机器损坏险保险合同1.机器损坏险投保单MACHINERYBREAKDOWNINSURANCEAPPLICATION保单号PolicyNo.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局部。TheApplicantisrequiredtofillinthefollowingitemswithutmostfaithandasdetailedaspos-sible.andaffixsignaturetothisapplication,whichshallbethebasisofapplicationtotheCompanyforMachineryBreakdownInsuranceandconstituteanintegralpartoftheMachineryBreakdownIn-surancePolicy.--------------------------------------------1.被保险人名称和地址NameandAddressoftheInsured:|-------------------------------------------|2.营业性质NatureofBusiness:|-------------------------------------------|3.被保险机器所在地LocationofMachinerytobeInsured:|-------------------------------------------|4.保险期限:个月,年月日零时起至年月日二十四时止|PeriodofInsurance:Months,from0:00ofto24:00of|-------------------------------------------|5.被保险工程及保险金额InsuredItemsandSumInsured|工程保险金额每次事故x免赔额|InsuredItemsSumInsuredDeductibleforAnyOneAccidentx|5.1保险财产(详见反面)|PropertyInsured(LookOverleaf)-----------------------|5.2附加费用AdditionalExpenses|去除残骸费用|DebrisRemovalExpenses-----------------------|灭火费用|FireExtinguishmentExpinses-----------------------|专业费用|ProfessionalExpenses-----------------------|其他费用|OtherExpenses-----------------------|-------------------------------------------|6.总保险金额TotalSumInsured:|-------------------------------------------|7.保险费率PremiumRate:|-------------------------------------------|8.保险费Premium:|--------------------------------------------x每次事故指不管一次事故或一个事件引起的一系列事故Thewords“ANYONEACCIDENT〞challmeananyoneaccidentorseriesofaccidentarisingoutofoneevent.被保险机器的详细说明SpecificationofMachinerytobeInsured工程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ItemModelQty.MajorTech.ManufacturerYearofManu.SumInsuredMaintenance&Un-expiredParameterGuaranteePeriod-----------------------------------...
