QSN/SGM-MV/VII/2026:513
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : JUFRI TJANDRA QQ YULIATI WONGSO
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 : 20 Juli 2026 to 20 Juli 2027
Territorial limit : For Business and Private used
License plate : B 1105 BKJ
Year : 2010
Brand/Model : TOYOTA ALPHARD 2.4 AT
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 150.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion, Earthquake, Terrorism & Sabotage
Third party liability cover max IDR 25.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.705.000
Loading rate 1.3585% =
Rp. 2.037.750
Flood (Banjir) 0.1% =
Rp. 150.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 75.000
Earthquake 0.1% =
Rp. 150.000
Terrorism & Sabotage 0.05% =
Rp. 75.000
PAD Rp 10.000.000,- 0.5% =
Rp. 50.000
PAP Rp 40.000.000,- 0.1% =
Rp. 40.000
Third Party Liability (TJH Pihak ke 3) IDR 25.000.000 =
Rp. 250.000
=
Rp. 6.532.750
Discount 20% =
Rp. 1.306.550
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.288.200


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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