Customer Care Number

1800-22-1111 (MTNL/BSNL user)

1800-102-1111 (for other users)
[email protected]
COMMERCIAL VEHICLE INSURANCE POLICY - PACKAGE (GOODS CARRYING)
(Product UIIN: IRDAN144RP0002V02201112)
Important Note: 1) The Validity of this Certificate of Insurance cum Schedule is subject to realization of the premium cheque. 2) This
Insurance Policy cover is valid subject to availability of Complete and Correct Registration Number within 15 days from the Date of
Commencement of this Policy. 3) This insurance policy cover is valid subject to Warranties, Terms and Conditions of the policy.

Policy / Certificate No : : POCMVGC0100031401

Policy Issue Date : 02/07/2024
Customer ID : NA
: 03/07/2024 (00:00:00) To 02/08/2024
Name : Mr. SURAJ SINGH Policy Effective Date
Midnight
: HJKL, Bareilly, Bareilly, Nazarganj, Uttar
Address Policy Type : Short term policy
Pradesh - 243201
Contact Number : +91 - 8987654325 Policy Servicing Branch : HO
Email Id : [email protected] Intermediary Name & : CSC E Governance Service India Ltd &
Code 0053274
Intermediary Contact
: +91 - 1800 102 1111
Number
Agent Name : saurabh rastogi

Vehicle Details
Make & Model Dilli Electric Auto PVT LTD & City Life XV-Max & E-Cart
Year of Manufacturing 2017
Registration Number HR67A9435
Engine Number E483CDEE646851
Chassis Number MC263ERC0EE294884
Fuel Type Battery
Gross Vehicle Weight (GVW)/KW 720/0
Vehicle Body Type PICK-UPS
RTO Location Name Gurgaon (Commercial Vehicles only)
Public/Private Carrier 3-wheeler Public carrier
Seating Capacity including driver 1
Number of Trailers
Trailer Registration No
Trailer Type Non Agricultural
Trailer Chassis No

Insured's Declared Value (IDV)

Vehicle Body - Trailer Value - Non Electrical Accessories - Electrical Accessories - Bi fuel kit Value -
Vehicle - (Rs.) Total IDV
(Rs.) (Rs.) (Rs.) (Rs.) (Rs.)
48,006.00 0.00 0.00 0.00 0.00 0.00 48,006.00

SBI General Insurance Company Limited

Registered and Corporate office : 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri East, Mumbai - 400099, IRDA of India Reg.No.144
LIMITATION AS TO USE : As per Motor Vehicle Rules, 1989, The Policy covers use of the vehicle for any purpose other than : a) Organized racing,
b) Pace Making, c) Reliability Trials, d) Speed Testing, e) Use whilst drawing a trailer except the towing (other than for reward) of any one disabled
Mechanically propelled vehicle (only for Passenger Carrying Vehicles).
PERSONS OR CLASSES OF PERSONS ENTITLED TO DRIVE: Any person including Insured
STAGE CARRIAGE/CONTRACT CARRIAGE/ PRIVATE SERVICE VEHICLE: Provided that the person driving holds an effective driving
license at the time of the accident and is not disqualified from holding or obtaining such a license.The policy covers use only under a permit within the
meaning of the Motor Vehicle Act, 1988 or such a carriage falling under sub-section 3 of section 66 of the Motor Vehicle Act 1988
GOODS CARRIAGE: Provided that the 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 when not used for the
transport of passengers at the time of the accident and that such a person satisfies the requirements of Rule 3 of The Central Motor Vehicles Rules, 1989.
NON-TRANSPORT VEHICLES: Provided that the 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 requirements of Rule 3 of The Central Motor Vehicles Rules, 1989.
LIMITS OF LIABILITY: a. Under Section II-1 (i) of the Policy-Death of or bodily injury to any person so far as it is necessary to meet the
requirements of the Motor Vehicle Act, 1988. b. Under Section II (1) (ii) of the Policy-Damage to property other than property belonging to the insured
or held in trust or in the custody of control or the insured up to the limits specified Rs.750000/- (c) PA Cover for owner-driver under Section-III CSI -
Rs.–/-.
Deductible under Section-I : (i) Compulsory deductible Rs. 500/-(ii) Voluntary deductible Rs. /- (iii) Additional Compulsory deductible Rs. __/-.
No Claim Bonus: The Insured is entitled for a No Claim Bonus (NCB) on the Own Damage section of the Policy, if no claim is made or pending during
the preceding year(s), as follows: The preceding year - 20%; Preceding two consecutive years - 25%; Preceding three consecutive years - 35%; Preceding
four consecutive years - 45%; Preceding five consecutive years - 50%.
The No Claim Bonus will only be allowed provided the Policy is renewed within 90 days of the expiry date of the previous policy.
Premium Computation Table
Own Damage -
SUM INSURED PREMIUM (Rs.) A. LIABILITY PREMIUM (Rs.)
Section I
Basic TP Premium 627.80
Total Own Damage
Premium 48,006.00 32.28 Trailers –
(including all Tariff By fuel Kit
Add-on, Discount –
(CNG/LPG) - TP
& Loadings)
IMT Add on Covers
Non Electrical
0.00 –
Accessories
Electrical
/Electronic 0.00 –
Accessories
CNG /LPG Kit -
0.00 –
Own Damage
In built - CNG
/LPG Kit Own – –
Damage
Trailer - OD –

NCB Details
No Claim Bonus (50%)
(A) TOTAL OWN DAMAGE
16.14 (B) TOTAL LIABILITY PREMIUM 627.80
PREMIUM
Subject to IMT Nos: IMT28,IMT-39,IMT21 Total Policy Premium (A+B) 643.94
SBIG Add Nos: Taxes as applicable 78.24
Total Premium Collected 722.00

Premium Collection details : Receipt No : 4184214828102495, Receipt Date: 02/07/2024

Nominee Details : Name : Mr. JHGF, Date of Birth: 13-01-1981, Relation : Uncle
Appointee Details : Name : , Appointee Relation :
Warranty: Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC)
Certificate and/or valid fitness certificate, as applicable, on the date of commencement of the Policy and undertakes to renew and
maintain a valid and effective PUC and/or fitness Certificate, as applicable, during the subsistence of the Policy. Further, the
Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness certificate.

SBI General Insurance Company Limited

Registered and Corporate office : 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri East, Mumbai - 400099, IRDA of India Reg.No.144
For claims, Please contact us at Toll Free number
MTNL/BSNL users - 1800-22-1111, Other users - 1800-102-1111 For complete Coverage & Policy Wording, kindly visit our website - www.sbigeneral.in
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 Servicing Office : SBI General Insurance Company Ltd. 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri East, Mumbai -
400099
Consolidated Stamp Duty Rs. 0.50 paid towards Insurance Policy Stamps vide Order No.CSD/293/2019andCSD/295/2019/176 Dated: 2019-01-
25 11:00:52.0 of General Stamp Office, Mumbai

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 legal
interpretation English version will be good.
Disclaimer : Please examine this Policy including attached Schedules / Annexure if any. In the event of any discrepancy please contact the office of
the Company immediately, it being noted that this Policy shall be otherwise considered as being entirely in order. Please find claims settlement &
grievance redressal procedure available on www.sbigeneral.in
Customer Service & Grievance Procedure :
The Grievance Redressal Cell of the Company looks into complaints from policyholders. If the Insured has a grievance that the Insured
wishes the Company to redress, the Insured may approach the person nominated as ‘Grievance Redressal Officer’ with the details of their
grievance. Process of Service Registration * Call us at our Toll Free - 1800 22 1111 / 1800 102 1111 Monday to Saturday (8 am - 8 pm). * Fax
us at 1800 22 7244 / 1800 102 7244 * Email us at [email protected] * Visit us at any of our Branches. Process of Grievance
Redressal Step 1: * Call us at our Toll Free - 1800 22 1111 / 1800 102 1111 Monday to Saturday (8 am - 8 pm). * Fax us at 1800 22 7244 / 1800
102 7244. * Email us at [email protected] * Visit us at any of our Branches. If you are not happy with the resolution provided,
please follow step 2. Step 2: * Please email your concerns to Head - Customer Care at [email protected] Step 3: * If you are
dissatisfied with the resolution provided in the Steps as indicated above on your Complaint, you may send your ‘Appeal’ addressed to the
Chairman of the Grievance Redressal Committee. The Committee will look into the appeal and decide the same expeditiously on merits. You
can write to Head - Compliance, Legal & CS on the id - [email protected] Step 4: * If your issue remains unresolved you may approach
IRDA by calling on the Toll Free no. 155255 or you can register an online complaint on the website http://igms.irda.gov.in * If after having
followed the above steps you are not happy with the resolution and your issue remains unresolved, you may approach the Insurance
Ombudsman for Redressal. List of Ombudsman offices with contact details are attached for ready reference. For updated status, Please refer
to website www.irdaindia.gov.in

Names of Ombudsman and Addresses of Ombudsman Centers

Gujarat, Dadra & Nagar Haveli,Daman and Diu Rajasthan
AHMEDABAD - Shri/Smt.... JAIPUR - Shri/Smt....
Office of the Insurance Ombudsman, Office of the Insurance Ombudsman,
Jeevan Prakash Bldg, 6th Floor, Jeevan Nidhi - II Bldg., Gr. Floor,
Tilak Marg, Relief Road, Bhawani Singh Marg,
Ahmedabad - 380 001. Jaipur - 302 005.
Tel.: 079 - 25501201 / 02 / 05 / 06 Tel.: 0141 - 2740363
Email: [email protected] Email: [email protected]
Karnataka Kerala,Lakshadweep,Mahe-a part of Pondicherry,
BENGALURU - Shri/Smt.... ERNAKULAM - Shri/Smt....
Office of the Insurance Ombudsman, Office of the Insurance Ombudsman,
Jeevan Soudha Building,PID No. 57-27-N-19 2nd Floor, Pulinat Bldg.,
Ground Floor, 19/19, 24th Main Road, Opp. Cochin Shipyard, M. G. Road,
JP Nagar, Ist Phase, Ernakulam - 682 015.
Bengaluru - 560 078. Tel.: 0484 - 2358759 / 2359338
Tel.: 080 - 26652048 / 26652049 Fax: 0484 - 2359336
Email: [email protected] Email: [email protected]
Madhya Pradesh Chattisgarh. West Bengal,Sikkim,Andaman & Nicobar Islands.
BHOPAL - Shri/Smt.... KOLKATA - Shri/Smt....
Office of the Insurance Ombudsman, Office of the Insurance Ombudsman,
Janak Vihar Complex, 2nd Floor, Hindustan Bldg. Annexe, 4th Floor,
6, Malviya Nagar, Opp. Airtel Office, Near New Market, 4, C.R. Avenue,
Bhopal - 462 003. KOLKATA - 700 072.
Tel.: 0755 - 2769201 / 2769202 Tel.: 033 - 22124339 / 22124340
Fax: 0755 - 2769203 Fax : 033 - 22124341
Email: [email protected] Email: [email protected]
Districts of Uttar Pradesh :Laitpur, Jhansi, Mahoba, Hamirpur, Banda,
Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh,
Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur,
Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti, Gonda, Faizabad,
Orissa Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur,
BHUBANESHWAR - Shri/Smt.... Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria,
Office of the Insurance Ombudsman, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar.
62, Forest park, LUCKNOW - Shri/Smt....
Bhubneshwar - 751 009. Office of the Insurance Ombudsman,
Tel.: 0674 - 2596461 /2596455 6th Floor, Jeevan Bhawan, Phase-II,
Fax: 0674 - 2596429 Nawal Kishore Road, Hazratganj,
Email: [email protected] Lucknow - 226 001.
Tel.: 0522 - 2231330 / 2231331
Fax: 0522 - 2231310
Email: [email protected]

SBI General Insurance Company Limited

Registered and Corporate office : 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri East, Mumbai - 400099, IRDA of India Reg.No.144
Punjab,Haryana,Himachal Pradesh,Jammu & Kashmir,Chandigarh. Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane
CHANDIGARH - Shri/Smt... MUMBAI - Shri/Smt...
Office of the Insurance Ombudsman, Office of the Insurance Ombudsman,
S.C.O. No. 101, 102 & 103, 2nd Floor, 3rd Floor, Jeevan Seva Annexe,
Batra Building, Sector 17 - D, S. V. Road, Santacruz (W),
Chandigarh - 160 017. Mumbai - 400 054.
Tel.: 0172 - 2706196 / 2706468 Tel.: 022 - 26106552 / 26106960
Fax: 0172 - 2708274 Fax: 022 - 26106052
Email: [email protected] Email: [email protected]
State of Uttaranchal and the following Districts of Uttar Pradesh:Agra,
Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kanooj,
Tamil Nadu,Pondicherry Town andKaraikal (which are part of Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit,
Pondicherry). Etawah, Farrukhabad, Firozbad, Gautambodhanagar, Ghaziabad, Hardoi,
CHENNAI - Shri/Smt... Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha,
Office of the Insurance Ombudsman, Hathras, Kanshiramnagar, Saharanpur.
Fatima Akhtar Court, 4th Floor, 453, NOIDA - Shri/Smt...
Anna Salai, Teynampet, Office of the Insurance Ombudsman,
CHENNAI - 600 018. Bhagwan Sahai Palace
Tel.: 044 - 24333668 / 24335284 4th Floor, Main Road, Naya Bans, Sector 15,
Fax: 044 - 24333664 Distt: Gautam Buddh Nagar,
Email: [email protected] U.P - 201 301.
Tel.: 0120-2514250 / 2514252 / 2514253
Email: [email protected]
Bihar,Jharkhand.
DELHI - Shri/Smt...
PATNA - Shri/Smt...
Office of the Insurance Ombudsman,
Office of the Insurance Ombudsman,
2/2 A, Universal Insurance Building,
1st Floor,Kalpana Arcade Building,,
Asaf Ali Road,
Bazar Samiti Road, Bahadurpur,
New Delhi - 110 002.
Patna 800 006.
Tel.: 011 - 2323481 / 23213504
Email: [email protected] Tel.: 0612-2680952
Email: [email protected]
Assam,Meghalaya,Manipur,Mizoram, Arunachal Pradesh,Nagaland and Maharashtra,Area of Navi Mumbai and Thane,excluding Mumbai
Tripura. GUWAHATI - Shri/Smt... Office of the Insurance Ombudsman, Metropolitan Region. PUNE - Shri/Smt...
Jeevan Nivesh, 5th Floor, Office of the Insurance Ombudsman,
Nr. Panbazar over bridge, S.S. Road, Jeevan Darshan Bldg., 3rd Floor,
Guwahati - 781001(ASSAM). C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth,
Tel.: 0361 - 2132204 / 2132205 Pune - 411 030.
Fax: 0361 - 2732937 Tel.: 020-41312555
Email: [email protected] Email: [email protected]
Andhra Pradesh,Telangana,Yanam and part of Territory of Pondicherry
HYDERABAD - Shri/Smt...
Office of the Insurance Ombudsman,
6-2-46, 1st floor, "Moin Court",
Lane Opp. Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool,
Hyderabad - 500 004.
Tel.: 040 - 65504123 / 23312122
Fax: 040 - 23376599
Email: [email protected]

Address and contact number of Governing Body of Insurance Council

Secretary General Governing Body of Insurance Council,Jeevan Seva Annexe, 3rd Floor (Above MTNL),S. V. Road, Santacruz (W), Mumbai –
400 054,Tel: 022-6106889,Fax: 022-6106980, 6106052,Email: [email protected]

Integrated Grievance Management System

IRDA has launched the Integrated Grievance Management System (IGMS). IGMS is a grievance redress monitoring tool for IRDA. Policyholders
who have grievances should register their complaints with the Grievance Redress Channel of the Insurance Company first. If policyholders are not
able to access the insurance company directly for any reason, IGMS provides a gateway to register complaints with insurance companies. Complaints
shall be registered with insurance companies first and only if need be, be escalated them to IRDA (Consumer Affairs Department). Website:
http://www.policyholder.gov.in/Integrated_Grievance_Management.aspx Toll Free Number of IRDA Grievance Call Centre: 155255, Timings: 8 AM
to 8 PM -- (Monday to Saturday)

SBI General Insurance Company Limited

Registered and Corporate office : 9th Floor, A & B Wing, Fulcrum Building, Sahar Road, Andheri East, Mumbai - 400099, IRDA of India Reg.No.144