文档介绍:雇主责任险保险合同
雇主责任险保险合同
雇主责任险保险合同
保险单号码______________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 poli of insurane itnesses the the people's insurane pan of hina,ltd. undertakes to insure against emploer's liabilit insurane during the period of the insurane subjet to the lauses printed overleaf.投保人the appliant姓名name:地址address:营业性质trade/oupation:地区范围geographial area保险期限insured period个月自零时至二十四时止monthfrom 00:00 of to 2
4.00 hour of雇员一览表shedule ofemploees雇员工种emploees'oupation总计total估计雇员人数est. numberof emploees估计工资及其他收入总数total est. ages otheralloanes雇主责任险emploer'sliabilit over赔偿限额limit of indemnit费率rate保险费premium死亡 death伤残 injur附加医药费保险add. medialexp.over每人累计不超过not to exeed in aumulation for an one person第三者责任险t.p.over累计每次事故in aumulation a.o.a.保险费总数(预付)total premium投保人对保险人的除外责任条款明确无误签字:______________________日期________年_____月_____日_______________保险有限公司日期:________