QSN/SGM-MV/X/2026:769
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : BENNY QQ DONNY ALLEN QQ MERRY CHRISNALYA
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 : 28 Oktober 2026 to 28 Oktober 2027
Territorial limit : For Business and Private used
License plate : B 689 BEN
Year : 2015
Brand/Model : TOYOTA ALPHARD 2.5 G AT
Acc Tambahan : Headlamp (Rp.22jtx2pcs), Bumper Depan (4.500.000), grille atas (10jt), Foglamp ( 2jtx2pcs), Grille bawah ( 2jt), Krom foglamp( 2jtx2pcs), Cover foglamp (1.500.000x2pcs), Reflextor bagasi (4.500.000x2pcs), stoplamps (5jtx2pcs), list bagasi panjang ( 5jt), velg 4pcs (52jt)---Include TSI
Sum Insured : Rp 405.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 50.000.000 in Any One Accident
Premium :
Comprehensive 1.2% =
Rp. 4.860.000
Loading rate 0.36% =
Rp. 1.458.000
Third Party Liability (TJH Pihak ke 3) IDR 50.000.000 =
Rp. 375.000
=
Rp. 6.693.000
Discount 20% =
Rp. 1.338.600
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 5.416.400


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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