PT.

Kalibesar Raya Utama

Komp. Mega Grosir Cempaka Mas Blok E No. 1 - 6, Jl. Letjen. Suprapto, Jakarta 10640 - Indonesia
Phone : (62-21) 4288 - 3707 (Hunting) * Fax : (62-21) 4288 - 3708, 4288 - 3709 * www.kbru.co.id
Nomor Izin Usaha : 511/KMK.017/1994
Member of APPARINDO

INVOICE ORIGINAL
No. : 314789915MC003926
Name : AGRO ASIA PACIFIC, PT

Address : Menara Global, 5 th Floor, Jl. Jend. Gatot Subroto Kav. 27 Jakarta 12950

Type of Cover : MARINE CARGO INSURANCE

Period of Insurance : 28 April 2021 - 28 May 2021
Effective Date : 28 April 2021
Total Sum Insured : IDR 3,605,170,679.00
Catatan / Notes Perincian / Details
Cover Note Number : Premium IDR 3,605,171.00
Stamp Duty/Cost IDR 24,000.00
Administration Cost IDR 10,000.00

Please submit the above premium to : PT. KALIBESAR RAYA UTAMA, Total Due To Us IDR 3,639,171.00
Beneficiary Name : KBRU QQ AGRO ASIA PACIFIC PT
Jakarta, 01 June 2021
A/C No. : Bank Sinar Mas - 805220040526
Signed for and on behalf of :
PT. KALIBESAR RAYA UTAMA,

Please inform us if you have transfered to our account, to this email address :
collection@kbru.co.id
 MARINE CARGO INSURANCE POLICY
NO. 050374
THIS IS TO CERTIFY that insurance has been effected as per below : ORIGINAL

Marine Cargo Open Policy No. : 990321000013

No. L/C :
Name of Insured : PT. Agro Asia Pacific
Address : -

Subject Matter of Insured Amount Insured

283,49 MT CPO IDR 3,605,170,679.00

Total Sum Insured IDR 3,605,170,679.00

Name of Conveyance : TKG. ADA 5

Voyage No :
Voyage From : Indonesia, Pontianak
To : Indonesia, Pontianak
Voyage Details : From Serawai, West Kalimantan to Sintang, West Kalimantan

Sailling / Departure Date : May 09, 2021

Conditions, Clauses, Endorsement, Special Conditions & Warranties :

Subject to Marine Cargo Open Policy No. 990321000013
Underwriter Remarks : Subject to Vessel as per MOC Condition

Deductible - ICC A (including by Air) : 0.5% of Total Sum Insured any one accident
: -- ICC B and Inland transit : 0.25% of Total Sum Insured any one accident
ICC C : Nil
- 1% of TSI a.o.a

Survey : In the event of the damage arising under this policy no claim will be admitted unless a survey has been held
with the approval of or on behalf of PT ASURANSI ADIRA DINAMIKA.
Survey agent : P T Dharma Nilaitama,as agents of W K Webster - Singapore

Survey agent address : Ciputat Mas Plaza Blok E Kav. A-B,, Jl. Ir. H. Juanda No 5A,,Ciputat 15412, ,Tangerang Selatan,,JAKARTA
,Indonesia
E-mail: info@dnt.co.id
After Hours: +62 811 863191, +62 815 1054 5610, +62 856 4026 3636
Main Phone No: +62 21 743 2251 | 742 4451
Main Fax No: +62 21 743 2158 | 742 4452

Premium Calculation : Premium : IDR 3,605,170,679.00 * IDR 3,605,170.68

0.100000000000000%
Administrative Cost IDR 24,000.00
Total IDR 3,629,170.68

Issued at Jakarta, 09 May 2021

For and on behalf of
PT ASURANSI ADIRA DINAMIKA

Certificate - Page 1 of 1
 MARINE CARGO INSURANCE POLICY
NO. 050374
THIS IS TO CERTIFY that insurance has been effected as per below : DUPLICATE

Marine Cargo Open Policy No. : 990321000013

No. L/C :
Name of Insured : PT. Agro Asia Pacific
Address : -

Subject Matter of Insured Amount Insured

283,49 MT CPO IDR 3,605,170,679.00

Total Sum Insured IDR 3,605,170,679.00

Name of Conveyance : TKG. ADA 5

Voyage No :
Voyage From : Indonesia, Pontianak
To : Indonesia, Pontianak
Voyage Details : From Serawai, West Kalimantan to Sintang, West Kalimantan

Sailling / Departure Date : May 09, 2021

Conditions, Clauses, Endorsement, Special Conditions & Warranties :

Subject to Marine Cargo Open Policy No. 990321000013
Underwriter Remarks : Subject to Vessel as per MOC Condition

Deductible - ICC A (including by Air) : 0.5% of Total Sum Insured any one accident
: -- ICC B and Inland transit : 0.25% of Total Sum Insured any one accident
ICC C : Nil
- 1% of TSI a.o.a

Survey : In the event of the damage arising under this policy no claim will be admitted unless a survey has been held
with the approval of or on behalf of PT ASURANSI ADIRA DINAMIKA.
Survey agent : P T Dharma Nilaitama,as agents of W K Webster - Singapore

Survey agent address : Ciputat Mas Plaza Blok E Kav. A-B,, Jl. Ir. H. Juanda No 5A,,Ciputat 15412, ,Tangerang Selatan,,JAKARTA
,Indonesia
E-mail: info@dnt.co.id
After Hours: +62 811 863191, +62 815 1054 5610, +62 856 4026 3636
Main Phone No: +62 21 743 2251 | 742 4451
Main Fax No: +62 21 743 2158 | 742 4452

Premium Calculation : Premium : IDR 3,605,170,679.00 * IDR 3,605,170.68

0.100000000000000%
Administrative Cost IDR 24,000.00
Total IDR 3,629,170.68

Issued at Jakarta, 09 May 2021

For and on behalf of
PT ASURANSI ADIRA DINAMIKA

Certificate - Page 1 of 1
 MARINE CARGO INSURANCE POLICY
NO. 050374
THIS IS TO CERTIFY that insurance has been effected as per below : COPY

Marine Cargo Open Policy No. : 990321000013

No. L/C :
Name of Insured : PT. Agro Asia Pacific
Address : -

Subject Matter of Insured Amount Insured

283,49 MT CPO IDR 3,605,170,679.00

Total Sum Insured IDR 3,605,170,679.00

Name of Conveyance : TKG. ADA 5

Voyage No :
Voyage From : Indonesia, Pontianak
To : Indonesia, Pontianak
Voyage Details : From Serawai, West Kalimantan to Sintang, West Kalimantan

Sailling / Departure Date : May 09, 2021

Conditions, Clauses, Endorsement, Special Conditions & Warranties :

Subject to Marine Cargo Open Policy No. 990321000013
Underwriter Remarks : Subject to Vessel as per MOC Condition

Deductible - ICC A (including by Air) : 0.5% of Total Sum Insured any one accident
: -- ICC B and Inland transit : 0.25% of Total Sum Insured any one accident
ICC C : Nil
- 1% of TSI a.o.a

Survey : In the event of the damage arising under this policy no claim will be admitted unless a survey has been held
with the approval of or on behalf of PT ASURANSI ADIRA DINAMIKA.
Survey agent : P T Dharma Nilaitama,as agents of W K Webster - Singapore

Survey agent address : Ciputat Mas Plaza Blok E Kav. A-B,, Jl. Ir. H. Juanda No 5A,,Ciputat 15412, ,Tangerang Selatan,,JAKARTA
,Indonesia
E-mail: info@dnt.co.id
After Hours: +62 811 863191, +62 815 1054 5610, +62 856 4026 3636
Main Phone No: +62 21 743 2251 | 742 4451
Main Fax No: +62 21 743 2158 | 742 4452

Premium Calculation : Premium : IDR 3,605,170,679.00 * IDR 3,605,170.68

0.100000000000000%
Administrative Cost IDR 24,000.00
Total IDR 3,629,170.68

Issued at Jakarta, 09 May 2021

For and on behalf of
PT ASURANSI ADIRA DINAMIKA

Certificate - Page 1 of 1
Heri Rajain Girsang

From: Dhammika Laksiri

Sent: 12 July, 2021 9:43 AM
To: Heri Rajain Girsang; Awadhesh Thaker
Cc: Rossy Octaviany; Cherry Valentine; Noeryuniati
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover
Attachments: 314789915MC003926-SD01IV04-00557 TK ADA 05.pdf; 314789915MC004215 -
SD01IV04-00557 TK Titian Melawi 3-1 (274).pdf; 314789915MC004217 -
SD01IV05-00571 TK Titian Melawi 3-2.pdf; 314789915MC004441 - SD01IV05-00556
TK Agro Mitra 5.pdf

Approved

From: Heri Rajain Girsang

Sent: Monday, July 12, 2021 7:21 AM
To: Dhammika Laksiri <dhammika.laksiri@goodhope.co>
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Dhammika,

Kindly reminder for your approval

From: Heri Rajain Girsang

Sent: 28 June, 2021 6:50 PM
To: Dhammika Laksiri
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Dhammika,

Kindly please approve the attached invoice also

PT. KBRU

Invoice Number : 314789915MC004215

Amount : Rp. 308,435
Contract Number : SD01IV04-00557
Details : Premium for TK. Titian Melawi CPO shipment BL:21.58MT

Invoice Number : 314789915MC004217

Amount : Rp. 5,757,157
Contract Number : SD01IV05-00571
Details : Premium for TK. Titian Melawi CPO shipment BL:448.33MT

Invoice Number : 314789915MC004441

Amount : Rp. 2,014,380
1
Contract Number : SD01IV05-00556
Details : Premium for TK. Argo Mitra 5 CPO shipment BL:151.39MT

Invoice Number : 314789915MC003926

Amount : Rp. 3,639,171
Contract Number : SD01IV04-00557
Details : Premium for TK. Ada 5 CPO shipment BL:283.49MT

From: Awadhesh Thaker

Sent: 25 June, 2021 6:15 PM
To: Heri Rajain Girsang
Subject: RE: Invoice - Insurance Premium for Sintang Shipment cover

Approved .

From: Heri Rajain Girsang <heri.girsang@goodhope.co>

Sent: Friday, 25 June, 2021 12:38 PM
To: Awadhesh Thaker <awadhesh.thaker@goodhope.co>
Subject: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Awadhesh,

I already check and confirm the invoice. Kindly please approve the attached invoice also

PT. KBRU

Invoice Number : 314789915MC004215

Amount : Rp. 308,435
Contract Number : SD01IV04-00557
Details : Premium for TK. Titian Melawi CPO shipment BL:21.58MT

Invoice Number : 314789915MC004217

Amount : Rp. 5,757,157
Contract Number : SD01IV05-00571
Details : Premium for TK. Titian Melawi CPO shipment BL:448.33MT

Invoice Number : 314789915MC004441

Amount : Rp. 2,014,380
Contract Number : SD01IV05-00556
Details : Premium for TK. Argo Mitra 5 CPO shipment BL:151.39MT

Invoice Number : 314789915MC003926

Amount : Rp. 3,639,171
Contract Number : SD01IV04-00557
2
Details : Premium for TK. Ada 5 CPO shipment BL:283.49MT

From: Awadhesh Thaker

Sent: 22 June, 2021 11:59 PM
To: Heri Rajain Girsang
Subject: RE: Invoice - Insurance Premium for Sintang Shipment cover

Heri,

It is important that Insurance broker print barge name on the Premium invoice , once we have finalised the Bl figure
then please ask them to put the barge name on the Invoice .

Rgds

Awadhesh

From: Heri Rajain Girsang <heri.girsang@goodhope.co>

Sent: Tuesday, 22 June, 2021 7:11 PM
To: Awadhesh Thaker <awadhesh.thaker@goodhope.co>
Subject: FW: Invoice - Insurance Premium for Sintang Shipment cover

Dear Pak Awadhesh,

I already check and confirm the invoice. Kindly please approve the attached invoice also

PT. KBRU

Invoice Number : 314789915MC004215

Amount : Rp. 308,435
Contract Number : SD01IV04-00557
Details : Premium for TK. Titian Melawi CPO shipment BL:21.58MT

Invoice Number : 314789915MC004217

Amount : Rp. 5,757,157
Contract Number : SD01IV05-00571
Details : Premium for TK. Titian Melawi CPO shipment BL:448.33MT

Invoice Number : 314789915MC004441

Amount : Rp. 2,014,380
Contract Number : SD01IV05-00556
Details : Premium for TK. Argo Mitra 5 CPO shipment BL:151.39MT

Invoice Number : 314789915MC003926

Amount : Rp. 3,639,171
3
Contract Number : SD01IV04-00557
Details : Premium for TK. Ada 5 CPO shipment BL:283.49MT