Beijing Road Traffic Accident Compensation Agreement

Party A:

Party B:

Party C:

On the day of the month and the day, when the vehicle driving the license plate number of the vehicle was driven to the vicinity of the county road residential area, a traffic accident occurred indirectly with Party A, causing personal injury on the spot and the property was damaged accordingly. Party A, Party B and Party C voluntarily reached the following agreement on compensation matters:

1. Party B and Party C shall voluntarily compensate Party A for all kinds of statutory personal injury compensation items and property loss items for a total of RMB 10,000.

2. Party A agrees to accept the above compensation and waive all other rights to Party B and Party C, and no longer requires Party B and Party C to make any form of compensation or assume any other responsibility. If Party A and other interested parties of Party A make any request to Party B, Party A shall be responsible for handling the settlement.

3. After the signing of this Agreement, in order to facilitate Party B and Party C to make insurance claims, Party A, Party B and Party C agree to cooperate with each other to resolve the compensation for this accident through non-litigation or litigation. If the amount of compensation determined by the court or the mediation statement is inconsistent with this Agreement, the three parties shall still guarantee the performance of the amount of compensation agreed upon in this Agreement. The relevant litigation fees, legal fees and handling costs shall be borne by both parties.

4. Party B shall pay Party A the compensation amount on the date of the entry into force of this Agreement. The remaining amount shall be paid in full by Party B on the date of the judgment issued by the court.

5. Party C shall provide guarantee guarantee for Party B. If Party B fails to pay the above compensation on time, Party C shall pay for it. Party C shall have the right to recover compensation from Party B after Party B has paid compensation.

6. Party A expresses its understanding to Party B's illegal acts, and guarantees that the legal department will no longer be required to investigate any administrative and criminal responsibilities of Lu Jiayou, and will ensure that if necessary, cooperate with relevant departments such as the judicial authorities and the relevant departments to explain the situation of this agreement. File or certificate.

7. Party A guarantees that Party B, Party C or the insurance company will not be required to compensate for any compensation beyond the amount of compensation in this Agreement. Party B and Party C shall make claims or claims for the payment of vehicle insurance due to this accident, and all the insurance claims shall be owned by Party B and Party C.

8. Party A guarantees that this Agreement is legal and valid, and guarantees that no other rights holders shall claim rights to Party B and Party C in this accident. If this Agreement is confirmed to be invalid, Party A shall return all the compensations received to Party B, if Party B is caused. If Party C or other losses are incurred, Party A shall bear full responsibility.

9. If either party A or Party B violates this agreement, the defaulting party shall pay the other party a liquidated damages of RMB 10,000.

X. The two sides of the accident were closed at one time, and there was no other dispute.

11. This Agreement shall be in quadruplicate and shall become effective after the signature of the three parties. Each of Party A, Party B and Party C shall hold one copy, and each of the traffic police departments shall retain one copy with the same legal effect.

Party A:

Party B:

Party C:

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