QSN/SGM-MV/VI/2026:434
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : YOLANDA MARIZA QQ PT TARIK SEMANGAT BERSAMA
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 : 26 Juni 2026 to 26 Juni 2027
Territorial limit : For Business and Private used
License plate : B 9563 JCB
Year : 2024
Brand/Model : SUZUKI AEV415P CX TYPE 2 (4X2) MT (CARRY)
Acc Tambahan : UK LUAR BOX P.250 X L.172 X T.145 IDR 22.000.000 (INCLUDE TSI)
Sum Insured : Rp 145.000.000,-
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 2.39% =
Rp. 3.465.500
Flood (Banjir) 0.1% =
Rp. 145.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 72.500
Earthquake 0.1% =
Rp. 145.000
Terrorism & Sabotage 0.05% =
Rp. 72.500
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 562.500
=
Rp. 4.463.000
Discount 20% =
Rp. 892.600
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 3.632.400


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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