QSN/SGM-MV/I/2026:38
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : IR. SULISTIJO WIBISONO, MSC QQ PT MARANATA JAYA
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 2 Jakarta, Jawa Barat dan Banten
Period : 19 Januari 2026 to 19 Januari 2027
Territorial limit : For Business and Private used
License plate : B 1827 BGZ
Year : 2009
Brand/Model : TOYOTA VELLFIRE 2.4 AT
Sum Insured : Rp 201.000.000,-
Coverage : Total Loss Only , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Total Loss Only 0.38% =
Rp. 763.800
Flood (Banjir) 0.075% =
Rp. 150.750
RSMDCC (Huru-Hara) 0.035% =
Rp. 70.350
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 1.084.900
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 1.146.900


Deductible :

Comprehensive Rp. 300.000 in any one accident
RSMDCC, TSFWD, Earthquake and TS are 10% of claim or min Rp. 500.000 in any one accident
CTL and Stolen are 5% of sum insured

 
Security : Avrist


Disetujui Oleh, Jakarta, 15 Agustus 2026





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