QSN/SGM-MV/V/2026:367
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : TJEUW ADI DHARMA QQ PT BRAHMAN PERKASA SENTOSA
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 : 29 Mei 2026 to 29 Mei 2027
Territorial limit : For Business and Private used
License plate : B 1363 GAA
Year : 2015
Brand/Model : TOYOTA CAMRY 2.5 V AT
Acc Tambahan : KACA FILM LLUMAR (Include TSI)
Sum Insured : Rp 201.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.08% =
Rp. 4.180.800
Loading rate 0.624% =
Rp. 1.254.240
Flood (Banjir) 0.1% =
Rp. 201.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 100.500
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.111.540
Discount 20% =
Rp. 1.222.308
Stamp and Duty =
Rp. 60.000
Net Premium =
Rp. 4.949.232


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 : Arthagraha


Disetujui Oleh, Jakarta, 06 Juni 2026





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