QSN/SGM-MV/III/2026:161
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : MICHELLE JACQUELIN QQ PT TRADITIONAL TASTE
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 : 02 April 2026 to 02 April 2027
Territorial limit : For Business and Private used
License plate : B 2428 SIZ
Year : 2019
Brand/Model : DAIHATSU S401RV-ZMDEJJ HJ (GRAN MAX)
Sum Insured : Rp 126.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion, Earthquake, Terrorism & Sabotage
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.112.200
Loading rate 0.247% =
Rp. 311.220
Flood (Banjir) 0.1% =
Rp. 126.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 63.000
Earthquake 0.1% =
Rp. 126.000
Terrorism & Sabotage 0.05% =
Rp. 63.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 4.176.420
Discount 25% =
Rp. 1.044.105
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 3.194.315


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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