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TYPE
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MACHINERY BREAKDOWN INSURANCE
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FORM
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Munich – Re Wording + Clauses |
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INSURED
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Type 1
PT. ________________ and/or Affiliated Co. and/or Associated Co.
and/or f.t.r.r.i
Atau
PT. ________________ QQ PT. / Mr. _________and/or Affiliated Co.
and/or Associated Co. and/or f.t.r.r.i
Type 2 – Manufacturing Industry
q _________________ and/or All
subsidiary and/or Affiliated Co. and/or Associated Co. and/or Corporations as
now exist or may hereafter be constituted or acquired including their
interests as may appear in Partnership or Joint Ventures for their respective
rights and interest and in addition, Financial institutions which hold or may
hold vested interest in the Property Insured for their respective rights and
interests.
Type 3 – Office Building
q ________________ as the first Owner of the
Insured and/or as the Consultant of the Building Manager and/or its
subsidiaries companies and/or any purchaser of any individual unit (s) of the
insured property or its Lawful Equivalent for their respective rights and
interest.
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ADDRESS
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To be advised
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PERIOD
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12 (twelve) months from the date to
be advised
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LOCATION OF RISK
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To be
advised
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OCCUPATION
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To be advised |
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INTEREST AND LIMIT OF
INDEMNITY
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On machinery plant including its supporting and protective structures
and all other mechanical tools electrical and electronic and computerized
equipment including air-conditioning system, lift, moveable-equipment,
non-licensed vehicle, piping, design, moulds, pattern, supporting and
protective structure but not limited to lighting system, fire-fighting
equipment, compressor, washing and cleaning machine, generator,
chiller-boiler, storage-tanks, conveyer-belt, moveable-equipment,
non-licensed vehicle and all other accessories attached thereto stand-by
machinery and spare-parts which all contained within the premises owned by
the Insured and/or rented and/or held in trust or on commission and for which
the Insured is responsible whilst in and/or about the Insured premises.
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LIMIT OF INDEMNITY ANY ONE ACCIDENT
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USD. 0,000,000.00
(On First Loss Basis) |
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TOTAL SUM INSURED
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USD. 0,000,000.00
(On First Loss Basis) |
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RISKS COVERED
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Any sudden and unforeseen loss or damage (except
as hereinafter excluded) and includes loss or damage resulting from :
q Careless incompetent or negligent acts of
employees or third parties
q Structural defects, materials defects or defect
of design or assembly
q Fortuitous working accidents such as vibration,
maladjustment loosening of parts abnormal stresses metal fatigue, centrifugal
force excessive speed defective or accidental lack of lubrication seizure
water hammer or local overheating failure of or faults in protection devices
q Falling, impact, collision or similar
occurrences, obstruction or the entry of foreign bodies
q Storm, frost or drifting ice
q The effects of electric current following
excessive or insufficient voltage, failure of insulation, short circuits,
open circuit or arcing or the effects of static electricity
q Explosion and implosion of Boilers and
Chillers
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EXCLUDED RISKS
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q Loss or damaged caused by fire, the extinguishing
of a fire, direct lightning, explosion, aircraft and other aerial devices or
articles dropped there from, collapse of building’s subsidence, flood,
inundation, earthquake, volcanic eruption or other convulsion of nature,
typhoon, hurricane, tornado, cyclone or other similar atmospheric
disturbances, theft or any attempt thereat.
(Explosion shall not mean
the bursting or disruption of turbines compressors engine cylinders hydraulic
cylinders flywheel or other parts subjects to centrifugal force transformers
switches or oil immersed switch gear)
q Testing or intentional overloading of any
machines or any experiment involving imposition of abnormal conditions
q Fault or defect known to the Insured
q Wear and Tear
q Wilful negligence of Insured
q Loss or damage for which suppliers manufacturer
or installer is responsible
q War, invasion, act of foreign enemy, hostilities
or warlike operations
q Insurrection, rebellion, revolution
q Ionising radiation or contamination
q Nuclear weapons
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DEDUCTIBLE
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USD. 0,000.00 for any one accident or
series of accidents arising out of the same event.
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EXTENSION CLAUSES
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1. Breach of Warranty
2. Cost of Re-erection Clause
3. Cost of Re-writing Records and Claim Preparation (with applicable sub
limit in excess of Deductible is maximum USD. 10,000.00) sesuaikan lagi nilai sublimitnya dengan TSI
4. Electronic Date Recognition Clause (EDRC “B”)
5. Errors and Omissions Clause
6. Expediting Expenses Clause (with applicable sub limit in excess of
deductible is Maximum USD. 50,000.00 sesuaikan
lagi nilai limit nya dengan TSI
7. First Loss Under Insurance Clause (jika
jumlah TSI First Loss Basis, klausula ini digunakan, tapi jika TSI Full Value,
Klausula ini di delete)
8. Indonesia Jurisdiction Clause
9. Loss Notification Clause (30 days)
10. Lubricating Oil and Refrigerant Clause
11. New Location Clause
12. Nominated Loss Adjuster Clause
14. Non Invalidation Clause
15. Notification Clause
16. Payment on Account Clause
17. Reinstatement Value Clause
18. Spoilage Cover Extension clause
“It is hereby noted and agreed that in the event
of a recoverable loss under this policy, the liability shall extend to
include any loss or damage to the stock in process subject to the terms and
conditions of the policy”
19. Thirty (30) Days Cancellation Notice Clause except for RSMDCC ; 3 days
(sama dengan Prorata Refund Premium Clause)
“Both the Insurer and the Insured are entitled to
terminate this insurance upon thirty (30) days notice in writing being given.
Such termination should be effected by the registered letter and the Insured
entitle to a pro-rata refund premium for the un-expired period of Insurance”.
19. Temporary Removal Clause
20. Workmen’s Clause
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COMBINED ANNUAL RATE
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PREMIUM COMPUTATION
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NETT BROKERAGE AFTER TAX
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SECURITY
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Jakarta, _____________, 2008
Sign in and on behalf of
Approved By,
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