QSN/SGM-MV/III/2026:168
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : PT INTAN PERTIWI INDUSTRI QQ RONY ROY DARWIN
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 : 23 Maret 2026 to 23 Maret 2027
Territorial limit : For Business and Private used
License plate : L 8909 NB
Year : 2012
Brand/Model : TOYOTA HILUX 2.5V DC 4X4 AT
Acc Tambahan : LIFT KIT, VELG, BAN, ARB BUMPER DEPAN, ARB BUMPER BELAKANG, WINCH, LED BAR, ROLL BAR BELAKANG (INCLUDE TSI)
Sum Insured : Rp 180.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion, Earthquake, Terrorism & Sabotage
Third party liability cover max IDR 25.000.000 in Any One Accident
Premium :
Comprehensive 2.23% =
Rp. 4.014.000
Loading rate 1.0035% =
Rp. 1.806.300
Flood (Banjir) 0.075% =
Rp. 135.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 90.000
Earthquake 0.075% =
Rp. 135.000
Terrorism & Sabotage 0.05% =
Rp. 90.000
PAD Rp 10.000.000,- 0.5% =
Rp. 50.000
PAP Rp 20.000.000,- 0.1% =
Rp. 20.000
Third Party Liability (TJH Pihak ke 3) IDR 25.000.000 =
Rp. 375.000
=
Rp. 6.715.300
Discount 25% =
Rp. 1.678.825
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.098.475


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 Oktober 2026





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