【正文】
------- Guarantee Period Parameter Unexpired Sum Insured Year of Manu. Qty. Model 保險(xiǎn)金額 制造商 數(shù)量 項(xiàng)目 Insured of accident arising out of one event. -------------------------------------------- | : Rate: -------------------------------------------| ------------- | 其他費(fèi)用 ----------| | 專業(yè)費(fèi)用 ------------- | 滅火費(fèi)用 ------------- Debris Removal Expenses | ----------| | Deductible for Any Sum Insured Insured Items | 每次事故*免賠額 項(xiàng)目 | -------------------------------------------| | to 24:00ofPeriod of Insurance: | 月 日零時(shí)起至 年 : -------------------------------------------| of Business: | and Address of the Insured: for Machinery Breakdown Insurance and constitute an integral part of the Machinery Breakdown Insurance Policy. 本投保單為該機(jī)器損壞險(xiǎn)保險(xiǎn)單的組成部分。 本投保單由投保人盡可能如實(shí)地、詳細(xì)地填寫并簽章后作為向本公司投保機(jī)器損壞險(xiǎn)的 Policy No. 保單號(hào) 15 / 16機(jī)器損壞險(xiǎn)保險(xiǎn)合同(中英文)全文詳細(xì):1.機(jī)器損壞險(xiǎn)投保單 MACHINERY BREAKDOWN INSURANCE APPLICATION 依據(jù)。The Applicant is required to fill in the following items with utmost faith and as detailed as po sible. and affix signature to this application, which shall be the basis of application to the Company -------------------------------------------- -------------------------------------------| | of Machinery to be Insured: |-------------------------------------------| 個(gè)月, 月 年 日二十四時(shí)止 Months, from 0:00 of Items and Sum Insured 保險(xiǎn)金額 One Accident* 保險(xiǎn)財(cái)產(chǎn)(詳見背面) | Property Insured(Look Overleaf) ------------- 附加費(fèi)用Additional Expenses 清除殘骸費(fèi)用 | ----------| Fire Extinguishment Exp