QSN/SGM-MV/VI/2026:473
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : ALWYN S.R PARDEDE QQ GARY FERDINAN ATAUPAN QQ MICHAEL SETIADI QQ AGUNG PRAYUDI QQ MARLINE
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 Juli 2026 to 10 Juli 2027
Territorial limit : For Business and Private used
License plate : B 1133 II
Year : 2018
Brand/Model : TOYOTA LCRUISER200VXR 4X4AT
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 1.500.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 100.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 15.750.000
Loading rate 0.1575% =
Rp. 2.362.500
Flood (Banjir) 0.1% =
Rp. 1.500.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 750.000
Third Party Liability (TJH Pihak ke 3) IDR 100.000.000 =
Rp. 500.000
=
Rp. 20.862.500
Discount 22.5% =
Rp. 4.694.063
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 16.230.438


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 Oktober 2026





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