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IKHTISAR PERTANGGUNGAN
PROPERTY ALL RISK INSURANCE
NOMOR POLIS : 2119010319002097 (PERPANJANGAN)

JAMINAN : FLEXAS
RSMD (4.1A) + CC
Flood
Others
NAMA TERTANGGUNG : SMKN 1 PAINAN
ALAMAT TERTANGGUNG : JL. DR. MOHD. HATTA - PAINAN KEC. IV JURAI KAB. PESISIR SELATAN

- DETAIL OBJEK PERTANGGUNGAN -

JANGKA WAKTU : Mulai dari tanggal 20 Oktober 2019 sampai dengan tanggal 20 Oktober 2020,
PERTANGGUNGAN pada pukul 12.00 siang waktu setempat
KELAS KONSTRUKSI : I - One (Satu)
KODE OKUPASI : 2953 - Schools, Universities and Training Colleges
KATEGORI RISIKO : Low Exposure
LOKASI RISIKO : JL. DR. MOHD. HATTA - PAINAN KEC. IV JURAI KAB. PESISIR SELATAN
KODE POS : 25651-/IV JURAI/OTHERS
OBJEK PERTANGGUNGAN : Section I : Material / Property Damage
All real and personal property of every kind, nature and in or about the
premises including material on the grounds, foundation, all structural
appurtenance, fixtures and fittings, attached and belonging thereto and
external wall, gates and fences, road, machinery plant and equipment
(including supporting and protective structures), utensil or trade of every
descriptions, business books and cost of rewriting guests and tenant
effects / property for which the insured or held by them in trust or on
commission but excluding property brought into the premises and
belonging to tenant other than property which is forms an immovable to
tenant other than property which is forms an immovable and integral part
thereof except as excluded in the policy.

HARGA PERTANGGUNGAN : Section I :

- INVENTARIS, SARANA DAN IDR 1,085,000,000.00
PRASARANA
- ATAS SELURUH BANGUNAN IDR 4,500,000,000.00
SEKOLAH
TOTAL Harga Pertanggungan IDR 5,585,000,000.00

URAIAN JAMINAN :

TARIF PREMI : 0.38600 ‰

0.00015 ‰
0.50000 ‰
0.00015 ‰
PSNSI0100I
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 AHEEEHAPPNFAJBIFKPNJGENOMAABBDCIJOPIGPAHEEEHA
BNFFFNBPJHFCAOBHMPNKAHFHAKICFHFLEGEHEPBNFFFNB
GKIAPBFKDNMAPLMIOHEJFBFBGNGPDGNCLONMGAOCJMNOI
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APBBBPAPLFLAPAHFGJFFBHBGHLLGOKOJCGHEEGDAFFNJF
HHHHHHHPHHPHHHPPPPPHPHPPHPHPHPHHPHHPPPHPHPPHP

Halaman ini adalah bagian dari Polis No. 2119010319002097

- RISIKO DAN KLAUSULA -

KLAUSULA : Terlampir

RISIKO SENDIRI : - Fire (FLEXAS) : 10 % of Claim

- Flood (4.3A) : 15 % of Claim minimum : IDR 10,000,000.00
- Others : IDR 1,000,000.00
- Burglary/Theft : IDR 5,000,000.00
- RSMD (4.1A) + CC : 5 % of Claim minimum : IDR 5,000,000.00

- PREMI -

PERHITUNGAN PREMI :
- FLEXAS IDR 5,585,000,000.00 x 0.386‰ IDR 2,155,810.00
20/Okt/19 - 20/Okt/20
- RSMD (4.1A) + CC IDR 5,585,000,000.00 x 0.00015‰ IDR 844.17
20/Okt/19 - 20/Okt/20
- Flood IDR 5,585,000,000.00 x 0.5‰ IDR 2,792,500.00
20/Okt/19 - 20/Okt/20
- Others IDR 5,585,000,000.00 x 0.00015‰ IDR 845.57
20/Okt/19 - 20/Okt/20

PREMI IDR 4,949,999.74

Policy Cost / Biaya Polis IDR 38,000.00

Stamp Duty / Biaya Materai IDR 12,000.00

TOTAL IDR 4,999,999.74

Dengan kesaksian yang bertandatangan di bawah ini yang diberi wewenang sepatutnya oleh Penanggung dan
atas nama Penanggung telah membubuhkan tanda tangannya.
INFORMASI KO-ASURANSI : Leader : PT. BRI ASURANSI INDONESIA (35.00 %)
Member : Asuransi Bumida Cabang Padang (22.00 %)
Member : Asuransi Central Asia Padang (6.00 %)
Member : Asuransi Ekspor Indonesia Padang (6.00 %)
Member : Asuransi Jasaraharja Putera Cabang Padang (10.00 %)
Member : Asuransi MAG Padang (6.00 %)
Member : Asuransi Sinar Mas Cabang Padang (5.00 %)
Member : Asuransi Wahana Tata Cabang Padang (10.00 %)

AHEEEHAPBNNBFKJCACGJKJAOJKLAKOKEMMCDMBLIBPAHEEEHA PADANG, 25 September 2020

BNFFFNBPFPEDNOFKIOEHJDAHFHAPIGEGNCMHECIPNPBNFFFNB
CLNGEFFFAKMOOOBNFMCADNEHHHBOFMDIIIDJDHLAKBLLBNCGE PT. BRI ASURANSI INDONESIA
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PSNSI0100I
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 AHEEEHAPPNFAJBIFKPNJGENOMAABBDCIJOPIGPAHEEEHA
BNFFFNBPJHFCAOBHMPNKAHFHAKICFHFLEGEHEPBNFFFNB
GKIAPBFKDNMAPLMIOHEJFBFBGNGPDGNCLONMGAOCJMNOI
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MPCAAHFHABMEBCDIEFCLAHFHACMHCONKNINPAHFHAGNDJ
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HHHHHHHPHHPHHHPPPPPHPHPPHPHPHPHHPHHPPPHPHPPHP

Klausula : 1. Appraisement Clause (10%)

2. Architects, Surveyors and Consulting Engineers Expenses Clause
3. Claim Notification Clause
4. Cost Of Re-Writing Records And Claims Preparation Clause ( Max. Rp. 100,000,000,- )
5. Cyber Risk Exclusion Clause (NMA 2915)
6. Earthquake Exclusion Clause
7. Endorsemen Banjir, Angin Topan, Badai dan Kerusakan akibat air ( kode 4.3A)
8. exclusion Designation Clause
9. Extra Contractual Obligation Exclusion Clause
10. Fire Extinguishers Clause
11. Information Technology Hazard Clarification Clause (NMA 2912)
12. Klausul Akibrat Tertabrak Kendaraan Sendiri
13. Klausul Bagian Luar Bangunan
14. Klausul Barang Milik Pribadi Pegawai
15. Klausul Biaya Pemadaman Kebakaran
16. Klausul Biaya Pemasangan Kembali ( Max. Rp. 100,000,000,- )
17. Klausul Biaya Percepatan
18. Klausul EDRC (A)
19. Klausul Eskalasi
20. Klausul Hilangnya Barang Yang Rusak
21. Klausul Isi Lainnya Dalam Bangunan ( IDR. 5 Juta /item & IDR 25 Juta in aggregate )
22. Klausul Kepentingan Bersama
23. Klausul Kesalahan Deskripsi
24. Klausul Kewajiban (Warranty) Pembayaran Premi
25. Klausul Ko-Asuransi
26. Klausul Non-Invalidasi
27. Klausul Otoritas Publik
28. Klausul Pejabat Sipil
29. Klausul Pekerja
30. Klausul Pembayaran Di Muka 25%
31. Klausul Pembebasan Rata-Rata (85%)
32. Klausul Pemindahan Internal
33. Klausul Pemindahan Puing
34. Klausul Pemindahan Sementara
35. Klausul Pemulihan Harga Pertanggungan Otomatis ( Subject to additional premium )
36. Klausul Pengesampingan
37. Klausul Perlengkapan di Luar Bangunan
38. Klausul Perlengkapan Penunjang
39. Klausul Perselisihan
40. Klausul Perubahan
41. Klausul Perubahan dan Perbaikan Kecil
42. Klausul Tambahan Modal
43. Notification Clause
PSNSI0100I
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 AHEEEHAPPNFAJBIFKPNJGENOMAABBDCIJOPIGPAHEEEHA
BNFFFNBPJHFCAOBHMPNKAHFHAKICFHFLEGEHEPBNFFFNB
GKIAPBFKDNMAPLMIOHEJFBFBGNGPDGNCLONMGAOCJMNOI
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MPCAAHFHABMEBCDIEFCLAHFHACMHCONKNINPAHFHAGNDJ
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HHHHHHHPHHPHHHPPPPPHPHPPHPHPHPHHPHHPPPHPHPPHP

Halaman ini adalah bagian dari Polis No. 2119010319002097

44. Nuclear Energy Exclusion Clause 1994 - NMA 1975 (A) ( Worldwide Excluding USA And
Canada)
45. REINSTATEMENT VALUE CLAUSE
46. Riots, Strikes, Malicious Damage and Civil Commotions Endorsement (4.1B / 2007)
47. Sanction Limitation & Exclusion Clause
48. Smoke and Vehicle Impact Endorsement (Code : 4.11 - 01/12/1998)
49. Terrorism Exclusion Endorsement NMA 2920
50. Transmission And Distribution Lines Exclusion Clause
51. War and Civil War Exclusion Clause

PSNSI0100I
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