标签:人身保险合同,保险合同样本,http://www.lexue88.com
安装工程一切险保险合同,
7.3 每次事故物质损失免赔额 |
deductible of material damage for any one accident ----------- |
7.4 费率及保险费 |
premium rate and premium ----------- |
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8. 被安装机器设备的情况 condition of the machinery and equipment to be erected |
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8.1 项目主体 |
principle work ----------- |
8.2 如系单项设备,逐一列明名称、型号、技术指标、 |
制造商及价值;如系成套设备,列明主要设备的 |
名称、技术指标、制造商及价值;如有旧品,逐 |
一列明名称及价值 |
for single-item equipment, specify description, |
type, technical standard, manufacturer and |
value; for complete sets of equipment, specify |
names, technical standard, manufacturer and |
value of the principle equipment; for used |
machinery, if any, specify descriptions and |
value separately ----------- |
8.3 安装前设备储存地点、条件及保管方法 |
location, condition and method of temporary |
storage of the equipment prior the erection ----------- |
8.4 主体工程施工方法及起止时间 |
construction method of principle part of |
project and the date of commencement |
and expiry ----------- |
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9. 工地及附近的自然条件 natural conditions on and arround the work-site: |
9.1 地形特点 |
topograghical features ----------- |
9.2 地质及底土条件 |
geology and subsoil conditions ----------- |
9.3 地下水水位 |
level of underground water ----------- |
9.4 最近的河、湖、海的名称、距离和以往最低、一般和最高水位 |
name and distance of the nearest river, |
lake and sea and their records of the |
lowest, normal and highest water levels ----------- |
9.5 以往最大降雨量记录 past record of the maximum rainfall |
(24小时,月/年within 24 hours, month/year) ----------- |
9.6 以往遭受自然灾害(如洪水、台风)记录 |
past record of occurrences of natural |
calamities(such as flood, typhoon) ----------- |
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10. 该工程为 ---新建 ---改建 ---扩建 |
| | | | | | |
the project is ---new project ---reform/up-grade ---extented |
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11. 安装工程在建筑物内进行还是露天进行? ---建筑物内---露天 |
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the erection work will be carried out indoor or outdoor ---indoor ---outdoor |
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12. 施工过程中可能会造成损坏他人财产的分布情况 |
distribution of third party"s properties which may be damaged during the period of erection |
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13. 施工承包人是否有同类工程的施工经验或同类施工方法的经验? ---是 ---否 |
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is the contractor experienced in this type of work or erection method ---yes ---no |
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14. 工程关系方中的任何一方是否已向其他保险公司投保与本工程有关的保险? |
any insurance relating to this project has been effected with other insurance company by any patries to project? |
---是 保险公司 保险种类 |
| | |
---yes insurance company ___________ coverage of insurance ____________ |
保险金额 ---否 |
| | |
sums insured__________ ---no |
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15. 特别条款special porvisions: |
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16. 备注remarks: |
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请随同本投保单提供下列文件this application shall be submitted together with the following documents: |
(1)工程合同consrtuction contract |
(2)承保金额明细表breakdown of the contract value |
(3)工程设计书blueprint of the porject |
(4)工程进度表progress schedule of the erection site |
(5)工程地质报告geological report of erection site |
(6)工地概图sketch of the project site |
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,安装工程一切险保险合同