todays date 31-Jul-13

GOODS CARRYING COMMERCIAL VEHICLES(FGV)

Class of Vehicle A1
ZONE (A, B,C) C
Gross Vehicular Weight 25,000
Vehicle Age & Base Rate 5 yr & Less
1.726%
Excess Kgs exceeding 12000 13,000
Premium for Excess weight 130 3,510
Insured's Declared Value Rs.
Basic Value of the vehicle 2,116,500
IDV of the Trailer I -
IDV of Non-Electrical Accessories II -
IDV of Electrical/Electronic Accessories (IMT 24) III -
IDV of Bi - Fuel System / CNG Kit Value (IMT 25) IV -
TOTAL IDV ( I + II + III + IV ) V 2,116,500
Body Type - Mandatory Field (if this Column is Blank then case will Fail in QC TIPPER/DUMPER
OWN DAMAGE Rs
from the Rating grid A 40,041
Trailer Basic OD B -
On IDV of electronic accessories @ 4.00% of III (IMT 24) 4.00 -
On IDV of Bi - Fuel System / CNG Kit Value @ 4.00% of IV (IMT 25) 4.00 -
Imported Vehicle ( if without customs duty) @ 30% (IMT 19) -
Fibre Glass Fuel Tank ( Rs 50/-) -
5% of Basic OD in case of manufactrer fitted Bi Fuel System (IMT 25) -
Geographical Extension cover (IMT 1) -
Total Schedule OD Premium 40,041

Deletion of IMT 21 @ 15% (Other than Taxi) (IMT 23) -

After Deletion of IMT 21 -

Discount for Anti-Theft Devices @ 2.5% ( subject to a maximum of 500) (IMT 10) -

40,041
No claim bonus 20% 8,008
Premium after NCB 32,033
Loading / Discount Component -40% (12,813)
40,041
NET OD PREMIUM ( H -I ) 19,220

Depriciation Cover Premium -

TOTAL OD PREMIUM 19,220

LIABILITY Rs
Basic ACT premium 14,974
Less: Rs 150 for 3W and Rs 200/- for for resticting Third Party Property Damage to Rs 6000/- -
(IMT 20)
Personal Accident Cover to the Owner - Driver (@ Rs 100/-) 100
Premium for CNG Kit (@ Rs 60/-) (IMT 25) -
Liability to Paid Driver/Cleaner(IMT 28) No -
Legal Liability to Persons Employed in Connection with Loading/Unloading(IMT 39) -
PA to persons cover to paid drivers, cleaners and cunductors @ Rs 6/- per Rs 10,000 per 130000/2 156
person; maximum PA cover is Rs 2 lac.) (IMT 17)
Trailer TP Premium -
LL to Non Fare Paying Passenger (IMT 37) -
LIABILITY TO TP RISKS PREMIUM ( total from 1a to 1g) 15,230
Total Premium payable 34,450
Add: Service tax @ 12.36% on I 4,258

AMOUNT PAYABLE (I+J ) 38,708

Load / Dis (%) for Issuance -40.00% V 1.24

*Note: In the case of Restricted Coverage of Fire & Liability, Theft & Liability , and Fire - Theft & Liability only , the OD premium
in as in B above will be reduced to 25%, 30% & 50% respectively .
Rounding Off: upto 0.49 will be rounded off to the lower rupee ; 0.50 and more will be rounded off to the