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如实地、详细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,whichshallbethebasisofapplicationtothecompanyfor
erectionallrisksinsuranceandconstituteanintegralpartoftheinsurancepolicycoveringthepro-
ject.
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1.工程关系方的名称和地址|
nameandaddressofpartiestoproject|
工程所有人|
principal-----------|
承包人|
contractor-----------|
工程分包人|
sub-contractor-----------|
其他关系方|
otherparty(ies)concerned-----------|
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2.被保险人名称和地址:|
nameandaddressoftheinsured:|
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3.被保险工程名称|
titleofcontract/project:|
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4.被保险工程地点locationoferection:|
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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*|
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安装工程|
erectionworks|
(1)安装工程设备价|
(包括设备价、运费、保费、关税等)|
valueofequipmenttobeerected(including|