中 國(guó) 人 民 保 險(xiǎn) 公 司

The People's Insurance Company of China

總 公 司 設(shè) 于 北 京

Head Office: BEIJING

Invoice No.

國(guó)際運(yùn)輸保險(xiǎn)憑證

Insurance Certificate

No.

被保險(xiǎn)人：

Assured's Name

茲依照本公司正式運(yùn)輸保險(xiǎn)單內(nèi)所載全部條款及本承保憑證所特訂之條款承保下列貨運(yùn)物資，但保險(xiǎn)單之條款與特訂條款如有抵觸者應(yīng)以特訂條款為準(zhǔn)。

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).

標(biāo)　　　記

Marks & Nos.

包裝及數(shù)量

Quantity

保險(xiǎn)貨物項(xiàng)目

Descriptions of Goods

保 險(xiǎn) 金 額

Amount Insured

總保險(xiǎn)金額：

Total Amount Insured:

保  費(fèi)

Premium

as arranged

費(fèi)  率

Rate

as arranged

裝載運(yùn)輸工具

Per Conveyance S.S.

開(kāi)航日期

Slg. on or abt.

自

From

至

To

承保險(xiǎn)別：

Conditions

& / or

Special Coverage

所保貨物，如遇出險(xiǎn)，本公司憑本憑證及有關(guān)證件給付賠款。

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

所保貨物，如發(fā)生損失事故，應(yīng)立即通知本公司下述就近代理人查勘。

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.

中 國(guó) 人 民 保 險(xiǎn) 公 司

THE PEOPLE'S INSURANCE CO. OF CHINA

賠款償付地點(diǎn)

Claim payable at

日期

DATE

北京

Beijing