财产保险合同(英文)
whole doc.
i. the property insured
the property insured shall refer to all properties and expenses spe-
cified in the schedule of this policy.
unless specifically agreed upon in writing between the insured and the
company and appraised and value-established by professionals or assessors,
the following articles and the expenses relevant thereto shall not be
covered under this policy:
1. gold, silver, pearls, diamonds, precious stones and jades;
2. antiques, articles of virtue, ancient coins, ancient books and
ancient paintings;
3. works of art or postage stamps;
4. advertisements, aerials, neon, pieces of solar energy apparatus
etc. on buildings;
5. computer system records or its making and copying costs.
under no circumstances shall the following articles relevant thereto
be covered hereunder:
1. guns, ammunition or explosives;
2. banknotes, securities, bills, documents, files, account books or
drawings;
3. animals, plants and agricultural crops;
4. mobile phones, portable computers, removable photograph apparatus
or other precious articles;
5. vehicles licensed for general transport use.
ii. scope of cover
the company shall indemnify the insured in respect of the physical
loss of or damage to the insured property stated in the schedule during
the period of insurance directly arising from the following perils:
1. fire;
2. explosion;
but not including explosion of a boiler or other pressure relief
devices;
3. lightning;
4. hurricane, typhoon and tornado;
5. storm, tempest and flood;
but not including loss or damage caused by change in normal water
level or inundation from sea water or water escape or leakage from the
normal confines of any natural water course, lake or reservoir, canal or
dam as well as loss of or damage to the insured property caused by storm,
tempest or flood while being stored in the open or covered by or under a
shed thatched with reeds, tarpaulins, straw, asphalt felt, plastic or
nylon sheet;
6. hailstorm;
7. landslide, rockslide, avalanche;
8. volcanic explosion;
9. subsidence of ground;
but not including loss or damage resulting from pile driving,
groundwork or excavation;
10. crashing aircraft and parts or articles falling from aircraft and
other flying objects;
11. bursting of water tank or pipe;
but not including bursting of water tank or pipe due to rust.
iii. exclusions
this company shall not be liable for:
1. loss of or damage to the insured property or expenses caused by
intentional act or gross negligence of the insured or his representative;
2. loss of or damage to the insured property caused and expenses
incurred by earthquake or tsunami;
3. depreciation, loss of market, loss of use and other consequential
losses of any description;
4. loss of or damage to the insured property or expenses incurred
arising from war, warlike operation, hostilities, armed conflicts,
terrorism, conspiracy insurrection, coup detat, strike, riot, and civil
commotion;
5. confiscation, requisition, destruction or damage by any action or
order of any government de jure or de facto or by any public authorities;
6. loss of or damage to insured property directly or indirectly caused
or expenses incurred by nuclear fission, nuclear fusion, nuclear weapon,
nuclear material, nuclear radiation and radioactive contamination;
7. loss or damage caused and expenses incurred by pollution of any
kind or description whatsoever such as atmosphere, land and water
pollutions but this does not include loss or damage caused by pollution
arising from perils specified in article ii the policy;
8. the deductibles stated in the schedule to be borne by the insured;
9. loss or damage arising from any other perils not listed in article
ii of this policy.
iv. treatment of claim
1. the company shall at its option, indemnify the insured in respect
of loss or damage falling within the scope of cover of the policy by
either:
1.1 paying the amount of the actual value of the property lost or
damaged or;
1.2 paying the necessary cost of repairing or restoring the damaged
property to its nearest condition immediately preceding the damage or;
1.3 repairing or restoring the damaged property to a condition near to
other property of like kind and quality.
2. indemnity under this policy shall be based upon the sound market
value of the property prevailing at the time of loss. if the sound market
value of the damaged property is lower than the sum insured of such
property, the claim shall be settled on its market value; if the sound
market value of the property is in excess of the sum insured, the company
shall only be liable for such proportion of the claim as the sum insured
of the damaged property bears to its sound market value. if the insured
property enumerated in the schedule is more than one item, the provision
of this clause shall apply to each thereof.
3. if a claim for loss of or damage to the insured item is settled on
a total loss basis, the salvage value of such item shall be deducted from
the indemnity payable by the company. the company may, at its option,
decline the abandonment of any damaged property by the insured.
4. in the event of loss of or damage to any equipment item insured
forming part of a pair or set, the company shall not be liable in respect
of each of such item lost or damaged for more than its proportionate part
of the sum insured on the complete pair or set.
5. in the event of any loss occurrence, the company shall also pay the
insured for the expenses reasonably incurred for taking necessary measures
to minimize loss or damage to the least extent, but in no case shall such
expenses referred hereto exceed the sum insured of the insured property.
6. upon settlement of a claim, an endorsement shall be issued by the
company to reduce the sum insured corresponding to the property lost or
damaged by the amount so settled from the date of loss, and no premium
shall be refunded for the amount so reduced. if reinstatement of the sum
insured is required by the insured upon settlement of the claim, an
additional premium for the reinstated amount shall be charged at an agreed
rate, and be calculated on pro rata daily basis from the date of loss to
the expiry of the insurance.
7. the time of validity of a claim under this insurance shall not
exceed a period of two year counting from the date of loss.
v. insureds obligations
the following obligations shall be strictly fulfilled by the insured
and his representative:
1. the insured and his representative, when applying for insurance
shall make true answers or descriptions to the questions in the proposal
and questionnaire or to any other questions raised by the company.
2. the insured and his representative shall pay to the company in due
course the agreed premium in the manner as provided in the schedule and
endorsements.
3. during the period of this insurance, the insured shall at his own
expense take all reasonable precautions, including paying sufficient
attention to and putting into practice the reasonable recommendations of
the company, prudently selecting the workmen and employees and complying
with all statutory regulations and safety operation procedures.
4. in the event of any occurrence which gives or might give rise to a
claim under this policy, the insured or his representative shall:
4.1 notify the company immediately and within seven (7) days or any
further period as may be agreed by the company in writing, furnish a
written report to indicate the course, probable reason and extent of loss
or damage;
4.2 take all necessary measures to avoid aggravation of the loss or
damage and minimize it to the least extent;
4.3 preserve the spot affected and defective parts before an
inspection is carried out by a representative or surveyor from the
company;
4.4 furnish all such information and documentary evidence as the
company may require for supporting the claim.
vi. general conditions
1. policy effect
the due observance and fulfilment of the terms and conditions of this
policy in so far as they relate to anything to be done or complied with by
the insured shall be a condition precedent to any liability of the company
under this policy.
2. policy voidance
this policy shall be voidable in the event of misrepresentation,
misdescription or non-disclosure made by the insured or his representative
in any material particular in respect of this insurance.
3. policy termination
unless its continuance be admitted by the company in writing, this
policy shall be automatically terminated if:
3.1 the insurable interest of the insured is lost;
3.2 the risk of loss or damage is increased.
after termination of the policy, the premium shall be refunded to the
insured calculated on pro rata daily basis for the period from the date of
termination to the date of expiry.
4. policy cancellation
this policy may be canceled at any time at the request of the insured
in writing or at the option of the company by giving a fifteen (15) days
prior notice to the insured. in the former case the company shall retain a
premium calculated on short term rate basis for the time the policy has
been in force while in the latter case such premium shall be calculated on
pro rata daily basis.
5. forfeit of benefit
if the claim is in any respect fraudulent, or if any fraudulent means
or devices are used by the insured or his representative to obtain any
benefit under this policy or if any loss or damage is occasioned by the
intentional act or in the connivance of the insured or his representative,
then in any of these cases, all the rights and benefits of the insured
under this policy shall be forfeited, and all consequent losses arising
therefrom including the amount of claim paid by the company shall be
indemnified by the insured.
6. reasonable inspection
the representative of the company shall at any suitable time be
entitled to attend the site and inspect or examine the risk explosure of
the property insured. for this purpose, the insured shall provide full
assistance and all details and information required by the company as may
be necessary for the assessment of the risk. the above mentioned
inspection or examination shall in no circumstances be held as any
admission to the insured by the company.
7. double insurance
should any loss, damage, expenses or liability recoverable under the
policy be also covered by any other insurance, the company shall only be
liable to pay or contribute his proportion of the claim irrespective as to
whether the other insurance is arranged by the insured or others on his
behalf, or whether any indemnification is obtainable under such other
insurance.
8. subrogation
where a third party shall be held responsible for the loss or damage
covered under this policy, the insured shall, whether being indemnified by
the company or not, take all necessary measures to enforce or reserve the
right of recovery against such third party, and upon being indemnified by
the company, subrogate to the company all the right of recovery, transfer
all necessary documents to and assist the company in pursuing recovery
from the responsible party.
9. dispute
all disputes under this insurance arising between the insured and the
company shall be settled through friendly negotiations. where the two
parties fail to reach an agreement after negotiations, such dispute shall
be submitted to arbitration or to court for legal actions. unless
otherwise agreed, such arbitration or legal action shall be carried out in
the place where the defendant is domiciled.
vii. special provisions
the following provisions shall be applied to all parts of this policy
and shall override the other terms and conditions of this policy if any
conflict arises.
property insurance policy
policy no.:
whereas the insured named in the schedule hereto has made to the
______ insurance company (hereinafter called ""the company"") a written
proposal which together with any other statements made by the insured for
the purpose of this policy is deemed to be incorporated herein and has
paid to the company the premium stated in the schedule.
now this policy of insurance witnesses that subject to the terms and
conditions contained herein or endorsed hereon the company shall indemnify
the insured for the loss or damage sustained during the period of
insurance stated in the schedule in the manner and to the extent
hereinafter provided.
by the ________ insurance company
_________________________ authorised signature
date of issue:
place of issue:
schedule
policy no.:
1. name and address of the insured
1.1 the insured:
1.2 address:
2. location of the property insured:
3. nature of trade:
4. insured items and sums insured:
insured items sums insured
4.1 property insured
4.1.1 building(s) (including decoration):
4.1.2 machinery and equipment:
4.1.3 furniture and fixture:
(including office equipment and supplies)
4.1.4 stock:
4.1.5 others:
4.2 additional expenses:
4.2.1 removal of debris fees:
4.2.2 fire extinguishing expenses:
4.2.3 professional fees:
4.2.4 other expenses:
total sum insured:
5. deductible (any one accident):
6. period of insurance: ___ months.
from 00:00 of _________ to 24:00 hours of ______
7. premium rate:
total premium:
8. date of payment:
9. jurisdiction:
this policy is governed by law of the peoples republic of china.
10. special provisions:
property insurance policys schedule
_________ insurance company
“金锁”家庭财产综合保险
保险标的范围
第一条凡是被保险人自有的，座落于本保险单所载明地址内的下列家庭财产，在保险标的范围以内。
一、房屋及其室内附属设备（如固定装置的水暖、气暖、卫生、供水、管道煤气及供电设备、厨房配套的设备等）；
二、室内财产：
（一）家用电器和文体娱乐用品；
（二）衣物和床上用品；
（三）室内装潢、家具及其他生活用具。
被保险人可自由选择投保。
第二条下列财产经被保险人与保险人特别约定，并在保险单上载明，可在保险标的范围以内。
一、属于被保险人代他人保管或者与他人共有而由被保险人负责的第一条载明的财产；
二、存放于院内、室内的非机动农机具、农用工具及存放于室内的粮食及农副产品；
三、经保险人同意的其他财产。
第三条下列家庭财产不在保险标的范围以内：
一、金银、珠宝，钻石及制品，玉器、首饰、古市、古玩、字画、邮票、艺术品、稀有金属等珍贵财物；
二、货币、票证、有价证券、文件、书籍、帐册、图表、技术资料、电脑软件及资料、以及无法鉴定价值的财产；
三、日用消耗品、各种交通工具、养殖及种植物；
四、用于从事工商业生产、经营活动的财产和出租用作工商业的房屋；
五、无线通讯工具、笔、打火机、手表，各种磁带、磁盘、影音激光盘；
六、用芦席、稻草、油毛毡、麦杆、芦苇、竹竿、帆布、塑料布、纸板等为外墙、屋顶的简陋屋棚及柴房、禽畜棚、与保险房屋不成一体的厕所、围墙、无人居住的房屋以及存放在里面的财产；
七、政府有关部门征用、占用的房屋，违章建筑、危险建筑、非法占用的财产、处于危险状态下的财产；
八、其他不属于第一条、第二条所列明的家庭财产。
保险责任
第四条由于下列原因造成保险标的的损失，保险人依照本条款约定负责赔偿：
一、火灾、爆炸；
二、雷击、台风、龙卷风、暴风、暴雨、洪水、雪灾、雹灾、冰凌、泥石流、崖崩、突发性滑坡、地面突然下陷；
三、飞行物体及其他空中运行物体坠落，外来不属于被保险人所有或使用的建筑物和其他固定物体的倒塌。
第五条下列损失和费用，保险人也负责赔偿：
一、在发生保险事故时，为抢救保险标的或防止灾害蔓延，采取合理的、必要的措施而造成保险标的的损失。
二、保险事故发生后，被保险人为防止或者减少保险标的的损失所支付的必要的、合理的费用，由保险人承担。
责任免除
第六条由于下列原因造成保险标的的损失，保险人不负责赔偿；
一、战争、敌对行为、军事行动、武装冲突、罢工、暴动、盗抢；
二、核反应、核子辐射和放射性污染；
三、被保险人及其家庭成员、寄居人、雇佣人员的违法、犯罪或故意行为。
四、因计算机2000年问题造成的直接或间接损失。
第七条保险人对下列损失和费用也不负责赔偿；
一、保险标的遭受保险事故引起的各种间接损失；
二、地震及其次生灾害所造成的一切损失；
三、家用电器因使用过度、超电压、短路、断路、漏电、自身发热、烘烤等原因所造成本身的损毁；
四、座落在蓄洪区、行洪区，或在江河岸边、低洼地区以及防洪堤以外当地常年警戒水位线以下的家庭财产，由于洪水所造成的一切损失；
五、保险标的本身缺陷、保管不善导致的损毁；保险标的的变质、霉烂、受潮、虫咬、自然磨损、自然损耗、自燃、烘焙所造成本身的损失；
六、行政、执法行为引起的损失和费用：
七、其他不属于保险责任范围内的损失和费用。
2、金锁家庭财产综合保险条款（二）
保险金额与保险价值
第八条房屋及室内附属设备的保险金额由被保险人根据购置价或市场价自行确定。房屋及室内附属设备的保险价值为出险时的重置价值。
室内财产的保险金额由被保险人根据当时实际价值分项目自行确定。不分项目的：按各大类财产在保险金额中所占比例确定，即室内财产中的家用电器及文体娱乐用品占40％（农村30％），衣物及床上用品占30％（农村15％），室内装潢、家具及其他生活用具占30％，农村农机具等占25％。
特约财产的保险金额由被保险人和保险人双方约定。
保险期限、保险费第九条保险期限分别为一年。自保险单约定起保日零时起至期满日二十四时止。
保险期满，保险责任自行终止。期满续保，另办手续。
第十条被保险人根据下列规定交纳保险费：
一、保险费：基本险费率、附加险费率按费率表规定执行。
二、中途退保，按日平均费率计算应收保险费。
赔偿处理
第十一条保险事故发生后，保险人按照下列方式计算赔偿：
一、房屋及室内附属设备：
（一）全部损失保险金额等于或高于保险价值时，其赔偿金额以不超过保险价值为限；保险金额低于保险价值时，按保险金额赔偿。
（二）部分损失保险金额等于或高于保险价值时，按实际损失计算赔偿金额；保险金额低于保险价值时，应根据实际损失或恢复原状所需修复费用乘以保险金额与保险价值的比例计算赔偿金额。
二、室内财产的赔偿计算：全部损失和部分损失，在分项目保险金额内，按实际损失赔付。
三、特约承保财产的赔偿计算，参照本条第一、二款执行。
四、被保险人所支付的必要、合理的施救费用，按实际支出另行计算，最高不超过受损标的的保险金额。若该保险标的按比例赔偿时，则该项费用也按相同的比例赔偿。
第十二条保险标的遭受损失后的残余部分，协议作价折归被保险人，并在赔款中扣除。
第十三条被保险人向保险人申请赔偿时，应当提供保险单、财产损失清单、发票、费用单据和有关部门的证明，各项单证、证明必须真实、可靠，不得有任何欺诈。
第十四条保险标的发生保险责任范围内的损失应由第三者负责赔偿的，被保险人应当先向第三者索赔。如果第三者不予赔偿，被保险人应提起诉讼。保险人可根据被保险人提出的书面赔偿请求，按照保险合同予以赔偿，但被保险人必须将向第三者追偿的权利转让给保险人，并协助保险人向第三者追偿。
第十五条保险标的在一个保险年度内遭受部分损失经保险人赔偿后，保险金额应相应减少，其有效保险金额应当是原分项保险金额减去分项保险标的的损失赔偿金额后余额；如被保险人需恢复保险金额时，应补交相应的保险费，由保险人出具批单批注。投保三年、五年期的，下一保险年度，则自动恢复原保险金额。
第十六条若本保险单所保财产存在重复保险时，本保险人仅负按照比例分摊损失的责任。
第十七条被保险人自其知道或应当知道保险事故发生之日起，两年内不行使向保险人请求赔偿的权利，即作为自动放弃而失效。
被保险人义务
第十八条投保人应当在保险合同生效前一次性交清保险费，保险合同在投保人一次性交清保险费后生效。
第十九条被保险人应当就保险标的或者被保险人的有关情况履行如实告知义务。
第二十条被保险人应当遵照国家有关消防、安全方面的规定，维护保险标的的安全。
第二十一条在保险合同有效期内，如被保险人的地址发生变更或保险标的的所有权发生转移，应当及时通知保险人，并根据保险人的有关规定办理批改手续。
第二十二条保险标的遭受损失时，被保险人应当积极抢救，使损失减少至最低程度，同时保护现场，并立即通知保险人，协助查勘。
第二十三条被保险人如果不履行第十八条至第二十二条约定的义务，保险人有权拒绝赔偿，或解除保险合同。
其他事项
第十二四条被保险人与保险人之间因本保险事宜发生争议，可通过协商解决；协商达不成协议的，可提起诉讼。
第二十五条凡涉及本保险的约定均采用书面形式。
3、家庭财产综合保险附加盗抢保险条款一、保险责任保险房屋及其室内附属设备和存放于保险单所载明地址室内的保险标的，由于遭受外来人员撬、砸门窗，翻墙掘壁，持械抢劫，并有明显现场痕迹经公安部门确认盗抢行为所致丢失、损毁的直接损失且三个月以内未能破案，保险人负责赔偿。
二、责任免除由于下列原因造成的损失，保险人不负赔偿责任。
（一）保险标的因外人无明显盗窃痕迹、窗外钩物行为所致的损失；
（二）保险标的因门窗未锁而遭盗窃所致的损失；
（三）保险标的因被保险人的雇佣人员、同住人、寄宿人盗窃所致的损失。
三、保险金额保险金额以家庭财产综合保险的保险金额为限，便携式用品（手提电脑、电子记事本、摄像机、照相器材、收音机、录音机、cd机、vcd机）的最高保险金额为5000元，且列明清单。
四、赔偿处理（一）保险标的发生盗抢事故后，被保险人应立即向当地公安部门如实报案，并同时通知保险人，否则保险人有权拒赔。
（二）盗抢责任损失赔偿后，被保险人应将权益转让给保险人，破案追回的保险标的应归保险人所有，被保险人如愿意收回被追回的保险标的，其已领取的赔款必须退还给保险人，保险人对被追回保险标的的损毁部分按照实际损失给予补偿。
（三）被保险人向保险人报案后，从案发时起三个月后，被盗抢的保险标的仍未查获，方可办理赔偿手续。
（四）附加盗抢保险绝对免赔额为贰百元。
本附加险条款与家庭财产综合保险条款相抵触之处，以本附加险条款为准；未尽之处，以家庭财产综合保险条款为准。
4、家庭财产综合保险附加家用电器用电安全保险条款一、保险金额以投保家庭财产保险家用电器的保险金额为限。
二、保险责任由于下列原因致使电压异常而引起家用电器的直接损毁。
（一）供电线路因遭受家庭财产综合保险保险责任范围内的自然灾害和意外事故的袭击；
（二）供电部门或施工失误；
（三）供电线路发生其他意外事故。
三、责任免除由于下列原因造成的损失，保险人不负赔偿责任。
（一）被保险人的故意行为以及违章用电，偷电或错误接线造成家用电器的损毁；
（二）家用电器超负荷运行、自然磨损、固有缺陷、原有损坏、用电过度、自身发热以及超过使用年限后的损坏；
（三）其他不属于保险责任范围内的损失。
本附加险条款与家庭财产综合保险条款相抵触之处，以本附加险条款为准，未尽之处，以家庭财产综合保险条款为准。
5、家庭财产综合保险附加管道破裂及水渍保险条款一、保险金额以投保家庭财产保险的保险金额为限。
二、保险责任本附加险负责因被保险人室内的自来水管道、下水管道和暖气管道（含暖气片）突然破裂致使水流外溢或邻居家漏水造成被保险人保险财产的损失。
三、责任免除由于下列原因造成的损失，保险人不负赔偿责任。
（一）由于被保险人的故意行为，私自改动原管道设计；由于施工使管道破裂造成家庭财产的损失；
（二）因管道试水、试压造成管道破裂跑水造成的家庭财产损失；
（三）不属保险责任范围内的损失。
本附加险条款与家庭财产综合保险条款相抵触之处，以本附加险条款为准；未尽之处，以家庭财产综合保险条款为准。
6、家庭财产综合保险附加现金、首饰盗抢保险条款凡投保家庭财产综合包，并附加盗抢保险的，其盗抢保险金额超过10000元（含10000元）的保户，可投保本附加险。
一、保险金额以投保家庭财产盗抢保险的保险金额的10%为限，最高保险金额为10000元，其中现金（含有价证券）2000元、首饰8000元。
二、保险责任存放于保险单所载明地址室内的现金、有价证券、首饰，由于遭受外来人员撬、砸门窗，翻墙掘壁，持械抢劫，并有明显现场痕迹经公安部门确认盗抢行为所致丢失、毁损的直接损失且三个月以内未能破案，保险人负责赔偿。
三、责任免除由于下列原因造成的损失、保险人不负赔偿责任：
（一）在室外遭受抢劫、盗窃；
（二）保管不慎所致；
（三）不负责现金（有价证券）的利息损失。
7、家庭财产综合保险附加第三者责任保险条款一、保险责任在本保险有效期内，被保险人（或其同住的家庭成员）在其所居住的住所，使用、安装或存放其所有或租借的财产时，由于过失和疏忽造成第三者的人身伤亡或财产的直接损毁，在法律上应由被保险人承担民事损害赔偿责任的，以及因上述民事损害赔偿纠纷引起合理、必要的诉讼、抗辩费用和其他事先经本公司同意支付的费用，除第二款列明外，本公司在本险别的赔偿限额内负责赔偿。
二、责任免除对下列各项保险人不负赔偿责任：
（一）故意、欺诈、酗酒、殴斗以及在精神错乱、病理性痴呆情况下引起的损害赔偿责任；
（二）涉及知识产权、姓名权、肖像权、名誉权、荣誉权的侵害赔偿责任及精神损害赔偿责任和费用；
（三）使用或驾驶各种动力与非动力交通、运输工具所造成损害赔偿责任和费用；
（四）违反“国家保护环境防止污染的规定”，由污物、水、气、噪音、磁波和电子波造成的财产和人身损害事故的赔偿责任和费用；
（五）对被保险人的家庭成员、雇员民事侵权造成他人的财产或人身伤害的赔偿费用；
（六）饲养的动物所造成的损害赔偿责任和费用；
（七）燃放烟花爆竹所引起的民事损害赔偿责任和费用；
（八）惩罚性赔偿及罚款；
（九）各种间接损失及被保险人（或其家庭成员）私自承诺的费用。
三、赔偿处理（一）被保险人向保险人申请赔偿时，应提供法律确认的文件副本及申请赔偿报告书和有关证明材料：
（二）如一次责任事故赔偿金额达到最高赔偿限额，则保险责任即行终止，被保险人如需恢复原赔偿限额时，应补交保险费，并由保险人出具批单批注；如一次责任事故未达至最高赔偿限额，其有效赔偿限额应是最高赔偿限额减去赔偿金额后的余额。
（三）因民事责任原因发生保险责任事故时，被保险人或家庭成员在赔偿他人人身伤亡和财产损失前，须征得本公司书面许可，被保险人未经本公司同意，所订立一切协议或支付的费用，本公司一律不承担责任。
（四）附加第三者责任保险的绝对免赔额为贰佰元。
本附加险条款与家庭财产综合保险条款相抵触之处，以本附加险条款为准；未尽之处，以家庭财产综合保险条款为准。
财产一切险投保申请书
本申请书由投保人如实和尽可能详尽地填写并签章后作为向承保人投保财产一切险的依据。本申请书为该财产一切险保险单的组成部分。
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｜投保人： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜地址： ｜电话号码： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜保险财产地址： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜保险期限： 个月 自 至 中午１２时正 ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜建筑情形及周围情况： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜保险财产使用性质： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜是否有警报系统或安全保卫系统： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜以往损失情况： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜费率： 保险费： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜ 项目号 ｜ 保险财产名称 ｜ 投保金额 ｜ 每次事故免赔额 ｜
｜－－－－－－－｜－－－－－－－－－－｜－－－－－－－－｜－－－－－－－－－－－｜
｜ ｜ ｜ ｜ ｜
｜－－－－－－－｜－－－－－－－－－－｜－－－－－－－－｜－－－－－－－－－－－｜
｜ ｜ ｜ ｜ ｜
｜－－－－－－－｜－－－－－－－－－－｜－－－－－－－－｜－－－－－－－－－－－｜
｜ ｜ ｜ ｜ ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜ 如此处不够 请在背面填写。 ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜总保险金额： ｜
｜－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－－｜
｜备注： ｜
｜ ｜
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日期＿＿＿于＿＿＿投保人签章＿＿＿ [来源：https://www.htfbw.com/hetong/baoxian/201203/5818.html ]