出口產(chǎn)品責任險投保書-閱讀頁
2024-08-22 00:34本頁面
【正文】 ? □ YES □ NOSuppliers of the parts and materials?6. 貴公司是否留存有關產(chǎn)品的舊的使用說明，操作手冊或廣告資料? Do you maintain copies of old instruction or operation manuals and advertising material? □ YES □ NOPart V – 經(jīng)銷商責任Vendor’s Liability1. 您是否需要“經(jīng)銷商責任”（是否作為附加被保險人）？若是，請?zhí)顚懸韵滦畔ⅲ? Do you require any Vendor Liability cover（to be additional insured or not）? If yes, please provide the following information: 經(jīng)銷商名稱 地址 產(chǎn)品名稱 使用品牌名稱 銷售額Vendor’s Name Address Product Name Brand Sales______________ _____________ ______________ _____________ ___________________________ _____________ ______________ _____________ ____________2. 您是否與經(jīng)銷商簽定任何形式的免責協(xié)議或其他類似的協(xié)議？ Have you ever entered into any hold harmless or other similar contractual agreements with vendors? 如是，請?zhí)峁┰敿毿畔f yes, please provide details:3. 經(jīng)銷商是否對產(chǎn)品實施質量管理工作？Does the vendor perform any quality control work on the product?4．您如何從相同或類似的產(chǎn)品中辨識您的產(chǎn)品How do you identify you products from similar products? 5. 經(jīng)銷商是否對產(chǎn)品提供維修工作？Does the vendor perform any repair work on the product?Part V 損失紀錄 LOSS EXPERIENCE 1. 貴公司是否曾因產(chǎn)品可能不安全而將產(chǎn)品收回? 若有，請說明并告知回收比率Have you ever recalled products because of a potential product safety hazard? □ YES □ NO If YES, please attach details and indicate percent of recovery.2. 貴公司產(chǎn)品 （無論是否被承保）是否曾造成他人的醫(yī)療費,身體傷害或財產(chǎn)損失？如果有， 請?zhí)峁? 公司最近五年的損失紀錄。I/we have read and understood the Insurer’s Terms amp。 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.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.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 /
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