QSN/SGM-MV/VIII/2026:602
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : J. BERNADETH SUMENDAP QQ PT SURABAYA NOOR LEATHER
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 3 Selain Area 1 dan 2
Period : 26 Agustus 2026 to 26 Agustus 2027
Territorial limit : For Business and Private used
License plate : L 1454 JB
Year : 2009
Brand/Model : TOYOTA KIJANG INNOVA V XW43
Acc Tambahan : KACA FILM (Included TSI)
Sum Insured : Rp 100.000.000,-
Coverage : Comprehensive , Flood, Riot, Strike, Civil Commotion
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 2.53% =
Rp. 2.530.000
Loading rate 1.518% =
Rp. 1.518.000
Flood (Banjir) 0.075% =
Rp. 75.000
RSMDCC (Huru-Hara) 0.05% =
Rp. 50.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 4.548.000
Discount 15% =
Rp. 682.200
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 3.927.800


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 Oktober 2026





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