机器损坏险保险合同.doc

合同范本/保险合同 机器损坏险保险合同 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 24:00of5.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 expenses6.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 项目item型号model数量qty.主要技术参数major tech. parameter制造商manufacturer*