文档介绍：编号:_____________
雇主责任险保险合同
甲方:________________________________________________
乙方:___________________________
签订日期:_______年______月______日
employer"s liability insurance policy
保险单号码
policy no.
中保财产保险有限公司(以下简称本公司)按照背面所载条款的规定,在本保险单保险期内,承保下述雇主责任险,特立本保险单。
this policy of insurance witnesses the the people"s
insurance (pany of china,
ltd.(hereinaftercalled pany")undertakes to
insure against employer"s liability insurance
during the period of the insurance subject to the
clauses printed overleaf.
---------------------------------------------------
||姓名|
||name:|
||---------------------------------------|
|投保人|地址|
|the applicant |address:|
||-----------------------
----------------|
||营业性质|
||trade/occupation:|
|---------|---------------------------------------|
|地区范围||
|geographical area ||
|---------|---------------------------------------|
|保险期限|个月自零时至二十四时止|
|insured period |month(s)from 00:00 of to hour
of |
|---------|---------------------------------------|
||雇员工种|||||||总计|
||employees"||||||||
||occupation |||||||total |
||-----------|---|---|---|---|---|---|---|
||估计雇员人数||||||||
|雇员一览表| ||||||||
|schedule of |of employees ||||||||
|employees |-----------|---|---|---|---|---|---|---|
||估计工资及其他收入总数||||||||
||total est.||||||||
||wages &other ||||||||
||allowances ||||||||
|---------|---------------------------------------|
|||赔偿限额|费率|保险费|
|||limit of indemnity |rate |premium |
|雇主责任险|----------|-----------|-------|--------|
|employer"s |死亡death ||||
|liability cover |----------|-----------|||
||伤残injury ||||
||----------|-----------|||
||||||
|---------|----------------------|-------|--------|
|附加医药费保险|每人累计不超过||||
| |not to exceed in
accumulation ||||
|**|for any one person ||||
|---------|---------------|------|-------|--------|
|第三者责任险|累计每次事故||||
|**|in accumulation **.||||
|------------------------------------