126 122
7 KM. Soechi
Prestasi PT Tugu Pratama
Indonesia Marine Hall
Insurance SOKL
USD 1,000,000.- 7 November 2014
The Ship owners mutual Protection
and Indemnity Association
Insurance on Damages to
Property, Boat Crews, Passengers,
Third Parties, Pollution,
Shipwrecks SOKL
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
17 September 2015
8 KM. Alisa
XVII PT Tugu Pratama
Indonesia Marine Hall
Insurance SOKL
USD 6,000,000.- 22 March 2015
The Ship owners mutual Protection
and Indemnity Association
Insurance on Damages to
Property, Boat Crews, Passengers,
Third Parties, Pollution,
Shipwrecks SOKL
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
17 September 2015
9 KM.
Arenza XXVII
PT Tugu Pratama Indonesia
Marine Hall Insurance
SOKL USD 50.000.000,-
31 January 2015 The Standard
Insurance Insurance on
Damages to Property, Boat
Crews, Passengers, Third Parties,
Pollution, Shipwrecks
SOKL Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 20 February 2015
10 KM. Silvia
XII PT Tugu Pratama
Indonesia Marine Hall
Insurance SOKL
USD 800,000.- 24 May 2015
The Ship owners mutual Protection
and Indemnity Association
Insurance on Damages to
Property, Boat
Crews, Passengers, Third Parties,
Pollution, Shipwrecks
SOKL Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 17 September 2015
11 KM.
Sukses XI PT Asuransi Rama
Satria Wibawa LCH Singapore
Marine Hall Insurance
SOKL USD 3,200,000.00
17 September 2015 Increased Value
Insurance SOKL
USD 800,000.00 17 September 2015
War Risks Insurance SOKL
USD 4,000,000.00 17 September 2015
The Ship owners mutual Protection
and Indemnity Association
Insurance on Damages to
Property, Boat Crews, Passengers,
Third Parties, Pollution,
Shipwrecks SOKL
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
17 September 2015
12 KM.
Success Fortune
PT Asuransi Rama Satria Wibawa LCH
Singapore Marine Hall
Insurance SOKL
USD 27,200,000.00 17 September 2015
Increased Value Insurance
SOKL USD 12,800,000.00
17 September 2015 War Risks Insurance
SOKL USD 40,000,000.00
17 September 2015 The Standard
Insurance Insurance on
Damages to Property, Boat
Crews, Passengers, Third Parties,
Pollution, Shipwrecks
SOKL Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 20 February 2015
127 122
7 . Soechi
Tugu Pratama ne Hall
SOKL 0,000.-
014 on
8 . Alisa
Tugu Pratama ne Hall
SOKL 0,000.-
2015 on
. Tugu Pratama
ne Hall The Standard
on
10 Silvia
Tugu Pratama ne Hall
SOKL ,000.-
on
. Rama
ne Hall Value
urance SOKL
r 2015 on
. Rama
ne Hall Value
SOKL r 2015
urance SOKL
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123
Buildings The building has been covered by insurance with PT. Insan Asia Nusantara as the building management
of the insured object. Motor Vehicles
The motor vehicles have been sufficiently covered by insurance contracts.
4. AMO
No. Vessel
Name Insurer
Insurance Type Insured
Party Sum Insured
Expiry Date
1 KM
Success Victory
XXXIV PT Asuransi
Rama Satria Wibawa LCH
Singapore Marine Hull Insurance
AMO USD 4,000,000.00
17 September 2015 Increased Value
Insurance AMO
USD 1,000,000.00 17 September 2015
War Risks Insurance AMO
USD 5,000,000.00 17 September 2015
The Ship owners mutual
Protection and Indemnity
Association Insurance on Damages
to Property, Boat Crews, Passengers, Third
Parties, Pollution, Shipwrecks
AMO Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 17 September 2015
2 KM
Success Challeng
er XXXVII
PT Asuransi Rama Satria
Wibawa LCH Singapore
Marine Hull Insurance AMO
USD 6,800,000.00 17 September 2015
Increased Value Insurance
AMO USD 1,700,000.00
17 September 2015 Anticipated Owner’s
Interest Insurance AMO
USD 1,500,000.00 17 September 2015
War Risks Insurance AMO
USD 10,000,000.00
17 September 2015 The Standard
Club Asia Ltd Insurance on Damages
to Property, Boat Crews, Passengers, Third
Parties, Pollution, Shipwrecks
AMO Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 20 February 2015
3 Beaver
Tug Boat
PT Tugu Pratama
Insurance Marine Hull Insurance
AMO USD 330,000.00
13 November 2014 PT Tugu
Pratama Insurance
Insurance on Damages to Property, Boat Crews,
Passengers, Third Parties, Pollution,
Shipwrecks AMO
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
22 August 2015
Motor Vehicles
The motor vehicles have been sufficiently covered by insurance policies.
5. MOS
No. Insured Object
Insurer Insured
Party Sum Insured
Expiry Date
1 Steel Tanker ―Hull
Number 7008‖ PT Asuransi Rama
Satria Wibawa LCH Singapore
MOS USD 23,000,000.00
1 December 2015 2
Pilling quipment All Risks
First Capital Insurance Limited
MOS MYR 2,960,000.00
2 October 2015 3
Ship Repairers legal liability insurance
PT Asuransi Rama Satria Wibawa
MOS USD 2,000,000.00
3 December 2014
4 Comprehensive
General Liability Insurance on
Building located on Tg Melolo Pengke
Vilage PT Tugu Pratama
Indonesia MOS
Rp 5,000,000,000.00 15 January 2015
128 124
6. PUL
No. Vessel
Name Insurer
Type of Insurance
Insured Party
Sum Insured Expiry Date
1 KM.
Success Total
XXXI Cover Note L.C.H s
Pte Ltd with Ref No. HMH140374001009,
Ref No. HIV140374001009,
Ref No. HWR140374001009
dated 17 September 2014
Marine Hull Insurance
PUL USD 5,440,000.00
17 September 2015
Increased Value Insurance
PUL USD 2,560,000.00
17 September 2015 War Risks
Insurance PUL
USD 8,000,000.00 17 September 2015
The Standard Club Asia Ltd
Insurance on Damages to
Property, Boat Crews,
Passengers, Third Parties, Pollution,
Shipwrecks PUL
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
20 February 2015
2 KM.
Success Pioneer
XXXV Cover Note L.C.H S
Pte Ltd with Ref No. HMH140374001012,
Ref No. HIV140374001012,Re
f No. HWR140374001012
dated 17 September 2014
Marine Hull Insurance
PUL USD 6,800,000.00
17 September 2015
Increased Value Insurance
PUL USD 3,200,000.00
17 September 2015 War Risks
Insurance PUL
USD 10,000,000.00
17 September 2015 The Standard Club
Asia Ltd Insurance on
Damages to Property, Boat
Crews, Passengers, Third
Parties, Pollution, Shipwrecks
PUL Unlimited, with a
limit of USD 500,000,000,00 for
certain claims. 20 February 2015
3 KM
Success Energy
XXXII PT Tugu Pratama
Indonesia Marine Hull
Insurance PUL
USD 3,800,000.00 19 November 2014
The Ship owners mutual Protection and
Indemnity Association Insurance on
Damages to Property, Boat
Crews, Passengers, Third
Parties, Pollution, Shipwrecks
PUL Unlimited, with a
limit of USD 500,000,000.00 for
certain claims. 17 September 2015
4 MT Almira
XXII PT Tugu Pratama
Indonesia Marine Hull
Insurance PUL
USD 1,200,000.00 13 July 2015
The Ship owners mutual Protection and
Indemnity Association Insurance on
Damages to Property, Boat
Crews, Passengers, Third
Parties, Pollution, Shipwrecks
PUL Unlimited, with a
limit of USD 500,000,000,00 for
certain claims. 17 September 2015
5 KM. TK
MOS I PT Artha Graha
General Insurance Marine Hull
Insurance PUL
USD 180,000.00 27 August 2015
PT Tugu Pratama Indonesia
Insurance on Damages to
Property, Boat Crews,
Passengers, Third Parties, Pollution,
Shipwrecks PUL
Unlimited, with a limit of USD
500,000,000.00 for certain claims.
22 August 2015