第1页共32页本文格式为Word版下载后可任意编辑和复制安装工程一切险保险合同1.安装工程一切险投保单ERECTIONALLRISKSINSURANCEAPPLICATION保单号PolicyNo.本投保单由投保人尽可能照实地、具体地填写并签章后作为向本公司投保安装工程险的依据。本投保单为该工程保险单的组成部分。TheApplicantisrequiredtofillinfollowingitemswithutmostfaithandasdetailedaspossi-ble,andaffixsignaturetothisApplication,whichshallbethebasisofapplicationtotheCompanyforErectionAllRisksInsuranceandconstituteanintegralpartoftheInsurancePolicycoveringthepro-ject.第2页共32页本文格式为Word版下载后可任意编辑和复制---------------------------------------------------1.工程关系方的名称和地址|NameandAddressofPartiestoProject|工程全部人|Principal-----------|承包人|Contractor-----------|工程分包人|Sub-Contractor-----------|其他关系方|OtherParty(ies)Concerned-----------|--------------------------------------------------|2.被保险人名称和地址:|NameandAddressoftheInsured:|第3页共32页本文格式为Word版下载后可任意编辑和复制--------------------------------------------------|3.被保险工程名称|TitleofContract/Project:|--------------------------------------------------|4.被保险工程地点LocationofErection:|--------------------------------------------------|5.被保险项目、保险金额/赔偿限额及每次事故*免赔额|InsuredItems、SumsInsured/LimitsofIndemnityandDeductibleforAnyOneAccident*:|5.1物质损失MaterialDamage|项目投保金额每次事故免赔额|InsuredItemsSumsInsuredDeductibleforAnyOneAccident*|--------------------------------------------------------|安装工程|第4页共32页本文格式为Word版下载后可任意编辑和复制ErectionWorks|(1)安装工程设备价|(包括设备价、运费、保费、关税等)|ValueofEquipmenttobeErected(including|ValueofEquipment,Freight,Insurance|PremiumandCustomsDuty,etc.)-----------|(2)安装费|CostofErection-----------|土建项目|CivilEngineeringWork-----------|---------------------------------------------------*每次事故指不论一次事故或一个大事引起的一系列事故Thewords"ANYONEACCIDEMT"shallmeananyoneaccidentorseriesofaccidentarisingoutofoneevent.第5页共32页本文格式为Word版下载后可任意编辑和复制-------------------------------------------------------------工程全部人或承包人在工地上的其他财产|Principal"sorContractor"sPropertyExisting|ontheSite-----------|施工用机具及设备(详见所附清单)|ConstructionPlantandEquipment|(AccordingtotheAttachedList)-----------|清除残骸费用|RemovalofDebrisExpenses-----------|灭火费用|FireExtinguishmentExpenses-----------|专业费用|ProfessionalExpenses-----------|其他费用|第6页共32页本文格式为Word版下载后可任意编辑和复制OtherExpenses-----------|总保险金额|TotalSumInsured-----------|5.2特种危急赔偿限额LimitsofIndemnityforSpecialRisks|赔偿限额LimitsofIndemnity(不超过保额80%Limitto80%ofSumInsured)|危急种类Risks------------------------------------|地震、海啸|Earthquake,Tsunami-----------|洪水、风暴、暴雨|Flood,Storm,Tempest-----------|每次事故免赔额(不低于损失的20%)|DeductibleforAnyOneAccident(NotLessthan20%ofLoss)-----------|5.3费率|第7页共32页本文格式为Word版下载后可任意编辑和复制PremiumRate-----------|5.4总保险费|TotalPremium-----------|------------------------------------------------------------|6.保险期限PeriodofInsurance|6.1安装期:个月,自年月日起至年月日止|ErectionPeriod:Months,Fromto|6.2试车期(可独立分开的项目单独试车)个月,自年月日起至年月日止|TestingorCommissioningPeriod:Months,Fromto|6.3是否投保有限责任保证期?如是,请列明---是---否||||||...
