COVER NOTE
No. 0156/MKT-PKU/MC/III/2025
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Type of Cover : Marine Cargo (Single Shipment)
The Insured : LISA QQ UD. DUTA ANGGADA MULIA
Correspondence Address : Jl. Jati No. 38A RT/RW 001/003 Kampung Baru, Senapelan Kota Pekanbaru
Period of Cover : 19 Maret 2025 – 19 April 2025
Interest Insured : Oli Motor Kemasan 25 Dus
Invoice No.
Subject to details of interest must be informed prior to shipment
Conveyance : Sea Transportation
Vessel : KM. SUNLY JAYA 5 (GRT 34) Thn, 2021
No overdraft vessels absolutely
Voyage : Warehouse to Warehouse
From : Pekanbaru Est. Berangkat 19 Maret 2025
To : Selat Panjang
Terms & Conditions : - Institute Cargo Clause “C” 1/1/82
- Etiqa mandatory clauses
- Information Technology Hazards Clause
- Institute Radioactive Contamination, Chemical, Biological, Bio Chemical and
Electromagnetic Weapons Exclusion
- Paramount War Clause 5/10/1977
- Joint Excess Loss Cyber Losses Clause JX 2020-007
- Nuclear Energy Risk Exclusion
- Joint Excess Loss Communicable Disease Exclusion
- Seepage and Pollution Exclusion
- Terrorism and Sabotage Exclusion
- Sanction Limitation Exclusion Clause
- Extra Contractual Obligations Exclusion Clause
- Political Risk, Financial Guarantee and Credit Risk Exclusion Clause
- Dispute Clause
- Loss Notification Clause (7 days)
- Cancellation Clause (7 days)
Excluding : - Frozen Food
- Rusting, Oxidation, Discoloration, Corrosion
- Scratching, Denting, Bending, Cracking, Chipping unless caused by insured perils
- Pre-existing damage
- Loss or damage to cargo due to sweating, condensation, heat, mold, vermin,
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fungus, rat, insect
- Mysterious loss and embezzlement
- Theft risks
- Rejection, Prohibition and Embargo Risks
- Confiscation Risks
- Loss or damage due to fraud/dishonesty of the crew
- Loss or damage caused by the nature of the goods
- Kerusakan cargo tanpa disertai kerusakan vessel/conveyance
- Cover whilst the cargo is kept in the stockpile outside the ordinary course of transit
Total Sum Insured : IDR. 18,250,000
Rate : 1%
Deductible : 5% of TSI any one accident
PPW : 3 days after sailing date
Warranty /
Subjectivity : - Standard and proper conveyance for Land Transit
- Safety lashing and standard packing / customary packing in accordance
to the nature of the cargo, avoid normal hazard during transit
- No overload cargo
- Seaworthiness and Roadworthiness
- Good maintenance of vessel and truck
- Sailing permit from Port Authority
- Exit permit from Port Authority
- Basis of Valuation : as per Invoice
- Brand new item/goods
- BL, Invoice, packing list must be available & valid
- Nil loss record in the last 5 years and no deterioration until binding date
Premium : IDR. 18,250,000 X 1 % = IDR. 182,500.00
Bi.Polis = IDR. +
Total = IDR. 182,500.00
Rekening : Bank Maybank A/N Asuransi Etiqa Internasional Indonesia
No. 2.596.003048
Pekanbaru, Maret 20, 2024
PT. ASURANSI ETIQA INTERNASIONAL
INDONESIA
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