QSN/SGM-MV/II/2026:130
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : MUHAMMAD YUSUF QQ ARIEFA ADANI PUTINA SAWIEN
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 : 03 Maret 2026 to 03 Maret 2027
Territorial limit : For Business and Private used
License plate : D 1177 AS
Year : 2012
Brand/Model : MERCEDES BENZ SLK 250
Sum Insured : Rp 500.000.000,-
Coverage : Comprehensive , Flood
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 6.000.000
Loading rate 0.54% =
Rp. 2.700.000
Flood (Banjir) 0.1% =
Rp. 500.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 9.575.000
Discount 15% =
Rp. 1.436.250
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 8.200.750


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, 13 Juni 2026





Dipersiapkan Oleh,