财产保险询价书.docVIP

财 产 保 险 询 价 书 PROPERTY INSURANCE QUOTATION APPLICATION Producer Code (Internal Use Only) — Producer Name (Internal Use Only) Policyholder Information投保单位Name of Policyholder 投保单位: License number营业执照编号: ___________________________ (Remark: If policy premium over RMB200,000 or US$20,000, please provide copy of operation license) (说明: 如保费超过RMB200,000或US$20,000，请提供营业执照复印件) Business Address 办公地址: Postcode 邮政编码: Contact Person 联络人: Contact Tel. No 联系电话: Fax No 传真号码: Email Address 电子邮件: Risk Information资料统一风险(Middle Market Team) 个别风险(Technical Team) 业务员 Producer: 日期 Date : 电话 Phone/Ext : 窗体顶端 被保险人 Name of Insured : 公司网站 Website: 行业性质 Occupancy: 保险期限 Period of Insurance : 从 From 至 To 被保财产地址 Locations of Property Insured : (Please list all locations; if many, please add as attachment) 险种 Coverage Type : 财产损失 Property Damage : 火灾险 Fire Insurance : 火灾及附加灾险保险 Fire and Allied Perils Insurance: 财产一切险 Property All Risks Insurance : 间接损失保险 Consequential Loss Insurance : 第一部分 财产损失 Part I Property Damage (If multi locations, please provide attachment with breakdown by location) 以下保险价值系按照帐面原值, 如果需要按其他价值确定, 请告知 Valuation is on book value basis, if other valuation is requested, please specify : 投保下列各项 Insured Item 保险价值（帐面原值） Book Value 保险金额/损失限额 Sum Insured / Limit 楼宇结构包括房东附属装置和设施但不包 括地基及排水设备Building including Landlord’s Fixtures and Fittings but excluding Foundations and Drains 机械设备、用具、工具但不包括任何类型工模Machinery, Utensils and Tools of Trade excluding Moulds of Any Kind 库存物及/或成品、半成品或在成Stock in Trade and/or Merchandise Manufactured, Unmanufactured or in the process of Manufacture 商业办公家具附属装置及设施 Business and Office Furniture Fixtures and Fittings 其他 (请说明) Others (Please specify) 总额 Total 希望的免赔额 Deductible requested 人民币 元，或损失之 %