QSN/SGM-MV/VIII/2026:607
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : HENRY PRATAMA PUTRA O QQ LIE NYOEK KHIM
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 : 27 Agustus 2026 to 27 Agustus 2027
Territorial limit : For Business and Private used
License plate : B 2708 BFL
Year : 2015
Brand/Model : SUZUKI AVI414FTYPE2SDX4X2 AT (ERTIGA)
Sum Insured : Rp 125.100.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 25.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.089.970
Loading rate 0.741% =
Rp. 926.991
Flood (Banjir) 0.1% =
Rp. 125.100
RSMDCC (Huru-Hara) 0.05% =
Rp. 62.550
Third Party Liability (TJH Pihak ke 3) IDR 25.000.000 =
Rp. 250.000
=
Rp. 4.454.611
Discount 10% =
Rp. 445.461
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.071.150


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 Agustus 2026





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