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[]
[]
[]
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[]
[]
[]
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[]
[]
["Versicherungsmakler (kurz VM) "]
[]
["Firmenname"]
[]
["Ansprechpartner"]
[]
["Email",null,null,null,null,null,null,null,null,null,null,null,null,null,"Telefon"]
[]
["Versicherungsnehmer (kurz VN) "]
[]
["Name"]
[]
["Branche"]
[]
["Adresse"]
[]
["Plz",null,null,null,null,null,null,null,null,"Ort"]
[]
["Fragen zu Vorversicherung"]
[]
["Sind bzw. waren die gegenständlichen Risiken bereits versichert?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
["Wenn ja, dann ersuchen wir um Beilage eines aktuellen Schadensrendements der letzten 3 bzw. 5 Jahre!"]
[]
["Wurde gegenständliches Risiko bereits gekündigt oder einvernehmlich gelöst?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Fragen zum VN"]
[]
["Tätigkeit des Versicherungsnehmers?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Ist der VN in der Forstwirtschaft bzw. als Lohnunternehmer tätig? ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Website des VN?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Fragen zum Risiko"]
[]
["Ist der VN vorsteuerabzugsberechtigt?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
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["Werden Tätigkeiten an Wasserbaustellen bzw. Gewässern  verrichtet?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Wird das Gerät in der Forstwirtschaft eingesetzt?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Werden die zu versichernden Geräte vermietet?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Werden die Geräte nur in Österreich und den Anrainerstaaten genutzt? ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
["Wird die Versicherung von Mehrkosten bei stationären Geräten gewünscht?",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ja/Nein"]
[]
[]
["gewünschter Selbstbehalt in €uro "]
[]
[null,null,"bis 1.000 €",null,null,null,null,null,null,null,"von 1.000 bis 5.000 €",null,null,null,null,null,null,"über 5.000 €"]
[]
["Erforderliche Beilagen"]
[]
[null,null,null,null,null,null,null,"Mehrkosten für Ersatzanlagen",null,null,null,null,"GAP Deckung",null,null,null,null,"Vermietung "]
[]
["Bemerkungen / Beschreibungen / Zusatzinformationen "]
[]
[]
[]
["Wichtige Hinweise"]
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["Die Annahme des Risikos obliegt dem Versicherer und kommt erst nach schriftlichem Antrag und Übermittlung aller relevanten Antragsdaten zustande. Für die Richtigkeit der Daten und Informationen haftet der Versicherungsnehmer und der beauftragte Makler."]
[]
[null,null,"Ort/Datum",null,null,null,null,null,null,null,null,null,"Unterschrift"]

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["Risikodaten"]
["Lfd. Nr.",null,"Kennzeichen",null,null,null,"Geräteart",null,null,null,null,"Marke",null,null,null,null,"Type",null,null,null,null,null,"Erstmalige Inbetriebnahme bzw. Baujahr",null,null,"Kaufpreis im Neuzustand netto",null,null,null,"GAP","Vinkulierung",null,null,"Vermietung"]
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[]
["Ja"]
["Nein"]