QSN/SGM-MV/VII/2026:540
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : SOFYAN SUSILO QQ PT KOKUO HARMONIA INDONESIA
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 : 01 Agustus 2026 to 01 Agustus 2027
Territorial limit : For Business and Private used
License plate : B 2881 PKD
Year : 2019
Brand/Model : MITSUBISHI XPANDER 1.5 L SPORT 4X2 MT
Sum Insured : Rp 200.100.000,-
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 2.08% =
Rp. 4.162.080
Loading rate 0.208% =
Rp. 416.208
Flood (Banjir) 0.1% =
Rp. 200.100
RSMDCC (Huru-Hara) 0.05% =
Rp. 100.050
Earthquake 0.1% =
Rp. 200.100
Terrorism & Sabotage 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. 5.518.588
Discount 25% =
Rp. 1.379.647
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.200.941


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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