QSN/SGM-MV/V/2026:378
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : JUSAK SUSILO QQ SAIPULLOH
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 : 02 Juni 2026 to 02 Juni 2027
Territorial limit : For Business and Private used
License plate : B 1730 ZOF
Year : 2024
Brand/Model : TOYOTA ALPHARD 2.5 HYBRID CVT
Sum Insured : Rp 1.400.000.000,-
Coverage : Comprehensive , Flood
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 14.700.000
Flood (Banjir) 0.1% =
Rp. 1.400.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 16.475.000
Discount 25% =
Rp. 4.118.750
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 12.418.250


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 Agustus 2026





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