QSN/SGM-MV/V/2026:334
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : ANDRIAN FERDIE LESMANA QQ PT KARYA INDAH MULTIGUNA
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 : 08 Mei 2026 to 08 Mei 2027
Territorial limit : For Business and Private used
License plate : B 1309 KJC
Year : 2012
Brand/Model : TOYOTA LAND CRUISER 200 FULL SPEC AT
Acc Tambahan : Ban LT275/55 R20, Velg Rays Forged IDR 85.000.000 (Include TSI)
Sum Insured : Rp 801.000.000,-
Coverage : Comprehensive , Flood
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 8.410.500
Loading rate 0.4725% =
Rp. 3.784.725
Flood (Banjir) 0.1% =
Rp. 801.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 13.371.225
Discount 25% =
Rp. 3.342.806
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 10.090.419


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, 14 Agustus 2026





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