QSN/SGM-MV/I/2026:16
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : GRACE QQ FERDDY HERMANTO, ST
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 3 Selain Area 1 dan 2
Period : 11 Januari 2026 to 11 Januari 2027
Territorial limit : For Business and Private used
License plate : DN 1993 NX
Year : 2017
Brand/Model : TOYOTA FORTUNER 2.4 VRZ 4X2 AT
Sum Insured : Rp 400.100.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.14% =
Rp. 4.561.140
Loading rate 0.228% =
Rp. 912.228
Flood (Banjir) 0.075% =
Rp. 300.075
RSMDCC (Huru-Hara) 0.05% =
Rp. 200.050
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.348.493
Discount 20% =
Rp. 1.269.699
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.140.794


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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