pli询价书-保险公司通用版2014.xlsVIP

Sheet3 Sheet2 Sheet1 □ Yes □ No 2.INSURED PRODUCTS INFORMATION 投保产品情况 □ Yes □ No 索赔发生制 追溯日：____________________________ □ Claims Made Retroactive Date: Form Number 表格号码 年度 产品 单次： 累计： 1 被保险人名称及地址 包括总部和所有的分公司 Named Insured Address Include headquarter and all subsidiaries : 2 公司网站 如有 Company Website if any 3 业务性质 Business Nature : 4 申请人在美国是否有分公司，子公司或代表处？ Does Applicant have a subsidiary, affiliate or representative in the USA? 如是，请提供名称和地址 If yes, Please give name s and address es 5 被保险人从事本行业多久？若被保险产品并非由贵司生产，请提供生产商的公司介绍 How long has named insured been in business? Please also provide the producer’s profile if you’re not producer. 1.投保人信息 APPLICANT’S INFORMATION 1 销售额 美元 请附产品目录、图片或样品 SALES TURNOVER IN USD Please attach Product Catalogues, Pictures or Samples 2 请简述被保险产品的功能及用途 Please give a brief description of the products on its function and application. 4 若贵公司用其他品牌或商标 原产地制造或原产地产品 销售被保险产品，请告知品牌名称，以及如何与其他供应商的产品进行区分。If your insured products are sold under someone else’s label as OEM product , please list the brand names and the methods to distinguish your products from other suppliers? □ 制造商 Manufacturer □ 经销商 Distributor □ 贸易公司 Trading Company □ 其他 Others 5 请列出贵公司用其他品牌或商标 原产地制造或原产地产品 销售的不同产品占其销售额的比例。 Please give sales percentage by products sold under another label / brand OEM’s Products （1）您的产品及相关的服务是否会用于： Are your products sold for use on or with: 如果是，请详细说明，其中包括该应用范围的产品占总销售额的比例。 If yes, please give details, including the percentage of all sales 3.产品质量与特殊用途 请附质量证书、产品检验报告复印件，用户手册及产品警示标签 PRODUCT QUALITY AND SPECIAL USE Please attach copy of Quality Certificate, Lab. Testing Reports, User Manual and Warning Labels （2）贵公司有书面的质量控制措施并且正在执行吗？ Is there a written Quality Control procedure in effect? （3）所有的产品是否有保存的过程跟踪记录？ Are record keeping procedures being kept on the products? （4）贵公司的产品是否应遵循相应的标准并且已经达到标准？ Is each product subject to and do they conform with applicable standard? 若是，请列出贵公司的产品应遵循的标准， 例如：CPSC，ASTM，CSA，CE，UL