机器损坏险保险合同

标签：合作合同范本,房屋租赁合同范本,http://www.yf1234.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 |
    Other Expenses ------------- ----------|
    -------------------------------------------|
    6.总保险金额Total Sum Insured: |
    -------------------------------------------|
    7.保险费率Premium Rate: |
    -------------------------------------------|
    8.保险费Premium: |
    --------------------------------------------
    *每次事故指不论一次事故或一个事件引起的一系列事故
    The words "ANY ONE ACCIDENT" chall mean any one accident or series of accident arising out of one event.
    被保险机器的详细说明
    Specification of Machinery to be Insured

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机器损坏险保险合同