Application营业中断险投保的情况问卷
Questionnaires on Business Interruption Insurance Application
Please fill up the following details for us, in order for us to submit to you estimate quotations or proposal for
your consideration or approval.
请您提供我们下
表
关于同志近三年现实表现材料材料类招标技术评分表图表与交易pdf视力表打印pdf用图表说话 pdf
的一些细节，我们方可为您呈上报价
书
关于书的成语关于读书的排比句社区图书漂流公约怎么写关于读书的小报汉书pdf
或
方案
气瓶 现场处置方案 .pdf气瓶 现场处置方案 .doc见习基地管理方案.doc关于群访事件的化解方案建筑工地扬尘治理专项方案下载
，以便您的参考或决定投保之用。
Proposed Insured _________________________________________________ Insured (1) (1) _________________________________________________ Insured (2) (2) _________________________________________________ Mailing Address _________________________________________________
_________________________________________________ Tel _____________________ Fax Postal Code ___________________ ___________ Contact Person Name and Tel : ________________________________________________________ Nature of business ? Wholly foreign owned 外商独资 ? Sino-foreign Joint Venture 中外合资 ? Foreign Trade 涉外贸易 ?Contractual JV 中外合作 ? Other 其他 State where foreign investor from
Scope of Business _________________________________________________________________________
_________________________________________________________________________ Locations of Risk1 1 _______________________________________________________________________
Locations of Risk 2 2 ______________________________________________________________________ Locations of Risk 3 3 ______________________________________________________________________ Locations of Risk 4 4 ______________________________________________________________________ Locations of Risk 5 5 ______________________________________________________________________ If you have more than 5 locations please provides them in the separate sheet. 若贵司有超过5个风险地址请提供。 When was the firm established ------------------------------------------------------------------------------------
Business Interruption Insurance LOP 01 1. 贵公司的会计年度何时结束 When does your financial year end?
2. 贵公司的审计公司名称和地址Name and address of Your Auditor
3. 贵公司目前是否已有任何利润损失险的保单?若有,请给出细节
Have you at present any Insurance covering business Interruption? If so, give details
4. 是否曾有任何保险公司拒绝您的火险或利润损失险的投保申请?若有,请给出细节
Has any Office declined a Proposal made by you for insurance against Fire or Business Interruption?
If so, state particular
5. 贵公司是否曾在火险或利润损失险保单下提出过索赔?若是,请给出细节
Have you ever made a claim under a Fire Policy or business Interruption? If so, give details
6. 承保贵公司营业处所财物的保险公司名称
Name of Company insuring the Contents of your premises
7. 投保项目Item To Be Insured 投保金额Sum Insured 赔偿期限 Indemnity Period
毛利润 On Gross Profit _____________________ ________________月 months
工资总额 On Wages _____________________ _______________
会计师费用 On Accountants' Charges ______________________ _______________ 周
Weeks
总保险金额 Total Sum Insured ______________________ 8. 特定营业费用-请说明应除外的营业费用 Specified Working Expenses – Please indicate Working Expenses to be
excluded:
浙公网安备 33021202002483