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    This marine cargo insurance policy provides coverage for the transport of medical equipment from Dinkes Sartrarinda to Jakarta. The policy covers an insured value of IDR 1,344,195,000 for an ultrasonic crusher and voltage regulator being transported by truck. The policy is subject to the terms and conditions of Bumida Marine Cargo Insurance Policy number 10040301230100717 and is valid from September 13, 2023. Any claims will be handled by Bumida Insurance and payable in Indonesian Rupiah.

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    This marine cargo insurance policy provides coverage for the transport of medical equipment from Dinkes Sartrarinda to Jakarta. The policy covers an insured value of IDR 1,344,195,000 for an ultrasonic crusher and voltage regulator being transported by truck. The policy is subject to the terms and conditions of Bumida Marine Cargo Insurance Policy number 10040301230100717 and is valid from September 13, 2023. Any claims will be handled by Bumida Insurance and payable in Indonesian Rupiah.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    11 views1 page

    Img 20231123 0001

    Uploaded by

    defa firhan
    This marine cargo insurance policy provides coverage for the transport of medical equipment from Dinkes Sartrarinda to Jakarta. The policy covers an insured value of IDR 1,344,195,000 for an ultrasonic crusher and voltage regulator being transported by truck. The policy is subject to the terms and conditions of Bumida Marine Cargo Insurance Policy number 10040301230100717 and is valid from September 13, 2023. Any claims will be handled by Bumida Insurance and payable in Indonesian Rupiah.

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    © All Rights Reserved
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    CLIENTCOPY

    ffi BUMIDA
    MARINE CAI{GO INSL]RANCE POI,ICY

    CERTIFICATE NO. ID 111860 opEN pol-rcy No. 100403012301 007 t7

    (THIS POLICY IS iSSUED IN DIJPI.,ICATE, ONI! OI WH1CH BEING AL-COMPLISHED, 'f HE O1'I ILR I'O BE NUI-L AND VOID)
    ASSIIRED NA\IE : PT. SARA.N,{ \'I[:L\'-A. LOGISTIC QQ Pl t.rBC NIEDICAL INDONIiSIA
    Blok3l,. Jl. ttrv. Gclam VNo.1l-t3,RW.9. Jatinegara- Kec. Cakung" KotaJakartaTimur, Daeralr Khusus Ibukota.lakana 13930

    C0NSIGNItIT/BtIYER :

    in the rranner hereinalier in the scheduie.


    CONVEYANLIF: B\ TRIICK- 00{)7290

    INSURED VALIJE : IDR 1.344.195.00

    INSL]RI]D INTEREST MARKS .t NOS

    Ultrasonic Crusher Sansure

    APC Voltage Regulator LSW8oO

    REMARKS
    BILL OF LADING/AIRWAY BILL : To Be Advice
    COMMERCIAI, ]NVOlCE
    I-ETTER OF CREDIT :

    VOYAGII,'DEPARTUItU : Dinkes Sartrarinda. .ll. Pelita No.31. Sungai Pinan-e Dalanr.

    SAIL1NG ON i ABT : li SEI?T 2023

    ]'EIL\IS AND CO\DII'IONS OI'HER TERVIS & CONDII'IONS .\S PER IIARINE OPTN POLICY THE ATTACHED CLAT]SES .{ND E]\T)ORSEMEN'I FORM PART OF T} IS POLICY

    NOTE : INSTITUTE CLAUSES RETERRED TO]]EREIN ARE IHOSE CURRENT


    AT DATI] OF ISSUE OF ]]HIS POLICY

    (SLB]ECT TO TI{E TER\,IS AND CONDITIONS OI' OPI-N POL1CY IF APPLiCANLE) CONDITIONS TH1S SPECI,{I" MAR]]\II POLIC]Y 13 SUBJECT TO I'HE I'ERMS AND

    DEDIJCTIBLE t% OF CI,{ml. MINI\{T]!I IDR 5.OOO.OOO OF THE ABOIT ANNI,IAL/OPENPOLICY

    APPLIC,\'| ION FOR PT Asuransi Umum Bumide CLATMS - SEE IN,IPORIANT. NSlRUCTIONS I}i CASE OF I-OSS & CLAUSES

    Cl-AI\,lS I'O BE \{ADE Jalan Paus No. 86 B Ra*.arrailgiln. J.karta :finrur 13220 BELOW AT

    Telp. 021-470I9,t7. {7862I86. 47866,155

    APPt,lCAl ION I.Oll PT Asuransi tlurilm Bumida CLAXVIS (Ir ANY) PAYABLE IN IHE CURRENCY OF I Ht DRAfT DESTIIIATiON
    SURVEY TO BE I{{DE Jalan Paus No. 86 B Rawamrrgun. Jahiraa 'fimu. 13220 ATI

    Telp. 021-47019'17.,17862186,,17866,15

    liabilir) lor lhc loss or dalrlage.

    DATE OF ISSUE : 13/09i23


    PLACE OF ISSL]E : JAKART,{
    Signedtbr and on behaliof this
    ( orrpan\ br it' Arrthorised Represcrrtalire

    Authorized Representative PT Asuransi L]mum Bunrida


    (P'1 Asuransi Umum Bumrda is registeted and supervised by Otoritas Jasa Keuangan)
    Jalan Paus No. 86 B Rawamangun. Jakarta i imur 11220

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