00 from Mr APURBA BASAK as premium against the money receipt no 0219HE240020204
Regd. & Head Office :8th Floor and 9th Floor (part - south side),Commerz,International Business park, Oberoi Garden City,Off Western Express Highway, Goregaon
East,Mumbai- 400063 Consolidated stampduty of Rs 1.00/- paid towards insurance policy stamp vide receipt number CSD/293/2021/1190 dated 24/03/2021
For further information about motor insurance policy please also visit http://irda.gov.in >> Grievances >> Policyholder Handbooks
 AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
Nothing in this Policy or and endorsement hereon shall affect the right of any person indemnified by this policy or any other person to recover an amount under or by virtue of the
Provisions of the Motor Vehicles Act.
But the Insured shall repay to the Company all sums paid by the Company which Company would not have been liable to pay but for the said provisions..
IMPORTANT:--IN THE EVENT OF TRANSFER OF OWNERSHIP, INSURANCE IS NOT AUTOMATICALLY TRANSFERRED IN THE NAME OF TRANSFEREE UNLESS
APPLICATION IS MADE WITHIN FOURTEEN DAYS THERE OF SEEKING TRANSFER OF INSURANCE .
GRIEVANCE CLAUSE:-- For resolution of any query or grievance Insured may contact the respective branch office of the Company or may call at 1800-22-4030 or may write an
email at customerexperience@universalsompo.com In case the insured is not satisfied with the response of the office, insured may email to Grievance Officer at
customerexperience@universalsompo.com In the event of unsatisfactory response from the Grievance Officer, he/she may, subject to vested jurisdiction, approach the Insurance
Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI website www.irdai.gov.in or on company website
www.universalsompo.com
SCHEDULE OF DEPRECIATION FOR ARRIVING AT IDV
AGE OF THE VEHICLE RATE OF DEPRECIATION FOR FIXING IDV
Not Exceeding 6 months 5%
Exceeding 6 months but not exceeding 1 year 15%
Exceeding 1 year but not exceeding 2 years 20%
Exceeding 2 year but not exceeding 3 years 30%
Exceeding 3 year but not exceeding 4 years 40%
Exceeding 4 year but not exceeding 5 years 50%
Depreciation of Parts for Partial Loss Claims
a. Rate of depreciation for all rubber/nylon/plastic parts, tyres and tubes, batteries and air bags 50%
b. Rate of depreciation for all fibre glass components 30%
c. Rate of depreciation for all parts made of glass NIL
d.RATE OF DEPRECIATION FOR ALL OTHER PARTS INCLUDING WOODEN PARTS IS TO BE AS PER THE FOLLOWING SCHEDULE
AGE OF THE VEHICLE RATE DEPRECIATION
Not exceeding 6 months NIL
Exceeding 6 months but not exceeding 1 year 5%
Exceeding 1 year but not exceeding 2 years 10%
Exceeding 2 year but not exceeding 3 years 15%
Exceeding 3 year but not exceeding 4 years 25%
Exceeding 4 year but not exceeding 5 years 35%
Exceeding 5 year but not exceeding 10 years 40%
Exceeding 10 years 50%
AGE OF THE VEHICLE RATE ON (OD)
Not exceeding 6 months 15%
Exceeding 6 months but not exceeding 1 year 25%
Exceeding 1 year but not exceeding 2 years 25%
Exceeding 2 year but not exceeding 3 years 35%
Exceeding 3 year but not exceeding 4 years 35%
Exceeding 4 year but not exceeding 5 years 35%
e. Rate of Depreciation for Painting:-In the case of painting, the depreciation rate of 50% shall be applied only on the material cost of total painting charges. In case of a
consolidated bill for painting charges, the material component shall be considered as 25% of the total painting charges for the purpose of applying the depreciation

DO'S FOR THE INSURED

1.In the event of accident to the vehicle, please Inform in writing to the authorised Hero MotoCorp dealer &/ or Insurance Company's office immediately.
2. Please complete and sign the claim form.
3. Documents like claim form, original driving licence, original registration certificates, copy of policy, police report (In case of the theft/third party loss) and Satisfaction Voucher be
submitted to the authorised Hero MotoCorp Dealer. .
4. If the vehicle is to be repaired at a workshop other than Hero MotoCorp authorized workshop, please intimate to the nearest office of Universal Sompo General Insurance
Company Limited along with copy of policy for appointment of surveyor to assess the loss.
DONT'S FOR THE INSURED
1.In case of Third Party Loss/ extensive Damage to own vehicle inform the police for obtaining proper F.I.R. and do not admit any liability or enter in to any compromise without
written consent of the Insurance Company.
2. Do not proceed with the repairs or replacement job unless approved by the Insurer/authorized surveyor.
On renewal,the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.

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