QSN/SGM-MV/VII/2026:547
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : WIWIK APRIYANI QQ PT BUMI WANASIGRA
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 2220 BIG
Year : 2019
Brand/Model : HONDA H HRVRU115EPLSCVTCKD
Sum Insured : Rp 210.000.000,-
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. 4.368.000
Loading rate 0.208% =
Rp. 436.800
Flood (Banjir) 0.1% =
Rp. 210.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 105.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 5.494.800
Discount 10% =
Rp. 549.480
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.007.320


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, 13 Agustus 2026





Dipersiapkan Oleh,