QSN/SGM-MV/I/2026:67
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : EDBERT TUNGLIM QQ PT. SURYA INTAN SENTANA JAYA
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 : 17 Februari 2026 to 17 Februari 2027
Territorial limit : For Business and Private used
License plate : B 1683 NJI
Year : 2021
Brand/Model : MERCEDES BENZ GLE 450 4MATIC (V167) AT CKD
Sum Insured : Rp 1.000.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 10.500.000
Authorized Workshop 1.000.000.000 0.0000001 % =
Rp. 1
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 10.600.001
Discount 20% =
Rp. 2.120.000
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 8.542.001


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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