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    Pli PT Arah

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    jof
    This document is a quotation slip for public liability insurance for PT Arah Environmental Indonesia. The insurance would cover legal liability for damages to third parties from accidental injury or property damage occurring in connection with insured business activities, up to USD 1,000,000 per occurrence. The policy has numerous exclusions, such as for pollution, asbestos, fines and penalties, and professional indemnity. The total premium quoted is USD 2,005.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pli PT Arah

    Uploaded by

    jof
    101 views2 pages
    This document is a quotation slip for public liability insurance for PT Arah Environmental Indonesia. The insurance would cover legal liability for damages to third parties from accidental injury or property damage occurring in connection with insured business activities, up to USD 1,000,000 per occurrence. The policy has numerous exclusions, such as for pollution, asbestos, fines and penalties, and professional indemnity. The total premium quoted is USD 2,005.

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    pli pt arah

    Original Title

    PLI PT ARAH

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    This document is a quotation slip for public liability insurance for PT Arah Environmental Indonesia. The insurance would cover legal liability for damages to third parties from accidental injury or property damage occurring in connection with insured business activities, up to USD 1,000,000 per occurrence. The policy has numerous exclusions, such as for pollution, asbestos, fines and penalties, and professional indemnity. The total premium quoted is USD 2,005.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    101 views2 pages

    Pli PT Arah

    Uploaded by

    jof
    This document is a quotation slip for public liability insurance for PT Arah Environmental Indonesia. The insurance would cover legal liability for damages to third parties from accidental injury or property damage occurring in connection with insured business activities, up to USD 1,000,000 per occurrence. The policy has numerous exclusions, such as for pollution, asbestos, fines and penalties, and professional indemnity. The total premium quoted is USD 2,005.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    intra Asia

    QUOTATION SLIP OF
    PUBLIC LIABILITY INSURANCE

    TYPE OF COVER PUBLIC LIABILITY INSURANCE

    THE INSURED PT ARAH ENVIRONMENTAL INDONESIA

    ADDRESS JL. Tulodong Bawah II No. 3, Kebayoran Baru Jakarta Selatan 12190

    PERIOD OF COVER until (TO BE ADVISED 2 Years)


    Both dates inclusive at 12.00 o'clock local time

    LOCATION OF RISK Capital Place Building, Jl Jend Gatot Subroto Kav 18, Kuningan Barat, Jakarta
    Seiatan 12710

    THE PROJECT Pengangkutan Limbah B3

    INTEREST INSURED Covering to indemnify the insured against alt sums which (he Insured shall
    become legally liable to pay to any third par
    ty as damages in respect of :

    1. Accidental bodily injury to any person


    2. Accidental loss or damage to material proper
    ty

    Happening in connection with the business and occurring within the


    territorial limits during the period of insurance / contract

    Limit Liability : USD 1,000,000.00 any one occurrence for bodily injury
    and/ or property damage/ combined single limit and in aggregate for the
    whole period of Insurance.

    DEDUCTIBLE 10% of claim, min. USD. 2,500 any one occurrence for third par
    ty property
    damage only

    TERM/CONDITIONS : As per standard Insurer Policy Wording, polis:


    - Claim Made Basis indemnity with Retroactive Date as per Acceptance
    Extra Contractual Obligation Exclusion Endorsement
    - Electronic Date Recognition Endorsement A (NMA 2800)
    Indonesian Jurisdiction and Area Clause
    - Loss Notification Clause (30 days)
    - Waiver right of subrogation against principal(s)
    - 30 days advance written notice to company in the event of cancellation,
    expiration or intend charges in the terms and conditions
    Payment of Premium Warranty Clause 30 days

    EXCLUSION : (a) Absolute Pollution


    (b) Absolute Asbestos & Silica
    (c) Act of God
    (d) business description i.e. spor
    ts, social and welfare facilities, fire
    ambulance services and first aid
    (e) Car Park Liability
    (f) Contingent Liability Clause
    (g) Contractual Liability Clause
    (h) Cyber Non Aggregation Clause NMA 2915
    (i) Direct Drilling Activities
    (j) Diving and Deep Water Actives
    (k) Failure to Supply

    PT. Asuransi Intro Asia


    MENARA HIJAU 8"'Floor
    Jl. Letjen. MT. Haryono, Kav. 33 , Jakarta 12770. Indonesia
    V. (62-21) 7986129 ,(62-21)7986169,7985871 a [email protected]
    www.intraasia.id
    intra Asia

    (I) Fire and Explosion Liability Clause


    (m) Food and Drink Poisoning Clause
    (n) Fines, Penalties, and any kind of financial losses
    (o) Ionizing radiation, contamination etc.
    (p) IT Hazard Clarification Clause NMA 2912- 12/11/01
    (q) Loading and Unloading Clause
    (r) Liability for loss of or damage to property under care, custody and
    control of the insured
    (s) Marine Liability
    (t) Pollution Contamination Exclusion Clause
    (u) Product Liability & Completed Operation
    (v) Professional Indemnity
    (w) Punitive or exemplary damages
    (x) Riot, Strike and Malicious Damage Plus Civil Commotion Endorsement
    (Code RSMD 4.1B/2007)
    (y) Sudden & Accidental Pollution
    (z) Seepage and Pollution Clause NMA 1685.
    (aa) Sanction, Embargo Prohibited Transaction
    (bb) Transmission & Distribution Lines Exclusion Clause,
    (cc) Terrorism and Sabotage as per NMA 2921
    (dd) Underground Activities
    (ee) Watercraft Liability
    (f
    t) War

    PREMIUM CALCULATIONPremium USD. 2,000.00


    Admin Cost USD. 5.00

    Total Premium : USD. 2,005.00

    Jakarta, November 215 , 2019


    PT ASURANSI INTRA ASIA

    BAMBANG PNUGROHO
    Marketing Director

    PT. Asuransi Intro Asia


    HEMARA H1JAU 8'" Floor
    Jl. Letjen. MT. Haryono, Kav. 33 , Jakarta 12770. Indonesia
    M62-21) 7986129 3(62-21)7986169,7985871 r a iiifo(f>intraasia.id
    www.intraasia.id

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