QSN/SGM-MV/V/2026:310
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : ARTHA MERIS SIMBOLON
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 : 04 Mei 2026 to 04 Mei 2027
Territorial limit : For Business and Private used
License plate : B 1632 AZL
Year : 2024
Brand/Model : ROLLS ROYCE CULLINAN
Sum Insured : Rp 15.000.000.000,-
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 1.05% =
Rp. 157.500.000
Flood (Banjir) 0.1% =
Rp. 15.000.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 7.500.000
Earthquake 0.1% =
Rp. 15.000.000
Terrorism & Sabotage 0.05% =
Rp. 7.500.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 202.875.000
Discount 15% =
Rp. 30.431.250
Stamp and Duty =
Rp. 60.000
Net Premium =
Rp. 172.503.750


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





Dipersiapkan Oleh,