保险合同范本 机器损坏险保险合同格式.doc

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.
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and address of the insured: |
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of business: |
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of machinery to be insured: |
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: 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 |
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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 --------