文档介绍：保险合同范本 机器损坏险保险合同格式
合同范文网权威发布机器损坏险保险合同格式，更多机器损坏险保险合同格式相关请访问网。
machinery breakdown insurance application
保单号
policy no.
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。
the applicant is required to fill in the following items with utmost faith and as detailed as pos-
sible. and affix signature to this application, which shall be the basis of application to the company
for machinery breakdown insurance and constitute an integral part of the machinery breakdown in-
surance policy.
--------------------------------------------
and address of the insured: |
-------------------------------------------|
of business: |
-------------------------------------------|
of machinery to be insured: |
-------------------------------------------|
: 个月, 年 月 日零时起至 年 月 日二十四时止 |
period of insurance: months, from 0:00 of to 24:00of |
-------------------------------------------|
items and sum insured |
项目 保险金额 每次事故*免赔额 |
insured items sum insured deductible for any one accident* |
保险财产(详见背面) |
property insured(look overleaf) ------------- ----------|
附加费用additional expenses |
清除残骸费用 |
debris removal expenses --------