标签:人身保险合同,保险合同样本,http://www.lexue88.com
机器损坏险保险合同,
1.机器损坏险投保单
machinery breakdown insurance application
保单号
policy no.
本投保单由投保人尽可能如实地、详细地填写并签章后作为向本公司投保机器损坏险的
依据。本投保单为该机器损坏险保险单的组成部分。
the applicant is required to fill in the following items with utmost faith and as detailed as pos-
sible. and affix signature to this application, which shall be the basis of application to the company
for machinery breakdown insurance and constitute an integral part of the machinery breakdown in-
surance policy.
--------------------------------------------
1.被保险人名称和地址name and address of the insured: |
-------------------------------------------|
2.营业性质nature of business: |
-------------------------------------------|
3.被保险机器所在地location of machinery to be insured: |
-------------------------------------------|
4.保险期限: 个月, 年 月 日零时起至 年 月 日二十四时止 |
period of insurance: months, from 0:00 of to 24:00of |
-------------------------------------------|
5.被保险项目及保险金额insured items and sum insured |
项目 保险金额 每次事故*免赔额 |
insured items sum insured deductible for any one accident* |
5.1 保险财产(详见背面) |
property insured(look overleaf) ------------- ----------|
5.2 附加费用additional expenses |
清除残骸费用 |
debris removal expenses ------------- ----------|
灭火费用 |
fire extinguishment expinses ------------- ----------|
专业费用 |
professional expenses ------------- ----------|
其他费用 |
[1] [2] [3] [4] [5] [6] [7] 下一页
,机器损坏险保险合同