QSN/SGM-MV/IX/2026:738
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : DONNY ALLEN QQ PT QUANTUM TOSAN INTERNASIONAL
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 : 13 Oktober 2026 to 13 Oktober 2027
Territorial limit : For Business and Private used
License plate : B 1796 JKF
Year : 2025
Brand/Model : TOYOTA INNOVA ZENIX 2.0 V HYBRID CVT
Sum Insured : Rp 490.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 5.880.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.255.000
Discount 20% =
Rp. 1.251.000
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.066.000


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





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