财产保险询价书

1、美亚财产保险有限公司ChartisInsuranceCompanyChinaLimited服务热线CustomerServiceHotline:4008208858财产保险询价书PROPERTYINSURANCEQUOTATIONAPPLICATIONllllllllllllllllllllllllllllProducerCode(InternalUseOnly)Policyholderhifonnation投保单位基本信息*A0407001.0rNameofPolicyholder投保单位：Licensenumber营业执照编号:(RemftikIfpolicypiemnimovexRMB2

2、00,000aUS$20,000,pleasepiovidecopyofoperationlicense)(说明：如保费超过RMB200.000或US$20,000.请提供营业执照复印件)BusinessAddress办公地址.Postcode邮政编码：ContactPerson联格人ContactTelNo联系电话:FaxNo传真号码：EmailAddress电子邮件:ProducerName(InternalUseOnly)RiskInformation投保资料个别风险(TechnicalTeam)电话Phone/Ext厂统一风险(MiddieMarketTeam)业务员Producer日

3、期Date:被保险人NameofInsured:公司网站Website:行业性质Occupancy;保险期限PeriodofInsurance:从From至To被保财产地址LocationsofPropertyInsured:(Pleaselistalllocations;ifmany,pleaseaddattachment)险种CoveiageType:厂财产损失火灾险PropertyDamage:FireInsurance:r火灾及附加灾险保险FireandAlliedPerilsInsurance:口财产一切险PropertyAllRisksInsurance:r间接损失保险Conseq

4、uentialLossInsurance:美亚财产保险有限公司ChartisInsuranceCompanyChinaLimited服务热线CustomerServiceHotline:4008208858第一部分财产损失PaitIPropertyDamage(Ifmultilocations,pleaseprovideattachmentwithbreakdownbylocation)以下保险价值系按照帐面原值，如果需要按真他价值1Valuationisonbookvaluebasis,ifothervaluationisreq谕定,请告知uested,pleasespeafy投保下列各项I

5、nsuredItem保险价值（帐面原值）BookValue保险金额/损失限额SumInsured/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BuildingindudingLandlord'sFixturesandFittingsbutexcludingFoundationsandDrains机械设备、用具、工具但不包括任何类型工模Machinery.UtensilsandToolsofTradeexcludingMouldsofAnyKind库存物及/或成品、半成品或在成StockmTradeand/orMerchandiseManufactured,Unmanu

6、facturedorintheprocessofManufacture商业办公家具附属装置及设施BusinessandOfficeFurnitureFixturesandFittings其他(请说明)Others(Pleasespeafy)总额Total希望的免赔额Deductiblerequested人民币元，或损失之%,以高者为准,每一次事故损失%ofadjustedloss,minRMBforeachandeveryloss风险地址房屋数量(不包括仓库)NumberofBuildings(excludingwai,ehouse):总面积TotalFloorAreanf仓库数=Number

7、ofWaiehouses:建筑类别(请在下面填写风险地址内各种所已有的建筑类型的面积)ConstructionType(Pleasefillininformationbelowregardingtheareaofeachconstructiontype)钢筋混凝土结构一般钢结构内mnrReinforcedConcreteStructure:SteelStructure:砖木结构或木结构i其他结构,请说明1nrnrBrickJoistedorWoodStructure:Other,pleasespecify:彩钢板结构Sandwichpanelpresent:有Yes无Norr如有，请告知彩钢板

8、结构建筑所占之%,以及中间之保温材料:Ifyes,pleasespecify%ofconstruction,andtypeofinsulation:美亚财产保险有限公司ChartisInsuranceCompanyChinaLimited服务热线CustomerServiceHotline:4008208858厂区平面图PlantLayoutAttached:有Yes无Norrr自有厂房租用厂房OwnedLeased有无共用单位有丫/无N。Co-tenants?厂厂合租人从事何种生产Occupancyofcotenant:仓库及储存区域的详细情况(请填写以下有关仓库及库存区域的信息)Wareh

9、ouse/StorageAieaDetails(Pleasefillindieinformationbelowregardingwardiouse/storage)原材料、成品仓库及堆放区域日.nrRawMaterial&FinishedGoodsStorageArea:仓板货物堆高mMax.PaDetStorageHeight:货架最大高度XDMax.HeightofRacks:周遍情况,请给出被保险财产地址四周的情况（例如,河流,森林,纺织厂等）,及其和被保险地址的距离Exposure,pleasegivedetailsofexposureplusdistancetonorth,s

10、outh,eastandwestoflocation:行业描述Occupancy:请列出大致工艺流程Pleasegivethebriefdetailsofworkflow&process:工艺流程图ProductionFlowChatattached:有Yes无No匚主要原料RawMaterialUsed:产成品FinalProduct:主要生产设备KeyMachinery,pleasegivebriefdetails:大型液压设备HydraulicEquipmentUsed:有Yes无Norr美亚财产保险有限公司ChartisInsuranceCompanyChinaLimited服

11、务热线CustomerServiceHotline:4008208858带明火操作FiredProcesses:燃炉Ovair熔炉Furnacer其他.请说明Other,pleasespecifyn干燥机Dryerr加热器Heaterr防护措施(请填写以下有关防护措施的信息)Protection(Pleasefillintheinformationbelowregardingprotectionfacilities)自动喷淋系统AutomaticSprinkler:完全FullyProtected部分PartlyProtected无喷淋NoSprinklersnrr货架内的水喷淋喷头In-ra

12、ckSprinklersPresentinWarehouse/StorageArea:有Yesr无Nor火警探头系统AutomaticFireDetection:有Yes无Non口如果有，系统联网至Ifyes.connectedto:厂消防局厂控制室厂就地报警FireDepartmentSecurityRoomLocalAlarm其他防火设备OtherFireProtectionFacilities:请列出Pleaselist:防盗报警系统BurglarAlarm:有Yesr无Nor是否和保安公司或公安局联网Ifyes,isitconnectedtoalanncompanyorpolicest

13、ation:是Yes否No24小时保安24HoursSecurity:有Yesr无Nor厂禁烟措施SmokingControlRegulationPresent&Enforced动火许可制度和记录HotworkPermitPresent&Enforcedr厂内自检程序和记录SdfInspectionProgiamPresent&Enforced厂定期消防设施维护与记录FireProtectionMaintenancePresent&Enforced厂整理、整顿的规章条例与记录HousekeepingStipulationPresent&Enforced被

14、保险地址附近的河流、湖泊、水库离被保险地址的距离Thedistancebetweeninsuredlocationandriver/lake/reservoirclosetotheinsuredlocation:500米以内witlun500metersr超过500米above500metersr第二部分利润损失（间接损失保险）PartIIConsequentialLossInsurance保险项目InsuredItem:保险价值InsuredValue赔偿期限IndemnityPeriod毛利润GrossProfit:所需赔偿期限为自损失发生之日起连续月数Penodforwhichindem

15、nityisrequiredr租金损失LossofRentCOIISCUUUVClllOnUISLOHOwingUlCUalCOlUlCUalllagc.各注B当要求之赔偿期限超过12个月，左侧的投保金额应为该期间预计的毛利、租金、额外工作费用r额外工作费用IncreasingCostofWorking和工资Remarks:Whereanindemnitypenodinexcessof12monthsisrequired,therespectivesuminsuredunderleftsideshouldberepresenttheestimatedGrossProfit,LossofRent

16、,ICOWandWagesforthefoilpenodselected厂工资Wages美亚财产保险有限公司ChartisInsuranceCompanyChinaLimited服务热线CustomerServiceHotline:4008208858厂审计师费用Auditor'sFees希望的免赔额个工作口，每一次事故损失Deductiblerequested:Workingdays,foreachandeveryloss生产的瓶颈快键的生产设备由一家供应商提供)ProductionBottlenecks:(CriticalSingleSourceProductionMachinery,etc)有Yes无Norr如有,请说明Ifyes,pleasespecify:财产损失及利润损失的扩展条款ExtensionsforPropertyDamage&ConsequentialLoss希望的扩展条款Pleaselistextensionsrequested财产损失PropertyDamage:利润损失ConsequentialLoss:5年的损失记录Lossreco