COVERNOTE - 506 - NB QS PAR An. Bengkel Garuda QQ Irene - 2023-2024 - Signed
COVERNOTE - 506 - NB QS PAR An. Bengkel Garuda QQ Irene - 2023-2024 - Signed
COVERNOTE - 506 - NB QS PAR An. Bengkel Garuda QQ Irene - 2023-2024 - Signed
SURED : D J Y M DIFIK SI S M QQ I W IP , S QQ
H and r its subsidiary c mpanies and r affiliated c mpany f r their
respective rights and nterest
CORRESPO DE CE : J Candi Bahagia H 12-14, Villa Candi Asri, Karanganyar Gunung, Candisari, Semarang
ADDRES
H UBJ C M R N UR
S K:
St cks f raw material, w rk in pr cess, finished g ds and r materials in trade,
advertising materials, including supp rting and packaging, material related t the
ur d’ bu o a d pr m a d b lo g g o ur d or ld by
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him in trust r n c mmissi n r n c nsignment r n display and st ck s ld but n t
delivered and f r which insured is resp nsible
M HI Y:
Machinery plant and all ther mechanical t ls, electrical and electr nic equipment
including air c nditi ning system, spare part, m veable equipment, lifts, elevat rs,
supp rting and pr tective structure but n t limited t lightning system, fire fighting
equipment, c mpress r washing and cleaning machine, Generat rs and all ther
access ries attached theret , which all c ntain within the premises and wned by the
insured r rented r held in trust and f r which the insured are resp nsible except as
herein after excluded
FFI / F Y :
Office c ntent including but n t limited t furniture, c mputers, stati nary and utensils
f every descripti n
RM N C N N N UR NC
COVERAGE : C vering sudden, accidental & unf reseen physical l ss destructi n f r damage t the
subject matter insured caused by any c ntingency c verage (subject t P licy Exclusi n)
EXC UDED PER S : Unless therwise expressly stated herein, this insurance is subject t the standard
exclusi ns c ntained in the P licy F rm agreed under this insurance
2
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yphoon, Flood, Storm, Water Damage, Landslide & Subsidence:
1 % f claim, minimum DR 1 , , f r any ne risk any ne l cati n any ne
ccurrence
Impact by ehicle :
DR 1, , f r any ne risk any ne l cati n any ne ccurrence
thers losses :
DR 1, , f r any ne risk any ne l cati n any ne ccurrence
4
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H N UR NC PR M UM
PREM UM : DR 4, , , x 1 4 %= DR ,1 ,
CA CU AT O
PO CY COST : DR
SUBJECT V TY : - Clean l ss rec rd in the past 3 years up t incepti n binding date whichever is the
latest
- fl d experience f r the past years
- APAR are available with n t expired c nditi n, easy t access, and visible
- 24 h urs security pr tecti n
- sm king sign is strictly applied
- Validity acceptance up t 3 May 2 23
Semarang , 19 April 2 23
PT PPO GE ERA SURA CE Tbk
BAGA P GGA P L M A A DA P L PP G AL U A BK DA
B LAKU LAMA 14 HA JAK D B KA
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