QSN/SGM-MV/IV/2026:215
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : JEFFREY JUSUF
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 : 06 April 2026 to 06 April 2027
Territorial limit : For Business and Private used
License plate : B 1972 BJU
Year : 2018
Brand/Model : MITSUBISHI PAJERO SPO24LDAKARH2W8A
Sum Insured : Rp 400.500.000,-
Coverage : Comprehensive
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 4.806.000
Loading rate 0.18% =
Rp. 720.900
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 5.626.900
Discount 15% =
Rp. 844.035
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.844.865


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





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