Ref No .: GEN / WEL / SG / 0008.3 / 3142524902
Date : 11/03/2025
To .
Sudeep Logistics Pvt Ltd.
314 PROGRESIVE MODEL COLONY VAIDUWADI HADAPS
Pune - 411013
District : PUNE
TO DOWNLOAD
MAHARASHTRA , India POLICY WORDING
SCAN HERE
Contact Details 7218232277
Policy number : 3142524902
CKYC ID : 80031420566485
Subject : Risk assumption for Commercial Vehicle Secure ( Passenger Carrying Vehicle )
Dear Sudeep Logistics Pvt Ltd ,
We thank you for your continued trust in Zurich Kotak General Insurance Company ( India ) Limited and renewing your policy to cater to your
motor insurance needs .
This is with reference to your above mentioned Policy issued under Commercial Vehicle Secure ( Passenger Carrying Vehicle ) .
Enclosed please find the Policy Schedule outlining the details of your policy . Kindly note that the proposal is underwritten and policy is
issued based on the information submitted to us by you , as well as acceptance of the terms and conditions . Policy schedule must be read
in conjunction with the product brochure and policy wordings . Please visit https://www.zurichkotak.com/customer-
support / downloads or scan above QR code for detailed policy wording .
We request you to carefully go through the same once again and in case of any disagreement , discrepancy or clarifications , please call us
on our toll free number 1800 266 4545 or write to us at care@zurichkotak.com within 30 days from the date of this letter . Alternatively , you
can also write to us at 401 , 4th Floor , Silver Metropolis , Jai Coach Compound , Off Western Express Highway , Goregaon ( East ) ,, Mumbai
- 400063. , Maharashtra , India .
Please note that the information provided by you will be verified at the time of claim and the captioned Policy shall be treated as void in
case of any untrue or incorrect statement , misrepresentation , non - description or non - disclosure in any form whatsoever made by you or by
your agent , on your behalf , at any stage .
In case where premium is not received by us due to cheque dishonour or any other reason , the insurance cover shall be void ab - initio .
As a valued customer , we would like to provide regular updates on your policy through email and SMS . We therefore request you to keep
us updated of any change in your contact details .
Assuring you of our best services at all times .
Thanking you ,
Yours sincerely ,
For Zurich Kotak General Insurance Company ( India ) Limited
Suresh Shaka
Authorised Signatory
---PAGE END---BLANK
LEFT
UINIRDAN152RP0009V04201516
)
INTENTIONALLY
Vehicle
IS
Carrying
Passenger
(
PAGE
Secure
Vehicle
THIS
Commercial
---PAGE END--- Commercial Vehicle Secure ( Passenger Carrying Vehicle )
Comprehensive Policy
Certificate cum Policy Schedule
Policy / Certificate No : 3142524902
For any assistance please call 1800 266 4545 or visit www.zurichkotak.com
INSURED DETAILS POLICY DETAILS
Name : Sudeep Logistics Pvt Ltd Policy Issuing Office : Mansurali Tower 1St Floor ,
Plot No.6 Boat Club Road Pune Maharashtra 411001 .
Address : 314 PROGRESIVE MODEL COLONY VAIDUWADI
HADAPS Pune - 411013 District : PUNE Period of Insurance :
MAHARASHTRA ( 27 ) , India
From : 26/03/2025
to : 25 / 03 / 2026 Midnight
Place of Supply : MAHARASHTRA 00:00
Supply State 27
Policy issued
Code Cover Note No : NA
:
on : 11/03/2025
Phone : NA
Hypothecated to : KOTAK MAHINDRA BANK LTD .
Mobile : 7218232277
Email : AMOL12RANSHUR@GMAIL.COM
GSTIN : 27AATCS2867F1ZS
VEHICLE DETAILS
Registration Manufacturer Model Variant Year of RTO Location Engine Vehicle Chassis / Licensed Seating Gross
Number Manufacture Number Trailer Chassis No. Carrying Capacity Vehicle
Capacity Weight
MH12QG0344 EICHER 10.75 H STARLINE 2018 PUNE 189066 394223 30 30 0
SCHOOL BUS
IDV of Body IDV of Chassis Non Electrical Electrical & Electronic Trailer CNG / LPG Kit Total
( in ) ( in ) Accessories fitted to Accessories fitted to the ( in ) Value of
(
in
)
the Vehicle ( in ) the
UINIRDAN152RP0009V04201516
Vehicle ( in ) Vehicle
)
( in )
8,00,001 0 0 0 0 8,00,001
Vehicle
Category School Bus
Carrying
PREMIUM COMPUTATION TABLE ( IN * )
Section I Section II
Passenger
(
Own Damage Liability
Basic Own Damage 287.20 Basic TP Including TPPD Premium 34,542.00
Add : Legal Liability to Paid Driver and / or Conductor and / or Cleaner
Secure
100.00
Cover for Lamps Tyres Tubes Mudguards Bonnet Side parts 43.08 ( IMT 28 )
Less : Total Liability Premium ( B ) 34,642.00
Vehicle
No Claim Bonus Percent 25 % 82.57
Section III
Personal Accident
Total Own Damage Premium ( A ) 247.71 Total Personal Accident Premium ( C ) 0.00
Commercial
Taxable value of Services ( A + B + C ) 34,889.71
CGST @ 9 % 3,140.07
SGST @ 9 % 3,140.07
Total Premium ( in ₹ ) 41,170.00
Geographical Area INDIA Additional Excess 10 Compulsory Deductible 1,000
Voluntary Deductible for Depreciation Total Deductible
No. of Claims for Depreciation Cover 1,000
Cover ₹
---PAGE END---INTERMEDIARY DETAILS
Intermediary Code 8179400000 Intermediary Name BHAGYASHRI ASHOK SHEWANTE
Intermediary's Mobile Intermediary's Landline
9326689009
No. No.
CUSTOMER DECLARATION FOR CNG / PNG KIT
I / We agree and undertake to immediately inform the Company in case of change on account of addition of CNG / PNG kit and obtain necessary endorsement in
the Policy .
DISCLAIMER
For complete details on terms and conditions governing the coverage and NCB please read the Policy Wordings . This document is to be read with the Policy
Wordings ( which are also available on the Company website i.e. www.zurichkotak.com ) . Please refer to the claim form for necessary documents to be submitted
for processing the claim .
PUC DECLARATION
This policy has been issued subject to valid Pollution Under Control ( PUC ) Certificate / Fitness Certificate disclosed to our representative / declared by You prior to
commencement of risk under this policy and further undertaking to renew and maintain a valid PUC throughout the duration of the Policy .
LIMITS OF LIABILITY
Under Section II - 1 ( i ) of the policy - > Death of or bodily injury : Such amounts is necessary to meet their requirements of Motor Vehicles Act , 1988 .
Under Section II - 1 ( ii ) of the policy - > Damage to Third Party Property ₹ 7,50,000 ; PA Cover under Section III : for Owner Driver CSI * 0
LIMITATIONS AS TO USE
Passengers Carrying Vehicle : 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 ) 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 .
DRIVER'S CLAUSES
Any person including the insured : Provided that a person driving hold an effective Driving License at the time of accident and is not disqualified from holding or
UINIRDAN152RP0009V04201516
obtaining such a license . Provided also that the person holding an effective Learners ' License may also drive the Vehicle and that such a person satisfies the
)
requirements of Rule 3 of the Central Motor vehicles Rules 1989 .
Vehicle
NO CLAIM BONUS SCALE
Carrying
Number of Claims % of Discount on Own Damage Premium
No claim made or pending during the preceding full year of insurance 20 %
No claim made or pending during the preceding 2 consecutive years of insurance 25 %
Passenger
(
No claim made or pending during the preceding 3 consecutive years of insurance 35 %
Secure
No claim made or pending during the preceding 4 consecutive years of insurance 45 %
No claim made or pending during the preceding 5 consecutive years of insurance 50 %
Vehicle
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
Commercial
wider terms appearing in the Policy 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 hold good .
Subject to I.M.T. Endt.Nos . & Memorandum 21 , 28 , 7 , 23 Printed / herein / attached hereto Under Hire Purchase Agreement with NA
---PAGE END---TAX DETAILS
Service Tax / GST Registration No. 27AA FCK7 0 1 6 C 1 Z T Category : General Insurance Services
SAC Code 997134 Description Motor Vehicle Insurance Services
Invoice Number 3142524902
DECLARATION
I / We hereby certify that the policy to which the certificate relates as well as the certificate of insurance are issued in accordance with the provision of chapter X , XI
of M.V.Act 1988 .
In Witness whereof this Policy has been signed for and behalf of Mansurali Tower 1St Floor , Plot No.6 Boat Club Road Pune Maharashtra 411001. at Mumbai this
11 day of March of 2025
Stamp Duty of 0.50 is paid as provided under Article 47 ( B ) of Indian Stamp Act , 1899 and included in Consolidated Stamp Duty Paid to the Government of
Maharashtra Treasury vide Order of Addl . Controller Of Stamps , Mumbai at General Stamp Office , Fort , Mumbai - 400001. , vide this Order No. ( LOA / ENF-
2 / CSD / 14 / 2025 / Validity Period Dt . 31/01/2025 To Dt . 31/12/2026 ( O / w.No . 488 ) / Date : 29/01/2025 ) .
For Zurich Kotak General Insurance Company ( India ) Limited
Suresh Shakar
Authorised Signatory
This document is digitally signed , hence counter signature / stamp is not required .
UINIRDAN152RP0009V04201516
)
Vehicle
Carrying
Passenger
(
Secure
Vehicle
Commercial
---PAGE END--- CUSTOMER INFORMATION SHEET
This document provides key information about your policy . Please refer to the policy
document for detailed terms and conditions .
Description Policy Clause
SI NO Title
( Please refer to applicable Policy Clause Number in next column ) Number
1 Product Name Commercial Vehicle Secure ( Passenger Carrying Vehicle )
2 Unique IRDAN152RP0009V04201516
Identification Number
( UIN )
allotted by
IRDAI
3 Structure State basis of Sum / Limit Insured
• Indemnity
Fixed Benefit
•
4 Interests Insured Commercial Vehicle Secure ( Passenger Carrying Vehicle ) is designed to provide insurance cover to
Passenger Carrying Commercial Vehicles
LO Sum Insured / Motor The Insured's Declared Value ( IDV ) of the vehicle will be deemed to be the ' SUM INSURED ' for the
Insured Declared purpose of this policy which is fixed at the commencement of each policy period for the insured vehicle .
Value Scope
The IDV of the vehicle ( and accessories if any fitted to the vehicle ) is to be fixed on the basis of the
manufacturer's listed selling price of the brand and model as the vehicle insured at the commencement
of insurance / renewal and adjusted for depreciation .
Section Coverage Sum Insured
Section I Loss of Or Damage to The Vehicle Insured Refer below table
Section II Liability to Third Parties As per Court Order
Section III Towing Disabled Vehicle INR XXXXX
UINIRDAN152RP0009V04201516
)
Section IV Personal Accident Cover for Owner - Driver INR 15,00,000 / -
Vehicle
Insured Declared Value ( IDV ) of the Vehicle ( INR ) INR 8,00,001
Non Electrical Accessories fitted to the vehicle ( INR ) INR 0
Carrying
-
Electrical & Electronic Accessories fitted to the vehicle ( INR ) INR 0
Trailer ( INR ) INR 0
Passenger
(
CNG LPG Kit ( INR ) INR 0
Total Value of the Vehicle ( INR ) INR 8,00,001
Secure
Total Loss / Constructive Total Loss
The Company may at its own option repair reinstate or replace the vehicle or part thereof and / or its
Vehicle
accessories or may pay in cash the amount of the loss or damage and the liability of the Company
shall not exceed :
a . For total loss / constructive total loss / cash - loss of the vehicle - the Insured's Declared Value ( IDV ) of
the vehicle ( including accessories thereon ) as specified in the Schedule less the value of the wreck .
Commercial
b . For partial losses , i.e. losses other than Total Loss / Constructive Total Loss / cash - loss of the vehicle -
actual and reasonable costs of repair and / or replacement of parts lost / damaged subject to
depreciation as per limits specified .
c . If a damaged motor vehicle is assessed as being unrepairable and hence a wreck i.e. a ' total loss ' or
' write - off ' the Company shall grant the Policyholder the option to retain the wreck and accept a ' cash
loss ' settlement ( being the IDV less the assessed value of Salvage based on competitive quotes
procured by the Company including any submitted by or through the insured ) .
d . In the event of a ' cash - loss ' settlement , the Company is entitled to cancel the Own Damage insurance
effective the date of damage . Additionally , the Company can cancel the statutory Motor Third Party
Liability insurance policy after requiring the insured to either cancel the road registration of the wreck
and submit documentary evidence in original thereof or alternatively evidence in original a statutory
Motor Third Party liability insurance policy covering the wreck effective the date of damage .
The insured vehicle shall be treated as a CTL if the aggregate cost of retrieval and / or repair of the
vehicle , subject to terms and conditions of the policy , exceeds 75 % of the IDV of the vehicle .
Illustration of IDV Calculation
IDV of the vehicle is calculated on ex - showroom price less depreciation depending on the age of the
vehicle .
Example : Ex - showroom price of the vehicle is INR 10,00,000 .
Age of vehicle 1 Year 2 Years 3 Years
---PAGE END--- Depreciation % 15 % 20 % 30 %
IDV INR 8,50,000 INR 8,00,000 INR 7,00,000
Note : The above Illustration is as per the depreciation slabs mentioned in the policy wording for the age of
the vehicle .
6 Policy Coverage The coverages available under this policy are listed in below and will be applicable as mentioned in the Policy Wordings -
Policy Schedule . Section I , Section II ,
Section III , Section IV
Section I : Loss of Or Damage to The Vehicle Insured
Cover for any Partial or Total Loss or Damage to the vehicle due to natural calamities such as - Fire ,
explosion , self - ignition or lightning , earthquake , flood , typhoon , hurricane , storm , tempest , inundation ,
cyclone , hailstorm , frost landslide , rockslide etc. Or man - made calamities such as burglary , theft , riot ,
strike , malicious act , accidental external means , terrorist activity , any damage in transit by road , rail , inland
waterway , lift elevator or air , etc.
Section II : Liability to Third Parties
Covers legal liability for third party property damage and third - party bodily injury ( including death ) due to an
accident .
Section III : Towing Disabled Vehicle
The policy shall be operative whilst the insured vehicle is being used for the purpose of towing any one
disabled mechanically propelled vehicle and the indemnity provided by Section II of this policy shall
subject to its terms and limitations be extended to apply in respect of liability in connection with such
towed vehicle
Section IV : Personal Accident Cover for Owner - Driver
Personal Accident Cover is provided to the Owner - Driver whilst driving the vehicle including mounting into /
dismounting from or traveling in the insured vehicle as a co - driver . Additionally , other passengers and
paid drivers can also be covered by opting for the same- limited to the carrying capacity of the vehicle ,
excluding the driver .
7 Add - on Cover Not Applicable
8 Loss Participation Deductible
UINIRDAN152RP0009V04201516
)
Additional Excess : INR 0
Vehicle
Compulsory Deductible : INR 1000
Voluntary Deductible : INR 0
Carrying
Voluntary Deductible for Depreciation Cover : INR 0
Total Deductible : INR 1000
Passenger
(
6 Exclusions GENERAL EXCEPTIONS ( Applicable to all Sections of the Policy ) Policy Wordings -
The Company shall not be liable under this Policy in respect of General Exclusions
Secure
( Applicable to all
1. Any accidental loss or damage and / or liability caused sustained or incurred outside the
Sections of the Policy )
geographical area ;
2. Any claim arising out of any contractual liability ;
Vehicle
3. Any accidental loss damage and / or liability caused sustained or incurred whilst the vehicle insured
herein is
a . Being used otherwise than in accordance with the ' Limitations as to Use ' . Or
b . Being driven by or is for the purpose of being driven by him / her in the charge of any person other
Commercial
than a Driver as stated in the Driver's Clause .
4 .
a . Any accidental loss or damage to any property whatsoever or any loss or expense whatsoever
resulting or arising there from or any consequential loss
b . Any liability of whatsoever nature directly or indirectly 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 .
5. Any accidental loss or damage or liability directly or indirectly caused by or contributed to by or
arising from nuclear weapons material .
6. Any accidental loss damage and / or liability 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 indirect consequence of
any of the said occurrences and in the event of any claim hereunder the insured shall prove that the
accidental loss damage and / or liability arose independently of and was in no way connected with or
occasioned by or contributed to by or traceable to any of the said occurrences or any consequences
thereof and in default of such proof , the Company shall not be liable to make any payment in respect
of such a claim .
---PAGE END--- For complete list of exclusions including Section - wise exclusions , refer the policy wordings
10 Special Conditions Special Conditions Policy Wording -
and Warranties ( if any ) Conditions
Explain obligations of the Policyholder
• The insured shall take all reasonable steps to safeguard the vehicle from loss or damage and to
maintain it in efficient condition and the Company shall have at all times free and full access to examine
the vehicle or any part thereof or any driver or employee of the insured . In the event of any accident or
breakdown , the vehicle shall not be left unattended without proper precautions being taken to prevent
further damage or loss and if the vehicle be driven before the necessary repairs are effected any
extension of the damage or any further damage to the vehicle shall be entirely at the insured's own risk .
• The due observance and fulfillment of the terms , conditions and endorsements of this Policy in so far as
they relate to anything to be done or complied with by the insured and the truth of the statements and
answers in the said proposal shall be conditions precedent to any liability of the Company to make any
payment under this Policy .
11 Admissibility of Claim 1. Notice shall be given in writing to the Company immediately upon the occurrence of any accidental Policy Wording -
loss or damage in the event of any claim and thereafter the insured shall give all such information and Conditions
assistance as the Company shall require .
2. No admission offer promise payment or indemnity shall be made or given by or on behalf of the
insured without the written consent of the Company which shall be entitled if it so desires to take over
and conduct in the name of the insured the defence or settlement of any claim or to prosecute in the
name of the insured for its own benefit any claim for indemnity or otherwise and shall have full
discretion in the conduct of any proceedings or in the settlement of any claim and the insured shall
give all such information and assistance as the Company may require .
3. In the event of the death of the sole insured , this policy will not immediately lapse but will remain valid
for a period of three months from the date of the death of insured or until the expiry of this policy
( whichever is earlier ) .
• Sample claim calculation process
Mr. ABC has Motor policy and met with an accident .
The claim amount ( for OD Section ) for this vehicle will be calculated as below :
Details Amount ( INR )
UINIRDAN152RP0009V04201516
)
Vehicle Repair Cost 50,000
Amount assessed by surveyor 48,000
Vehicle
Depreciation applicable ( Part Depreciation : Metal as per
5,000
age , plastic 50 % , Glass nil )
Compulsory deductible 1,000
Carrying
Total Claim payable 42,000
** The above claim calculation is subject to change as per Add on covers opted and policy terms and
Passenger
conditions
(
12 Policy Servicing - • Toll free / IVRS number of the insurer : 1800 266 4545 ( 8 AM TO 8 PM )
Claim Intimation and • Website / Email : www.zurichkotak.com/care@zurichkotak.com
Secure
Processing • Details of designated company officials to be contacted in time of claim :
zkgi.motorclaimservices@zurichkotak.com
Vehicle
Details of procedure to be followed for cashless service ( In case of Motor Insurance ) as well as for
reimbursement of claim
In case of cashless process , please follow the below mentioned process
Commercial
âš« Call our 12 hours helpline with details of accident and policy / cover note number .
• . Once the claim is registered , the customer support executive will provide you with a Claim Reference
Number .
• You will need to submit relevant documents to us such as - Driving license , RC copy , Policy copy etc. in
accordance with the Policy terms and conditions .
We will arrange for an inspection in
-24 hours , if a claim is reported on a working day
- Next working day , if a claim is reported on Sunday or Public holiday
• On cashless facility confirmation , the vehicle would be repaired at a cashless garage and the payment
would be made directly to the garage .
• You will only have to pay the deductible as mentioned in the policy and the depreciation value , salvage
etc. as informed by the surveyor .
In case of reimbursement process , you will have to submit documents to Zurich Kotak General Insurance
---PAGE END--- Company Ltd. , and we will make the payment within 7 days of completion of documentation . The detailed
list of documents required is mentioned in the claims form which can be downloaded from our website
www.zurichkotak.com .
• Turn Around Time ( TAT ) for claims settlement
Appointment of surveyor Immediate after intimation
Survey report submission 15 days
within 7 days after receipt of final
Claims concluded by the insurer
survey report
Within 7 days after receipt of final
survey report and / or the last relevant
Settlement of claims
and necessary document as the
case may be
• Escalation Matrix when TAT is not satisfied
Level 1 regional.motorclaims@zurichkotak.com
Level 2 zonal.motorclaims@zurichkotak.com
Level 3 head.motorclaims@zurichkotak.com
13 Grievance Redressal For resolution of any query or grievance , Insured may contact the respective branch office of the Company Policy Wording -
and Policyholders or may call toll free number 1800 266 4545 or may write an e- mail at care@zurichkotak.com . Grievance Redressal
protection
In case the Insured is not satisfied with the response , Insured may contact the Grievance Officer of the
Company at grievanceofficer@zurichkotak.com . In case if the Insured is not satisfied with the solution the
Grievance Officer has provided , Insured can write to seniorgrievanceofficer@zurichkotak.com/
chiefgrievanceofficer@zurichkotak.com .
However , if the resolution provided by us is not satisfactory you may approach Insurance Regulatory and
Development Authority of India ( IRDAI ) through the Bima Bharosa Portal : https://bimabharosa.irdai.gov.in .
You may also approach Insurance Ombudsman , subject to vested jurisdiction , for the redressal of
grievance . The details of the Insurance Ombudsman is available at Annexure I of the policy wording .
The details of the Insurance Ombudsman / complete Grievance Redressal Process is also available at
Company's website : www.zurichkotak.com
UINIRDAN152RP0009V04201516
)
The updated details of Insurance Ombudsman offices are also available on the website of Council for
Insurance Ombudsmen : www.cioins.co.in/Ombudsman
Vehicle
14 Obligations of the • To disclose all information correctly sought by the insurer at time of filling the proposal form
Policyholder / • In case of any change / modification / addition to the already declared information the same shall be
brought to the notice of the insurer immediately
Carrying
• Non - disclosure of material information may affect the claim settlement .
• Disclosure of other material information during the policy period .
( " Material Information " for the purpose of this policy shall mean all relevant information sought by the
Passenger
company in the proposal form and other connected documents to enable it to take informed decision in
(
the context of underwriting the risk such as Purpose of the Vehicle , Usage of the Vehicle , Claim details
( accident date , spot of accident , damaged parts etc. ) , details of vehicle , NCB details etc. )
Secure
Declaration by the Policy Holder
Vehicle
I have read the above and confirm having noted the details .
Place
Commercial
Signature of the Policy
Date
Holder
Note :
i . Please visit https://www.zurichkotak.com/documents/customer-support/downloads for product related documents including CIS
ii . In case of any conflict , the terms and conditions mentioned in the policy document shall prevail
---PAGE END--- Transcript cum Proposal Form - Commercial Vehicle Secure ( Passenger Carrying Vehicle )
Guideline
1. This is a transcript of the details provided by you and is basis of underwriting the policy . Request you to review the complete information & come -get back to us
within 15 days of issuance of this document in case there is any discrepancy found .
2. The policy is subject to premium receipt and would incept from the date specified in the policy schedule .
3. This document has to be read in conjunction with the policy document .
4. Refund if any , would be processed in the same source ( net banking / credit card / debit card ) from which the premium payment has been made .
5. The policy is subject to the underwriting guidelines of the Company .
6. Online premium payment should be made by the policyholder himself . No third party payment should be made using this mode of payment .
Proposal No : 202503110057611
Proposal for Renewal Policy
41,170.00 Premium Amount ( Inclusive of all applicable taxes )
Type of cover : Comprehensive Policy
Registration No. Vehicle Make / Model / Variant Type of body Fuel Type
EICHER /10.75 H / STARLINE SCHOOL
MH12QG0344 BUS Diesel
BUS
Licensed Carrying
Capacity ( LCC ) ( for
Year of Manufacture IDV of Body IDV of Chassis Engine Number Chassis Number
Passenger Carrying
Vehicle )
2018 0 8,00,001 189066 394223 30
Special conditions :
PROPOSER / OWNER'S DETAILS
UINIRDAN152RP0009V04201516
)
1. Title and Name of the Insured : Sudeep Logistics Pvt Ltd
2. Insured Permanent Address * 314 PROGRESIVE MODEL COLONY VAIDUWADI HADAPS District : PUNE 411013 MAHARASHTRA ( 27 ) , India
Vehicle
If Correspondence Address different from
314 PROGRESIVE MODEL COLONY VAIDUWADI HADAPS Pune - 411013 District : PUNE MAHARASHTRA , India
Permanent Address , please provide * :
Carrying
3.Phone 4.Mobile * 7218232277 5.Email ID * AMOL12RANSHUR@GMAIL.COM
6.Gender 7.Date Of Birth * 8. Nationality
Passenger
(
Secure
Proposal Date & Time : 11/03/2025 16:30
Policy Start Date : 26/03/2025 00:00
Vehicle
Policy End Date :
25/03/2026 at midnight
( Comprehensive )
Policy End Date :
Commercial
25/03/2026 at midnight
( Compulsory PA )
Limitations as to use ( PCV ) :
The Policy does not cover use of the vehicle for the purpose of Carriage of goods ( other than samples or personal luggage ) , organized racing , Pace making , speed
testing , reliability trails , any purpose in connection with Motor Trade and Use whilst drawing a trailer except the towing ( other than for reward ) of any one disabled
Mechanically propelled vehicle . 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 Vehicles Act 1988
Driver's Clauses : Any person including insured : Provided that a person driving hold an effective Driving Licence at the time of accident and is not disqualified from
holding or obtaining such a licence . Provided also that the person holding an effective Learners ' Licence may also drive the Vehicle and that such a person satisfies
the requirement of Rule 3 of the Central Motor Vehicle Rules , 1989 .
---PAGE END---STATUTORY WARNING PROHIBITION OF REBATES ( Under Section 41 of Insurance Act 1938 )
1 ) 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 or continuing a Policy accept any rebate , except such rebate as may be allowed in accordance with the
published prospectuses or tables of the Insurer .
2 ) Any person making default in complying with the provisions of this section shall be punishable with fine , which may extend to 1,000,000 / -
VEHICLE DETAILS
Registration Authority and RTO Date of CNG / LPG / Bi Lease / Hire / Hypothecation ( Name Color of
No of Wheels
Location Registration Fuel and address of concerned parties ) Vehicle
PUNE 23/03/2018 Diesel KOTAK MAHINDRA BANK LTD . 4
* Electrical &
* Non - Electrical
Electronic
IDV of Body IDV of Chassis Accessories * Trailer * CNG LPG Kit * Total Value
Accessories
( in INR ) ( in INR ) fitted to the ( in INR ) ( in INR ) ( in INR )
fitted to the
Vehicle ( in INR )
Vehicle ( in INR )
0 8,00,001 0 0 0 8,00,001
PUC - YES
OPTIONAL ADD - ON COVERS
#If Depreciation cover is selected : Voluntary Deductible offered under the
1. Depreciation Cover # 2 . Engine Protect
" Depreciation Cover " , which would be applied over and above the Compulsory
3. Return to Invoice 4 . Consumable Cover Deductible ? No
6 . Key Replacement
5. Road Side Assistance
Sum Insured
7. Tyre Cover 8. NCB Protect
9. Additional PA Cover for Owner 10. Additional PA Cover for
Driver Passengers
Sum Insured Sum Insured
11. Hospital Cash Benefit 12. EMI Protect
UINIRDAN152RP0009V04201516
)
Max No. of days Select .. Monthly Amount
Per day benefit Select .. No of EMIS Select ..
14. Loss of Income
Vehicle
13. Additional Towing Charges
Max No. of days Select ..
Sum Insured
Per day benefit Select ..
Carrying
Passenger
(
Secure
Vehicle
Commercial
---PAGE END--- RISK INCLUSION / EXCLUSION
* Nominee Name and * Name of Appointee ( if Relationship to the
* Relationship
1. * Personal Accident Cover of INR nominee is a minor ) Nominee
Age
15,00,000 for the Owner Driver
2. Do you wish to include Personal Name CSI Opted ( Rs ) * Nominee Name Relationship
Accident cover for the Named passenger ?
No
Please give details mentioned aside :
No. of Persons
3. Do you wish to include Personal Accident cover for the Un - named Passengers / hirer / pillion C. S. I. ( Per Person
)
As Per Seating Capacity
passenger ? No
Please give details mentioned aside :
# The maximum CSI available per person is ₹ 2,00,000 , each in multiples of 10,000 .
4. Do you wish to restrict Third Party Property Damage of 7.5 Lakh to the statutory TPPD liability limit of ₹ 6,000 / - only ? No
5. Legal liability against Third Party Risks : Do you wish to cover legal liability ? A ) Paid Driver and / or Conductor and / or Cleaner ( IMT 28 ) Yes No If Yes ,
no of person ( 2 )
B ) Legal Liability to Employee ( IMT 29 ) Yes No If Yes , no . of Person : C ) Unnamed Passengers Yes ✓ No If Yes , no . of Person : 0
Compulsory Personal Accident ( PA ) Cover for owner - driver ( PA Cover for Owner -Driver is compulsory for individual vehicle owners ) . I hereby declare below :
The Owner Driver does not require Compulsory Personal Accident Cover as Owner Driver has a separate existing Personal Accident Cover against Death
and Permanent Disability ( Total and Partial ) for sum Insured of atleast 15 lacs / The Vehicle to be insured is not owned by an individual / The Owner driver does
not have an effective driving license .
PREVIOUS INSURANCE DETAILS
1. Name and address of the previous insurer KOTAK - MANSURALI TOWER , 1ST FLOOR , PLOT NO.6
2. Previous Policy Type Comprehensive 3. Previous Policy Number 3142524901 4. Existing bonus 20 %
5. Period of Insurance 26/03/2024 To 25/03/2025
6. Details of Claims made : No
UINIRDAN152RP0009V04201516
)
Whether you are entitled to No Claim Bonus ? Yes NO
Vehicle
DETAILS OF DEPRECIATION
Table 1 : Schedule of depreciation for arriving at IDV :
Carrying
The Insured's declared value ( IDV ) of the vehicle will be deemed to be the ' Sum insured ' and it will be fixed at commencement of each policy period for each
insured vehicle
Age of The Vehicle % of Depreciation for fixing IDV Age of The Vehicle % of Depreciation for fixing IDV
Not exceeding 6 Months 5 % Exceeding 2 years but not exceeding 3 30 %
Passenger
(
years
Exceeding 6 months but not exceeding 1 15 % Exceeding 3 years but not exceeding 4 40 %
year years
Secure
Exceeding 1 year but not exceeding 2 years 20 % Exceeding 4 years but not exceeding 5 50 %
years
Vehicle
Note : IDV of obsolete models of vehicles ( i.e. Models which the manufacturers have discontinued to manufacture ) and vehicles beyond 5 years of age will be
determined on the basis of an understanding between the insurer and the insured .
PAYMENT DETAILS
Commercial
Payment Mode : CHEQUE
Payment Reference No : 032001
Payment Amount : 41,170.00
Payment / Transaction Date : 08/03/2025
Bank Details : AXIS BANK LTD . , WANAWADI ( PUNE ) , UTIB0000110
As verified using OTP sent on mobile number ending with 2277 on 11/03/2025 or as submitted by you in the physical proposal form .
I confirm that the premium is paid out of my legitimate sources of fund and the Company has the right to call for documents to establish sources of funds . The
Company has the right to cancel the policy in case I am / have been found guilty by any competent authority or court of law .
Intermediary Code : 8179400000
DECLARATION
NPO :
Are you a Non - Profit Organization ? * ( only in case of an entity ) ☠Yes ☑✓ No
---PAGE END--- any sources to I AML
/
any We
of
the statutes of of the hereby Declaration
funds offence
confirm
.
, The :
directly listed that
Insurance
all
or in
indirectly Company Prevention premiums
governing has of have
Money been
right
the Laundering / will
to
prevention cancel be paid
the Act from
of
money insurance , 2002. bonafide
I
/
laundering contract We sources
understand
in and
in
India case
no
I that
. am the premiums
/
have Company
been have
found has been
guilty the / will
right be
by
to paid
any
call
out
competent for of
document proceeds
court
to of
of establish crime
law
under related
Commercial Vehicle Secure ( Passenger Carrying Vehicle ) UINIRDAN152RP0009V04201516
---PAGE END--- TAX INVOICE
Details of Receiver ( Billed To ) Details of Supplier ( billed by )
Zurich Kotak General Insurance
GSTIN / UIN 27AATCS2867F1ZS Name :
Company ( India ) Limited
Customer ID 1010722634 GSTIN : 27AAFCK7016C1ZT
Customer Name SUDEEP LOGISTICS PVT LTD Pan Number : AAFCK7016C
Email ID AMOL12RANSHUR@GMAIL.COM CIN : U66000MH2014PLC260291
Mansurali Tower1 St Floor , Plot No.6Boat
Contact No 7218232277 Address :
Club RoadPune Maharashtra 411001 .
314 PROGRESIVE MODEL COLONY
Address VAIDUWADI HADAPS , PUNE , 411013 , Date of Invoice 11/03/2025
MAHARASHTRA , India
IMD Code 8179400000 Invoice No 3142524902
Receipt No 1202502131761 Proposal No 202503110057611
Partner Application No 3142524901
State Code 27 State Code : 27
Place Of Supply Name MAHARASHTRA - 27 State Name MAHARASHTRA
IRN
HSN / SAC Total Value of Supply Taxable value of Supply CGST CGST Amt SGST SGST Amt
HSN / SAC Description
Code ( Rs . ) ( Rs . ) Rate ( Rs . ) Rate ( Rs . )
Motor Vehicle Insurance 997134 34889.71 34889.71 9 % 3,140.07 9 % 3,140.07
Services
Total 34889.71 34889.71 3140.07 3140.07
Total Invoice Value ( In
41,170.00
Figure )
Total Invoice Value ( In
Forty One Thousand One Hundred Seventy
UINIRDAN152RP0009V04201516
Words )
)
Whether Tax Payable on a Reverse Basis or Not No
Vehicle
For : Zurich Kotak General Insurance Company ( India ) Limited
Carrying
Suresh Shakar
Passenger
(
Authorized Signatory
Secure
" I / We hereby declare that though our aggregate turnover in any preceding financial year from 2017 -18 onwards is more than the aggregate
Vehicle
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 . "
Commercial
---PAGE END---