QSN/SGM-MV/VII/2026:522
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : AGUS INTOJO QQ LILIANA S GUNAWAN
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 : 24 Juli 2026 to 24 Juli 2027
Territorial limit : For Business and Private used
License plate : B 8670 XZ
Year : 2013
Brand/Model : TOYOTA VELLFIRE ZG 2.4 AT
Sum Insured : Rp 230.000.000,-
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 2.08% =
Rp. 4.784.000
Loading rate 0.832% =
Rp. 1.913.600
Flood (Banjir) 0.1% =
Rp. 230.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 115.000
Earthquake 0.1% =
Rp. 230.000
Terrorism & Sabotage 0.05% =
Rp. 115.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 7.762.600
Discount 15% =
Rp. 1.164.390
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 6.660.210


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 Oktober 2026





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