QSN/SGM-MV/IX/2026:695
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : HENNY SETIAWAN
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 : 11 September 2026 to 11 September 2027
Territorial limit : For Business and Private used
License plate : B 1620 UDT
Year : 2025
Brand/Model : DENZA MRE-FWD (4X2) AT
Sum Insured : Rp 850.000.000,-
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 1.05% =
Rp. 8.925.000
Flood (Banjir) 0.1% =
Rp. 850.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 425.000
Earthquake 0.1% =
Rp. 850.000
Terrorism & Sabotage 0.05% =
Rp. 425.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 11.850.000
Discount 15% =
Rp. 1.777.500
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 10.134.500


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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