QSN/SGM-MV/IX/2026:697
Motor Vehicle Insurance

Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : EDBERT TUNGLIM QQ PT SURYA INTAN SENTANA JAYA
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 : 05 Oktober 2026 to 05 Oktober 2027
Territorial limit : For Business and Private used
License plate : B 1402 SPW
Year : 2021
Brand/Model : HYUNDAI KONA SIGNATURE AT
Acc Tambahan : KACA FILM SOLAR GARD IDR 7.500.000 (Include TSI)
Sum Insured : Rp 230.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Comprehensive 2.08% =
Rp. 4.784.000
Authorized Workshop 230.000.000 0.1 % =
Rp. 230.000
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 5.114.000
Discount 20% =
Rp. 1.022.800
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.153.200


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, 14 Oktober 2026





Dipersiapkan Oleh,