Professional Documents
Culture Documents
No
Parts Number
Claim
Description
Qty
I. PARTS
1 81520-1931
2 81730-1411
3 81150-3063
4 81710-1250
5 85060-1370
6 85070-1320
7 52101-9002
8 52132-1050
9 9005-47253
10 52037-1590
11 52038-1741
12 52039-1690
13 52465-1162
14 52465-1172
15 52470-1800
16 52203-1540
17 58346-1020
18 67014-5521
19 76142-1440
20 58425-1320
21 53732-1351
22 58318-1441
23 58312-2100
24 76214-1081
25 79812-2801
26 9005-29168
27 79891-1271
28 79894-1111
29 9005-39355
30 68102-2330
31 68106-1160
32 55620-1690
33 68204-1050
34 68150-1010
35 68420-1340
36 68460-1970
37 69420-1942
38 68332-1020
39 68401-1230
40 69120-1150
41 67502-1010
42 9005-43135
43 69460-1150
44 69160-1101
1
1
1
1
1
1
1
1
8
1
1
1
2
2
1
2
1
1
1
1
1
1
1
1
1
15
1
1
13
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
Adjustment
Unit Price
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
1,191,300.00
558,800.00
7,319,400.00
875,600.00
2,609,200.00
2,085,600.00
3,850,000.00
1,698,400.00
250,800.00
1,936,000.00
191,800.00
4,287,800.00
102,300.00
99,000.00
576,400.00
434,500.00
1,430,000.00
15,428,600.00
1,920,600.00
518,100.00
1,221,000.00
1,386,000.00
935,000.00
1,166,000.00
1,769,900.00
10,600.00
2,729,100.00
1,234,200.00
9,900.00
3,527,700.00
484,000.00
713,900.00
319,000.00
803,000.00
2,772,000.00
343,200.00
797,500.00
946,000.00
520,300.00
696,300.00
298,100.00
327,900.00
187,000.00
387,200.00
Amount
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
1,191,300.00
558,800.00
7,319,400.00
875,600.00
2,609,200.00
2,085,600.00
3,850,000.00
1,698,400.00
2,006,400.00
1,936,000.00
191,800.00
4,287,800.00
204,600.00
198,000.00
576,400.00
869,000.00
1,430,000.00
15,428,600.00
1,920,600.00
518,100.00
1,221,000.00
1,386,000.00
935,000.00
1,166,000.00
1,769,900.00
159,000.00
2,729,100.00
1,234,200.00
128,700.00
3,527,700.00
484,000.00
713,900.00
319,000.00
803,000.00
2,772,000.00
343,200.00
797,500.00
946,000.00
520,300.00
696,300.00
298,100.00
655,800.00
187,000.00
387,200.00
Qty
1
1
1
1
0
1
1
1
8
0
1
1
2
2
1
2
1
1
1
0
1
1
1
1
1
15
1
1
13
1
1
0
0
1
1
1
1
1
1
1
1
2
1
1
Unit Price
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
1,191,300.00
558,800.00
7,319,400.00
875,600.00
2,609,200.00
2,085,600.00
3,850,000.00
1,698,400.00
250,800.00
1,936,000.00
191,800.00
4,287,800.00
102,300.00
99,000.00
576,400.00
434,500.00
1,430,000.00
15,428,600.00
1,920,600.00
518,100.00
1,221,000.00
1,386,000.00
935,000.00
1,166,000.00
1,769,900.00
10,600.00
2,729,100.00
1,234,200.00
9,900.00
3,527,700.00
484,000.00
713,900.00
319,000.00
803,000.00
2,772,000.00
343,200.00
797,500.00
946,000.00
520,300.00
696,300.00
298,100.00
327,900.00
187,000.00
387,200.00
Remarks
Amount
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
1,191,300.00
558,800.00
7,319,400.00
875,600.00
2,085,600.00
3,850,000.00
1,698,400.00
2,006,400.00
191,800.00
4,287,800.00
204,600.00
198,000.00
576,400.00
869,000.00
1,430,000.00
15,428,600.00
1,920,600.00
1,221,000.00
1,386,000.00
935,000.00
1,166,000.00
1,769,900.00
159,000.00
2,729,100.00
1,234,200.00
128,700.00
3,527,700.00
484,000.00
803,000.00
2,772,000.00
343,200.00
797,500.00
946,000.00
520,300.00
696,300.00
298,100.00
655,800.00
187,000.00
387,200.00
Damage
Damage
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Not damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
55301-2080
87274-1300
55844-1100
55671-1301
55930-1072
55363-1220
55306-1940
86153-1150
86153-1180
55630-2542
76413-1202
55713-1453
55714-1010
79650-1010
87912-1011
9489-08138
87906-8120
87946-1950
87910-2350
87914-1032
87915-1633
87915-1643
79411-1860
79413-5620
79431-1392
70433-1290
79845-1180
79833-2250
79847-1710
68312-1290
69130-1180
17720-6350
17705-1600
87810-1390
91090-6181
41480-1100
48150-2391
9005-39358
9005-39355
9005-39354
9005-29162
46402-8702
34267-1340
34266-1210
34266-1230
34257-1010
33225-1590
31914-1460
46705-1980
47237-3080
46705-1990
33921-1210
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
4
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
5
2
5
10
1
1
1
1
1
1
1
1
4
1
1
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
425,900.00
238,700.00
960,300.00
1,767,700.00
1,049,400.00
752,400.00
2,376,000.00
322,300.00
346,500.00
7,539,400.00
1,760,000.00
1,564,200.00
103,400.00
78,100.00
677,600.00
35,200.00
1,281,500.00
108,900.00
108,900.00
467,500.00
396,000.00
332,200.00
1,060,400.00
1,256,200.00
148,500.00
90,200.00
644,600.00
3,458,400.00
1,727,000.00
1,007,600.00
470,800.00
12,060,600.00
657,700.00
339,900.00
12,000.00
1,515,800.00
2,880,100.00
9,240.00
9,900.00
6,600.00
10,560.00
298,100.00
4,732,000.00
674,700.00
775,400.00
798,400.00
969,800.00
853,000.00
466,000.00
18,500.00
668,000.00
2,219,800.00
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
425,900.00
238,700.00
960,300.00
1,767,700.00
1,049,400.00
752,400.00
2,376,000.00
322,300.00
346,500.00
7,539,400.00
1,760,000.00
1,564,200.00
103,400.00
78,100.00
677,600.00
140,800.00
1,281,500.00
108,900.00
108,900.00
467,500.00
396,000.00
332,200.00
1,060,400.00
1,256,200.00
148,500.00
90,200.00
644,600.00
3,458,400.00
1,727,000.00
1,007,600.00
470,800.00
12,060,600.00
657,700.00
339,900.00
24,000.00
1,515,800.00
2,880,100.00
46,200.00
19,800.00
33,000.00
105,600.00
298,100.00
4,732,000.00
674,700.00
775,400.00
798,400.00
969,800.00
853,000.00
466,000.00
74,000.00
668,000.00
2,219,800.00
1
1
0
1
1
1
1
0
0
1
1
1
1
1
1
0
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
0
1
1
5
2
5
10
1
1
1
1
1
1
1
1
4
1
1
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
425,900.00
238,700.00
960,300.00
1,767,700.00
1,049,400.00
752,400.00
2,376,000.00
322,300.00
346,500.00
7,539,400.00
1,760,000.00
1,564,200.00
103,400.00
78,100.00
677,600.00
35,200.00
1,281,500.00
108,900.00
108,900.00
467,500.00
396,000.00
332,200.00
1,060,400.00
1,256,200.00
148,500.00
90,200.00
644,600.00
3,458,400.00
1,727,000.00
1,007,600.00
470,800.00
12,060,600.00
657,700.00
339,900.00
12,000.00
1,515,800.00
2,880,100.00
9,240.00
9,900.00
6,600.00
10,560.00
298,100.00
4,732,000.00
674,700.00
775,400.00
798,400.00
969,800.00
853,000.00
466,000.00
18,500.00
668,000.00
2,219,800.00
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
425,900.00
238,700.00
1,767,700.00
1,049,400.00
752,400.00
2,376,000.00
7,539,400.00
1,760,000.00
1,564,200.00
103,400.00
78,100.00
677,600.00
1,281,500.00
108,900.00
108,900.00
467,500.00
396,000.00
332,200.00
1,060,400.00
1,256,200.00
148,500.00
90,200.00
644,600.00
3,458,400.00
1,727,000.00
1,007,600.00
470,800.00
12,060,600.00
657,700.00
339,900.00
1,515,800.00
2,880,100.00
46,200.00
19,800.00
33,000.00
105,600.00
298,100.00
4,732,000.00
674,700.00
775,400.00
798,400.00
969,800.00
853,000.00
466,000.00
74,000.00
668,000.00
2,219,800.00
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Not damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Not damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
Damage
97
98
99
100
101
102
33320-1220
34268-1080
34242-1230
41480-110
34266-1250
34257-1020
Ring Synchro
O-Ring
Bolt
Valve Bearing Control
Bearing
Seal Oil Pump
1
1
3
1
1
2
IDR
IDR
IDR
IDR
IDR
IDR
13,986,800.00
694,600.00
6,100.00
2,729,200.00
3,540,000.00
900,000.00
IDR
IDR
IDR
IDR
IDR
IDR
13,986,800.00
694,600.00
18,300.00
2,729,200.00
3,540,000.00
1,800,000.00
159,577,700.00
5,000,000.00
17,500,000.00
10,000,000.00
15,000,000.00
15,000,000.00
2,500,000.00
IDR
IDR
IDR
IDR
IDR
IDR
5,000,000.00
17,500,000.00
10,000,000.00
15,000,000.00
15,000,000.00
2,500,000.00
65,000,000.00
1
1
3
1
1
2
IDR
IDR
IDR
IDR
IDR
IDR
13,986,800.00
694,600.00
6,100.00
2,729,200.00
3,540,000.00
900,000.00
IDR
IDR
IDR
IDR
IDR
IDR
13,986,800.00
694,600.00
18,300.00
2,729,200.00
3,540,000.00
1,800,000.00
IDR
151,687,600.00
Damage
Damage
Damage
Damage
Damage
Damage
II. LABOUR
B/P Instalasi Cabine
Ketok dan Cat Cabine
Ketok dan Cat Chassis
Ketok dan Cat Bak
Biaya perbaikan transmisi
Cosummable good
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
IDR
5,000,000.00
17,500,000.00
10,000,000.00
15,000,000.00
15,000,000.00
2,500,000.00
IDR
17,500,000.00
IDR
IDR
IDR
IDR
10,000,000.00
15,000,000.00
15,000,000.00
-
IDR
57,500,000.00
IDR
20,000,000.00
Jasa Disatukan
III. MOBILISASI
Biaya mobilisasi unit site-workshop-site
IDR
20,000,000.00
IDR
20,000,000.00
20,000,000.00
IDR
20,000,000.00
159,577,700.00
IDR
151,687,600.00
65,000,000.00
IDR
57,500,000.00
20,000,000.00 (+)
IDR
20,000,000.00
IDR
229,187,600.00
IDR
IDR
244,577,700.00
- Nilai pertanggungan unit dalam polis IDR510,000,000.00. New Replacement Value IDR749,000,000.00. Average relief clause IDR674,100,000.00
- Nilai ganti rugi yang disetujui sebesar IDR229,187,600.00
- Perhitungan Prorata:
IDR
510,000,000.00
X IDR
229,187,600.00 = IDR
155,847,568.00
IDR
749,000,000.00
- Deductible 10% of claim atau sama dengan IDR22,918,760.00, minimum USD1,500.00 atau setara dengan IDR13,390,500.00
- Perhitungan Klaim adalah:
* Total klaim
IDR
* Deductible
IDR
155,847,568.00
22,918,760.00
IDR
132,928,808.00
20,000,000.00
(+)