QSN/SGM-MV/III/2026:155
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : CLARISSA ANDINI
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 Maret 2026 to 15 Maret 2027
Territorial limit : For Business and Private used
License plate : B 1578 NZI
Year : 2019
Brand/Model : HONDA HR-V RU1 1.5 E CVT CKD
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 210.000.000,-
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 2.08% =
Rp. 4.368.000
Loading rate 0.208% =
Rp. 436.800
Flood (Banjir) 0.1% =
Rp. 210.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 105.000
Earthquake 0.1% =
Rp. 210.000
Terrorism & Sabotage 0.05% =
Rp. 105.000
Authorized Workshop 210.000.000 0.2 % =
Rp. 420.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.229.800
Discount 20% =
Rp. 1.245.960
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.045.840


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 Oktober 2026





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