QSN/SGM-MV/III/2026:174
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : GARRY FELIZIANO
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 : 24 Maret 2026 to 24 Maret 2027
Territorial limit : For Business and Private used
License plate : B 231 KJ
Year : 2019
Brand/Model : VOLKSWAGEN POLO 1.2 GT TSI AT
Acc Tambahan : VELG BAN KANAN & VELG BAN KIRI, BODYKIT DEPAN & BODYKIT BELAKANG IDR 48.000.000 (INCLUDE TSI)
Sum Insured : Rp 205.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.08% =
Rp. 4.264.000
Loading rate 0.208% =
Rp. 426.400
Flood (Banjir) 0.1% =
Rp. 205.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 102.500
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 5.372.900
Discount 15% =
Rp. 805.935
Stamp and Duty =
Rp. 60.000
Net Premium =
Rp. 4.626.965


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, 15 Oktober 2026





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