QSN/SGM-MV/I/2026:8

QSN/SGM-MV/I/2026:8
Motor Vehicle Insurance

Wording

PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)

The Insured

PT PUJI LESTARI PRATAMA
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 Januari 2026 to 10 Januari 2027

Territorial limit

For Business and Private used

License plate

B 4475 BOJ

Year

2017

Brand/Model

YAMAHA BU9 (MIO SOUL GT)

Sum Insured

Rp 7.500.000,-

Coverage

Total Loss Only , Flood, Riot, Strike, Civil Commotion

Premium

Total Loss Only

1.8%

Rp.

135.000

Flood (Banjir)

0.075%

Rp.

5.625

RSMDCC (Huru-Hara)

0.035%

Rp.

2.625

PAD Rp 5.000.000,-

0.5%

Rp.

25.000

Rp.

168.250

Stamp and Duty

Rp.

62.000

Net Premium

Rp.	230.250

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, 15 Juni 2026

Dipersiapkan Oleh,