QSN/SGM-MV/II/2026:104
Motor Vehicle Insurance

Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : MATTHEW JAMES QQ I GEDE BAGUS EKA SENTOSA
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 : 19 Februari 2026 to 19 Februari 2027
Territorial limit : For Business and Private used
License plate : DR 71 MNY
Year : 2020
Brand/Model : SUZUKI 6G5VX 4X4 AT (JIMNY)
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 0.057% =
Rp. 228.057
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. 5.664.322
Discount 25% =
Rp. 1.416.081
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.310.242


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, 18 April 2026





Dipersiapkan Oleh,