出口產(chǎn)品責(zé)任險投保書-資料下載頁
2025-08-03 00:34本頁面
【正文】 Limits of Liability: Any one occurrence _________________ Aggregate per Policy Period_________________ (3) 免賠額 Deductible_________________ (4) 保單形式 事故發(fā)生制 索賠發(fā)生制 （追溯日） Coverage Form: □ Occurrence □ Claimsmade (Retroactive Date)___________3. 最新/續(xù)保需要的產(chǎn)品責(zé)任保險要求 New /Renewal requested product liability insurance (1) 保險期限 Policy Period ______ (2) 責(zé)任限額 每次事故限額 保單期限累計限額 Limits of Liability: Any one occurrence _________________ Aggregate per Policy Period_________________ (3) 免賠額 Deductible_________________ (4) 保單形式 事故發(fā)生制 索賠發(fā)生制 （追溯日） Coverage Form: □ Occurrence □ Claimsmade (Retroactive Date) ___________PART VII. –投保人/被保險人聲明 THE INSURED/APPLICANT DECLARATION，保險人已就本投保單及所附保險條款的內(nèi)容，尤其是就保險人免除及減輕責(zé)任的條款、投保人和被保險人義務(wù)條款及本投保單中的特別約定條款向本人作了明確說明，本人對該保險條款及保險條件已了解并同意接受。I/we have read and understood the Insurer’s Terms amp。 Conditions of Insurance and agree to be bound by these terms and conditions. I/we understand that the Policy is issued strictly on the basis of my/our agreement to these terms and conditions as explained to me/us by the Insurer prior to the pletion of the Application Form when my/our attention was drawn to the duties of the Insured and of the Insurer. My/our especial attention was drawn to those clauses dealing with exclusion(s) and mitigation(s) whose implications I/we have fully understood.2. 本投保單所填各項內(nèi)容均屬事實，同意以本投保單作為保險人評定保險標的風(fēng)險的基礎(chǔ)和簽發(fā)保險單的依據(jù)。I/we declare that the answers given and the statements made on the Application Form are in every respect true and accurate and that no information has been withheld which the Insurer might reasonably consider relevant to a decision to accept this proposal. I/we understand that the Insurer is issuing the Policy on the strict basis of the Application Form as submitted.重要提示 Important Notice完成本投保書并不代表投保人/被保險人必須投?；虮ｋU公司同意承保。Completion of this application creates no obligation upon the applicant or insured to accept insurance or upon Huatai to offer insurance. 投保人/被保險人簽章： 簽署日期： Applicant’s Signature (with Company Seal) Date Signed投保人職位： 聯(lián)系電話： Applicant’s Title Telephone8 / 8
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