COVER NOTE

MARINE CARGO INSURANCE

TCH.LO-001.04.20

Now this Cover Note witnessed that subject to the Insured having agreed to pay to the Insurers the premium mentioned
in the Schedule(s) and subject to the terms, exclusions, provisions and conditions contained herein, the Insurers will
indemnify the Insured in the manner and to the extent hereinafter provided. This Cover Note will valid until the Original
Policy has been issued by the Insurer or maximum 3 (three) days since the signing covernote, whichever comes first.

: MARINE CARGO INSURANCE

TYPE OF COVER
: DINAS PERHUBUNGAN KENDARI QQ PT. MARINDO JAYA
THE INSURED SEJAHTERA and/or Affiliated Co. and/or Associated Co.
and/or for their respective rights and interest

: Jalan Tambolosu Anaoleo Baruga Kota Kendari, Sulawesi

ADDRESS Tenggara

: 31 March 2020
ETD
: PT. MARINDO JAYA SEJAHTERA
CONSIGNEE
: - Institute Cargo ICC “C” (01/01/82)
CONDITION - Institute Radioactive Contamination Chemical,
Biological Biochemical and Electromagnetic Weapon
Exclusion Clause 10.11.03 (CL 370)
- Including Hijacking
- Electronic Date Recognition Clause (EDRC) “A”
- Transshipment (if any) automatically cover
- Institute Strike Clause
- Important Clause
- Waiver of Subrogation Clause
- Warranty Satisfied, Propper, and Secure Lashing and
Stowage
- Sailing Permit from Port Authority
- Excluding Mechanical, Electrical, and Electronic
Derangement
- Port to Port Only
- Syariah Clause
- Dispute Clause-Syariah
- Exclude Loss due to overloading
- Seaworthiness warranty
- Warranty Single Tow Only
- Takaful Contribution Warranty (14 Days from sailing
date)
- Subject to no loss until 02 April 2020 Hour 11.35 WIB

: TB. Marina 14 (GT 211, YoB 2007) / BG Marine Power 3009

VESSEL REGISTRATION (GT 3065, YoB 2007)
 : From : Pulau Lipan
VOYAGE Transit : Morowali
To : Kendari

: 1 unit Excavator PC200-8MO Serial No C121191

INTEREST INSURED (IDR. 700,000,000.00)

1 unit Excavator Amphibi Merk Komatsu Long Arm

Model 6PB41A serial Number M200143033
(IDR. 2,500,000,000.00)

: IDR. 3,200,000,000.00
TOTAL SUM INSURED
B/L NO. : TBA

INVOICE NO. : TBA

DEDUCTIBLE : 10% of Claim, Min IDR 1,000,000.00 any one accident

CONTRIBUTION RATE : 0,10%

CONTRIBUTION : IDR. 3,200,000,000.00 x 0,10% = IDR. 3,200,000.00

CALCULATED Policy Cost n stamp = IDR. 50,000.00 +
Total Contribution = IDR. 3,250,000.00

-
SECURITY : PT Asuransi Takaful Umum 100%

Jakarta, April 02, 2020

Signed for and on behalf of
PT. ASURANSI TAKAFUL UMUM

Authorized Signature