保险单样本

青岛中远集装箱船务代理有限公司 COSCO QINGDAO CONTAINER SHIPPING AGENCY CO., LTD. 提 货 单 ＤＥＬＩＶＥＲＹ ＯＲＤＥＲ ______地区、场、站 收货人／通知方： 船名 UMEKO 提单号 COSU7200700773 卸货地点 货 名 集装箱数 件 数 重 量 体 积 SAME AS CONSIGNEE TO ORDER OF QINGDAO MATSUDA 起运港 神 户 到付海运费 进库场日期 ____年___月___日 目的港 青 岛 合同号 第一程运输 航次 ００８４Ｗ 交付条款 CFS-CFS 到达日期 23/03/1999 MATERIAL OF SWITCH 1 X 20' 10 PACKAGES 232.00KG 4.03M3 集 装 箱 号 ／铅 封 号 CBHU00164290 101462 标 志 CF20130GF QMCOM PSW0300 C/NO. 1-10 请核对放货 青岛中远集装箱船务代理有限公司

凡属法定检验、检疫的进口商品，必须向有关监督机构申报。 收货人章 海关章 GERLING – KONZERN ALLGEMEINE VERSICHERUNGS-AKTIENGESELLECHAFT Certificate of Insurance Agency Open Cover Number Address of Agency GERLING SERVICE NEDERLAND N.V. Herengracht 520, 1017 cc Amsterdam / The Netherlands Tel.: (20)5249213 Telefax: (20)6268093 Telegrams: Gerlingnet This is to certify that under the above-named open cover insurance is granted to ORDER For account of whom it may concern. Sum insured: USD123,046(USD one hundred twenty three thousand forty six only) Insured goods DEMINERLIZED WHEY POWDER Gross weight: Net weight: Shipping marks: Packing: 121380.00 kgs 119000.00 kgs CH/99/66.908 -------------- DALIAN CHINA 4760 25kg in 4-ply paper sacks with inner polyethylene liner and big bags in 7x20’ containers as per contract no. CH/99/66.908 and as per LC no. LC8230074/99 Insured Voyage Place of commencement of insurance Interior of Helsinki Finland Via Rotterdam the Netherlands To Dalian, P.R.C. By means of transport With mv Sea Nodica and Lindoe Maersk Shipping date September 15, 1999 Conditions 1. Marine Insurance (ADS) and Special Conditions for Cargo (ADS Guterversicherung 1973) 2. Conditions of the above-mentioned open cover. 3. From the conditions overleaf the following are applicable. 9, 10, 11 4. Cover applies to the voyage between the places of commencement and termination of insurance mentioned above as per Warehouse to of _____ days after discharge from the ocean vessel at the part of destination. 5. In addition: claims payable in China in currency of the draft, covering ocean marine transportation All risks, War risks. Claims are payable to the bearer. The certificate is made out in 3 originals. If a claims is paid against one of them the other(s) with be void. Important instructions to be followed in case of loss or damage see overleaf. Claims Survey Agent ( to be called in when claims exceed the amount of DM2000.- or countervalue in other currency) GERLING – KONZERN ALLGEMEINE VERSICHERUNGS-AKTIENGESELLSCHuatai Insurance Agency & Consultant Service Ltd. 115 Sidalin Road Dalian China tel (411)2654528, 2630872 fax (411)2804558 Telex 86222 picc cn HAFT Date September 12, 1999