QSN/SGM-MV/VII/2026:567
Motor Vehicle Insurance

Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : FENDY QQ PT. MITRA SINERGI PLASINDO
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 : 21 Agustus 2026 to 21 Agustus 2027
Territorial limit : For Business and Private used
License plate : B 160 TOT
Year : 2010
Brand/Model : LEXUS LX 570 AT
Acc Tambahan : Headlamp kiri kanan (incl ballast n bohlamp), Stoplamp kanan kiri 4 pcs, Grille Bumper set depan, List pintu 4 pcs, Bumper set blkg, Cover spion kiri kanan, Fender kiri kanan Kaca samping belakang kiri kanan, Roofrack, Velg 18 model 2013, Full bracket IDR 150.000.000 (Include TSI)
Sum Insured : Rp 800.100.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.05% =
Rp. 8.401.050
Loading rate 0.5775% =
Rp. 4.620.578
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 13.396.628
Discount 22.5% =
Rp. 3.014.241
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 10.444.386


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





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