机器损坏险保险合同机器损坏险投保单machinerybreakdwninsuranceapplicatin保单号:plicyn.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。theapplicantisrequiredtfillinthefllwingitemswithutmstfaithandasdetailedasps-sible.andaffisignaturetthisapplicatin,whichshallbethebasisfapplicatintthecmpanyfrmachinerybreakdwninsuranceandcnstituteanintegralpartfthemachinerybreakdwnin-suranceplicy.1.被保险人名称和地址nameandaddressftheinsured:2.营业性质naturefbusiness:3.被保险机器所在地lcatinfmachinerytbeinsured:4.保险期限:个月,某年某月某日零时起至某年某月某日二十四时止peridfnths,frm0:00ft24:00f5.被保险项目及保险金额insureditemsandsuminsured项目保险金额每次事故*免赔额insureditemssuminsureddeductiblefranyneaccident5.1保险财产(详见背面)prpertyinsured(lkverleaf)5.2附加费用additinalepenses清除残骸费用debrisremvalepenses灭火费用fireetinguishmentepinses专业费用prfessinalepenses其他费用therepenses6.总保险金额ttalsuminsured:7.保险费率premiumrate:8.保险费premium:*每次事故指不论一次事故或一个事件引起的一系列事故thewrdsanyneaccidentchallmeananyneaccidentrseriesfaccidentarisingutfneevent.被保险机器的详细说明specificatinfmachinerytbeinsured项目item型号mdel数量qty.主要技术参数majrtech.parameter制造商manufacturer制造年份yearfmanu.保险金额suminsured维护及保用期情况maintenanceun-epiredguaranteeperi说明:(1)主要技术参数指机器的输出功率、速度、容量、负荷等,如属电器设备,应说明电压、电流量、转速,如属蒸气设备,应说明燃料、压力和温度。(2)维护情况指自行维护(a)、由指定厂家维护(b)、由生产厂家维护(c)。nte:(1)majrtechnicalparameter:utput,speed,capacity,ladingetc.andfrelectricalequipment,vltage,amperage,cycles.andfrsteamequipment,fuel,pressureandtemperature.(2)maintenance:byinsured(a),bycntractr(b),bymanufacturer(c).9.以前这些机器发生是否发生过损坏?(以往5年)是否previuslsseseperience(last5years)yesn项目item损坏时间breakdwntimed损失金额lssamunt10.有无制定操作规程?是否anyperatingsystem?ifyes,pleasestate.yesn11.操作人员pe...