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1、单证样例10货物运输投保单投保单序号: PICC No.0000060中 国 人 民 保 险 公 司The Peoples Insurance Company of China地址(ADD)邮编(POST CODE)电话(TEL)传真(FAX)货物运输保险单投保单APPLICATION FORM FOR CARGO TRANSPORTATION INSURANCE POLICY被保险人(INSURED)RED STAR CLOTHING TRADING CO., LTD.发票号(INVOICE NO.)TJ0604B 合同号(CONTRACT NO.)CA191229 信用证号(L/C NO.
2、)ILS06/00060 发票金额(INVOICE AMOUNT)26 865.00投保加成(PLUS)10% 兹有下列物品向中国人民保险公司湖北省分公司投保.(INSURANCE IS REQUIRED ON THE FOLLOWING COMMODITIES):标记MARKS & NOS.包装及数量QUANTITY保险货物项目DESCRIPTION OF GOODS保险金额AMOUNT INSUREDSUNSHINEVANCOUVERC/NO.1-130130CNTSWOMENS COATS AND JACKETSUSD29 552启运日期装载运输工具DATE OF COMMENCEMEN
3、TAS PER B/LPER CONVEYANCE YM MILESTONE / 0039E自经至FROMSHANGHAI VIATOVANCOUVER 提单号 赔款偿付地点B/L NO.SH345098CLAIM PAYABLE AT VANCOUVERIN USD投保险别(PLEASE INDICATE THE CONDITIONS &/OR SPECIAL COVERAGES):INSURANCE POLICY / CERTIFICATE DULY ENORSED IF APPLICABLE COVERING RISKS PER INSTITUTE CARGO CLAUSES A WAR
4、 AND STRIKES AS PER INSTITUTE CLAUSES UP TO CANADA CLAIMS PAYABLE IN CANADA WITH NO EXCESS._请如实告之下列情况(如“是”在中打“”,“不是”在中打“”。IF ANY, PLEASE MARK“”OR “”)货物种类:袋装散装 冷藏 液体 活动物 机器/汽车 危险品等级GOODS:BAG/JUMBO BULK REEFER LIQUIDLIVE ANIMAL MACHINE/AUTO DANGEROUS CLASS集装箱种类:普通 开顶 框架平板冷藏CONTAINER:ORDINARY OPEN FRAM
5、EFLAT REFRIGERATOR转运工具:海轮 飞机 驳船火车汽车BYTRANSIT:SHIP PLANE BARGETRAINTRUCK船舶资料: 船籍 船龄PARTICULAR OF SHIP: REGISTRY AGE_备注:被保险人确认本保险合同条款和内容已经完全了解。投保人(签名盖章) APPLICANTS SIGNATURETHE ASSURED CONFIRMS HEREWITH THE RED STAR CLOTHING TRADING CO., LTD.TERMS AND CONDITIONS OF THESE INSUR- 电话(TEL.)ANCE CONTRACT FULLY UNDERSTOOD. 地址(ADD)NO.318 XINHUA ROAD,投保日期(DATE)FEB.25, 2020 JIANGHAN DISTRICT, WUHAN, CHINA _本公司自用(FOR OFFICE USE ONLY)费率保费备注RATEPREMIUMNOTE经办人 核保人 负责人BYUNDER WRITERMANAGER
