机动车辆保险合同,范文

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1.机动车辆保险单 No.
POLICY FORM OF MOTOR INSURANCE 正本 保险单号码: 单位:元
被保险人:
The Insured: (ORIGINAL) Policy Number: in yuang (RMB)
本公司按照承保险别,依据本保险单中载明的机动车辆保险条款以及其它特别约定,承担被保险人下列机动车的保险责任。
In accordance with the insurance coverage, the motor insurance clauses and additional insurance as well as other special
agreement set forth in this policy, our company will insure the following motor vehicle herunder for the insured.
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| | | | | | | 车辆损失险A
| | | | | | | vehicle damage insurance A
| | | | | | |-----------------------
| | | |发动机号 | | 吨位 | 保 险 | | | |
| 序 | 厂牌型号 |发动机号|number |使用 |tonnage | 价 值 | 费率 | |基 本 |
| 号 | model and |plate |of engine |性质 |----|insured value |premium |保险费 |保险费 |
|serial| brand |number |-----|nature| 座位 |-------| rate |premium |basic |
|no. | | |车架号码 |of use|seating | 保 险 | % | |premium |
| | | |number of | |capacity| 金 额 | | | |
| | | |chassis | | |insured amount| | | |
| | | | | | | | | | |
|---|-------|----|-----|---|----|-------|----|----|----|
|合 计| | | | | | | | | |
| | | |-----| |----|-------| | | |
|total | | | | | | | | | |
|---|-------|----|-----|---|----|-------|----|----|----|
| | | | | | | | | | |
| | | |-----| |----|-------| | | |
| | | | | | | | | | |
|---|-------|----|-----|---|----|-------|----|----|----|
| | | | | | | | | | |
| | | |-----| |----|-------| | | |
| | | | | | | | | | |
|---|-------|----|-----|---|----|-------|----|----|----|
| | | | | | | | | | |
| | | |-----| |----|-------| | | |
| | | | | | | | | | |
|-----------|------------------------------------------|
| 车辆总数:辆 |保险费总计:人民币(大写) |
|total no. of vehicles:|rotal insured amount. RMB yuan(in capital letters) |
|------------------------------------------------------|
|特别约定: |
|special agreement: |
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| 第三者责任险B |
|third party Liablity insurance B|
----|----------------|--------------------------------
| 赔 偿 | 车上人员责任险D |
保 费 | 限 额 | passenger liability insurance D |
小 计 | liability limit |-------------------------------|
premium |----------------|座位数 | 每座限额 | 限额小计 |
subtotal| 保险费 |seating |liability limit per seat|liability limit subtotal |
| premium |capacity|------------|-------------|
| | | 每座保费 | 保费小计 |
| | | premium per seat | premium subtotal |
----|----------------|----|------------|-------------|
| | | | |
|----------------| |------------|-------------|
| | | | |
----|----------------|----|------------|-------------|
| | | | |
|----------------| |------------|-------------|
| | | | |
----|----------------|----|------------|-------------|
| | | | |
|----------------| |------------|-------------|
| | | | |
----|----------------|----|------------|-------------|
| | | | |
|----------------| |------------|-------------|
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保险费总计:人民币(大写)
rotal Premium amount. RMB yuan(in capital letters)
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保险期限(policy period):
个月 自 年 月 日 零 时起
months from zero hours of----year----month----date
至 年 月 日二十四时止
to 24 hours of--------year----month----date
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行驶区域:中华人民共和国境内(不含港,澳,台地区)
driving area: within the People"s Fepublic of China (excluding Hong Kong, Macao, and Taiwan)
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敬告保户:
Warnin to the insured:
1.收到本保险单后,请即核对,如有错误,立即通知本公司更正。
Upon receiving this policy, theck immediately. If there should be any error, contact our company
immediately for correction.
2.保险车辆转卖,转让,赠送他人,变更用途或增加危险程度,请事先书面通知保险人并申请办理批改。
If this insured vehicle is to be sold, assigned, or given to others as a gift; or ot be used for
other purposes, or to increase riske in any way, please notify the insurer in writing in advance and
apply for alterations.
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附 加 险 | |
additional insurance | |
----------------------------------------|保 费|
承运货物责任险E | 玻璃单独 | 盗抢险G |合 计|
Cargo liability insurance E | 破碎险F |robbery and theft insurance G | |
--------------|breakage of glass |---------------| total |
赔偿限额 | insurance F | 费率 | 保险金额 |premium |
liability limit | |premium | insured amount | |
--------------|---------| |----------| |
保险费 | 保险费 | rate | 保费小计 | |
premium | premium | % | premium subtotal| |
--------------|---------|----|----------|----|
| | | | |
--------------| | |----------| |
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--------------|---------|----|----------|----|
| | | | |
--------------| | |----------| |
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--------------|---------|----|----------|----|
| | | | |
--------------| | |----------| |
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--------------|---------|----|----------|----|
| | | | |
--------------| | |----------| |
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--------------|------------------------------|
|被保险人情况: |
|Information about the insured: |
--------------|地址: |
|address: |
|邮政编码: 电话: |
|zip code: telephone: |
|联系人: |
|liaison man: |
--------------|------------------------------|
| |
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--------------|------------------------------|
|保险人地址: |
|Insurer"s add ress: |
|邮政编码: 电话: |
|zip code: telephone: |
| 保险有公司 |
| 签 章 |
| Signed |

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