雇主责任险保险合同.docx

雇主责任险保险合同employer"(以下简称本公司)按照背面所载条款的规定,在本保险单保险期内,承保下述雇主责任险,特立本保险单。thispolicyofinsurancewitnessesthethepeople"sinsurance(panyofchina,ltd.(pany")undertakestoinsureagainstemployer"sliabilityinsuranceduringtheperiodoftheinsurancesubjecttotheclausesprintedoverleaf.---------------------------------------------------||姓名|||name:|||---------------------------------------||投保人|地址||theapplicant|address:|||---------------------------------------|||营业性质|||trade/occupation:||---------|---------------------------------------||地区范围|||geographicalarea|||---------|---------------------------------------||保险期限|个月自零时至二十四时止||insuredperiod|month(s)from00:||---------|---------------------------------------|||雇员工种|||||||总计|||employees"||||||||||occupation|||||||total|||-----------|---|---|---|---|---|---|---|||估计雇员人数|||||||||雇员一览表||||||||||scheduleof|ofemployees|||||||||employees|-----------|---|---|---|---|---|---|---|||估计工资及其他收入总数||||||||||totalest.||||||||||wages&other||||||||||allowances|||||||||---------|---------------------------------------||||赔偿限额|费率|保险费||||limitofindemnity|rate|premium||雇主责任险|----------|-----------|-------|--------||employer"s|死亡death|||||liabilitycover|----------|-----------|||||伤残injury||||||----------|-----------||||||||||---------|----------------------|-------|--------||附加医药费保险|每人累计不超过||||||umulation||||||foranyoneperson|||||---------|---------------|------|-------|--------||第三者责任险|累计每次事故||||||.|||||-------------------------------------------------||保险费总数(预付)||totalpremium||(paidinadvance)|--------------------------------------------------------------------------------------||签字:||投保人对保险人的除外责任条款明确无误||||signature:||i,theapplicant,certifythatifully||||日期:年月日||understandtheexclusionclauseshereof.||||date:///|-----------------------------------_________保险有限公司__________(英文名称)日期:date----------------------------------、责任范围凡被保险人