财 产 保 险 询 价 书 Property Insurance Application Form

1.投保人信息 Applicant's Information

(1)被保险人名称 Name Insured

(2)被保财产地址(请列出所有地址) Locations of Property Insured(Please list all locations)

(3)联系人/Contact Person

(4)公司网站(如有) Company Website (if any)

2.被保财产情况 Insured Property Information

拟投保保险金额基础: Sum Insured basing on:

投保下列各项 Insured Locations

(1)楼宇结构包括房东附属装置和设施但不包括地基及排水设备 Buildings including Landlord’s Fixtures and Fittings but excluding Foundations and Drains

(2)机械设备、用具、工具但不包括任何类型工模 Machinery, Utensils and Tools of Trade excluding Moulds of Any Kind

(3)库存物及/或成品、半成品或在制品 Stock in Trade and/or Merchandise Manufactured, Unmanufactured or in the process of Manufacture

(4)商业办公家具附属装置及设施但不包括移动电子/通信设备 Business and Office Furniture Fixtures and Fittings but excluding Movable Electronic/Communication Equipment

(5)计算机设备（不包括手提电脑） Computer Equipment (not include laptop)

(6）手提电脑（请附品牌、型号、单价的清单） Laptop (please attach a list of brand, type and unit price )

(7)其他 (请说明) Others (Please specify)

(8)总额 Total

3.保险场所/防护措施 Protection Information

(1)行业与业务性质 Industry and Business Nature

(2)产品 Final Product

(3)请列出大致工艺流程 Please discribe the working process

(4)厂房/楼宇楼龄 Age of Plant/Building

(5)建筑结构, 如果各种建筑结构都有,请告知各自百分比 Construction on key location; If is mixture, please specify the % of construction

(6)防护措施 Protection

a.自动喷淋系统 Automatic Sprinkler

b.灭火器 Extinguisher

c.火警探头系统 Automatic Fire Detection

d.消防水池 Water Tank

e.室内消防水龙 Indoor Fire Hydrant

f.室外消防水龙 Outdoor Fire Hydrant

g.公用消防水龙 Public Fire Hydrant

h.烟/热监测报警系统 Smoke/Heat Detectors/Alarm System

i.消防水泵 Water Pump solely for Fire Protection