QSN/SGM-MV/VII/2026:591
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : JO HENDRA CAJONO QQ JO HERMANSYAH
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 : 17 Agustus 2026 to 17 Agustus 2027
Territorial limit : For Business and Private used
License plate : B 1417 BRQ
Year : 2013
Brand/Model : TOYOTA NEW AVANZA VELOZ 1.5 AT
Acc Tambahan : Kaca Film V-Kool Full, Radio Tape, AC, Velg Racing, Jok Kulit, Sensor Parkir, Spoiler Bagasi, Talang Air, List Pintu, Cover Trisplang LH+RH, Fog Lamp, Sein Pada Spion
Sum Insured : Rp 100.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 3.26% =
Rp. 3.260.000
Loading rate 1.304% =
Rp. 1.304.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 4.939.000
Discount 20% =
Rp. 987.800
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.013.200


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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