QSN/SGM-MV/II/2026:102
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : NURLAILA QQ ERWIN CHANDRA
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 : 15 Februari 2026 to 15 Februari 2027
Territorial limit : For Business and Private used
License plate : B 333 AW
Year : 2023
Brand/Model : LEXUS RX 350H LUXURY 4X2 AT
Sum Insured : Rp 1.500.000.000,-
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 1.05% =
Rp. 15.750.000
Flood (Banjir) 0.1% =
Rp. 1.500.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 750.000
Earthquake 0.1% =
Rp. 1.500.000
Terrorism & Sabotage 0.05% =
Rp. 750.000
Authorized Workshop 1.500.000.000 0.0000000667 % =
Rp. 1
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 20.625.001
Discount 20% =
Rp. 4.125.000
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 16.562.001


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 Oktober 2026





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