sy = 2OgP4- Old oe ACA ev Grose! Savana Transs0ya a ¥ Ddorse KSURANSI IKHTISAR PERTANGGUNGAN / SCHEDULE - Heavy Equipment - Nomar Pals 131151918050000028 Policy Number Nomor Pelanggan p3iGRo0012 Costumer 1D Nama Tentangaung PT BUMIPUTERA- BOT FINANCE QQ PT GROGOL SARANA TRANSJAYA The Insured Alamat Tertanaouns Plaza BRI, J, Basuki Rehrmat No. 908, Embong Kalissin, Genteng, Surabaya ‘Address of insurec Janoka Weitu Periancaungan 07 Mei 2019 to 07 Mei 2022 Period of Insurance edu tanggal tersebut berada pada pukul 12:00 siang wektu setempat cimana ‘obyak pertanggungan berada Both dates include at 12 pr ice! tim 3 the locaton ofthe insured objects) Policy Wording Contractor's Pant and Macrinery Munich Re Policy Wording Poicy Wording sic code 8A SIC Code {psured Business TBA insured Business Projet Location Banyuwangi Jawa Timur, Jawa, indonesia Project Location (Geporaphlcal Limit [Anywhere in Indonesia (Excluding Aceh, Riau, Bangka Belitung & Papua) Geographical Limit Machinery Gateory Otners Machinery Category Machinery Brand kato Machinery Brand Machinery Type ROUGH TERRAIN CRANE TYPE SR-700L Machinery Type Machinery Year Manufactured 2015 ‘Machinery Year Manufactured Mag rial Number 6210331 Machinery Serial Number hinery Engine Numbes 024462865 Machinery Engine Number l jachinery Chassis Numbe kr7oross1 Machinery Chassis Number JAMINAN | COVERAGE 7 Heavy Equipment -All Risk (Pat 7 Ny 2010-07 Hy 230 Heavy Equipment ~All Risk (evo: 07 te 2020-07 ay 2021) - Heavy Equipment -Al) Risk (Pare £7 May 2001-07 May 2072) NILAI PERTANGGUNGAN / SUM INSURED = Plant and Machineries 10R {800,000,000.00 TOTAL oR 4,600,000 000.00IKHTISAR PERTANGGUNGAN / SCHEDULE - Heavy Equipment - Nomer Pais Policy Number 1 Pelangoan Gostumor iD Nama Tertangaung The insured ‘Alama Tertanqqug Aacress of insured Jangka Waktu Perancguraan Penod of insurance Policy Wersing Policy Worsing iC Code iC Code ingured Business Project Location Project Location Gecgraphical Lint ‘Geographical Limit Machinery Category Machinery Category Machinery Brand Machinery Brana Machinery Type facrinery Type Machinery Yesr Manufactured Machinery Year Manufactured Machinery Serial Number Machinery Serel Number Machinery Engine Number Machinery Engine Numbe' Machinery Chassis Number Machinery Chassis Number ¥91151918050000028 s1GR00012 PT BUMIPUTERA - BOT FINANCE QQ PT GROGOL SARANA TRANSJAYA Plaza BRI, J, Basuki Rehmat No. 909, Embong Kaliasin, Genteng, Surebaya 07 May 2019 to 07 May 2022 Kedua tanggal tersebut berada oada pukul 1200 siang waktu setempat dimana obyek pertanggungan berada Both dates include at 12 pM local time atthe locaton ofthe insured objects) Contractor's Plant ané Machinery Munich Re Policy Weraing Tea TEA Banyuwangi, Jawa Timur, Jawa, lindonesia ‘Anywhere in Indonesia (E ing Aceh, Riau, Bangks Beltung & Papua) others KATO ROUGH TERRAIN CRANE TYPE SR.700L 2018 e210331 e2t033t 6210331 JAMINAN | COVERAGE {Heavy Equipinent- All Risk Heavy Equioment - All Risk = Heavy Equipment - All Risk 67 ay 2680-67 ay 2081) NILAI PERTANGGUNGAN / SUM INSURED Plant and Machineries TOTAL oR 4,800,000,000.00 DR 4,800,000,000.00Duplicate Holarran ini adaianbaglan dari Nomor Pols 1911818180s0000026 This page is pat of Pocy Number 131751918060000028 RISIKO SENDIRI / DEDUCTIBLE(s) [Ret of God & Overfow 10% of Claim minimum IDR 25,000,000.00 or USD 2,000 Thett & Burglary: 10% of Claim_ minimum IDR 60,000,000.00 or USD 5,000 “it Strike Chil Corsmston 10% of Cain minimum IDR 25.000.000 00 or USD 2,000 Inland Transit. 10% of Claim minimum 1OR 26,000,000.00 or USD 2,000 thers than above 10% of Claim. minimum IDR 25,000,000.00o PREMI/ PREMIUM Pernitungan Prem Premium Caution + Heavy Equipment All Risk IDR 4500,000,000.00 x 0.8% oR 38,800,000 7 ay 018-07 ay 220 IDR 4,600,000,000.09 « 0.8% WR 36,800,000 7 ay 220-07 ty 221 IDR 4600,000,000.00 x 0.8% wR ——_34800,000.00 a 200 07 ay 222 TOTAL PREMIUM 1R _170.400,000.00 Biaya Administrasi tok 43,000.00 TOTAL TOR __110,449,000.00 KLAUSUL | CLAUSES, KETENTUAN | TERMS, KONDIS!/ CONDITIONS SUBJECTIVITY ‘No deterioration of risk upto inception date - if any, conditions inthis quotation wil be review = WARRANTY = Itis warranted thet regular ang standard maintenance of any insured items “Shall be conducted by autnonzed dealer's stendars maintenance manual - Premium should be paid winin 20 days from inception date - Sur Insured must be referred to New Replacement Value (NRV) - Relocation ofthe units from Location of Risk / Business Location / Site Location specified inthe policy Schedule must be reported fo ACA within 60 days and the policy endorsement Will be issued accordingly otherwise no indemnity provided by ACA = Specific Matters Exclusions loss of or damage to any insured items whilst working on gambut land (peat or turf marshiand) including whilst in transit on gambut land (peat or turf marshland) «loss of or damage to any insured items whilst working on arge/pontoon/.CT, water vessel, ship including whist in transit by barge! pontoon/ LCT, water vessel, ship loss of or damage to any insured items whilst working offshore, Underground «loss of or damage to any insured items whilst criving for public oad use - any claim which is indermifable under public ability and employers liaalty policy ‘Average Ralie Clause (35% Cons ive Total Loss (7‘Duplicate | Halaman ini adelah bagian dari Noor Pols 1911819#8050000028 This page is @ part of Policy Number 131151919060000028 Cover fo Inland Transit (Exclusing Transit on Waterways andlor by Air ic Data Endorsement 8 nic Data Recogr = Extra Contractual Oniigaton E> Industral Seepage, Pollution And Contamination Clause - NMA 1685 Information Technology Hazard Clarification Clause Loss Notifeation Clause (14 Days) Notice of Cancellation Clause (30 Days except Strike, Rist, Civil Commation 3 Days) Payment of Premium Warranty Ciause (30 Days) = Propeny Demage Clarication Clause = Recovery Charges Clause = Replaceable Parts enc Attachmants Extension = Riot, Strike, Malicious Damage and Civil Commotion ~ 4.18 EnctiAAUI 2007 = Skilled and Authorized Operetor Endorsement = Theft Extension Endorsement = War and Terrorism Exclusion Risk Exclusion -W Ditandstancan’ ai (signed on in) SURABAYA Pada (on) May 07. 2019 Untuk dan atas nama perusshaan (farang on dehgif of the company ) PTASURANSI PENTRAL ASIA es ANSI CENTRAL ASIA aACA KSUPANSI DEFERRED PREMIUM CL. yy noted and agreed that the Premium Notwithstanding anything herein contained to the contrary, it Ish ofthis Policy shal! be payable inthe folowing installments ‘stinstalment due and payable on June 06, 2019 Premium oR 36, 800,000.00 Policy Cost IR. 25,000.00 Stamp Duty __ IR 24,000.00 Teal DR 36 /848,000.00, 2nd installment due and payable on May 07, 2020 OR 36,800,000.00 {4d installment due and payable on May 07, 2021 IDR 36,800,000.00 TOTAL IDR __110,449,000.00 It is further agreed that the Insurance Premium of this Policy shall be gaid within 30 (tity) days after due date of each instalment, in the event of any installment not being paid prior to or within 30 (hity) days after its due date, the cover under this Policy, Endorsement or Cover Note shall be deemed to be terminated retroactive and the Insurer shall be discharged from all lables therefrom ut without affecting any lability incurred before that date and the Ingurer willbe entitled to a pro-ata time on risk premium, In the event of @ claim arising hereunder and the emount of claim exceeds the instalments premium paid the rest outstanding installments premium then become due and payable forthwith, sesioo00eAttaching to and forming part of Policy No. 131151919050000028 CLAUSES AVERAGE RELIEF CLAUSE (85%) Each tem insures in the memerandum is declared to be secerataly subject to the following of average namely If at the time of reinstatement the sum representing 65% of the cost wich would have been sncurrec in reinstatement if tne whole of the tems covered had teen cestroyed the commencement of any destruction of or damaga to such item(s) by any other peri hereby incurred against, then the insure shall be considered a8 being nis own insurer for the difference between the sum insured and the sum representing the cos! of reinstatement of the whole of the item(s) anc shall bear 8 ratable groporton ofthe loss accorcing). ‘Sub Limit 85% (CONSTRUCTIVE TOTAL LOSS (75% ms as spectied in the Policy Scnecule \s va land sudden physica) loss 2° damage from eny cause recoverable under ths Polcy and tne iota repair cost of such insured items shall reach or exceed 75% of ts sew ceplacement value (as more fully defined in the Poicy) at the tne of occurence, such loss 0° damage shall be consicsred as 2 constructive total joss and the Comeany'@2s liability under this policy shall be the actual value (as more fully defined in the Policy) of the insured items at the tims of the occurrence and in no case shall exceed the Sum Insured herein 60 due to any untoresee ‘COVER FOR INLAND TRANSIT (EXCLUDING TRANSIT ON WATERWAYS ANDIOR BY AIR) It is sgreee ane understood that otherwise subject to tne terms, exclusions, provisions anc conditions containes in the Policy or endorsed thereon and subject to the insures having paid the agreed extra premim, this insurance shall be extended to cover loss of or damage 10 the insured items whistin trans anywere in Extra promium ELECTRONIC DATA ENDORSEMENT & 1. Electronic Data Exclusion Notwithstanding any provision to the contrary within the understood and azrees as flows ‘4. This Policy does not insure loss, damage, cestructon aistorion. erasure, corruption or atteration of ELECTRONIC DATA from any cause whatsoever (including ut not limited to COMPUTER VIRUS) oF loss of use, reduction in functonalty cost, expense of whatsoever nature resulting therettom, regardless of any other cause or event contributing or in any cther ‘sequence tothe loss ELECTRONIC DATA means facts. concepis and information corverted to 2 tom useable for communications, interpretation or processing by electionic and electtomecranical data processing or elecronically controlled equioment anc programmes, sofware and other codes nstructons for the processing anc ta or the avecion and ‘manipulation of sucn equipment COMPUTER VIRUS means a set of corrunting, harmful or othemnise Unauthonzed instructions‘Attaching to and forming part of Policy No. 131151919050000026 or code including a set of maliciously introduces unauthorized instructions or programmatic or otnerwise, that propagate themselves through a computer system or network of whatsoever nature. COMPUTER VIRUS includes but 's not limited to Horsesand or logic bombs 'b. However, in tne evant that @ pefl below results from any of tne matters deserved in earagraph fa) above. this Poicy, subject 10 all its terms, conditens ano exclusions, will cover physica damage occuring curing the Policy perioe to property insured by this Policy directly caused by such lstes peri 2, Electronic Data Processing Media Valuation Notwithstancing any provision te the contrary writin the Understood and agreed as follows ‘Shoulo electronic data processing media insured by this Policy suffer physical loss or camage insured by this Policy. then the bacie of valuation shall be tne cost of the blank media plus the costs of copying the ELECTRONIC DATA form back-up or from crigmals of a previous generation These cost wil not include resesren and engineering nor any cost of recreating. getherng oF assembling such ELECTRONIC DATA. If the media is not repaired. veplaced or restored the basis Of valution shall be the costs of the blank media, However ths Policy does not insure any amount pertaining to the value of such ELECTRONIC DATA to the Assured or any other party. even if such ELECTRONIC DATA cannot oe recreated, gathered or assembles ELECTRONIC DATA RECOGNITION CLAUSE A This ingurance does not cover any loss, damage, cost. claim or expense, whether preventative remesial or otherwise. steely r indirectly rising out of or relating to a The celcuation comearison, dlferentiation. sequencing change to the year 2000, 0° any other date change nciusing leap year calculation. by any computer system hardware, programme or software ancicr any microchip. tegrated orcut or similar device io comouter equipment or non computer equioment Insured oF not or b. Any enange, alteration, or modification invelving tne date date change inclusing leap yeat calculations to ary such computer system. hardware programme or software and/or any microchip, integrates crcut of similar device 9 computer ‘equipment or ner comouter equinment, whether tne property of te insured or nat ng of data involung ‘he date ‘This clause apples regardless of any other cause event that contributes, sequence tothe loss damage. cost, slaim or exoense srrenty or in any EXTRA CONTRACTUAL OBLIGATION EXCLUSION CLAUSE |All cover m respect of extra-contractual obligations howsoever ansing such extra-contrectusl blgations being defined as any award made by court of competent jurisdiction against an insurer or Teinsure:. which award snot within the coverage granted by any insurance and/or ceinsurance contract made between the partes in dispute, unless such extre-cortractual obligation in incurred as 12 result of the Rensured’92s participation in any reinsurance which provides cover for such blgation, it being understood and agrees that such loss result fom a contractual lisbilty ncurrec by the Reinsures.‘Attaching to and forming part of Policy No. 131151919050000028 INDUSTRIAL SEEPAGE, POLLUTION AND CONTAMINATION CLAUSE ~ NMA 1685 This policy does not cover any lablity for +. Personal injury or bodily injury or loss of. damage to. 0° loss of use of propery directly Indirectly caused by seapage, pollution er contamination. > ways that this paregracn ‘shall not apoly to labity for Personal inury 0° loss of or physical damage to or a tangible propery. or loss of use of such property damage o polkition of contamination is caused by @ sudden, unintend the paried of this surance toyed, where such seepage unexpected happening during 2. The cost of emoving, nulifying or cleaning-up seeping, polluting or contaminating substances unless the seepage. pollution or contamination is causes by sudden. unintended and Unexpected haprening curing the period ef this Insurance 3. Fine, penalties, punitive or exemplary damages. ‘This clause stall net extend this policy to cover any liblity which would not have been cover under this policy had this Clause not been attached INFORMATION TECHNOLOGY HAZARD CLARIFICATION CLAUSE Losses arising, directv or nsirecty, out of (i) oss of aeration of or damage te (i) 2 reduetion inthe cionaly, avaigllty or operation of 2 computer system haroware, programme. software, data information repository microchie integrated creuit or similar device in computer equioment or non-computer equipment. whether the property of the polcynolder of the reinsured oF not, do nat in and of themsalvas constitute an event unless arising out of ane or more the following perils fire, ightning, explosion arcraft or vehicle impact, fang objects. windstorm, nai famado, cyclone huricane, earthquake volcano, tsunami, ood, freeze or weight of sro LOSS NOTIFICATION CLAUSE (14 DAYS) Notwithstanding anything containes herein 10 the contrary it 1S agreed that the insured will net be prejudiced ty any inadvertent delays, errors or omissions in nolifying the Insurers of any ‘ircumstances or events giving se or likely 0 give rise to a claim under this policy Time Limit: 14 Days NOTICE OF CANCELLATION CLAUSE (30 DAYS EXCEPT STRIKE, RIOT, CIVIL COMMOTION 3 Days) Both the insurer ano the Insured are entitled to terminate this insurance upon 20 thiny) 9: in writing being gen (Except Stake, Riot, Civil Commoton 3 Days) Such termination shovlc flected of the registered letler. When the Insurer terminates the insurance ne 1s abiged to provate premium for he unexpired periog of insurance. Ifitis the Insured who terminated the[Attaching to and forming part of Policy No. 131151919050000026 insurance, premium wil be caleviated on the short term rate laid down in the current fire Insurance Tarif of Indonesia for the completed period of Insurance PAYMENT OF PREMIUM WARRANTY CLAUSE (30 DAYS) +. Notwithstanding the provisions of Anicle 257 of the Commercial Code (Kitab Undeng-undang Hukum Dagang) and rotwithstanding anything herein contained to the contrery, and subject chly and without prejudice to clause 2 hereinafter set out, it is hereby deciared and agreed that it 6 2 Condition prececent to lablity under this Policy, any Renewal Cerificate, Endorsement or cover note that any premium due must be paid and actually received in ful by the comoany. 1:4 When the period of insurance 18 90 days or more, within thity (30) days fram the inception ote of coverage under the Policy, Renewal Cenifcate, Endorsement Cover Note 1.2. When the peed of insurance is LESS than thity (20) cays. within the period of insurance soecifed inthe Policy, Endorsement, Renewal Certificate or Cover Note 2. In the event any of the above mentioned premium is not paid wn full 10 and recewves by the Insurer as described sbove in the manner and within the time siouiatec above (the Warranty penodthe Cover under the Policy, any Renewal Certificate, Endorsement or Cover Note shell be deemed have terminates fom the expiry of the premium warranty period and the msurer shall De discharges from all iablty therefam but without prejudice to ary ablity inoured before that cate fand the insurer will be entiled to 2 prorata tie on risk premium subject te @ minimum of IDR 500,000.00. ‘Time Limit: 30 days. PROPERTY DAMAGE CLARIFICATION CLAUSE Property damage coveres under this Agreement shall mean physical damage to the substance of property Physical damage to tne substance of propery shall not include camage to data oF paniculer sry cetrmental change in data, sofware or computer orograms that is Geletion. 8 corruption or a cefo1mation ofthe onginal structure Consequently ine folowing are excluded are from tnis Agreement 2. Loss of of damage to sate or software, in particular any detrmental change in data. software or computer programs that's caused by @ deletion, @ corruption or a deformation ef the orginal Structure, and any business inlerrupton losses resuting from such loss or damage, Notwithstanding this exclusion. loss of or damage to cata or software which is the direc consequenes of insured arysical damage to the substance of property snali be covered b. Loss of damage resulting from impairment in the function availabilty range of use or accessibility of data, software or computer programs. and any business iterupton losses resulting from such loss or damage RECOVERY CHARGES CLAUSE Inthe event ofthe ince-nnifiabie loss or damage occuring a8 provided w= this policy and the‘Attaching to and forming part of Policy No. 131151819080000028 equipment so insured becoming accidentally immobilized in any chysical situation where it is working, cover under the policy shall extend to include necessary cast of recovery and/or withdrawal of such item(s), These costs are indemnifable in addition to the Sum Insured as shown in the Schedule of the Insurance Policy, (Maximum limit ]DR 29 000,000 for any one unit in aggregate for the whole neriod) ‘Sub Limit: 10 20,000,000Vunit REPLACEABLE PARTS AND ATTACHMENTS EXTENSION The Insurer shall net be lable for loss of or damage to replaceaole oats ang attachments such as bits, orils, knives o other cutting e0ges, saw bleces, cles moulds patterns, pulverizing and crushing surfaces, screens and sieves, ropes. belts. chains, elevator and conveyor bands, batteries tyes, connecting wes and cables, flexible pipes. joining and packing material regularly replaces unless surn loss or damage s eirecty eaused by any accident not excludes under this Policy It is further agrees and understood that the Insurer shall not be lsble for loss of or damage to the said replaceable parts and attachments for which he Insurer consicer as cause ofthe accident RIOT, STRIKE, MALICIOUS DAMAGE AND CIVIL COMMOTION - 4.18 ENDT/AAUI 2007, Itis heceby agrees and decares that fa) this Policy to tne contrary and subject to payment of adcitional premium, the Insurer agrees 10 ‘extend this insurance as provides in this Endorsement ) notwithstanding anything which may 9€ defines in any laws cr regulations to the contrary. for the purpose of this Endorsement, all terminology inted in shall be deemed to mean 38 defines inthe MEMORANDUM of this Endorsement 41. EXTENSIONS This insurance is avten tocover - Physicsl damage to the property andlor interest insured crect following peri 14 Rots 12 Stokes 13 Locker-out Workers 1.4 Malicious Acts 18 Civil Commotions 116 Preventive Aci related to peris 1.1 up to and including 1 5 = Physical loss of te property andlor interest insured directly caused by Tircoonng & curring auring Roots andlor Civil Commations Provided that any of these perils does not develop in an uniniern mote ofthe excludes per's conain of events into oneAttaching to and forming part of Policy No. 131151919050000028 2. EXCLUSIONS, This extension oes not cover all ohysical loss of or ingurad ineluaing lose or damage by fre directly or inci arising from orin consequence of the propery and/or interest y caused by oF contibuted 10 oF 2.1 One or mote of the fllewing penis Tneurrectin/Popular Rising, Usuped Power. Revoluton Rebellion. Miltary Power Invasion Cit War, War and Hostiities, Subversive Acts, Terrorism Sabotage or Looting (excedt Looting eccurring during Riots or Civil Commations) In any action, suit or other proceedings, where the Insurer alleges that loss or damage is directly oF snditecty caused by one or more of the excuded penis under this Section, the burden of eroof that such loss or damage is covered shall be on the Insured. 22 Total ot partial cessation of works, oF retarding oF interruntion or cessation of any process or operation 23. Permanent or temporary dispossession resuting ‘ror confiscation, commandeenng or requisition by ary. lawfully constitutes authorty or tody or unlawful eccupation by any person 24 Business interurtion or any kind of consequential oss 3, DEDUCTIBLES: ‘As per schedule 4. CANCELLATION ‘This Endorsement may be cancelled at any time by the Insurer by giving written notice through Registered Letter Facsimie, Telex or Telegram to the Insured at ns las known address The Insurer is relieved ‘rom ali lability uncer this Endorsement 3 (three) x 24 (twenty four) hours after the date of dispatch of writen notice at 12.00 hours local time where the insured object is located ‘As 2 result of this cancallation the Insurer is obliged to return prorata premium for the unexpred periad of insurance 5. MEMORANDUM Notwthstanging anything which may be defined in any laws cr regulations to the contrary. for the purpose of this Policy al terminology printed in tales shal be define 3s folows 5.1 Rlots is an act of a group of at least 12 (twelve) persons who in the execution of their common purpose cause oublic disturbance tumultuovsly wth violence and damage 10 she propery of others, not amounting te Civil Commotions or not appertaining to the act of Terrorism 52 Strikes is 2 celnerate act of damage, by 2 group of workers of at least 12 (twelve) persons or one half of ye entire workforce (ifthe fotal number of workforce is less than 24 persons)‘Attaching to and forming part of Policy No. 131151919050000028 refusing 10 work as usual in an attempt to foree the emeloyer to acsept their demands of to protest against any terms of empleymant enforced by the employer provided that such act is not appertaining to the act of Terrorism 5.3. Locked.out Workers is a deliberate act of damage. by 2 group of workers of at least 12 (twelve) persons or one naif of tne entire workforce «if the total number of workforce 1s less than twenty-four persons). to protest against the termination or suspension of @ ‘eliow ‘employee by the employer provided that such act is not appertaining to the act of Terrorism 54 Malicious Acts \s an act of any person(s) deliberately causing damage to the sroperty of thers cnven by vengeance, hatred . anger or vandalste except such acts done by the employee(s) of the Insured, or any person(s) on behalf of the Insured. or by person(s) entrusted by the Insured to maintain or keep such oropeny. or by thieves/robbersilooters provided that such act is not appertaining to the act of Terrorism 58 Civil Commotions is an act cf a large number of oeosle acting together disrupting publ peace and disturbance tumultuously with vielence ano a crain of desvuction of 2 large umber of oropertes. indicated by the cessation of more than one half of the normal activity fof commerciashopping or business ateas or schocls or public transportation in one city for at least 26 (twenty-four) neurs consecutively commencing immediately before, during or ater tne evert provided that such act is not appertaining to the act of Terrorism £8 Looting \s the appropriation of property belonging tc another by any person (excluding those employed by oF under the control of the Insured) wth the intention ef permanently ceprving that other oft All other terms and conditions of the Policy remain unchanged. (This wording isa translation ofthe criginal version in Bahasa Indonesian the event of any dispute ansing from the interarataton of any meaning herein the terms ana conditions shall be interpreted ‘according to the origin Banasa Indonesia version) ‘SKILLED AND AUTHORIZED OPERATOR ENDORSEMENT i ig hereby noted and agreed thet 8s a condition precedent to any liability under this Policy «is warented that ary current and prospective operator(s) of the named Insures andlor ts ‘contractorsubcontractor shal nold 2 valid 62 diverioense angior @ SIMPERIKINPER andlor must comply with ary competency of overators ‘egulation were applicable if tne requirements ooint 1 above do not apply i is further wavanted that the named insures andlor ite contractor! svacontractor shall make suitable encuines ‘9 ensure and be fully satisfiec that the operetor(s) nave at least 3 years working experience (with evidence of 3 legtimate ‘working certificate) and are fully qualified to command. operate and navigate the insured tems in 2 proficient and skilled manner ‘Subject otherwise to tne ters. conditions. exclusion ofthis Policy Itis hereby dectares ena agreed that this Policy is extended 10 co ‘THEFT EXTENSION ENDORSEMENT joss of or damage to te ingured items (or any oar thereof) as spectfied in the Policy Schedule as 8 cirect result of thet‘Attaching to and forming part of Policy No. 131151919050000028 “The indemnity proviced unde* this endorsement shall not apply to 2. theft without forcible remaval of any part of insured items theft without forcible entry 10 2 locked cabin of insured items for het of any part equipped inside the cabin mysterious siseppesrance of any insured items (or any pa7 tnereof) unless there is reasonadle or logical explanation on the part of the Insured. for the curpose of this insurance mystenous iseppearance 's defined as the disappearance of insured items (or any part thereof) from a known place or known location during @ known pened of time end under unknown or batting circumstances 4. lass or damage causee by or resulting from infgelty or any cistonest act of the Insured or otner parties of interest or ns oF their employees or agents o insured items may be entrusted ‘any parson oF persons to whom the ‘nis funher agreee shat the Insurer shall not ingemniy the Insu {allure to take lose prevention measures for thet. in partcular ‘ensuring that @2¢ nour secufty guarc patrol system is implemented. anc fensuring that any insured tems shall not be left unmanned or without physical presence of any ‘person in contol for except the unmanned ingured items is parked or placed within ‘raximum 250 meters distance from nearest security pos! and the oresence of the insured items is reported to security guard for oss or damage caused by the ‘Subject otherwise tothe terms, concitons, exclusion of this Policy WAR AND TERRORISM EXCLUSION Notwithstanding any provision to the contrary within this insurance or any endorsement thereto. t's agreed that this insurance excludes loss, damage, cost or expense of whatsoever nature diecty oF indirectly caused by. resulting from or in connection with any of the folowing regardless of any other ‘cause or evert controuting concurrently or in any other sequence (0 the oss 1 war, invasion. acts of foreign enemies, nasties or watike operations (whether war be declared cor not), eull war rebelion, revolution, insurrection, cll commatior assuming the proportions of or ‘amounting 1 an verising miltary or usurped power, or 2. any act ofterransm For the purpose of this endorsement an act of terrorism means an act. incluging but net limited to the use of force or violence andior the threst thereof. of any person or group|s) of persons whether acting alone or on behalf of or in connection with any organisation(s) oF governments committed for coltical religious, ideological or similar purposes inclucing the intention to influence any government and/or te put the public, or any section of the public, i fear This endorsement also excludes loss, damage, cost or expense of whatscever nature directly or indirectly causee by. resuting ffom oF in connection with any acton taken in controling, oreventing, suppressing oti any way relating te 1 andlor 2 above W the Uncerurters allege that by reason of this exclusion, any loss damage, cost or expense is not ‘covered by his insurance the burden of proving the contrary shall De uoon the Assured In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain in fll foe an afect WET RISK EXCLUSION “The Insurar shall not ne habe fo loss or damages to any insured items! olantsimachinery!‘Attaching to and forming part of Policy No. 131151919050000026 equipments operated o° un or ven in Wet Risk Area, For the purpose of this exclusion Wet Risk Area means any ‘isk 1m connection with water in the fallowing conditions v-any project ste andior any part of contract works tnat is or woulé Be in contact with proximity to 8 relatively large body of water or aqueous environment (eg. swamp, lake, see. Fiver) such contact or aroximily means the project site or part of the contract work is naturally land regularly experience the force of water (food.waves and/or any other velating current) any kind of marine of wel works incuding harbor, breakwaters seawals, quays. jetles, piers cocks, drainage, canal, tunnel anc damsAttaching to and forming part of Policy No. 131151919950000026 EXCLUSIONS ‘SPECIFIC MATTERS EXCLUSIONS loss of or damage to any insured tems whist working on gambut land (pest or tet marshiand| inclusing whist in transit on gamut land (peat or turf marshland) loss of or damage to any insured items whilst working on barge/ponteon/LCT. water vessel, ship Including whilst in transit by barge! pontoon LCT, water vessel. ship loss of or damage to any insured items whilst working offshore underground loss of er damage to any insured items whilst driving for public road use {any ciaim which isindemnifable under public lablty ane employers iabilty policyeceind Eo Tenaga KUITANS! POLIS PT SUMIPUTERA. SOT FIN 070519 1343 -/ Rpz06000 = 44443 129732 rae owoeoin evica ew BUTEA owsaiwat, GROGOL SARANA TRANSJAYA Insatment No, 123 fing Payne of Polcy Na, 3¥15t9te0s000028 Unis Pembavarn amount shana 10 The Suet (ONE HUNDRED TEN MILLION ann Sewn SSERATUS SEPULUH JUTA EMPAT RATUS EMPAT PULUM SEMBILAN FIBU Diverter Deraqversio Cicesn Pemoayaran rom slangg2a nas sete dana dain dl oaaning Asvransi Cantal Asa CE0r0086 myOrSION® 110,449,900.00 1UR HJUNORED FORTY.NINE THOUSAND RUPIAH ia SURABAYA 07 May 2019 ‘Authorized By parser Kuala Busiyanto Corp, Finance Divison Head