QSN/SGM-MV/II/2026:129
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : DONNY ALLEN QQ HENDRY JONATHAN
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 : 18 Maret 2026 to 18 Maret 2027
Territorial limit : For Business and Private used
License plate : B 190 TOT
Year : 2019
Brand/Model : TOYOTA ALPHARD 2.5 G AT
Acc Tambahan : KACA FILM V-KOOL (INCLUDE TSI)
Sum Insured : Rp 650.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 7.800.000
Loading rate 0.12% =
Rp. 780.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 8.955.000
Discount 20% =
Rp. 1.791.000
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 7.226.000


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 Oktober 2026





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