出口货物运输保险投保单(中英文 ).docVIP

PAGE PAGE 1 中国人民财产保险股份有限公司 (PICC Property and Casualty Company Limited) 出口货物运输保险投保单 (APPLICATION FORM FOR EXPORTING CARGO TRANSPORTATION INSURANCE 投保日期(Date)发票号码(Invoice NO.) F01LCB05162 合同号Contract №. CT5132 信用证号L/C №. SUE7345 投保条款和险别 （Insurance clauses and risks） A statement Insurance is required on the following commodities: 兹有下列物品投保: (?? ) PICC CLAUSE 中国人民保险公司保险条款 (?? ) ICC CLAUSE 英国协会货物险条款 ( √) ALL RISKS一切险 (?? ) W.A.水渍险 (?? ) F.P.A.平安险 (?) WAR RISKS战争险 (?) S.R.C.C.罢工，暴动，民变险 (?? ) ICC Clause B 英国协会货物险条款B (?? )ICC Clause C 英国协会货物险条款C (?? )Air TPT All Risk 航空运输综合险 (?? )Air TPT Risk 航空运输险 (?? )O/L TPT All Risk 陆路运输综合险 (???)O/L TPT Risk 陆路运输险 ( )Transshipment Risks 转运险 ( )W/W仓至仓条款 ( )TPND偷窃提货不着险 ( )FREC火险责任扩展条款 ( )IOP无免赔率 ( √ )RFWD淡水雨淋险 Risk of Breakage MARKS NOS. 唛头 packing and quantity 包装及其数量 description of goods 货物描述 Datung San Francisco 旧金山 CT5132 Totally 500 cartons 总共500箱 500 cartons Each set packed in one carton, 500 cartons transported in one 40ft container. 500箱 每个集装一箱， 500箱运输一个40英尺集装箱 25英寸西湖牌彩电 West Lake Color TV sets,25 inches 保险金额(Insured amount) USD( $5,000,000,000.00 ) 起运港( The Loading Port ) ( Yang shan Port ) Shanghai 开航日期(Date of Commencement) 2012.11.20 船名(Conveyance) SUNNY 转内陆Via UPTO ( Hong Kong,China ) 目的港（Destination) ( San Francisco ,America) 赔款地点Claims Payable At) (Shanghai, China ) 赔付币种（Claims Payable At） ( USD ) in the currency of draft (credit) 保单份数（Original No.s） ( 2+ 1 )张 其他特别条款(Other Clauses) THE INSURED CONFIRMS HEREWITH THE TERMS AND CONDITIONS OF THESE INSURANCE CONTRACT FULLY UNDERSTOOD 被保险人确认本保险合同条款和内容已经完全了解。 The interpretation of this proposal shall be subject to English version 本投保单内容以英文为准。 Only the written form contract will be operated, any other form will be not approved. 本保险合同一律采用书面形式，双方不认可其他形式的约定。 This Insurance contract will be effective when the policy is issued by the underwriter and when the insurance premium is received according to the terms of