The cooperation clause formulated through joint consultation regulates the behavior of the parties to the contract, has legal effect and is protected by the state.

机器损坏险保险合同正式

版

机器损坏险保险合同正式版

下载提示：此协议资料适用于经过共同协商而制定的合作条款，对应条款规范合同当事人的行为，并

具有法律效力，受到国家的保护。如果有一方违反合同，或者其他人非法干预合同的履行，则要承担

法律责任。文档可以直接使用，也可根据实际需要修订后使用。

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.

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1.被保险人名称和地址name and address of the insured: |

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2.营业性质nature of business: |

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3.被保险机器所在地location of machinery to be insured: |

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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 |

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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 ------------- ----------|

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6.总保险金额total sum insured: |

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7.保险费率premium rate: |

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8.保险费premium: |

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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 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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