编号:QJ-HT-0423
安装工程一切险保险合同书
(官方版)
In order to clarify their rights and obligations, sign contracts to ensure that their legitimate rights and interests are not harmed.
甲方:_____________________
乙方:_____________________
日期:_____________________
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安装工程一切险保险合同书(官方版)说明:该合同书适用于甲乙双方为明确各自的权利和义务,经友好协商签署合同,在合同期限内按照合同规定或者依照法律规定履行义务,保证权利双方合法权益不受损害,文档可下载收藏或打印使用(使用时请先阅读条款是否适用)。
1.安装工程一切险投保单
erection all risks 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安装工程险的
依据。本投保单为该工程保险单的组成部分。
the applicant is required to fill in following items with utmost faith and as detailed as possi-
ble, and affix signature to this application, which shall be the basis of application to the company for
erection all risks insurance and constitute an integral part of the
insurance policy covering the pro-
ject.
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1.工程关系方的名称和地址|
name and address of parties to project |
工程所有人|
principal ----------- |
承包人|
contractor ----------- |
工程分包人|
sub-contractor ----------- |
其他关系方|
other party(ies)concerned ----------- |
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2.被保险人名称和地址: |
name and address of the insured: |
--------------------------------------------------|
3.被保险工程名称|
title of contract/project: |
--------------------------------------------------|
4.被保险工程地点location of erection: |
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5.被保险项目、保险金额/赔偿限额及每次事故*免赔额|
insured items、sums insured/limits of indemnity and deductible for any one accident*: |
5.1 物质损失material damage |
项目投保金额每次事故免赔额|
insured items sums insured deductible for any one accident* | ------------- ------------ ------------------------------- |
安装工程|
erection works |
(1)安装工程设备价|
(包括设备价、运费、保费、关税等) |
value of equipment to be erected (including |
value of equipment, freight, insurance |
premium and customs duty, etc.) ----------- |
(2)安装费|
cost of erection ----------- |
土建项目|
civil engineering work ----------- |
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*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 accidemt" shall mean any one accident or series of accident arising out of one event.
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工程所有人或承包人在工地上的其他财产|
principal"s or contractor"s property existing |
on the site ----------- |