Escolar Documentos
Profissional Documentos
Cultura Documentos
CERTIFICATE OF INSURANCE
No. 001603
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
: - Institute Cargo Clauses "A" : 1 % of TSI each Container, minimum : IDR 2,500,000.00
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
From / To
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
500,000,000.00
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
500,000,000.00 x 0.10000%
: IDR
500,000.00
: IDR
: IDR
15,000.00
9,000.00
IDR
524,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
CTN0I0307E / JESSICA-UW
DRAFT
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001604
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
: - Institute Cargo Clauses "A" : 1 % of TSI each Container, minimum : IDR 2,500,000.00
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
700,000,000.00
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
700,000,000.00 x 0.10000%
: IDR
700,000.00
: IDR
: IDR
15,000.00
9,000.00
IDR
724,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
CTN0I0307E / JESSICA-UW
DRAFT
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001605
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
: - Institute Cargo Clauses "A" : 1 % of TSI each Container, minimum : IDR 2,500,000.00
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
1,242,000,000.00
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
1,242,000,000.00 x 0.10000%
: IDR
1,242,000.00
: IDR
: IDR
15,000.00
12,000.00
IDR
1,269,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
CTN0I0307E / JESSICA-UW
DRAFT
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001606
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
: - Institute Cargo Clauses "A" : 1 % of TSI each Container, minimum : IDR 2,500,000.00
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
From / To
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
200,000,000.00
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
200,000,000.00 x 0.10000%
: IDR
200,000.00
: IDR
: IDR
15,000.00
6,000.00
IDR
221,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
CTN0I0307E / JESSICA-UW
DRAFT
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001607
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
From / To
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
400,000,000.00
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
400,000,000.00 x 0.10000%
: IDR
400,000.00
: IDR
: IDR
15,000.00
9,000.00
IDR
424,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001608
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
: 1 Container Mesin
No. Container : TAKU2469538 No. Seal : F063861 / 029825 / 0001807
From / To
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
500,000,000.00
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
500,000,000.00 x 0.10000%
: IDR
500,000.00
: IDR
: IDR
15,000.00
9,000.00
IDR
524,000.00
6/10/16-8/9/16
Biaya Polis
Biaya Materai
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW
DRAFT
CERTIFICATE OF INSURANCE
No. 001609
THIS IS TO CERTIFY that Insurance has been effected as per open policy No . 10030311140700015
For account of
Address
Reference No.
: OPC.0351/2011-00001
Sum Insured
: IDR
Interest
: Cargo
Deductible
: - Institute Cargo Clauses "A" : 1 % of TSI each Container, minimum : IDR 2,500,000.00
Voyage Number
: 153
Vessel Registration 1
: TANTO BERSATU
Vessel Registration 2
: KM
Type Of Interest
: 31 Container : MDF(A)(Carb)+PB(A)(B)
No. Container / No. Seal :
TAKU2361420 / F063148; TAKU2428591 / F063392; CLHU3130669 / F063393;
TAKU2459191 / F063338; TAKU2422720 / F063337; TAKU2388689 / F063340;
TAKU2401498 / F063150; TAKU2334050 / F063367; TAKU2361414 / F063368;
TAKU2420862 / F063385; TAKU2340216 / F063386; TAKU2406925 / F063388;
TAKU2410632 / F063387; TAKU2353492 / F063381; TAKU2429432 / F063382;
TAKU2387580 / F063141; TAKU2435625 / F063142; TAKU2419455 / F063466;
TAKU2378295 / F063138; DRYU2322499 / F063469; TAKU2434845 / F063139;
TAKU2433432 / F063390; TAKU2401862 / F063391; TAKU2356043 / F063149;
TAKU2341228 / F063468; TAKU2307650 / F063339; TAKU2400357 / F063130;
TAKU2387039 / F063467; TAKU2307624 / F063131; TAKU2346370 / F063147;
TAKU2370524 / F064243
From / To
Transhipment
: Conveyance/Vessel
ETD
: As per 10030311140700015
Rate
Premium
1,635,585,200.00
From
To
ETD/TransDate
0.10000 %
Premium Calculation
Main
- Institute Cargo Clause "A"
: IDR
1,635,585,200.00 x 0.10000%
: IDR
1,635,585.20
: IDR
: IDR
15,000.00
12,000.00
IDR
1,662,585.20
6/10/16-8/9/16
Biaya Polis
Biaya Materai
CTN0I0307E / JESSICA-UW
DRAFT
It is understood and agreed that this certificate represents and replaces the Original Stamped Policy and conveys all
the rights of the Original Policy - Holder (for the purpose of collecting any loss or claim) as fully as if the Interest
Insured was covered by a Special Policy direct to the holder of this certificate and free of any liability for unpaid
Premiums.
Issued at Medan, June 10, 2016
For and on behalf of
PT. ASURANSI HIMALAYA PELINDUNG
CTN0I0307E / JESSICA-UW