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The People's Insurance Company of China

×Ü ¹« ˾ Éè ÓÚ ±± ¾©

Head Office: BEIJING

Invoice No.

 

¹ú¼ÊÔËÊä±£ÏÕƾ֤

Insurance Certificate

No.

 

±»±£ÏÕÈË£º

Assured's Name

 

 

×ÈÒÀÕÕ±¾¹«Ë¾ÕýʽÔËÊä±£ÏÕµ¥ÄÚËùÔØÈ«²¿Ìõ¿î¼°±¾³Ð±£Æ¾Ö¤ËùÌض©Ö®Ìõ¿î³Ð±£ÏÂÁлõÔËÎï×Ê£¬µ«±£ÏÕµ¥Ö®Ìõ¿îÓëÌض©Ìõ¿îÈçÓеִ¥ÕßÓ¦ÒÔÌض©Ìõ¿îΪ׼¡£

We have this day noted a risk as hereunder mentioned in your favour, subject to all clauses and conditions of the Company's printed form of Policy and to the special terms outlined herein (which latter shall override the policy terms in so far as they may be inconsistent therewith).

±ê¡¡¡¡¡¡¼Ç

Marks & Nos.

°ü×°¼°ÊýÁ¿

Quantity

±£ÏÕ»õÎïÏîÄ¿

Descriptions of Goods

±£ ÏÕ ½ð ¶î

Amount Insured

 

 

 

 

 

×ܱ£ÏÕ½ð¶î£º

Total Amount Insured:

 

 

±£  ·Ñ

Premium

as arranged

·Ñ  ÂÊ

Rate

as arranged

×°ÔØÔËÊ乤¾ß

Per Conveyance S.S.

 

 

¿ªº½ÈÕÆÚ

Slg. on or abt.

 

×Ô

From

 

ÖÁ

To

 

 

³Ð±£ÏÕ±ð£º

Conditions

& / or

Special Coverage

Ëù±£»õÎÈçÓö³öÏÕ£¬±¾¹«Ë¾Æ¾±¾Æ¾Ö¤¼°ÓйØÖ¤¼þ¸ø¸¶Åâ¿î¡£

Claims, in any, payable to the Holder of the appertaining documents and on surrender of this Certificate.

Ëù±£»õÎÈç·¢ÉúËðʧʹʣ¬Ó¦Á¢¼´Í¨Öª±¾¹«Ë¾ÏÂÊö¾Í½ü´úÀíÈ˲鿱¡£

In the event of accident whereby loss or damage may result in a claim under this Certificate immediate notice must be given to the nearest Company's Agent as mentioned hereunder.

ÖÐ ¹ú ÈË Ãñ ±£ ÏÕ ¹« ˾

THE PEOPLE'S INSURANCE CO. OF CHINA

Åâ¿î³¥¸¶µØµã

Claim payable at

 

 

ÈÕÆÚ

DATE

 

±±¾©

Beijing

 

 

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