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    Ihsanul Ridho
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    J8gfihob

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    J8gfihob

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
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    3 views3 pages

    Isuwvsysv

    Uploaded by

    Ihsanul Ridho
    J8gfihob

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 3
    Protection & Indemnity Great | ™amestnortter ten POLICY SCHEDULE uaa, 2, ne Stan a1 i Eastern | wsestaaa'neres New Business r one seo Fax eens Date of issue 0102/2021 Ena menet8 nentograten ‘ants wen genteel Page 1 of 3 Polley Number Period of insurance “Account Number ‘Nomar Pls Periode Pertenggungan ‘Nomar Account 11-M1051913-PNL o4/a2r202! to 01/02/2022 ot003096 (Both Dates Inclusive at 12:00 noon local time) eee tonggaltorsebut pada pukul 12.00 siang wekww setempat eu vere ‘and Address of the Insured Samen o rr dn lat Terao PrLNIHS ARtiAGA NOGNESIA PAID SUBLUMT RAYANOTD, PLUT JAKARTA UTARA 14440 ‘This policy ie iesued/renewed trom Information you have disclosed. if there are any material changes during the period ofthis cover, please inform us. Pols ini cikeluarkanidperpanjong berdesarkan informasi yang toloh anda berkan. Blamens terdepat perubahan materi selama periode pertanggungan, harap disampaikan kepada kar ‘The Insured PT.LINTAS ARMADA INDONESIA (OWNERS AND Tertanggung MANAGERS) Risk Details Protection & Indemnity isk No 0001 Uraian Risiko No. Risiko Name of Vessel MT AURORA PETROL, Nama Kepal ‘Type of Vessel TANKER enis Kepal Flag INDONESIA Benders Vesee! Classification Biro Ktasitkas! Indonesia Kiasifkesi Kepal Construction Stee! Rangka Kepal Gross Tonnage 4,874.00 Borat Kotor Net Tonnage 0.00 Borat Bersih ‘Trading Limit INDONESIA SINGAPORE AND MALAYSIA WATERS ONLY ‘Area Polayaran Year Bult 1997 Tahun Pembuatan Protection and indemnity Covered Interest Insured Limit of Indormnity (USD) (Obyek Pertanggungen Batas indemnitas 4. Protection & Indemnity 10,000,000.00 Total Premium (USD) 36,500.00 Jumioh Premi Fortngaes pease contact /Apabis a potanaan motor hubunt PT Gret Este Goer nance cress Masson Paz Fo Gung Satan ayaN.18 okara 16) noes Por: 62 (01) 647076 Fax (2 euTo267 Scanned with CamScanner Great Pottey Number Eastern 111t0st913-Pnt Other Information / Informasi Lainnya PROTECTION & INDEMNITY INSURANCE INTEREST : ON PROTECTION & INDEMNITY COVER ‘CONDITIONS : PROTECTION AND INDEMNITY RISKS IN ACCORDANCE WITH GREAT EASTERN Pal TERMS AND CONDITIONS 2019 ROGION SECTION CLAUSES 1-82 INCORPORATING SECTIONS & AND C CLAUSES 40-80, INCLUDING COVER IN PR eT OF COLLISION, PROPERTY DAMAGE, WRECK REMOVAL AND POLLUTION LIABILITIES IN ACCORDANCE Wtba|tE POLICY TERMS, CONDITIONS AND’ EXCEPTIONS AND SUBJECT ALWAYS TO THE CONDITIONS AND WARRANTIES SET OUT HEREUNDER. MIT OF LIABILITY. {YSP #0,000,000 ALL CLAIMS INCLUSIVE OF COSTS, FEES AND EXPENSES EITHER APPROVED ANDIOR INCURRED BY THE INSURER, ANY ONE ACCIDENT OR OCCURRENCE OR SERIES OF ACCIDENTS OR OCCURRENCES ARISING ‘OUT OF ONE EVENT, COMBINED SINGLE LIMIT ‘SPECIAL CONDITIONS INCLUDING 1/4 ths COLLISION LIABILITY EXCLUDING CONTAMINATION CLAIMS ABSOLUTELY WAR RISK (PROTECTION AND INDEMNITY) ENDORSE (ENT (0) AS ATTACHED [LMA 5995 - CORONA VIRUS EXCLUSION EVIDENCE OF INSURANCE CLAUS ‘The policy of insurance or any Endorsement Sarno Is evisence only of the contract of indemnity insurance between the Assuted(6) and the Insurer and shai not be consrse’ as evden of any undertaking, fancil or otherwise, om the sort ot the Insurer to any ether pant, {nthe event that an Assured tonders this PalicylEndorsr ment 28 evidence of insurance under any applicable law relating to financial responsibiy, including but not ited to ‘he Of Pollaon Act 1990 of any similar lav, or otherwise shows or oflors i to any olher party as evidence of insurance such vse the PoleyEndorsement by the Assured fe not To be taken os any indication that the Insurer thereby consents to act as guaranio otto be auod directly in any juiséicion whatcoover, The insurer does not so concent WARRANTIES : WARRANTED TRADING WITHIN INDONESIA SINGAPORE AND MALAYSIA WATERS ONLY WARRANTED VESSEL CLASSED AND CLASS MAINTAINED WARRANTED VESSEL CARRYING NON-PERSISTENT OILPRODUCTS ONLY WARRANTED NO NICKEL TO BE CARRIED SURVEY WARRANTY: ‘Warranted Loss Prevention Survey, cew competency and approval of vesses trading area to be canes cut by approved surveyors within 60 days from incepton, and al recommendations to be complied with and cortiod by attending cures by the date specified by the alending surveyor. Al cost at ovmer?s account Underwater (8) shall be entitod to receive a copy of ‘any recommendations) anlor reports) alec fem surveyor Inthe event ofa aim arising, (@ wherein the opinion of the surveyor, any defect which would have been dscovered had the condtion survey already taken lace, caused or contibuted to the loss In respect of which the claim fs made {l) Where the proximate cause is due to assured non-compliance of surveyors's recommendation) Underwriters) shall reserve to decine the clam in respect of insured veseal, nottistanding al other terms and condions of the patcy DEDUCTIBLES (P&I): Scanned with CamScanner ok reat Poltey Number RLEaster tt.toststs.pwt Page 3 of 3 USD 15,000 FROM ALL COLLISION CLAIMS EACH ACCIDENT OR OCCURRENCE USD 18,000 FROM ALL FIXED AND FLOATING OBJECTS CLAIMS EACH ACCIDENT OR OCCURRENCE USD 15,000 FROM ALL CARGO CLAIMS, EACH SINGLE VOYAGE USD 1,500 FROM ALL CREW CLAIMS EACH ACCIDENT OR OCCURRENCE USD 5,000 FROM ALL OTHER CLAIMS EACH ACCIDENT OR OCCURRENCE USD 25,000 FROM ALL POLLUTION CLAIMS EACH ACCIDENT OR OCCURRENCE WHEN ONE INCIDENT GIVES RISE TO CLAIMS OF A DIFFERENT NATURE, THE AGGREGATE OF ALL CLAIMS SHALL ‘BE SUBJECT TO THE HIGHEST DEDUCTIBLE APPLICABLE TO ANY ONE SUCH CLAIM PREMIUM FIXED PREMIUM AS AGREED NOT INCLUDE ADMIN FEE USD 10 FOR EACH POLICY CANCELLING RETURNS ONLY DEFFERRED PREMIUM PAYMENT WARRANTY ‘Warranted fst instalment to be paid at 30th days from the commencament of this Insurance and second and subsequent instalments are due on 6Cth, 80th and 120th days trom inception otherwise Insurance automaticaly cancolled with the Company accepting no ably arising trom any accldent. In the event of Total of Constructive Total Loss, all future Intaiments become immediately due SUBJECTIVITY. + Subject to confirmation there have been no incidents that would have led to a claim had cover been in place Vessel must be Classed ? BK\ pio to inception date. No cover for Unciass vessel fr this typeof il tankers ‘Authorised Signature: TTando Tongan uso Premium 36,500.00 Total Promium Due USD 36,510.00 Promi

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