QSN/SGM-MV/II/2026:148
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : IWAN SETIAWAN QQ PRICILLIA SETIAWAN
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 : 14 Maret 2026 to 14 Maret 2027
Territorial limit : For Business and Private used
License plate : B 1050 UVL
Year : 2012
Brand/Model : MAZDA CX-5 2.0L AT HI
Sum Insured : Rp 200.100.000,-
Coverage : Comprehensive , Flood
Third party liability cover max IDR 25.000.000 in Any One Accident
Premium :
Comprehensive 2.08% =
Rp. 4.162.080
Loading rate 0.936% =
Rp. 1.872.936
Flood (Banjir) 0.1% =
Rp. 200.100
Third Party Liability (TJH Pihak ke 3) IDR 25.000.000 =
Rp. 250.000
=
Rp. 6.485.116
Discount 25% =
Rp. 1.621.279
Stamp and Duty =
Rp. 60.000
Net Premium =
Rp. 4.923.837


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 : Arthagraha


Disetujui Oleh, Jakarta, 14 Juni 2026





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