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INSURANCE CERTIFICATE

PT SOLUSI EI-EVATOR INDONES}A


BIZPARK COEIM=RCIAL ESTATE ELOK A3 NO, 19, JL"RAYA
$Ei(AS| KL4. 21,5 RA\ryA TERATE, CAKUNG
I3S2S JAKARTA TIMUR
indonesta

Flaffi af arivai
JAKARTA, lndonesE
te lhe followng @Edit*]ns
i; C;Il,cti,;"iel sr*.tion Limitation and Exciusion clause
CurencY
tr$raFxe ,ai!e Deducirble
2 500 SEK
328 8S7

O!{,I TO PROCEES IN CASE OF LOSS OR OAMAE


kl,redutyoftheAssuredtotakesucl]reasfiesaSmaybe'msmab|efmthepurposeslaer+im-oorminimisincalosandtoffsUrelhaiall(Ehtsagainst

ln particillar' lhe Assured ate requiredl


tr cther third parties are propedy resNed aEd xeEise!'
-Io Autheiiies or others lol anv missiftg paciGqes
f- claim ifimediaiely on ihe Caqieis' Port

2ToapplyimmediaiglyforsryeybycariersGfolhefRe}"rentativsilmTlossordaroqebsppa6eeiandcblmantheca{riEorothelslor3Ey
*:a1ff.TJ}Jt.il:Ta;?."J,rtre., irs sears tsre pramned imal*dialElv bv rr*ir
responsible otrEiai lr the
6 ensqre ihei rhe cortai*r ard
:-r : ,r^ *;F6il^ i^ftrn*ar( i. .,^trse ihe
3s suied io rhe shippiE douren..s. ro craus*
recEq*
delivery recEl
lhe derivery
*,.**r1;ffi1,*'::Hffi:#J:: rffi"ffi#o.'*in "*,.
o*, *an
amsding*yand{etainall 'Jefectiveorirsguia(smlsforsubffiuentidmtifi"tl:,.-.--- h,h#rrilffidilim-
sndi'im-
"*: il:":rL;J"I'* ;''a{ r'iuen mtesl' t'o srue clean F'ceiPts *+!ere soods tre in 'lsrhdul at ths tine taking delivery' s r+ilhin eten
"t# days of deli#qf ii the lNs s damage was noi Bpparen! Gf
E To give in triliftE ro Grirs wilhin three
ilotim
6(}r read hauiaEf -

{':h u daroee sh@rd be siren tt rhe A've*se zseot


*y craim undei ihis itrurane. inftEdiats n tice or ro:=
i::-;H?:TatH;1*- invrve
"
Efir.'or,e$iEthiscPrriilcate.AsutreytePc'ifilwtbeobiainediflrerPec{+ianYdaimDfir'po'tance
- Singapare
T ilharma Nilaitama as agects of W K Websier
eiputai lJlas Plaza, Blok E, Kav'A'B-C'
.15412' Tangerang
Jl lr Hajl Juanda No- 5A, Ciputat
Jakarta Emait: dnt@cbn-net'idl info@dnt-eo-id
Indo$esia Fhone: +82 21 74322511742445117499428 lre
tr d6maga' Tt*se alenlsr
itte +atuts":auss anc ?xEnicrth? loss
;[ffir*,.",,r.;;;;;.8 are ic j,,re,,ene to, ire grpcse ci ascetlainiils

Dar4any nflot bE cited ifi aoy legal P'ocedings'

DOSUMEMTATION OF CI-AI}'IS witheul de}ay' rmluding whec


are advis'{, to srbtrit sfi eairabre supp*.iir dmwnts
Ta f,a*e d3ifls to be dea* 6rth
p{or**/' rh*,Asslred or rbeir Agwts
aqpiirabb:
l This tnsuraflc Certiftcale' srdtol weight mls'
p. Qriginal tr copy tn'O'"n'n*"' tnethel wilh shhphE specilsaton
'{ I :r''ff a# "'r ottrer {farsEsl d$urflis'
i 3 . rL^ lass ;r darffig'
rhn k..a dam3o.
'4. ^r the
--.-ar ef
simw ihe exlent
'o
tinatiDn-
5_ hbiliv lor tfp loss o( deftEge'
and other Part{es reQardiaG then
6-

lN CASE OF OISP{'iTE in srvede'n' The


Berited by an arutra*F tribunai
'rIEASURES ras. and 3Ey disprie beiffeen the
rnsured a*d tir lils!.}r ihan be
Tiris poJicy siiarr tle subF{t to swedkh
adilEiidshafbe'onducted]FlheEnglishh,1oMgeandlhgdeosiqactiheiribu{alshaubefinalandbindhoUpffilhapsrties.
CONDTTIC*.JS ANE CI3USES

!-dryrJJs"$r-if iasiliafi e
F P&C :I{SURANCE LTD' (Publ)
Domicile: $tockhoirn
Reg. No: 516401-8102
T

INVOICE
inv. XVf-1892882 L8 Nov 2016
Ref. 8435620
Pak F(andoyo - Ancol
Customer
PT Solusi Elevator lndonesia
Bizpark Commercial flstate Blok A3 No. 19
Jl. Raya Bekasi,Pulogadung 13920
Jakarta Timur, Indonesia

Specification Qty Unit Frice AmoUfit

KAf_IA A4 SG(] X "1258 84356?0 usB 18.339 usD 18.339

Payrnent lnfsrnration :

i.NSBC, Tl're l{ongkong and Shanghai Banking eorporation


801404af1838
{ibeq Lift Asi* Lir*ited
I{5BCHKHI-IHKH

Sb*s tift Asi* tknltsd P +851 l51t 610E

F/7 tow Blsrl,6rand Mtllrnniurt Fta*a F -85? 3511 61 11


18, Quaafi"n Boad Cefitral
CantrBt flong XonB
l
INVOICE
lnv. XVI-1D92878 3X.Oct 2016
Ref. 8435355
Dede - Sunter
Customer
PT Solusi Elevator lnd*nesia
Bizpark Connn'lereial Estate Slsk 43 t{o. t9
Jl. Raya Bekasi,Pulogadung 1392CI
Jakarta Timur, lndonesia

Speeification +ry iJnit Friee Amaur:t

KALEA A.r 1000 X 1-500 84:l5l5i; usD 13.819 U!L) 13 S19

l(n

U5D

9ayment lnformation l

ttSEC. The ilcngkong arrd $har:ghai Ba*king eorpoa"*tion


801404831838
Cibes Lift Asia Lirnited
HSBCHKHHHKH

fib*s Lifi Asia tlnited id.q@srtcf-!it.sq-r P +81? ]5Il 6I05


Ffl l"o$, 8loEl, Crand Mi*lennium Flaza www.citle slift.corn F +8S2 35L1 611"1

Url queen'$ nded Centf3,l


Cotral Hsng liorry
FACI{ING i.[ST
LJg.:Iiftirrgl flt: si5;n
Shipper Ship To
Cibes Llft internqtionoi AB
Utrnorksvogen 13
SE-&29I, GAVLE - SWEDEN
P+46{0} 2S-t7 1412

Order nurnber Counlry ol Origin & Supply lmpoding Counlry

Mode of Ttonsport Net Weiqht Gross Weiqht Sioie of Goods

Description Type of Pqckoge Ouonlity Grosr Weiqht Net Weiqht


Nffi
S}{IPPEFEXPIfiTEE iCDTIFE $.reel A{cEss)
BItt OF LADIT'TG
la{ cffiltrined transpo{
CIBES L|FTAB and f,ert to porl shipment
SPELBOVAGEN
SE.81 1 02 JARBO
SWEDEN E,LL CF LADii\lG ,^JO

:lON-q{GhiEE tc+Tpier }'tane Streel Addressi

PT. SOLUSI ELEVATOR INDONESIA


BTZPARK COMMERCIAL ESTATE BLOKAO3 Canier:
NO. 19. JL.. RAYA BEKASI KM.2J,5 RAWA TERATE
CAKT.'NG, JAKARTA TIMUR 1 3920 INDONESIA

:{-GltFi F$iiaY iC'EEijs{E *F.= Slr#1 A4diess}

Shippimg * FEmra*ding AB
SAME AS ABOVE
Bcx 12C73 40? 41 GOTEBOHG SWEDEN
Ielepr*r;e 03i-]33 ?0 6i"i |ni ;46 3_t 333 2+ g0

=qE-CAHfl IAGE BY F.IGDE)' FGR DEL1VEAY CF GCNOS FI'ASE PFPIY iC


VESSEI- PT. INKO SUKSES JAYA
lacaA+ YisSStuYoYrdG=
TEL:0G2 21 29238960

+3AT QfDIS$HAFGE

PAI{I'CULAHS DECI-AFED ET ftIE MERCHANT


s64t inaa:as IrtMg;' A\D ESSIFIR]N OF PdCIdFc A|rD GJCES 6Fn55 r'rSHt riL{sj!ne.Ei

CSNTAINER P-IO: 1 X zC'DV CGNTAINER S T.C,


I-{LXU 316263-0 4 PACKAGES OF LIFTS AND PARTS: 2520 KGS
SEAL NO: 12861275 PLATTFORM LIFTS MGDEL 44
EX WORKS

BGTH T+e{-AtdE iOLLlStOti CL4USE arrd FtEt! JASCN CLALSa


m trziEe aDd itew Jasrfi Ci3uE as aJocEd by BitJCO
Eied ie{e1fl.

r?TAI N*MEEA CF CO]'JIAINEFS OF PAL'IdAGES JFJ F'OflO.s DEfi.-48,4:':L!.\i OF i.1ALL,E li,.l Ey6ESS OF-uS $ 5!0 9r_R PAC(AGE
IBEE FSVEESF S!'E FIEflEOF CI-AUSE 9.3

F'i=IGiT.CIIAFES. ITEM N$, FATSAATE E45I5 PfiEPIIO CCi:LECI


--IfiEiVfI] in apparent good orderand condili$n unless ctherwise state{i, ihe
Goods as speciiied absve for carriage by oceari vessel and/cr olher rnsdes
oi lranspori irci'r the Fiace of re*eapt Gr pofi of loading to &e port of discherge
or plate of delivery as indicaJed a5oue. The Goods Io be dei;verd at th=
absve mefitioned pcrl o{ discharge rx place cf detivery rvhichever appljes.
in accepting tr|is Bill of Ladl!'?g the ti,{erchant(s) agree tG be hound by a1l
lhe slipulaiiofls, xceFtiofis, terms afid conditions on tf)+ ,ioftt cr back he,
reol, whether printed, stamped, nntten or olnerwise ir}corporated. ln witness
xhere*f lhree (3) origina! Bills of Lading have been signed, if not oiheftrise
:EFIGHI F,T.YA8l F AT stated above, sil ci lhis tenor anii date ilne original 8il! ot Lading duly en-
TOTAL
FREIGHT dcrced must be sr.rrendered ln exchange ior the Goods or Delivery OrCer ior
same, up:n whieh the olher(s) shatl stand yoirJ_
i\.rtlgaH el+SiGrriri DiLLs eF I A!r1NG LAileN o!! E+Ae* ?Ait
sn]l?etbf tB iB!e!
)fi17-t\7-1 {1
Pi-ACE AI.jC SAT= OF ISSJ

GOTHENBURG 2017-O?-,!C INFRANORDIC SHIPPII-dG & FORWARDTIJG AB


- ON.ILY W]sN USED AS i]Cful8IN=+ T fiT Nff]UMEI'iT.
IHIS BiLI- O.F- LADiNG iS ISS.JED AS A
EA IE-A}ISPOET
}.CUIIEENT IT IS BASED ON THE I.C C UNTFDFI!! FUI.=S FEff A COMBIf.]ED
TliAi.{SFOfiT C,OCIjMEF]T {I.C C PUB!.ICATION I.{C
'i38)

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