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PLACING SLIP MARINE HULL INSURANCE

ASURANSI RANGKA KAPAL

1. TYPE OF RISK : Marine Hull


2. THE INSURED : - PT BRI Cabang Selat Panjang
QQ Muhammad Saipul

3. ADDRESS : Jl. Letda M. Boya No.4A, Tembilahan


4. PERIOD : 13 September 2023 s/d 13 Se p t e m b e r 2024

5. INSTEREST INSURED : - Name of ship : PUTRA SENTOSA 03


- GRT : 34
- YOB : 2016
- Classification : Un c l a s s e d
- Vessel Usage : Ca r g o Ve s s e l

6. TOTAL SUM INSURED : IDR 5 0 0 .000.000,-

7. TRADING WARRANTY : Indonesia Water

8. COVERAGE : ITC Hull 1/10/83 CL 289 Hulls (Total Lost Only)

9. PREMIUM RATE : Putra Sentosa 03 : 500,000,000 X 3 % =15,000,000,-


Admin Polis = 50,000,-
Total Premi = 15,050,000,-

10. DEDUCTIBLE : 10 % of TSI


11. PANEL KoAS : Leader PT BRI Asuransi Indonesia (60%)
Member PT Videi Cab Pekanbaru (40%)

12. TERM & CONDITION:

As Exicting Polis No. 2126040123000011


Disetujui Oleh, Bri Insurance MRO Batam

(.……………………..) Robert Wenan Nicolas K


Pimpinan MRO

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