PLACEMENT SLIP Reff No. 17.02.

00245/PS/MH/BTK

Type of Insurance : Marine Hull;

Form : MAR 91

General Information of The Insured

The Insured : PT Berlian Transindo Kencana

Trading Area : Indonesia, Malaysia and Singapore Water Only

Period of Insurance : TBA

Terms & Conditions of Cover on To cover loss of or damage to subject matter insured and/or Insured\\'s Liability(s) as
described in the terms and conditions mentioned bellow

Interest Insured : Hull and Machinery including but not limited to Crane, Materials, Machinery, Outfit, Equipment of
every description and spares and everything connected therewith:

Name of Vessel : MV. PINANG JAYA

Type of vessel : General Cargo
GRT: 1052
Year Build: 1981
Class: BKI
Construction: Steel

Value at : IDR 4.000.000.000,00

Coverages : Institute Time Clauses - Hulls 1/10/83 (CL.284) amended as follow:

- Clause 1.1.2 deleted.
- Collision liability under clause 8 become 4/4ths and amended to include fixed and floating object
liability.

Conditions : - All claims for loss, damage or expense resulting from any one occurrence or series of occurrence
out of any event; Shall be deemed as damage caused by a single accident and adjusted as one clai
- The cost of temporary repairs, cost of overtime, cost of a hire generator, cost of fuel consumption,
cost of air freighting parts and enhanced cost of riding repair team incurred in connection with
repairs caused by an insured perils; Shall be deemed to be part of the reasonable cost of repairs
- Unrepaired damage; The measure of indemnity in respect of claim for unrepaired damage shall be
the estimated cost of repair at the time this insurance terminates

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 - Availability of vessel valid class certificate; At the time of departure from the last port (CMC at
the insurance cost)
- Availability of vessel valid safety certificate (Construction only); At the time of departure from
the last port
- Handling claim for class vessel, we provide Classed Maintained Certificate (CMC) only;
- Basis of Valuation; All items under this insurance are based on agreed value and shall not to be
subjected for under insurance and condition of average.
- Including permission to tow and to be towed as required by the insured's business purposes in
addition to permission to tow and to be towed in distress ;
- Ownership changes, if any, without advise is allowed, provided management unaltered ;
- For the purpose of Salvage and/or Sue and Labour, The Insured Value under this insurance is
deemed to be fully insured for their actual sound values at all times;
- When vessel is missing for 6 (six) consecutive months from the date of sailing from her last port
shall be presumed to be an Actual Total Loss;

Deductibles : - Hull & Machinery; 0.5% of value of vessel for any one accident or occurrence
- General average, actual total loss and/or constructive total loss; Nil

Clauses : 1. Bankers / Leasing clause; if any

2. Cancellation clause (prorata); 30 days
3. Cancelling return only (No lay up return);
4. Currency clause;
5. Differed premium clause; 4 Installment per vessel in 120 days as follow :
- 1st Installment = 25% of total premium, due 30 days after inception
- 2nd Installment = 25% of total premium, due 60 days after inception
- 3rd Installment = 25% of total premium, due 90 days after inception
- 4th Installment = 25% of total premium, due 120 days after inception
6. General average absorption clause; Up to USD 150,000 to paid in full without recourse to other
contributory interest
7. Insitute Additional Perils Clauses - Hull 1/10/83 Cl. 301;
8. Institute War & Strike Clause (Hulls - Time) 1/10/83;
9. Jurisdiction Clause; Republic of Indonesia
10. Nominated Loss Adjuster Clause ; PT. Radita Hutama Internusa and/or PT. Global Internusa
Adjusting and/or MCO
11. Nominated Surveyor Clause - Marine; PT. Abadi Cemerlang and/or PT. Riswan Brahmana
Marine Surveyor
12. Parts removed clause;
13. Payment On Account Clause; 50% of proposed claim amount
14. Prorata refund premium clause (Daily);
15. Waiver of subrogation;

Rate and Brokerage : 0.70% per annum

Brokerage Fee : 17.5% (Excl. VAT)

Notes : - Claim Record; - Please put subjectivities for this account

Jakarta, 06 February 2017

Signed for and on behalf of,
PT. Fresnel Perdana Mandiri Confirmed by,

Date :

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Created by Tofik on 2017-02-06 16:02:40 doc. number: 00245/PS.
 Share :
Name :

Boby Suprijadi. AAAIK

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Created by Tofik on 2017-02-06 16:02:40 doc. number: 00245/PS.