陸上貨物運輸保險合同樣本

OVERLAND CARGO TRANSPORTATION INSURANCE POLICY

發 票 號 碼 保險單號次

Invoice No. Policy No.
中保財產保險有限公司(以下簡稱本公司)根據_________________

(以下簡稱為被保險人)的要求由被保險人向本公司繳付約定的保險費，按照本保險單承保險別和背后所載條款與下列特款承保下述貨物運輸保險，特立本保險單。

This policy of Insurance withesses that the People"s Insurance (Property) Company of China (here- inafter called "The Company"), at the Request of __________________________________________________________________________________________________

(hereinafter called the "Insured") and in consideration of the agreed premium being paid to the company by the Insured, undertakes to insure the undermentioned goods in transportation subject to the conditions of this policy as per the Clauses printed overleaf and other special Clauses attached hereon.

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| 標 記 | 包裝及量 | 保險貨物項目 | 保險金額 |

|Marks & Nos.| Quantity |Description of Goods|Amount Insured |

|------|------|----------|--------|

| | | | |

| | | | |

-----------------------------------

總 保 險 金 額：

Total Amount Insured________________________________________

保 費 費率 裝 載 工 具

Premium as arranged Rate as arranged per conveyance_________----------- ----------- 開 航 日 期 自 至 Slg.on or abt._________ from_____________________________to_____________ 承保險別： Conditions 所保貨物，如發生保險單項下可能引起索賠的損失或損壞，應立即通知本公司下述代理人查勘。

如有索賠，應向本公司提交保險單正本(本保險單共有一份正本)及有關文件。

In the event of loss or damage which may result in a claim under this Policy, immediate notice must be given to the Company"s Agent as mentioned hereunder. Claims, if any, one of the Original Policy which has been issued in One Original together with the relevant documents shall be surrendered to the Company.

_____保 險 公 司

_______(英文名稱)

賠款償付地點
Claim payable at______________ ________________

出 單 公 司 地 址 Address of Issuing Office_______________________