Bajaj Allianz General Insurance Company Ltd.

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

Transcript of Proposal for Private Car Policy - Bundled

Dear SUBHASH CHANDER,

We wish to inform you that the contract under policy number 'OG-24-9910-1825-00035971' 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 : SUBHASH CHANDER
2. Proposer Address : A-1/118 MOHAN GARDEN UTTAM NAGAR WEST DELHI,
, , DELHI, -110059
3. Proposer Mobile Number :
4. Proposer Residential Number : NA
5. Proposer e-mail id : NA
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 JUN/2023 MARUTI BREZZA 1.5 K 15C 1462 CNG/LPG 2023 5
5MT
VXI CNG

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.)
K15CN 9249276 MA3RYHK1SPE 10,06,525.00 0 0 0 10,06,525.00
242978
 C. Coverage opted

1. Period of Insurance
For Own Damage Section From 01-JUN-2023 04:40(Hrs) To 31-MAY-2024 Midnight
For Third Party Liability Section From 01-JUN-2023 04:40(Hrs) To 31-MAY-2026 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.1,000.00
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 : Bajaj Allianz General Insurance Company Limited .
(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: No.
Name of Pledgee : NA.
23. Add on Cover(s) optedm2 : Yes, Plan Name:, 24x7 Spot Assistance, Keys And Locks Replacement Cover, Consumable
Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage Plan Description:
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:

Please note Cover Note No. N0002032187/ 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 : [email protected]
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: Bajaj Allianz House, Airport Road, Yerwada,Pune-411006(India)
IRDAI Registration No. 113
Corporate Identity Number: U66010PN2000PLC015329
Certificate of Insurance ( Private Car Policy - Bundled)

UIN : IRDAN113RP0007V01201819
Policy Number: OG-24-9910-1825-00035971 Customer ID: 394156237
Particulars of Vehicle Insured:
Registration Number Place of Registration Engine Number Chassis Number Make & Model
NEW DELHI K15CN 9249276 MA3RYHK1SPE2429 MARUTI - BREZZA
78

Sub Type Year of Mfg NCB % CC Seating Capacity

1.5 K 15C 5MT VXI CNG 2023 0 1462 5

Name of Registration Authority : DELHI

Name and Address of Insured : SUBHASH CHANDER
: A-1/118 MOHAN GARDEN UTTAM NAGAR WEST
DELHI, , , DELHI, -110059
Geographical Area : .00
Business or Profession : NA
Effective date of commencement of Insurance for the purpose of act:
For Own Damage Section From 01-JUN-2023 04:40(Hrs) To: 31-MAY-2024 Midnight
For Third Party Liability Section From 01-JUN-2023 04:40(Hrs) To: 31-MAY-2026 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
22, 25, 10 & Plan Name:, 24x7 Spot Assistance, Keys And Locks Replacement Cover, Consumable Expenses, Depreciation
Shield, Engine Protector, S5-Vehicle Replacement Advantage & Plan Description:
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 :01-JUN-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/E7kKaY

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
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 24-Apr-2024 09:28:59 AM- Silent_Printing (Web) (2010)
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)
PRIVATE CAR POLICY - BUNDLED SCHEDULE
UIN : IRDAN113RP0007V01201819
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 SUBHASH CHANDER Policy Number OG-24-9910-1825-00035971
A-1/118 MOHAN GARDEN UTTAM Policy Issued on 01-JUN-2023 17:31 PM
Insured NAGAR WEST DELHI, , , DELHI, -
110059 For Own Damage Section
Address
Geographical From : 01-JUN-2023 04:40 (Hrs)
India
Area To : 31-MAY-2024 Midnight
Customer ID Policy Period For Third Party Liability Section
394156237
From : 01-JUN-2023 04:40 (Hrs)
Bank Reference
No 1 To : 31-MAY-2026 Midnight
Cover Note
GSTIN / UIN NA N0002032187/
Details
Place of Supply/ 07 - Delhi
State Code/Name Previous Policy No 0

Invoice No 383448772/1

Company GST No 07AABCB5730G1ZZ

Company PAN AABCB5730G

Make & Mod-

Registration Number Place of Registration Engine Number Chassis Number SubType
el
1.5 K 15C
MA3RYHK1SPE2 MARUTI -
NEW DELHI K15CN 9249276 5MT
42978 BREZZA
VXI CNG
Year Of Manufactur- Trailer Registra-
NCB % CC/KW Seating Capacity Hypothecation Details
ing tion Number
0 1462 5 2023 -,-
Non electrical Electrical/Elec- Value of CNG/
Vehicle IDV Value For Trailers Total Value
accessories tronic accessories LPG kit
10,06,525.00 0 0 0 0 10,06,525.00
Own Damage Premium(Rs.) Liability Premium(Rs.)
Own Damage Premium Basic Third Party Liability 10,640.0
21,662.00 0
Special Discount 0.00 CNG/LPG Unit 180.00
Total OD Premium - A PA Cover for Owner-Driver - SI - Rs.1500000 909.00
21,662.00 Period: From 01-Jun-2023 To 31-MAY-2026
Total Premium (Net Premium) (A+B) Total Act Premium - B 11,729.0
33,391.00 0
State GST (9%) 3,005.00

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-
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 24-Apr-2024 09:28:59 AM- Silent_Printing (Web) (2010)
  

Central GST (9%) 3,005.00

Final Premium ( Rupees Thirty Nine Thousand Four
Hundred One Only ) 39,401.00
**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
I/We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified 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.

Broker Code 55555551 Contact No. 0/-

Broker Name MARUTI INSURANCE BROKING PVT LTD
E-Mail ID.

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. 7,50,000.00
Existing Damage Details
Nominee Details Name :NA - Relationship :NA
Subject to Warranties/ 22, 25, 10 & Plan Name:, 24x7 Spot Assistance, Keys And Locks Replacement Cover, Consum-
IMT-Endorsements/ able Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advant-
Add on Package age & Plan Description:
Additional Details Coinsurance Details: - . Transaction Id: -
Premium Details Receipt No. 1149-01462881, Date 01-JUN-23 ** If Premium paid through Cheque, the Policy is
void ab-initio in case of dishonour of Cheque.
Excess Details Compulsory Excess: Additional Excess: Rs.0 Voluntary Excess: Rs..00
Rs.1,000.00
Theft Excess: Rs.0
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.
0.50

Authorized Signatory
This document is digitally signed, hence counter signature / stamp is not required.
  

Consolidated Stamp Duty of Rs. 0.50/- paid for insurance policy stamps vide Order No. dated 13-APR-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.

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-
[email protected] or Visit our Website www.bajajallianz.com
Corporate Identification Number U66010PN2000PLC015329
Latest Schedule - 24-Apr-2024 09:28:59 AM- Silent_Printing (Web) (2010)
 Bajaj Allianz General Insurance Company Ltd.
New Delhi, New Delhi, WEST DELHI - 110015
Contact No:Contact No: 011-66278000,011-66278000

RECEIPT

Receipt Number 1149-01462881

Receipt Date 01/06/2023
Business Channel MIDS

Received with thanks from SUBHASH CHANDER

(Customer ID : 394156237 ) a total sum of Rupees Thirty Nine Thousand Four Hundred Three
Only by,

Instrument Instrument No. Instrument Bank Name Branch Name Amount

Type Date
Online Pay-162100106800 01/06/2023 6957 ES- 39,403
ment 193 CROWN00020321
87

Total Amount Rs. 39,403.00

Issuance of this receipt does not amount to acceptance of the risk by Bajaj Allianz General In-
surance Company Limited. The insurance cover for the risk shall be as per the terms and con-
ditions of the Insurance Policy if and when issued.
* Cheque/DD/PO receipt is valid subject to realisation of the instrument.

For & on behalf of

Bajaj Allianz General Insurance Company Ltd.

Authorised Signatory

Regd.Office: Bajaj Allianz House,Airport Road, Yerwada, Pune - 411006

 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS

S1 - 24x7 SPOT ASSISTANCE

(UIN No. IRDAN113RP0007V01201819/A0014V01201819)
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 depending on the plan opted by You and as shown on the Schedule :
(A) Flat Battery: In the event of the Insured Vehicle being immobilized due to a flat battery, We will make al-
ternative arrangements to make the Insured Vehicle mobile again provided the event has occurred within 100
kilometers from the center point of the city of Your residence and the Insured Vehicle has not reached a work-
shop/repairer. (B) Spare Keys: In the event of You losing keys of the Insured Vehicle , We will arrange for the
pick up and delivery of spare keys to the spot where the Insured Vehicle is located provided the event has oc-
curred within 100 kilometers from the center point of the city of Your residence and the Insured Vehicle has not
reached a workshop/repairer. (C) Flat Tyre: In the event of the Insured Vehicle being immobilized due to flat
tyres, We will arrange for the refill of the flat tyres and/or replacement of the flat tyres with a usable spare tyre to
make the Insured Vehicle mobile again provided the event has occurred within 100 kilometers from the center
point of the city of Your residence and the Insured Vehicle has not reached a workshop/repairer . (D) Minor Re-
pairs: In the event of the Insured Vehicle being immobilized due to mechanical and/or electrical breakdown, We
will arrange for minor mechanical and/or electrical repairs to make the Insured Vehicle mobile again provided
the event has occurred within 100 kilometers from the center point of the city of Your residence and the Insured
Vehicle has not reached a workshop/repairer. (E) Towing Facility: In the event of the Insured Vehicle getting im-
mobilized as a result of Accident and/or breakdown, We shall arrange for towing away of the Insured Vehicle
from the spot of immobilization to Our nearest preferred workshop provided the event has occurred within 100
kilometers from the center point of the city of Your residence. (F) Urgent Message Relays: In the event of the In-
sured 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 communication (G) Medical Co-ordination: In
the event of the Insured Vehicle meeting with an Accident, You can call Us on our Toll Free Number, mentioned
on the Schedule , to obtain details regarding the nearest medical center that can provide emergency relief services.
(H) Fuel Assistance: In the event of the Insured Vehicle being immobilized due to an empty fuel tank and/or con-
taminated fuel, We will either arrange for supply of 3 litres of petrol or diesel on chargeable basis and/or towing
of the Insured Vehicle to Our nearest preferred workshop provided the event has occurred within 100 kilometers
from the center point of the city of Your residence and the Insured Vehicle 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 50 kilometers from
the spot of immobilization through a taxi or any other transportation service provided the event has occurred with-
in 100 kilometers from the center point of the city of Your residence and the Insured Vehicle has to be towed
away to Our nearest preferred workshop. Any travel beyond 50 kilometers can be covered on payment of addi-
tional amount as specified by Us. In the unlikely event of We being unable to arrange for this service, We may re-
quest 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 for re-imbursement to Us. (J) Accommodation Benefits: In the event of the In-
sured Vehicle meeting with an Accident/breakdown, We will provide 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 kilometers of another covered city and the time to repair the Insured
Vehicle will exceed 12 hours from the time of reporting the incident.
The accommodation benefits would be offered subject to a per day limit of Rs. 2,000 per occupant and a maxim-
um total limit of Rs. 16,000 for all the occupants of the Insured Vehicle through out the Policy Period. In the un-
likely event of We being unable to arrange for this service, We may request You to arrange for a hotel accom-
modation for the occupants of the Insured Vehicle on Your own and submit the bills for a pre-communicated
amount for re-imbursement to Us. (K)Legal Advice: In the event of the Insured Vehicle meeting with an Acci-
dent, You shall be entitled for a free legal advice from a legal advisor over the phone for a maximum duration of
30 minutes. Subsequent to the expiry of the specified period of 30 minutes, 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 during the Policy Period
except for 'Fuel Assistance', 'Taxi Benefits', 'Accommodation Benefits' and 'Legal Advice' for which the aggregate
utilization limit is 2 times during the Policy Period
C. Exclusions
(1) Where the Insured Vehicle can 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 oth-
erwise than in accordance with the limitations as to use. (3) Any liability of whatsoever nature directly or indir-
ectly caused by or contributed to by or arising from ionising radiations or contamination by radioactivity from any
nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. For the purpose of this exception,
combustion shall include any self-sustaining process of nuclear fission. (4) Any Accident, loss, damage and/or li-
ability directly or indirectly or proximately or remotely occasioned by contributed 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 indir-
ect consequences of any of the said occurrences. (5) Any loss or damage caused due to riots, strikes and Act of
 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS
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)Repair cost of tyre and/or parts or replacement
cost of any part of consumable at a third party workshop/repairer. (12)Any taxes, levy and expenses incurred in
excess of the limit described under the plan opted by You . (13)Loss of valuables and personal belongings kept in
the Insured Vehicle . (14) Any loss or damage to the Insured Vehicle arising out of participation in a motor ra-
cing competition or trial runs. (15)Where it is proved that You have abused the benefits under '24x7 Spot Assist-
ance'. (16)Any loss or damage caused due to pre- existing damages. (17)Any loss or damage arising out of inter-
vention of Government Authorized Agencies, Police Authorities or Law Enforcing Agencies . (18)Any loss or
damage resulting from the use of Insured Vehicle against the recommendations of the owners 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 Our specified nearest authorized workshop. (22)Ser-
vices organized without Our prior consent for the various assistance services. (23)If You or Your personal repres-
entative is already at a garage for delivery of the Insured Vehicle or at the place of recovery in case of theft
(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
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 Al-
lianz General Insurance Company Limited and/or the Service Provider with whom Bajaj Allianz General Insur-
ance 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:
Private Car Package Policy issued by Us to which this cover is extended. (5) Insured Vehicle : The vehicle in-
sured by Us under the Motor Insurance Policy. (6) Policy Period: The period between and including the com-
mencement date and expiry date as shown in the Motor Insurance Policy Schedule . (7) Schedule : The Sched-
ule and any Annexure or Endorsement to it which sets out Your personal details and the type of insurance cover
in force

S3 - DEPRECIATION SHIELD
(UIN No. IRDAN113RP0007V01201819/A0009V01201819)
A. Endorsement Wordings
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
(A) Claims made by You against Us under 'Depreciation Shield' are subject to the terms and conditions set forth
under the Motor Insurance Policy. (B) In case of transfer of ownership of the Insured Vehicle , the cover under
'Depreciation Shield' shall expire. (C) 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:
(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
 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS
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: Private Car Package Policy issued by Us to which this cov-
er 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 Endorse-
ment 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 Sec-
tion 1 of Motor Insurance Policy. (9) Total Loss/ Constructive Total Loss: A loss under the Motor Insurance
Policy where the aggregate cost of retrieval and/ or repair of the Insured Vehicle , subject to terms and conditions
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

S4 - ENGINE PROTECTOR
(UIN No. IRDAN113RP0007V01201819/A0015V01201819)
A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that this Policy extends to cover
the consequential damage to the internal child parts of the engine of the Insured Vehicle arising out of water ingres-
sion/ leakage of lubricating oil and/or damage to gear box of the Insured Vehicle arising out of leakage of lubricating
oil due to Accidental means. Under this cover, We will compensate You for the following:
(A) Repair or replacement of the internal child parts of the engine such as pistons, connecting rods, crank shaft
and cylinder head. (B) Repair or replacement of the internal parts of the gear box such as gears or shafts in the
gear box housing. (C) Labour cost incurred by You to overhaul the damaged engine and gear box
B. Conditions
(A) Claims made by You against Us under 'Engine Protector' are subject to the conditions set forth under the Mo-
tor Insurance Policy. (B) Claims made by You against Us under 'Engine Protector' would be admissible if:
• There is evidence that the Insured Vehicle stopped in water logged area resulting into damage
to the internal parts of the engine due to water ingression
• There is evidence of under carriage damage to engine and/or gear box leading to oil leakage
and resulting into damage to internal parts of the engine and/or gear box
• The loss or damage is not payable under Motor Insurance Policy
(C) In case of transfer of ownership of the Insured Vehicle , the cover under 'Engine Protector' shall expire
C. Your Obligations
(A) You should avoid driving the Insured Vehicle through water logged area as far as possible. If it is unavoid-
able, the vehicle should be driven in low gear and/or high engine RPMs. (B) You should not try to crank or push
start the engine once the Insured Vehicle had stopped in the water logged area or undercarriage damage had
taken place. (C) You should intimate Our nearest office for spot survey and to obtain help from an expert techni-
cian
D. Exclusions
We will not be liable to indemnify You for the following:
(1) Where a loss is covered under any other type of insurance policy with any other insurer or manufacturer's war-
ranty or recall campaign or under any other such packages at the same time. (2) Any consequential loss apart from
the damage to the internal child parts of the engine due to water ingression/ leakage of lubricating oil and/or dam-
age to gear box arising out of leakage of lubricating oil due to Accidental means. (3) Cost of engine oil and con-
sumables in case of flushing of engine. (4) Loss or damage including corrosion of engine due to delay in intimat-
ing Us or delay in retrieval of the Insured Vehicle from the water logged area. (5) Where reasonable care has not
been taken by You to protect the loss or damage to the Insured Vehicle
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.
E. 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 Al-
lianz General Insurance Company Limited. (3) Accident, Accidental: A sudden, unintended and fortuitous ex-
ternal and visible event. (4) Policy/Motor Insurance Policy: Private Car 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)
IDV: Insured's Declared Value (Sum Insured) of the Insured Vehicle under the Motor Insurance Policy. (7)
Total Loss/ Constructive Total Loss: A loss under the Motor Insurance Policy where the aggregate cost of re-
trieval and/ or repair of the Insured Vehicle , subject to terms and conditions of the Policy, exceeds 75% of the
IDV of the Insured Vehicle . (8) Policy Period: The period between and including the commencement date and
 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS
expiry date as shown in the Motor Insurance Policy Schedule .(9) Schedule : The Schedule and any Annexure
or Endorsement to it which sets out Your personal details and the type of insurance cover in force .(10)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

S5 - VEHICLE REPLACEMENT ADVANTAGE

A. Endorsement Wordings
(UIN No. IRDAN113RP0007V01201819/A0010V01201819)
In consideration of payment of additional premium, it is hereby agreed and declared that in the event of the Insured
Vehicle meeting with aTotal Loss(including theft)/Constructive Total Loss We, at Ourdiscretion, may use one of the
following two options to settle a claim under Vehicle Replacement Advantage:
a) New Vehicle: We will replace the Insured Vehicle with a new equivalent or near equivalent vehicle of similar make,
model, features, specifications and color subject to the availability in the open market, inclusive of the following
(1)Private Car Package Policy covering the new vehicle (2)The cost of registration, including road tax and Octroi pay-
able, for the new vehicle applicable to the location where the Insured Vehicle is registered Any disbursement under
this option will be regarded as full and final settlement of Ourliability under Motor Insurance Policy. Upon settle-
ment of the claim under this cover, Motor Insurance Policy shall expire.
b) Cash Settlement: In the event of new equivalent or near equivalent vehicle not being available in the market due to
non-production, short supply or due to Ourinability to procure such vehicle due to any reason what-so-ever, You will
be paid a cash benefit equal to 5% of IDV in addition to the actual difference between the original ex- showroom price
of the damaged Insured Vehicle and the IDV.
Upon settlement of the claim under this cover, Motor Insurance Policy shall expire.
B. Conditions
(1)Claims made by You against Us under 'Vehicle Replacement Advantage' are subject to the conditions set forth under
the Motor Insurance Policy (2) In case of transfer of ownership of the Insured Vehicle, the cover under 'Vehicle Re-
placement Advantage' shall expire (3) In order to declare the Insured Vehicle a Total Loss/ Constructive Loss, the estim-
ates for the aggregate cost of retrieval and/or repair have to be approved by Ourauthorized workshops
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events: (1)Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is not
payable (2)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 (3)Any con-
sequential loss arising out of claims lodged under 'Vehicle Replacement Advantage' (4) Any claims pertaining to ac-
cessories, unless the same are additionally insured and endorsed into the Motor Insurance Policy 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.(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 (3) Accident, Accidental: A sudden, un-
intended and fortuitous external and visible event (4) Policy Period: The period between and including the commence-
ment date and expiry date as shown in the Motor Insurance Policy Schedule (5) Insured Vehicle: The vehicle insured
by Us under the Motor Insurance Policy (6) IDV: Insured's Declared Value (Sum Insured) of the Insured Vehicle un-
der the Motor Insurance Policy (7) Total Loss/ Constructive Total Loss: A loss under the Motor Insurance Policy
where the aggregate cost of retrieval and/or repair of the Insured Vehicle, subject to terms and conditions of the Policy,
exceeds 75% of the IDV of the Insured Vehicle (8) Policy Period: The period between and including the start and end
dates as shown in the Motor Insurance Policy Schedule (9) Schedule: The Schedule and any Annexure or Endorsement
to it which sets out Your personal details and the type of insurance cover in force (10) 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 Mo-
tor Insurance Policy

S13: KEYS AND LOCKS REPLACEMENT COVER

(UIN No. IRDAN113RP0007V01201819/A0016V01201819)

A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that in the event of irrecoverable
loss of keys of the Insured Vehicle,We will indemnify You for the cost of replacement of keys of the Insured
Vehicle, subject to the Sum Insured specified in the Schedule.In the event of a security risk arising out of the incid-
ence of lost keys of the Insured Vehicle, We will indemnify You for the cost of installing new locks in the Insured
Vehicle. In the sum insured (Rs 50000/-) in respect of capital assets from the date of inception till expiry of the policy.
B. Conditions
(1) In case of transfer of ownership of the Insured Vehicle , the cover under 'Keys and Locks Replacement Cover'
 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS
shall expire (2)The benefits under 'Keys and Locks Replacement Cover' can be utilized only once during the Policy
Period (3) Youshall immediately lodge a complaint with the police detailing the loss of key of the Insured Vehicle
and provide Usa copy of the F.I.R. (4) You shall immediately, and in any event within 2 days of occurrence of loss,
report the incidence of loss to Us (5) No keys shall be deemed to be irrecoverably lost until a period of three (3)
days, from the date of loss as mentioned in the F.I.R., has elapsed
C. Exclusions
In addition to the exclusions mentioned under under Motor Insurance Policy, We will not be liable to indemnify You
for the following events:
(1)The first 10% of the claim amount or Rs. 500, whichever is higher (2) Where the replacement of keys is not
carried out in manufacturer's authorized dealership or Our authorized workshops (3)Any pre-existing damages
(4) Where the replaced keys or locks are of higher standards or specifications as compared to the original keys or
locks of the Insured Vehicle (5) Consequential losses of any kind, be they by way of loss of profit, loss of op-
portunity, loss of gain, business interruption, market loss or otherwise, or any claims arising out of loss of a pure
financial nature such as loss of goodwill or any legal liability of any kind whatsoever .
If You do not agree whether any of these exclusions apply toYour 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)Insured Vehicle:The vehicle insured by Us under the Motor Insurance
Policy (2) Policy/Motor Insurance Policy: Private Car Package Policy issued by Us to which this cover is extended (3)
Policy Period:The period between and including the commencement date and expiry date as shown in the Motor Insur-
ance Policy Schedule (4) Schedule: The Schedule and any Annexure or Endorsement to it which sets out Your person-
al details, the type of insurance cover in force and the Sum Insured (5) Sum Insured:The amount stated in the Sched-
ule, which is the maximum amount We will pay for claims made by You , irrespective of the number of claims You
make during the Policy Period (6) We, Our, Us: Bajaj Allianz General Insurance Company Limited (7) You, Your,
Yourself: The person We insure as set out in the Schedule
Any other definitions not defined in this add on cover but defined in the Policy shall bear the same meaning as in
the Policy.
E. CANCELLATION
Cancellation conditions of the add-on cover will be identical to the base Policy to which the add-on cover is attached
Subject otherwise to all other Terms and Conditions and exclusions of Base Policy
A list of Company's authorized garages/ workshop and their address is available on the Company's website
www.bajajallianz.co.in.

S17:CONSUMABLE EXPENSES
(UIN No. IRDAN113RP0007V01201819/A0020V01201819)
A. Endorsement Wordings
In consideration of payment of additional premium, it is hereby agreed and declared that if the Insured Vehicle is
damaged by a covered peril mentioned under the own damage section of the Motor Insurance Policy and needs to be
repaired, We will cover cost of consumables required to be replaced/ replenished during the repair of the damaged
vehicle. Consumable for the purpose of this cover shall include engine oil, gear box oil, power steering oil, coolant, AC
gas oil, brake oil, AC refrigerant, battery electrolyte, windshield washer fluid, radiator coolant, nut & bolt, screw, oil fil-
ter, fuel filter, bearings, washers, clip, wheel balancing weights , and items of similar nature excluding fuel.
B. Conditions
(a) This cover is applicable if it is shown on Your schedule. (b) Claims made by You against Usunder 'CONSUM-
ABLE EXPENSES' are subject to the terms and conditions set forth under the Motor Insurance Policy. (c)In case
of transfer of ownership of the Insured Vehicle , the cover under 'CONSUMABLE EXPENSES' shall expire.
(d) The benefits under under 'CONSUMABLE EXPENSES' would be available only if the Insured Vehicle is re-
paired at Our authorized workshops.
C. Exclusions
In addition to the exclusions mentioned under Motor Insurance Policy, We will not be liable to indemnify You for the
following events: (1)Where the Own Damage Claim made by You against Us under the Motor Insurance Policy is
not payable. (2) Consumables pertaining to any part/ sub part/ accessories not approved for replacement by Us under
Motor Insurance Policy. (3)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.
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)Authorized workshop / garage / service station - A motor vehicle repair workshop / garage / service station author-
ized by us. (2)Insured Vehicle: The vehicle insured by Us under the Motor Insurance Policy and as shown on the Sched-
ule. (3)Policy/ Motor Insurance Policy: Motor Package Policy issued by Us to which this cover is extended.
 PRIVATE CAR POLICY - BUNDLED: ADD ON COVERS(Plan Name:, 24x7 Spot Assistance, Keys And Locks Re-
placement Cover, Consumable Expenses, Depreciation Shield, Engine Protector, S5-Vehicle Replacement Advantage):
POLICY WORDINGS
(4)Schedule: The Schedule and any Annexure or Endorsement to it which sets out Your personal details and the insur-
ance cover in force. (5)We, Our, Us: Bajaj Allianz General Insurance Company Limited. (6)You, Your, Yourself: The
person or persons We insure as set out in the Schedule.