QSN/SGM-MV/VII/2026:520

QSN/SGM-MV/VII/2026:520
Motor Vehicle Insurance

Wording

PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)

The Insured

IR. SULISTIJO WIBISONO, MSC QQ MARANATA JAYA, PT
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 2740 BKD

Year

2016

Brand/Model

TOYOTA KIJANG INNOVA 2.4 V AT

Acc Tambahan

KACA FILM (Included TSI)

Sum Insured

Rp 200.100.000,-

Coverage

Comprehensive , Flood, Riot, Strike, Civil Commotion

Third party liability cover max IDR 25.000.000 in Any One Accident

Premium

Comprehensive

2.08%

Rp.

4.162.080

Loading rate

0.52%

Rp.

1.040.520

Flood (Banjir)

0.1%

Rp.

200.100

RSMDCC (Huru-Hara)

0.05%

Rp.

100.050

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.

5.842.750

Discount

22.5%

Rp.

1.314.619

Stamp and Duty

Rp.

62.000

Net Premium

Rp.	4.590.131

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, 15 Oktober 2026

Dipersiapkan Oleh,