QSN/SGM-MV/VI/2026:395
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : HENNY TJAHYADI QQ KRISTIN HENDRAWAN
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 : 10 Juni 2026 to 10 Juni 2027
Territorial limit : For Business and Private used
License plate : B 1960 HFP
Year : 2022
Brand/Model : MAZDA CX-5 (4X2) AT
Sum Insured : Rp 450.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 5.400.000
Flood (Banjir) 0.1% =
Rp. 450.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 225.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.450.000
Stamp and Duty =
Rp. 60.000
Net Premium =
Rp. 6.510.000


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 : Arthagraha


Disetujui Oleh, Jakarta, 14 Juni 2026





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