QSN/SGM-MV/VI/2026:432
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : WILLY RIZKY YULIADI QQ SUDARPO
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 : 28 Juni 2026 to 28 Juni 2027
Territorial limit : For Business and Private used
License plate : F 1550 LF
Year : 2013
Brand/Model : TOYOTA NEW AVANZA 1.3 E AT
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 85.000.000,-
Coverage : Total Loss Only
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Total Loss Only 0.65% =
Rp. 552.500
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 652.500
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 714.500


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 Agustus 2026





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