财产险投保单(2009版) 英 V1

中国人民财产保险股份有限公司财产××险（2009版）投保单 PICC Property and Casualty Company Limited Proposal Form for ×× Insurance (2009)

Proposal Form NO.：

**********************

中国人民财产保险股份有限公司

财产××险（2009版）投保标的项目清单

PICC Property and Casualty Company Limited

List of Items Insured for ××Insurance (2009)

本清单为财产××险（2009版）投保单的有效组成部分。

This List shall be an effective part of the Proposal Form for ××Insurance (2009)

投保单号码：共页第页

Proposal Form No.: Page of

注：投保标的为特约标的时，请在备注栏中注明“特约”字样。

Note: If an Item Insured shall be specially agreed by the Insurer, please state “specially agreed” in the Remarks.

投保人（盖章）

Signature of Applicant (Stamped)

年月日

Date:

年月日

Date:

中国人民财产保险股份有限公司

财产××险（2009版）附加险条款投保清单

PICC Property and Casualty Company Limited

List of Extension Clauses for ××Insurance (2009)

本清单为财产××险（2009版）投保单的有效组成部分。

This List shall be an effective part of Proposal Form for ××Insurance (2009)

投保单号码：Proposal Form No.: 共页第页Page of

注：对于需明确保险价值、地域范围等信息的附加险条款，请在“备注”栏内填写相关信息。

Note: If the Insured Value, territory or other information shall be specified in the Extension Clauses, please fill in such information in Remarks.

投保人（盖章）

Applicant’s Signature (Stamped)

年月日

Date:

中国人民财产保险股份有限公司

财产××险（2009版）风险问询表－－生产性企业

PICC Property and Casualty Company Limited

Questionnaire for ××Insurance (2009) ---- Manufacturing risk

一、基本概况

1. Basic Information

企业名称：

Name of enterprise:

详细地址：邮政编码：

Address:Postal code:

国有企业□私有企业□ 合资企业□其他□

□State-owned enterprises □Private enterprise□Joint Venture□Others

保险财产处于河（海、湖、水库）边，相距米□

山坡上□ 山脚下□ 低洼处□ 平原□

The Property Insured is located

□at the riverside (seaside or side by lake or reservoir), with distance between of M □on the hillside

□at the foot of the hill

□in low-lying areas

□on the plain

保险财产的周围环境

投产时间年月

Production initiating date: year month

二、生产过程

2. Procedure

产成品：

Products

主要原料：

Major materials:

主要产品及年产量：

Major products and annual output:

主要生产设备的制造年份及制造商：（有投保项目清单的可不填）

Manufacturing Date and Manufacturer of the major machinery and equipments. (you can ignore this, if such

工艺流程图随件附上□无法提供□

Procedure Chart is □Attached or □N/A

生产工艺采取常温□ 高温，最高温度为度□

常压□ 高压，最高压力为MPa□

Which of the following is used in the procedure?

□Normal temperature

□High temperature, with highest temperature of ℃

□Normal pressure

□High pressure, with highest pressure of MPa

主要生产过程自动化□ 机械操作□ 手工操作□

Major Procedure is □automatic, □mechanized or □manual.

带明火操作烤炉□熔炉□干燥机□加热器□其他□

If the manufacturing procedure is with fire, which of the following machinery or equipment is used?

□oven □smelter □drier □heater □others

易燃易爆品液体□气体□气雾剂□其他□

If any Inflammable and explosive material is used, please state whether it is □liquid, □air or □aerosol.

无尘室无□有□

Is there any dust-free workshop? □YES □NO

等级100,000□ 10,000□ 1,000□ 100□ 其他□

If YES, the dustiness degree is □100,000, □10,000 , □1,000, □100, or □others.

三、存货物资

3. Stock

储存方式仓储□ 露堆□ 罩棚□其他□

The stock is stored

□in the warehouse

□in the open air

□under the awning

□in other places