机器损坏险保险合同

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机器损坏险保险合同

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机器损坏险保险合同

机器损坏险保险合同(精选3篇)

机器损坏险保险合同篇1

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.

--------------------------------------------

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 24:00of |

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

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 AccidentX |

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

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

6.总保险金额Total Sum Insured: |

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

7.保险费率Premium Rate: |

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

8.保险费Premium:

---------------------------

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