QSN/SGM-MV/VI/2026:394
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : AGUS INTOJO QQ BRYAN LIE
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 3 Selain Area 1 dan 2
Period : 09 Juni 2026 to 09 Juni 2027
Territorial limit : For Business and Private used
License plate : W 1301 QX
Year : 2013
Brand/Model : TOYOTA KIJANG INNOVA G XR42 DS AT
Sum Insured : Rp 220.000.000,-
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 1.79% =
Rp. 3.938.000
Loading rate 0.716% =
Rp. 1.575.200
Flood (Banjir) 0.075% =
Rp. 165.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 110.000
Earthquake 0.075% =
Rp. 165.000
Terrorism & Sabotage 0.05% =
Rp. 110.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.438.200
Discount 15% =
Rp. 965.730
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.534.470


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, 13 Juni 2026





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