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Marine Cargo Insurance Certificate 00039MD/LSJ/ III/2025: Pt. Lumbung Sari

This document is a Marine Cargo Insurance Certificate issued by PT. Lumbung Sari for PT. Lintas Samudra Jaya Express, covering scaffolding and project equipment with a total sum insured of IDR 1.5 trillion. The insurance covers a voyage from Jakarta to Palu, with specific terms including a 3-day transhipment clause and a 5% deductible on all risk shipments. The certificate serves as a formal agreement regarding the coverage and claims process for the insured property.

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9 views1 page

Marine Cargo Insurance Certificate 00039MD/LSJ/ III/2025: Pt. Lumbung Sari

This document is a Marine Cargo Insurance Certificate issued by PT. Lumbung Sari for PT. Lintas Samudra Jaya Express, covering scaffolding and project equipment with a total sum insured of IDR 1.5 trillion. The insurance covers a voyage from Jakarta to Palu, with specific terms including a 3-day transhipment clause and a 5% deductible on all risk shipments. The certificate serves as a formal agreement regarding the coverage and claims process for the insured property.

Uploaded by

sofi.lumbungsarismg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PT.

LUMBUNG SARI
77-25030064
a. Komplek Mangga Dua Plaza Blok N-2, Jl. Mangga Dua Raya, Jakarta – 10730
P. (021) 612-4363 (Hunting).
b. Ruko Mataram Plaza Blok E No 7, Jl MT Haryono, Semarang 50136.
c. Jl Kartini No. 49 Surabaya.

MARINE CARGO INSURANCE CERTIFICATE


00039MD/LSJ/ III/2025

WE HEREBY CERTIFY THAT THE COMPANY COVERS THE MARINE CARGO INSURANCE SUBJECT TO TERM AND
CONDITIONS OF MARINE CARGO OPEN COVER AS DESCIBE HERE UNDER :

NAME OF THE INSURED : PT. LINTAS SAMUDRA JAYA EXPRESS Q Q P T B U A NA IN SK ON SI J AY A

ADDRESS : JL. BRIGJEND KATAMSO NO. 06, RT.001 RW.010


KEPUH KIRIMAN – WARU, SIDOARJO

TOTAL SUM INSURED : IDR 1 . 5 0 0 . 0 0 0 . 0 0 0 , -


(77-25030065)

INTEREST INSURED : SCAFFOLDING DAN ALAT PROYEK

DATE : 25 MARET 2025

VOYAGE : JAKARTA TO PALU

CONVEYENCE : KM. KALI MAS / 2518N

TERM AND CONDITIONS : Transhipment Clause – 3 DAY

DEDUCTIBLE : 5 % OF TSI SHIPMENT FOR ALL RISK

IT IS UNDERSTOOD AND AGREED THAT THIS CERTIFICATE REPRESENT AND TAKES THE PLACE OF THE
BAPAK RAHMAT BUDIOF COLLECTING ANY LOSS OR CLAIM ) AS FULLY AS IF THE PROPERTY WAS
COVERED BY A SPECIAL POLICY DIRECT TO THE HOLDER OF THIS CERTIFICATE AND FREE OF ANY
LIABILITY FOR UNPAID PREMIUMS.

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