Motor Cover Note

(Schedule)
Cover Note No. Business Class Agency The Insured Code The Insured Address Validity Period of Insurance Geographical Area The Motor Car : : : : : : : : : : :
2011/08/09VPCDT00562
PRIVATE CAR (COMPREHENSIVE)

2211000002

Insurance Type Branch Issue Date Old Ref No

: : : :

Direct ( 100%) Islamabad 23/08/2011

1300131189 COL. MUHAMMAD AIZAZ SAFITY SERCURTIY SERVICES. CHAKLALA SCHEME-III, Rawalpindi This Covernote is valid for 15 days only from the issuance date and stands automatically cancelled unless converted on policy on receipt. a) From 23/08/2011 To 22/08/2012 (Both dates inclusive) (366) days b) Any subsequent period for which the Insured shall pay and Company shall agree to accept a renewal premium. Pakistan As described hereunder MW-086 4GR0084349 GRX120-0033608 TOYOTA MARK II Black 2,700,000.00

Registration No : Engine No : : Chassis No Make : Color : Insured's Estimated Value Rs. : Accessories : Accessories value Rs. :

Type Of Body : ubic Capacity C : Year of Manufacture Sub Make : Seating Capacity Keeper/ Emp No. (including accessories)

: : : : : :

Saloon 2994 2005 TOYOTA MARK X 4

(including driver)

SUBJECT TO NO LOSS TILL DATE. SUBJECT TO PREMIUM PYAMENT. SUBJECT TO DEDUCTIBLE RS.200,000/= IN CASE OF TOTAL LOSS AND THEFT.

Description

Sum Insured Premium : Basic Premium

Terrorism

Rs. 2,700,000.00 (Two Million Seven Hundred Thousand only)

2.2790 Rs. Rs.

61,534 1,000

Gross Premium
Administrative Surcharges

Rs.
5.00 % Rs.

61,534
3,077

Sub Total
Federal Excise Duty Federal Insurance Fee Stamp Duty 16.000% 1.000% 0.000 Rs. Rs. Rs.

64,611
10,338 646 5

Gross Premium :

Rs.

61,534

Net Premium

Rs.

75,600

Note : Calculation of 16.00% FED and 1.00% FIF is on Gross Premium inclusive of 5.00% Admin Surcharge.

Subject to the following clauses, endorsements & warranties .

Market Value Clause Attached, Transfer of Interest Clause Attached., Terrorism Endorsement Clause Attached, Jurisdiction Clause Attached, Subject to Depreciation Clause,
The insured described in the Schedule below having proposed for insurance in respect of the Motor Vehicle(s) described in the Schedule below. The risk is hereby held covered In terms of the Company's usual form of policy applicable there to (subject to any special conditions or restrictions which may be mentioned overleaf) for the period between dates specified in the schedule unless the cover be terminated by the Company by notice in writing in which case the insurance will thereupon cease and a proportionate part of the annual premium otherwise payable for such insurance will be charged for the time the company has been on risk. WARRANTED THAT UNDER SECTION 1- LOSS OR DAMAGE : LOSS ARRISING FROM THEFT OR CRIMINAL MISAPPROPRIATION OR CRIMANL BREACH OF TRUST BY INSUED'S DRIVER OR KNOWN PERSON IS EXCLUDED FROM THE SCOPE OF COVER. NO COVERAGE FOR VEHCILE(S) USED FOR CARRYING EQUIPMENTS/GOODS/ITEMS FOR NATO FORCES/WAR ON TERRORISM.

In WITNESS whereof the undersigned acting on behalf of and with the authority of the Company has hereto set his hand at Islamabad 23/08/2011.

askari general insurance company limited