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1、安装工程一切险承保范围 安装工程一切险保险合同安装工程一切险承保范围 安装工程一切险保险合同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,whichshallbetheba
2、sisofapplicationtotheCompanyforErectionAllRisksInsuranceandconstituteanintegralpartoftheInsurancePolicycoveringthepro-ject.-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-|-|2.被保险人名称和地址:|NameandAddressoftheInsured:
3、|-|3.被保险工程名称|TitleofContract/Project:|-|4.被保险工程地点LocationofErection:|-|5.被保险项目、保险金额/赔偿限额及每次事故x免赔额|InsuredItems、SumsInsured/LimitsofIndemnityandDeductibleforAnyOneAccidentx:|5.1物质损失MaterialDamage|项目投保金额每次事故免赔额|InsuredItemsSumsInsuredDeductibleforAnyOneAccidentx|-|安装工程|ErectionWorks|(1)安装工程设备价|(包括设备价、
4、运费、保费、关税等)|ValueofEquipmenttobeErected(including|ValueofEquipment,Freight,Insurance|PremiumandCustomsDuty,etc.)-|(2)安装费|CostofErection-|土建项目|CivilEngineeringWork-|-x每次事故指不论一次事故或一个事件引起的一系列事故ThewordsANYONEACCIDEMTshallmeananyoneaccidentorseriesofaccidentarisingoutofoneevent.-工程所有人或承包人在工地上的其他财产|Princip
5、alsorContractorsPropertyExisting|ontheSite-|施工用机具及设备(详见所附清单)|ConstructionPlantandEquipment|(AccordingtotheAttachedList)-|清除残骸费用|RemovalofDebrisExpenses-|灭火费用|FireExtinguishmentExpenses-|专业费用|ProfessionalExpenses-|其他费用|OtherExpenses-|总保险金额|TotalSumInsured-|5.2特种危险赔偿限额LimitsofIndemnityforSpecialRisks|
6、赔偿限额LimitsofIndemnity(不超过保额80%Limitto80%ofSumInsured)|危险种类Risks-|地震、海啸|Earthquake,Tsunami-|洪水、风暴、暴雨|Flood,Storm,Tempest-|每次事故免赔额(不低于损失的20%)|DeductibleforAnyOneAccident(NotLessthan20%ofLoss)-|5.3费率|PremiumRate-|5.4总保险费|TotalPremium-|-|6.保险期限PeriodofInsurance|6.1安装期:个月,自年月日起至年月日止|ErectionPeriod:Months
7、,Fromto|6.2试车期(可独立分开的项目单独试车)个月,自年月日起至年月日止|TestingorCommissioningPeriod:Months,Fromto|6.3是否投保有限责任保证期?如是,请列明-是-否|WhetherMaintenanceVisitsPeriodistobeCovered?Ifso,PleaseState-Yes-No|保证期个月,自年月日起至年月日止|MaintenanceVisitsPeriod:Months,Fromto|-|7.是否投保第三者责任?如是,请列明-是-否|WhetherThirdPartyLiabilityistobeCovered?I
8、fso,PleaseState-Yes-No|7.1每次事故赔偿限额|LimitofIndemnityforAnyOneAccident-|7.2累计赔偿限额|LimitofIndemnityinAggregateduringPeriodofInsurance-|7.3每次事故物质损失免赔额|DeductibleofMaterialDamageforAnyOneAccident-|7.4费率及保险费|PremiumRateandPremium-|-|8.被安装机器设备的情况ConditionoftheMachineryandEquipmenttobeErected|-8.1项目主体|Princ
9、ipleWork-|8.2如系单项设备,逐一列明名称、型号、技术指标、|制造商及价值;如系成套设备,列明主要设备的|名称、技术指标、制造商及价值;如有旧品,逐|一列明名称及价值|ForSingle-ItemEquipment,SpecifyDescription,|Type,TechnicalStandard,Manufacturerand|Value;ForCompleteSetsofEquipment,Specify|Names,TechnicalStandard,Manufacturerand|ValueofthePrincipleEquipment;ForUsed|Machinery,
10、ifany,SpecifyDescriptionsand|ValueSeparately-|8.3安装前设备储存地点、条件及保管方法|Location,ConditionandMethodofTemporary|StorageoftheEquipmentPriortheErection-|8.4主体工程施工方法及起止时间|ConstructionMethodofPrinciplePartof|ProjectandtheDateofCommencement|andExpiry-|-|9.工地及附近的自然条件NaturalConditionsonandarroundtheWork-Site:|9.
11、1地形特点|TopograghicalFeatures-|9.2地质及底土条件|GeologyandSubsoilConditions-|9.3地下水水位|LevelofUndergroundWater-|9.4最近的河、湖、海的名称、距离和以往最低、一般和最高水位|NameandDistanceofTheNearestRiver,|LakeandSeaandTheirRecordsofThe|Lowest,NormalandHighestWaterLevels-|9.5以往最大降雨量记录PastRecordoftheMaximumRainfall|(24小时,月/年Within24Hours
12、,Month/Year)-|9.6以往遭受自然灾害(如洪水、台风)记录|PastRecordofOccurrencesofNatural|Calamities(suchasFlood,Typhoon)-|-|10.该工程为-新建-改建-扩建|TheProjectis-NewProject-Reform/Up-grade-Extented|-|11.安装工程在建筑物内进行还是露天进行?-建筑物内-露天|TheErectionWorkwillbeCarriedoutIndoororOutdoor-Indoor-Outdoor|-|12.施工过程中可能会造成损坏他人财产的分布情况|DistributionofThirdPartysPropertieswhichmaybeDamagedDuri
