项目 型号 数量 主要技术参数 制造商 制造年份 保险金额 维护及保用期情况
Item Model Qty. Major Tech. Manufacturer Year of Manu. Sum Insured Maintenance & Un-expired
Parameter Guarantee Period
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| |
| ________________________________________________ |
| |
| ________________________________________________ |
| |
| ________________________________________________ |
| |
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被保险机器的详细说明
Specification of Machinery to be Insured
项目 型号 数量 主要技术参数 制造商 制造年份 保险金额 维护及保用期情况
Item Model Qty. Major Tech. Manufacturer Year of Manu. Sum Insured Maintenance & Un-expired
Parameter Guarantee Period
----------------------------------------------------
| |
| ________________________________________________ |
| |
| ________________________________________________ |
| |
| ________________________________________________ |
| |
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说明:(1)主要技术参数指机器的输出功率、速度、容量、负荷等,如属电器设备,应说明电压、电流量、转速,如属蒸气设
备,应说明燃料、压力和温度。
(2)维护情况指自行维护(A)、由指定厂家维护(B)、由生产厂家维护(C)。
Note:(1)Major Technical Parameter:Output, Speed, Capacity, Loading etc. and for Electrical Equipment, Voltage, Amperage,
Cycles. and for Steam Equipment, Fuel, Pressure and Temperature.
(2)Maintenance: By Insured(A), By Contractor(B), By Manufacturer(c).
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9. 以前这些机器发生是否发生过损坏?(以往5年) ---是 ---否 |
Previous Losses Experience(Last 5 Years) | |Yes | |No |
--- --- |
项目Item _____________________________________ |
损坏时间Breakdown Timed _____________________________________ |
损失金额Loss Amount _____________________________________ |
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10. 有无制定操作规程? ---是 ---否 |
Any Operating System? If Yes, Please State. | |Yes | |No |
--- --- |
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