QSN/SGM-MV/I/2026:62
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : ANANTO PRATAMA Z QQ NOLL RIKE FARIDA ARIJANI
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 : 22 Januari 2026 to 22 Januari 2027
Territorial limit : For Business and Private used
License plate : D 1754 XGV
Year : 2014
Brand/Model : SUBARU XV 2.01 AWD CVT
Sum Insured : Rp 130.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion, Earthquake, Terrorism & Sabotage
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.211.000
Loading rate 0.8645% =
Rp. 1.123.850
Flood (Banjir) 0.1% =
Rp. 130.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 65.000
Earthquake 0.1% =
Rp. 130.000
Terrorism & Sabotage 0.05% =
Rp. 65.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 5.099.850
Discount 10% =
Rp. 509.985
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.651.865


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, 13 Juni 2026





Dipersiapkan Oleh,