Insure Your Values
QUOTATION PT. PRIMA KHATULISTIWA SINERGI
Type Of Cover : Marine Cargo Insurance
The Insurer : Asuransi Sinar Mas
The Insured : PT. Prima Khatulistiwa Sinergi QQ PT. Cikarang Listrindo Tbk
Address : Jl. Bakti No. 17B, Sidomulyo Timur Kec. Marpoyan Damai, Kota
Pekanbaru, Riau 28289
Interest Insured : Cangkang Sawit (Palm Kernel Shell)
Quantity : 3.500.000
Periode : 18 Januari 2025 s/d 18 Februari 2025
Sum Insured : IDR 4.375.000.000
Voyage : From : Tanjung Batu Belitung
To : Patimban – Tersus PT. Cikarang Listrindo, Tbk
Conveyance : - TB. Biliton 338
- TK. Gresik 5
Coverages : ICC “C”
Clause 1. Important Clause
2. Computer Millenium Clause (Cargo)
3. Electronic Date Recognition Clause
4. Institute Radioactive Contamination, Chemical, Biological, Bio-
Chemical And Electromagnetic Weapons Exclusion Clause
10/11/03 (CL 370)
5. Institute Radioactive Contamination Exclusion Clause 1/10/90
6. Institute Cyber Attack Exclusion Clause (CL 380)
7. Nerec (0.1.01.89) With Japanese Amendment, (01.04.89) Inclusion
Of Nuclear Fuels In Transit
8. Paramount War Clause 5/10/1977
9. Termination Of Transit Clause (Terrorism) JC2001/056
10. Terrorism Exclusion Clause
11. Terrorism Write Back Exclusion Clause
12. Seepage Pollution Exclusion Clause (01.01.87)
13. Sanction And Limitation Exclusion Clause
14. Cargo Ism Endorsement
15. Institute Replacement Clause.
16. Coronavirus Exclusion Clause - LMA 5395
PT. KRIDA PERISAI ARTHA
Komp. Bintara III Blok C-21 RT.008 / RW.007
Bekasi Barat 17136
Insure Your Values
17. Communicable Disease Exclusion Cargo JC2020-011
18. Cyber Risk Exclusion Clause NMA2915
19. Dispute Clause
20. Political Risk Exclusion Clause Joint Excess Of Loss Cyber Losses
Clause JX 2020-007
Subjectivity : 1. Warranted No Overload Cargo As Per UU No. 17 Tahun 2008 &
UU No. 22 Tahun 2019
2. Excluding Embezzlement By The Driver Of The Transporter
Carrying The Goods.
3. Excluding Removal Of Debris
4. Excluding Discoloration And Loss Or Damage Caused By Inherent
Vice Or Nature Of The Subject Matter Of Insurance
5. Excluding Bent, Dent, Rust And Scratch Except Caused By Insured
Perils Under ICC "C"
6. Excluding Pre Existing Damage
7. Subject To Brandnew Goods
8. Warranted No Known Or Reported Losses By Any Party Up To
Binding Date
9. Subject To Standard Packing
10. Subject To Clean LR For Past 5 Years
11. Sailing Permit From Port Authority
12. Subject To Recommendation By BMKG For Prediction Weather For
Sailing
13. Seaworthiness Warranty
14. Premium Payment Warranty (30 Days)
15. Validity Acceptance 14 Days, Otherwise Automatically Cancel
16. Original Gross Rate Premium Stated In Policy
17. No Deterioration Of Loss Record Up To Binding/Inception
Date(Whichever The Latest)
18. Subject To Properly Lashed And Stowage For Intended Voyage
19. Excluding Self Driven
20. Excluding Carrying He Original With Using Conveyance By Towing
Risk ( TK/TB And LCT)
21. He Brandnew Or Used Max. Coverage Only ICC "C" And Using
Conveyance By Truck And/Or Steel Cargo Vessel
22. Limit Of Liability :
1. IDR 20.000.000.000 / Shipment, For :
* General Cargo
* Machine
* Vehicle (Car & Motorcycle)
* Mining Product
2. IDR 10.000.000.000 / Shipment, For :
* Heavy Equipment (HE)
Deductible : 1% of TSI / anyone accident / anyone conveyance
PT. KRIDA PERISAI ARTHA
Komp. Bintara III Blok C-21 RT.008 / RW.007
Bekasi Barat 17136
Insure Your Values
Rate : 0,12%
Premium Calculation : IDR 4.375.000.000 x 0,12% = IDR 5.250.000
Admin Polis = IDR 35.000
Total Premi = IDR 5.285.000
Demikian kami sampaikan penawaran asuransi pengangkutan ini, jika ada hal-hal yang ingin
ditanyakan dapat menghubungi kami di nomor 081298320811.
Atas perhatian dan kerjasama yang baik, kami ucapkan terima kasih.
Jakarta, 14 Januari 2025
Hormat kami, Diterima dan disetujui,
Agusta Kusuma Hidayat _________________________
PT. Krida Perisai Artha PT. Prima Khatulistiwa Sinergi
PT. KRIDA PERISAI ARTHA
Komp. Bintara III Blok C-21 RT.008 / RW.007
Bekasi Barat 17136
