TO: _ PT. Fresnel Perdana Mandiri Menara Jamsostek, North Tower 16th Floor Jl, Jend. Gatot Subroto Kav. 38 Jakarta Selatan 12710 Attn.: Fika Agustina, CIB, AAAIK, QlIP Direktur Marketing Dear Madame Re : Instruction to Cover We hereby instruct PT. Fresnel Perdana Mandiri to affect insurance coverage on our behalf in accordance with the terms and conditions set forth in QS No.19.03.00993/QS/PAR/BGPO in respect of insurance to be effective on 18.04. 2N8....... at 12 o'clock noon For and on behalf of : PT. Bima Golden Powerindo Name : Chanda, Hus Please Sign Here Tittle: Dinwcten of baton 5 Legaatic Date Maul 2.019 Important Conditions / By signing this quotation you have noted and agreed that: / 1. You officially appoint Fresnel to solely and exclusively represent you to affect the insurance policy quoted herein and to attend all issues pertaining this insurance cover to the insurer(s) on your behalf and that all other similar instruction to other broker/agent on the same type of cover and property insured are deemed to be null and void, and therefore ‘superseded by this appointment. 2. You have read all the terms and conditions of this quotation thoroughly and that Fresnel has made all reasonable effort to bring to your attention the relevant and significant issues of the terms and conditions of this insurance and that all your subsequent inquiries regarding the terms and conditions in this quotation has been satisfactorily responded by us. 3. You have read the attached “Hak dan Kewajiban Para Pihak dalam Proses Penutupan ‘maupun Perpanjangan Asuransi serta Kiaim’, understand its contents thoroughly and agreed to fulfil your obligations as written therein. 4, Fresnel can only instruct the insurer(s) to affect cover only when we have received a written instruction from the insured by way of signing this quotation by a duly authorized person or other form of written document as agreed and received by us either by mail, facsimile, or electronic mail. Cover will be in full force once the insurer(s) has received such ‘subsequent instruction from Fresnel. We encourage you to give reasonable time for Fresnel to prepare our instruction to insurer(s), taking into consideration the daily, weekly, or other ‘occasional closing time,