中保财产保险有限公司(以下简称本公司)根据_________________
(以下简称为被保险人)的要求由被保险人向本公司缴付约定的保险费，按照本保险单承保险别和背后所载条款与下列特款承保下述货物运输保险，特立本保险单。
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.
| 标 记 | 包装及量 | 保险货物项目 | 保险金额 |
|Marks & Nos.| Quantity |Description of Goods|Amount Insured |
总 保 险 金 额：
Total Amount Insured________________________________________
Premium as arranged Rate as arranged per conveyance_________----------- ----------- 开 航 日 期 自 至 Slg.on or abt._________ from_____________________________to_____________ 承保险别： Conditions 所保货物，如发生保险单项下可能引起索赔的损失或损坏，应立即通知本公司下述代理人查勘。
如有索赔，应向本公司提交保险单正本(本保险单共有一份正本)及有关文件。
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.
Claim payable at______________ ________________
Address of Issuing Office_______________________
U164149258
古德
