Saturday, July 21, 2012

Money Insurance, Cash in safe and Cash in Transit


TYPE                           :   MONEY INSURANCE
                                      (MONEY IN THE PREMISES AND MONEY IN TRANSIT)
                                     
INSURED                     :   PT. _____________ including any and all past, present or hereafter formed or acquired subsidiary, Affiliated or Allied companies, corporations, trusts, foundations, entities, trustees, or organizations which are owned, financially controlled, actively managed or in which the named Insured has had, or has an interest now or hereafter constituted of for which the named Insured has assumed the responsibility of purchasing Insurance. 

ADDRESS                    :   to be advised

PERIOD                       :   12 (Twelve) months from the date to be advised
                                      At 12.00 noon local time (both days inclusive

LOCATION OF RISK      :   to be advised

THE BUSINESS             :  to be advised

OCCUPATION              :   to be advised


INTEREST AND SUM INSURED :

SECTION – I MONEY IN THE PREMISES :
COVERAGE
:
Loss of money money orders by any cause whatsoever in the personal custody of the insured and/or their authorized employees and/or in the locked safes and/or petty cash and/or whilst in and/or about the insured premises.

Limit of Indemnity
:
Rp. ………………. And/or equivalent with other currencies per any one accident

Annual Rate
:
…… %

Annual Premium
:
Rp. ………………….  X …….. % = Rp.


----/2


Page : 2
CN No. ….(New/Renewal)

SECTION – II MONEY IN TRANSIT :
COVERAGE
:
Loss of money money orders by any cause whatsoever in the circumstances described in the schedule.

Limit of Indemnity
for anyone carrying
:
Rp. ………………. And/or equivalent with other currencies per any one accident

Estimated
Annual Carrying
:
Rp.                         And/or equivalent with other currencies per any one accident

Annual Rate
:
…… %

Annual Premium
:
Rp. ………………….  X …….. % = Rp.

Schedule

:
(The schedule shall include any stop over until the final destination)
q  From the Banks to the Insured’s premises and Vice-versa
q  From the Insured’s premises to their Clients’ and/or Suppliers’ and Vice-versa
q  From the Insured’s premises to their other premises and Vice-versa
q  In all areas within the plant and including distribution with the Plant
q  Travel Allowances from Insured’s office to anywhere in Indonesia.

Teritorial Limit
:
Republic of Indonesia


TOTAL ANNUAL PREMIUM :
Section I – Money in the Premises         Rp. ….
Section II – Money in Transit                Rp. ….
                                                                   Rp.
EXTENSION CLAUSES :
1.    Automatic Reinstatement of Loss Clause
2.    Breach of Warranty Clause
3.    Damage to Safe/Drawers/cabinets/Cash Registers/Cash Boxes Endorsement
It is hereby declared and agreed that this policy shall extend to cover damage to Safe/Drawers/Cabinets/Cash Registers/Cash Boxes containing the articles insured in furtherance of Burglary, housebreaking or any attempt thereat, provided that the maximum liability of the company is not exceeding that the limit of liability any one loss/event”
4.    Dishonesty of Employees (if Discovered within 72 hours)
“Notwithstanding of anything in the policy to the contrary, this Policy is extended to cover dishonesty by the Insured’s Employee subject to being discovered within 72 hours.”
5.    Indonesia Jurisdiction Clause
6.    Locks, Keys and rolling door clause
7.    Loss Notification Clause (30 Days)
8.    Notification Clause (30 Days)
9.    New Location Clause (berlaku untuk penutupan outlet atau showroom lebih dari satu)
10. Nominated Loss Adjuster Clause :
It is hereby noted and agreed that in the event of a loss the following adjusters should be appointed and the Preliminary and/or Final Report should be forwarded to the Agent and Broker concern.
Nominated Loss Adjuster :
q  PT. CUNNINGHAM LINDSEY INDONESIA
q  PT. JAPENANSI NUSANTARA (GAB Robbins)”
11. Payment on Account Clause
12. SRCC Clause
13. Thirty (30) Days Cancellation Notice 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”.
14. Extended to Cover Personal Accident for 2 (two) persons of the Insured’s employee(s) in charge of the money which covers Death, Permanent Disablement (Continental Scale) with Limit Rp. 50.000.000,00 and Medical Reimbursement with limit 10% of Death benefit (anyone employee and anyone accident).
15. Extended to include Fidelity Guarantee/embezzlement of the officer in charge whenever discover within 15 days from the date of occurrence with limit IDR. 25.000.000,00 anyone accident (deductible : 10% of Recoverable Claim Amount for anyone loss or series of losses arising out of the same event) atau Fidelity Guarantee Extension Clause
16. Anyone carrying by motor cycle limit IDR. 25.000.000,00



SECURITY     :


Jakarta, _____________, 2002
Sign in and on behalf of

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