QSN/SGM-MV/IV/2026:256
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : ANDRIAN FERDIE LESMANA QQ PT JALA ANUGERAH MANDIRI
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 April 2026 to 15 April 2027
Territorial limit : For Business and Private used
License plate : B 1034 SXH
Year : 2019
Brand/Model : TOYOTA LAND CRUISER AT
Sum Insured : Rp 1.350.000.000,-
Coverage : Comprehensive , Flood
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 14.175.000
Loading rate 0.105% =
Rp. 1.417.500
Flood (Banjir) 0.1% =
Rp. 1.350.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 17.317.500
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 17.379.500


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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