雇主责任险保险合同.docx

雇主责任险保险合同 第 PAGE \* Arabic \* MERGEFORMAT 15 页 编号:_____________ 雇主责任险保险合同 甲 方:________________________________________________ 乙 方:___________________________ 签订日期:_______年______月______日 1.雇主责任险保险单 employers liability insurance policy 保险单号码 policy no. 中保财产保险有限公司(以下简称本公司)按照背面所载条款的规定,在本保险单保险期内,承保下述雇主责任险,特立本保险单。 this policy of insurance witnesses the the peoples insurance (property)company of china, ltd.(hereinaftercalled the company)undertakes to insure against employers liability insurance during the period of the insurance subject to the clauses printed overleaf. --------------------------------------------------- ||姓名| ||name:| ||---------------------------------------| |投保人|地址| |the applicant |address:| ||----------------------- ----------------| ||营业性质| ||trade/occupation:| |---------|---------------------------------------| |地区范围|| |geographical area || |---------|---------------------------------------| |保险期限|个月自零时至二十四时止| |insured period |month(s)from 00:00 of to 24.00 hour of | |---------|---------------------------------------| ||雇员工种|||||||总计| ||employees|||||||| ||occupation |||||||total | ||-----------|---|---|---|---|---|---|---| ||估计雇员人数|||||||| |雇员一览表|est.number |||||||| |schedule of |of employees |||||||| |employees |-----------|---|---|---|---|---|---|---| ||估计工资及其他收入总数|||||||| ||total est.|||||||| ||wages other |||||||| ||allowances |||||||| |---------|---------------------------------------| |||赔偿限额|费率|保险费| |||limit of indemnity |rate |premium | |雇主责任险|----------|-----------|-------|--------| |employers |死亡death |||| |liability cover |----------|-----------||| ||伤残injury |||| ||----------|-----------||| |||||| |---------|----------------------|-------|--------| |附加医药费保险|每人累计不超过|||| |add.medical |not to exceed in accumulation |||| |**|for any one person |||| |---------|---------------|------|-------|--------| |第三者责任险|累计每次事故|||| |**|in accumulation **.|||| |---------------------------

文档评论(0)

1亿VIP精品文档

相关文档