20xx年安裝工程一切險(xiǎn)保險(xiǎn)合同(編輯修改稿)
2025-01-26 01:27 本頁面
【文章內(nèi)容簡介】 風(fēng))記錄 | Past Record of Occurrences of Natural | Calamities(such as Flood, Typhoon) | | | 10. 該工程為 新建 改建 擴(kuò)建 | | | | | | | | The Project is New Project Reform/Upgrade Extented | | 11. 安裝工程在建筑物內(nèi)進(jìn)行還是露天進(jìn)行? 建筑物內(nèi)露天 | | | | | | The Erection Work will be Carried out Indoor or Outdoor Indoor Outdoor | | 12. 施工過程中可能會(huì)造成損壞他人財(cái)產(chǎn)的分布情況 | Distribution of Third Party”s Properties which may be Damaged During the Period of Erection | | 13. 施工承包人是否有同類工程的施工經(jīng)驗(yàn)或同類施工方法的經(jīng)驗(yàn)? 是 否 | | | | | | Is the Contractor Experienced in this Type of Work Or Erection Method Yes No | 14. 工程關(guān)系方中的任何一方是否已向其他保險(xiǎn)公司投保與本工程有關(guān)的保險(xiǎn)? | Any Insurance Relating to this Project has been Effected with Other Insurance Company by any Patries to Project? | 是 保險(xiǎn)公司 保險(xiǎn)種類 | | | | Yes Insurance Company ___________ Coverage of Insurance ____________ | 保險(xiǎn)金額 否 | | | | Sums Insured__________ No | | 15. 特別條款Special Porvisions: | | | | 16. 備注Remarks: | | | | | 請(qǐng)隨同本投保單提供下列文件This Application shall be Submitted together with the Following Documents: | (1)工程合同Consrtuction Contract | (2)承保金額明細(xì)表Breakdown of the Contract Value | (3)工程設(shè)計(jì)書Blueprint of the Porject | (4)工程進(jìn)度表Progress Schedule of the Erection Site | (5)工程地質(zhì)報(bào)告Geological Report of Erection Site | (6)工地概圖Sketch of the Project Site | | | 投保人及被保險(xiǎn)人茲聲明所填上述內(nèi)容屬實(shí),對(duì)貴公司就安裝工程一切險(xiǎn)條款及附加內(nèi)容(包括責(zé)任免除部 分)的說明已經(jīng)了解,同意按照該條款和附加內(nèi)容投保安裝工程一切險(xiǎn)。 I/We(the Applicant amp。 the Insured) to hereby declare that the above contents are truly filled in, and that I/We have understood the Company”s explanation on the clauses of Erection All Risks Insurance and its additional contents (including exclusions), and that I/We agree to apply for Erection All Risks Insurance subject to the abovementioned clauses and its additional contents. 投保人及被保險(xiǎn)人(簽章) 電話 Signatures of the Applicant amp。 the Insured _______________ Telephone _________ 地址 日期 Address ________________________________ Date____________ |
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