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    Quotation Slip PT. ADHI KARYA (Persero), Tbk. No. Proyek: 020/EPCC/INKA/2018

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    riels komputer
    This document is a quotation slip for contractor all risk insurance. It provides details of the insurance for a construction project to build an INKA workshop in Banyuwangi, Indonesia. The insured contractor is PT. KAI Cabang Banyuwangi, and the period of insurance is from June 2, 2020 to October 2, 2021. The main sum insured for material damage to the contract work is IDR 400 billion. The quotation also lists additional coverage amounts and deductibles that apply to property damage, bodily injury, and third party liability. It outlines various clauses and exclusions in the policy and notes the insurance rate of 0.1% of the contract value for the contractor all risk coverage.

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    Quotation Slip PT. ADHI KARYA (Persero), Tbk. No. Proyek: 020/EPCC/INKA/2018

    Uploaded by

    riels komputer
    234 views3 pages
    This document is a quotation slip for contractor all risk insurance. It provides details of the insurance for a construction project to build an INKA workshop in Banyuwangi, Indonesia. The insured contractor is PT. KAI Cabang Banyuwangi, and the period of insurance is from June 2, 2020 to October 2, 2021. The main sum insured for material damage to the contract work is IDR 400 billion. The quotation also lists additional coverage amounts and deductibles that apply to property damage, bodily injury, and third party liability. It outlines various clauses and exclusions in the policy and notes the insurance rate of 0.1% of the contract value for the contractor all risk coverage.

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    QUOTATION SLIP

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    This document is a quotation slip for contractor all risk insurance. It provides details of the insurance for a construction project to build an INKA workshop in Banyuwangi, Indonesia. The insured contractor is PT. KAI Cabang Banyuwangi, and the period of insurance is from June 2, 2020 to October 2, 2021. The main sum insured for material damage to the contract work is IDR 400 billion. The quotation also lists additional coverage amounts and deductibles that apply to property damage, bodily injury, and third party liability. It outlines various clauses and exclusions in the policy and notes the insurance rate of 0.1% of the contract value for the contractor all risk coverage.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    234 views3 pages

    Quotation Slip PT. ADHI KARYA (Persero), Tbk. No. Proyek: 020/EPCC/INKA/2018

    Uploaded by

    riels komputer
    This document is a quotation slip for contractor all risk insurance. It provides details of the insurance for a construction project to build an INKA workshop in Banyuwangi, Indonesia. The insured contractor is PT. KAI Cabang Banyuwangi, and the period of insurance is from June 2, 2020 to October 2, 2021. The main sum insured for material damage to the contract work is IDR 400 billion. The quotation also lists additional coverage amounts and deductibles that apply to property damage, bodily injury, and third party liability. It outlines various clauses and exclusions in the policy and notes the insurance rate of 0.1% of the contract value for the contractor all risk coverage.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 3

    QUOTATION SLIP

    PT. ADHI KARYA (persero), Tbk.


    No. Proyek : 020/EPCC/INKA/2018

    Type Of Insurance : Contractor All Risk


    Insured : PT. KAI Cabang Banyuwangi
    Address : Desa Ketapang Kec. Kalipuro Kab. Banyuwangi
    Period : 16 (Sixteen) Months from
    Contractor Type : EPCC (Engineering, Procurement, Contructions and Commissioning)
    Project Name : Pembangunan Workshop INKA di Banyuwangi
    Project Location / Site : Desa Ketapang Kec. Kalipuro Kab. Banyuwangi
    Period of Insurance : 02/06/2020 s/d 02/10/2021
    Maintenance Period : 90 days ( 3 Months)
    Interest & Sum Insured : Section I : Material Damage
    MAIN
    - Contract Work IDR 400,000,000,000
    TOTAL Sum Insured IDR 400,000,000,000
    Section I : Material Damage
    ADDITIONAL
    - For Bodily Injury : IDR. 50.000.000,- any one IDR 500,000,000
    - person
    Property & Damage
    IDR. 500.000.000,- any one accident
    : IDR. 250.000.000,- any one
    IDR 250,000,000
    accident
    - Combine single limit max. IDR. 500.000.000,- for IDR 500,000,000
    the whole period
    TOTAL Sum Insured of insurance IDR 1,250,000,000
    Deductible : - RSCC : 10 % of Claim minimum : IDR 10.000.000,00 for any one accident
    Section I
    - Act Of God (Earthquake, Volcanic Eruption, and Tsunami, Storm, Flood, Water

    Damage) : 10 % of Claim minimum : IDR 25.000.000,00 for any one accident


    - Others : IDR 5.000.000.00 for any one accident
    Section II
    - TPL (Property Damage) : 10 % of Claim minimum : IDR 5.000.000,00 for any one
    accident
    - TPL (Bodily Injury) : NIL
    Clauses : - SANCTION LIMITATION AND EXCLUSION CLAUSE LMA 3100
    - ENDORSEMENT 002 COVER FOR CROSS LIABILITY
    - ENDORSEMENT 001 COVER FOR LOSS OR DAMAGE DUE TO STRIKE, RIOT AND
    CIVIL COMMOTION (SRCC)
    - TOTAL ASBESTOS EXCLUSION
    - TRANSMISSION AND DISTRIBUTION LINES EXCLUSION CLAUSE
    - ENDORSEMENT 004 EXTENDED MAINTENANCE COVER
    - SEEPAGE AND POLLUTION EXCLUSION CLAUSE - NMA 1685
    - ENDORSEMENT 005 SPECIAL CONDITIONS CONCERNING THE CONSTRUCTION
    AND/OR ERECTION TIME SCHEDULE
    - NUCLEAR ENERGY RISKS EXCLUSION CLAUSE 1994
    - INFORMATION TECHNOLOGY HAZARD CLARIFICATION CLAUSE (NMA 2912)
    - EXTRA CONTRACTUAL OBLIGATION EXCLUSION CLAUSE
    - ELECTRONIC DATE RECOGNITION CLAUSE (A)
    - DISPUTE CLAUSE
    - CYBER RISK EXCLUSION CLAUSE (NMA 2915) ELECTRONIC DATA ENDORSEMENT
    B
    - TERRORISM AND SABOTAGE EXCLUSION ENDORSEMENT NMA 2920
    - ENDORSEMENT 110 SPECIAL CONDITIONS CONCERNING SAFETY MEASURES
    WITH RESPECT TO PRECIPITATION, FLOOD AND INUNDATION
    - WAR AND CIVIL WAR EXCLUSION CLAUSE
    - WAIVER CLAUSE
    - WARRANTY PAYMENT CLAUSE (30 DAYS)
    - ENDORSEMENT 121 SPECIAL CONDITIONS CONCERNING PILING FOUNDATION
    AND RETAINING WALL WORKS
    - ENDORSEMENT 120 VIBRATION, REMOVAL OR WEAKENING OF SUPPORT
    - ENDORSEMENT 003 MAINTENANCE VISITS COVER
    - ENDORSEMENT 111 SPECIAL CONDITIONS CONCERNING REMOVAL OF DEBRIS
    - FROM LANDSLIDES
    ENDORSEMENT 103 EXCLUSION OF LOSS OR DAMAGE TO CROPS, FORESTS AND
    CULTURES
    - ENDORSEMENT 102 SPECIAL, CONDITIONS CONCERNING UNDERGROUND
    CABLES, PIPES AND OTHER FACILITIES
    - ENDORSEMENT 013 PROPERTY IN OFF-SITE STORAGE
    - ENDORSEMENT 008 WARRANTY CONCERNING STRUCTURES IN EARTHQUAKE
    ZONES
    - ENDORSEMENT 007 COVER OF EXTRA CHARGES FOR AIRFREIGHT
    - ENDORSEMENT 006 COVER OF EXTRA CHARGES FOR OVERTIME, NIGHT WORK,
    WORK ON PUBLIC HOLIDAYS, EXPRESS FREIGHT
    - ENDORSEMENT 116 COVER FOR INSURED CONTRACT WORKS TAKEN OVER OR
    PUT INTO SERVICE
    - ADDITIONAL TERMS AND CONDITION
    Rate : - Third Party Liability 0.0000 %
    - Contractor All Risk as per Munich Re 0.1000 %
    Premium :
    Main Premium Calculation Premium
    - Contractor All Risk as per Munich Re : IDR 400,000,000,000.00 x 0,10000 % : IDR 400,000,000
    Biaya Polis : IDR 75,000
    Biaya Materai : IDR 24,000
    IDR 400,099,000

    Surabaya, Juny 02, 2020


    Signed for and on brhalf of
    PT. ASURANSI JASARAHARJA PUTRA

    ANDREAS GONDO WARDONO


    AGENCY MARKETING
    HP. 081331857978, WA. 08123576979, 081259209458
    e-mail : [email protected],
    [email protected]
    09458

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