一、已知资料

1．信用证：

Applicant *50: ZELLERS INC. , ATFN. IMPORT DEPT.

401 BAY STREET, 10/FL.

TORONTO ON MJH. 2Y4, CANADA

Beneficiary *59: SHANGHAI XIN DEVELOPMENT IMP. & EXP. CO. , LTD.

726 DONGFENG ROAD, SHANGHAI, CHIN A

Loading in Charge 44A: SHANGHAI, CHINA

For Transport to… 44B: VANCOUVER, CANADA

Descript. of Goods 45A: HANDLE TOOLS

ITEM NO. QUANTITY UNTI PRICE

A 0214 2000 DOZ USD 10.50

A 0012 1000 DOZ USD 11.50

M 0102 1000 DOZ USD 28.00

AS PER SALES CONFIRMATION NO. 09 GP520471

DD 03 JAN. 09

CIF VANCOUVER CANADA

Documents required 46A:

+MARINE INSURANCE POLICY OR CERTIFICATE IN DUPLICATE, ENDORSED

IN BLANK, FOR FULL INVOICE VALUE PLUS 10 PERCENT, STATING CLAIM

PAYABLE IN CANADA COVERING INSTITUTE CARGO CLAUSES (A) AND WAR

RISKS.

2．其他资料

发票号码：KW-030419 发票日期：2009年4月10日

发票金额：USD60500.00 提单日期：2009年4月19日

船名：CHAOHE/ZIM CANADA V.44E(在香港转运)

唛头：ZELLERS CANADA/VANCOUVER

保险单号码：KC03-85362

货物装箱情况：10DOZ/PACKAGE 350 PACKAGES

二、根据已知资料用英文缮制保险单

被保险人：

Insured：____________________________________

中保财产保险有限公司(以下简称本公司)根据被保险人的要求及其所缴付约定的保险费，按照本保险单承担险别和背面所载条款与下列特别条款承保下列货物运输保险，特签发本保险单。

This policy of insurance witnesses that the People’s Insurance (Property) Company of China, Ltd. (hereinafter called "the Company"), at the request of the Insured mid in consideration of the agreed premium paid by the Insured, undertakes to insure the under mentioned goods in transportation subject to the conditions of this Policy as per the Clauses printed overleaf and other special clauses attached hereon.

承保险别 货物标记

Conditions Marks of Goods

总保险金额：

Total Amount Insured：______

保费 载运输工具 开航日期

Premium as arranged Per conveyance S.S. ______ Sig. on or abt______

起运港 目的港

From______ to ______

所保货物，如发生本保险单项下可能引起索赔的损失或损坏，应立即通知本公司下述代理人查勘。如有索赔，应向本公司提交保险单正本(本保险单共有份正本)及有关文件。如一份正本已用于索赔，其余正本则自动失效。

In the event of loss or damage which may result in a claim under this Policy, immediate notice must be given to the Compary’ Agent as mentioned hereunder. Claims, if any, one of the Onghal Policy which has been Issued in Original (s) together with the relevant documents shall be surrendered to the Compary. If one of the Original Policy has been accomplished, the others to be void.

中保财产保险有限公司

THE PEOPLE’S INSURANCE (PROPERTY) COMPANY 0F CHINA, LTD.

赔款偿付地点

Claim payable at______

日期 在

Date______ at______

地址：

Address：