保险单填制要求

PICC中国人民财产保险股份有限公司

PICC Property and Casualty Company Limited

总公司设于北京一九四九年创立

Head Office: BEIJING Established in 1949

货物运输保险单CARGO TRANSPORTATION INSURANCE POLICY

发票号码：保险单号次

INVOICE NO. 见补充资料POLICY NO.见补充资料

被保险人：采用信用证时，如无特殊规定，为信用证的受益人/ 合同的买方名称；托收时应填写出口商中国人民财产保险股份有限公司(以下简称本公司) 要求, 以被保险人向本公司缴付约定的保险费为对价, 按照本保险单列明条款承保下述货物运输保险, 特订立本保险单。

THIS POLICY OF INSURANCE WITNESSES THAT PICC PROPERTY AND CASUALTY COMPANY LIMITED(HEREINAFTER CALLED “THE COMPANY”) AT THE REQUEST OF THE INSURED AND IN CONSIDERATION OF THE AGREED PREMIUM PAID TO THE COMPANY BY THE INSURED

UNDERTAKES TO INSURE THE UNDERMENTIONED GOODS IN TRANSPORATION SUBJECT TO THE CONDITIONS OF THIS POLICY

AS PER THE CLAUSES PRINTED BELOW.

总保险金额：

TOTAL AMOUNT INSURED：保险金额英文大写

保费启运日期

PREMIUM ：见补充资料DATE OF COMMENCEMENT：提单日期，也可填写AS PER B/L 装载运输工具

PER CONVEYANCE：.运输工具名称及班次

自：至：

FROM：装运港TO: 目的港VIA: 转船地点CONDITIONS：

按合同和信用证要求填写，承保险别和保险条款，投保加成

所保货物如发生保险单项下可能引起索赔的损失，应立即通知本公司或下述代理人查勘。如有索赔，应向本公司提交正本保险单（本保险单共有根据信用证规定填写，若无明确规定，一般填3份正本）及有关证件。如一份正本已用于索赔，其余正本自动失效。

IN THE EVENT OF LOSS OR DAMANGE WHICH MAY RESULT IN A CLAIM UNDER THIS POLICY, IMMEDIATE NOTICE MUST BE GIVEN TO THE COMPANY OR AGENT AS MENTIONED. CLAIMS，IF ANY，ONE OF THE ORIGINAL POLICY WHICH HAS BEEN ISSUED IN根据信用证规定填写，若无明确规定，一般填3ORGINALS TOGETHER WITH THE RELEV ANT DOCUMENTS SHALL BE SURRENDERED TO THE COMPANY. IF ONE OF THE ORIGINAL POLICY HAS BEEN ACCOMPLISHED, THE OTHERS TO BE VOID.

SURVEY TO BE CARRIED OUT BY A LOCAL COMPETENT SURVEYOR. CLAIM DOCUMENTS TO BE MAILED TO THE UNDERWRITER, WE

SHALL EFFECT PAYMENT BY REMITTANCE TO THE CLAIMANT.

赔款偿付地点：

CLAIM PAYABLE AT 根据信用证合同的规定，若无规定或采用托收方式，则为目的地加上货币单位（与保险金额货币相同）

日期：

DATE：保险单的签发日期，不早于货物离开出口方仓库日期，不晚于提单签发日期