新華保險顧問有限公司
Sun Flower Insurance Brokers Limited
香港專業保險經紀協會會員
A MEMBER OF PROFESSIONAL INSURANCE BROKERS ASSOCIATION
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由From
電話Phone
電子郵件E-mail
日期Date

辦公室﹝工商業﹞綜合保險報價申請表

BUSINESS PAK INSURANCE REQUEST FORM

  請以英文正楷填寫此表格及在適當方格內加  Please complete the table in English block letter and tick if applicable

辦公室專用 For Office Use Only
項目
Section		 保障範圍
Cover 		投保額
Sum Insured (HK$) 		保費率
Rate 		保費
Premium
1 辦公室財物全險 Office Contents “All Risks” Insurance
A. Office Contents
(如其中投保之辦公室器材價值超過HK$75,000，請列明 Please list any item of office machinery where the value exceed HK$75,000)
B. 貨版及存貨 Trade Stock
每件最高價值 Max. Limit per article ()
2 營業中斷保險  Business Interruption Insurance 500,000 免費 Free Cover
A. 額外開支   Increased Cost of Working
B. 收入損失      -Loss of Gross Income for next 12 months
           -Max indemnity period required 12/18/24 M 		需另行投保 Separate policy required 不適用 N/A
3 金錢損失保險    Loss of Money Insurance 參閱小冊子as per brochure 免費 Free Cover
4 公眾責任保險    Public Liability Insurance 5,000,000 免費 Free Cover
 最低保費 Min.
5 僱員賠償保險    Employees’ Compensation Insurance (自選保障 Optional Cover)
*如僱員需要前往海外或中國大陸工作，請列明於「海外公幹備註」Please remark employees required to travel “Overseas” or “China”
**「預計全年總收入」須包括佣金 / 花紅 / 雙糧 / 津貼等 “The Estimated Annual Total Earnings” has to include commission / bonus / double pay / allowance etc.
項目
Item		 僱員人數及工作類別
No. & Description of Employee 		海外公幹
備註*
Remark 		預計全年總收入**
Estimated Annual Total
Earnings (HK$) 		條款
Warranty 		保費率
Rate 		保費
Premium
1.
2.
3.
4.
5.
小計Total  最低保費Min.
賠償記錄 Claims History

過往三年有否索償 Any Claim in the past 3 years?   有Yes   否No

勞 保 徵 費 Levy 10.8%
總保費Total Premi um
佣金 Comm. %
淨保費Net Premiu m

附加文件 Supplementary Document - 請提供閣下最新的續保通知書或保險單副本作核保用途
Please provide copy of latest renewal notice or policy schedule for underwriting purpose

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