THE NEW INDIA ASSURANCE COMPANY LIMITED
P.O. Box:5701, Dubai, U.A.E. Tel: +9714 3525563, Fax : +9714 3518544
 E-mail : newindia@nia-dubai.com Website : www.nia-dubai.com                                                       www.nia-dubai.com sell      newindia@nia-dubai.com
(Registered in the Insurance Companies Register under Federal Law (6) of 2007)
                                                                                             AASSIUA
                                                                                  Schedule No. (5)
                                 Schedule of Details of the Insured Motor Vehicle in the Insurance Policy against Motor Comprehensive
                                                                                        813/C/876136
Name Of Insured                             ABU DHABIMODERN POULTRY FARM
                                                                      Details of Motor Vehicle
             Country of                                                                                                                                            Motor Vehicle
                                             Plate Number                                     Make & Model                                   Colour
           Manufacture                                                                                                                                             Classification
                                                      0                           CHEVROLET- Chevrolet Aveo TOP                            WHITE                    SALOON
       Registration Type                     Purpose of use                      Manufacturing             Tonnage/ Weight
                                                                                      Year                                             Cubic Capacity                Seating
                                                                                                                                                                     Capacity
                                     PRIVATE (Indiv./Comm.)                          2019                                                                               4+1
                                                          KL1JD5CE8KB111519                                                                        F16D4190570104
           Chassis No.                                                                                       Engine No.
The Insured Estimate Value of the Vehicle UAE DIRHAMS 34,700.00
Vehicle Value : UAE DIRHAMS 34,700.00
Geographical Area: UNITED ARAB EMIRATES
Limit of Liability:              1. The Company's maximum liability in respect of paragraph (a) of
                                Clause 1 of Chapter TwO in respect of any claim or total claims
                                arising from one accident is the value judicially awarded without any
                                limit whatsoever.
                                2. The Company's maximum liability in respect of paragraph (c) of
                                clause 1 of Chapter Two in respect of any claim or total claims
                                arising from one accident is Dhs. 2,000,000.00
                                                                                                                                                    2,000,000.00
Licensed Driver:                The Insured or any person driving with his permission provided that
                                the person driving holds a licence for that vehicle in accordance
                                with the traffic laws and regulations and has not had his licence
                                withdrawn by order of a court of law or traffic regulations.
Limitation of Use:              The Insured must not use the vehicle except the purpose for which
                                it is licenced.
Special Conditions:             The Insured or his representative shall bear Dhs.250.00 out of the
                                indemnity due in accordance with the terms & conditions of Section
                                One of this policy.
Subject To: Policy conditons attached herewith.24 Hour Road Side Assistance,Emergency Medical Expenses,Loss Of Personal
Belongings,Natural Calamity Cover,PA Cover Attached
Policv Subiect to Driver below 25 Years of Age shall bear an Additional Excess of 10% of the Total Claim Amount.
Road Side Assistance. TOLL FREE NO: 800-247772
Remarks:1) Agency Repair Not Allowed 2) Offroad Cover Not Allowed
The New India Assurance Co. Ltd declares that the Motor Vehicle detailed above in this
schedule is insured with it according to the provisions of the Policy.                                                          813/C/876136
Issued By :ADMIN                                                                                                                                      Issuance Date : 07I12/2023
Ths is a computer qenerated document, Hence it does not need physical sianature
/07-12-2023 /16 54.04
                                                           Rais Hassan Saadi Insurance Agents L.L.C. : Chief Agent for Dubal & Northern Emirates
                                                  SHARJAH OFFICE :P.0. Box : 45722,Sharjah, U.A.E. Tel: +9716 5560312, Fax : +9716 5561862
                                   Regd. &Head Office:New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 o01, India.
THE NEW INDIAASSURANCE COMPANY LIMITED
 P.O. Box:5701, Dubai, U.A.E. Tel: +971 4 3525563, Fax: +9714 3518544
E-mail : newindia@nia-dubai.com Website : www.nia-dubai.com                                                     www.nia-dubai.com          newindia@nia-dubai.com       I
(Registered in the Insurance Companies Register under Federal Law (6) of 2007)                 EC
                                                                                     OAASSUR
                                                                    Benefits Summary (813/C/876136)
    Insurance Cover ( Motor Comprehensive )
|Loss &Damage Cover                                     Yes                                  Third Party Liability                             Yes
 |Agency Repair                                         No                                   24-Hr Road Assistance                             Yes
  Emergency Medical Expenses                            Yes Upto AED 2000/                   Loss Of Personal Belongings                       Yes Upto AED 3000/
  Personal Accident(Passenger)                          Yes Upto AED 200,000/                Personal Accident (Driver)                        Yes Upto AED 200,000/
    Extensions
Off Road Cover                                          No                                   Natural Calamity Cover                            Yes
Third Party Property Damage                             AED 2,000,000/                       Geographical Extension: Oman                 OD Covered &TP Not Covered
Rent ACar (7 Days)                                      No                                   Rent ACar (5 Days)                                No
RAC 5 Days Once In APolicy                                                                   Excess VWaiver for Windscreen
                                                        No                                                                                     Yes
 Period                                                                                      Damage upto AED. 3,000
   The term of insurance begins at 16:53 on 07/12/2023, and expires at 23:59 on 06/01/2025
   Agreed upon Premium :AED 1155/                                                                                 Issuance Date:07/12/2023
                                           Insured's Details                                                              Company's Details
 Insured's Name                                        ABUDHABI MODERN                          Company's Name               The New India Assurance Co. Ltd.
                                                       POULTRY FARM
 Address                                                                                        Address                      Rais Hassan SaadiBuilding,
                                                                                                                              AlMankhool, Dubai, UAE
  E-mail                                                                                        E-mail                       newindia@nia-dubai.com
 Postal Address                                                                                 Postal Address               P.O. Box 5701
 Emirates ID/Trade License No
 Contact No                                                                                     Contact No                   +971 4 3525563 / +971 4 3522539
                                                                                                                                                     OIAA SSURANO
 Name and                                                                                       Signature and
                                                                                                                                                     Chlet Agont
| Signature of the                                                                             |Stamp of the                                             Hassan
                                                                                                                                                          Avents DUBA
 Insured or their                                                                               Company                                             RO.Box
 representative:
/07-12-2023 /16 54.04
                                                         Rais Hassan Saadi Insurance Agents L.L.C. : Chief Agent for Dubai&Northern Emirates
                                               SHARJAH OFFICE :P.0. Box : 45722,Sharjah, U.A.E. Tel: +9716 5560312, Fax : +9716 5561862
                                   Regd. &Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001, India.