TATA AIG GENERAL INSURANCE COMPANY LIMITED

QUOTATION WORKSHEET FOR PRIVATE CAR

Producer Code : 0001570004 Producer Name : LIFE & GENERAL INSURANCE & REINSURANCE BROKERS PVT. LTD.
Producer Contact : Producer City : PUNE
Producer Email : LGA_GOGTE@REDIFFMAIL.COM Date: 19/11/2018

Make & Model RTO Zone Mfg Year Cubic Capacity Seating Capacity Add on Plan Add on Choice NCB on Renewal

BMW 3 SERIES MH-01 2017 1995 5 Optional Choice 2 20%

320D
PRESTIGE

Purchase/Registration Policy Year IDV of Vehicle IDV of side car Bi-Fuel/CNG/LP IDV of non-built-in Total IDV
Date G Kit Accessories
Electrical Non-Electrical

10/12/2017 1 3150000.00 - 3150000.00

PREMIUM BREAK UP
Description Amount

Own Damage Section

Own Damage Rs. 32508

No Claim Bonus Rs. 6502
A: TOTAL OWN DAMAGE PREMIUM Rs. 26006
Depreciation reimbursement Rs. 14490
Engine Secure Rs. 4725
Key Replacement Rs. 689
Loss of Personal belonging Rs. 550
Consumable Expense Rs. 6300
Repair Glass Fiber plastic Rs. 0
Emergency Transport Hotel Exp Rs. 550
C: TOTAL ADD ON PREMIUM Rs. 27304
Liability Section

Basic TP including TPPD premium Rs. 7890

WorkMen Compensation Rs. 0
Owner Driver Rs. 750
Paid Driver cleaner conductor Rs. 50
Unnamed Passengers Personal Account Rs. 500
B: TOTAL LIABILITY PREMIUM Rs. 9190
Total Premium

COMPREHENSIVE PREMIUM Rs. 62500

NET PREMIUM Rs. 62500
SERVICE TAX / GST Rs. 11250
TOTAL PREMIUM Rs. 73750
Road Side Assistance Rs. 137.0

As per the vehicle details provided & the option selected by you, the premium for your vehicle is : Rs. 73887 (Including Service Tax / GST).

Please let us know convinent time so that we can arrange to collect the necessary document from you for vehicle insurance

We look forward to parterning with you in your insurance needs.

For more information,Please contact 24/7 Toll-Free Helpline number : 1800-266-7780 ( from MTNL/BSNL landlines ) or Tolled Number :1800-266-7780
Email :customersupport@tata-aig.com
Quote Validity: This Quote is valid for 7 days from date of generation.
IRDAN108P0002V01200001