建筑、安装工程险投保单(35)

hereinafter provided.

                 by  the  ________  insurance  company

_________________________ authorised signature

date of issue:

place of issue:

      schedule

policy no.:

1. name and address of the insured

   1.1 the insured:

   1.2 address:

2. location of the property insured:

3. nature of trade:

4. insured items and sums insured:

insured items                 sums insured

4.1 property insured

4.1.1 building(s) (including decoration):

4.1.2 machinery and equipment:

4.1.3 furniture and fixture:

(including office equipment and supplies)

4.1.4 stock:

4.1.5 others:

4.2 additional expenses:

4.2.1 removal of debris fees:

4.2.2 fire extinguishing expenses:

4.2.3 professional fees: