QSN/SGM-MV/I/2026:40
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : CHARLES LIE
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 : 22 Januari 2026 to 22 Januari 2027
Territorial limit : For Business and Private used
License plate : B 2312 GW
Year : 2022
Brand/Model : HYUNDAI PALISADE22LX2CRDI2WA
Acc Tambahan : PPF IDR 20.000.000 (Include TSI)
Sum Insured : Rp 801.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 8.410.500
Flood (Banjir) 0.1% =
Rp. 801.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 400.500
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 9.987.000
Discount 25% =
Rp. 2.496.750
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 7.552.250


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, 06 Juni 2026





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