QSN/SGM-MV/IV/2026:305
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : PT WILCO ENERGI INDOTAMA
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 : 09 Mei 2026 to 09 Mei 2027
Territorial limit : For Business and Private used
License plate : B 2365 PBC
Year : 2012
Brand/Model : DAIHATSU TERIOS F700RG TX MT
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 125.100.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.089.970
Loading rate 1.1115% =
Rp. 1.390.487
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 4.855.457
Discount 17.5% =
Rp. 849.705
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.067.752


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





Dipersiapkan Oleh,