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[Boutique] Traffic Accident Private Agreement


It is the stipulations of the stipulations of the stipulations of the stipulations

person A person B:

For the traffic accidents that occurred on the date of the year, both parties A and B reached the following agreement:

1. Party A voluntarily compensates Party B for all losses in RMB.

2. Compensation for losses includes compensation for Party B's medical expenses, disability compensation, nursing expenses, lost time, one-off accommodation, living expenses for dependents, follow-up treatment fees, transportation expenses, and mental damages.

3. When this Agreement is signed, Party A shall pay Party B, and the balance shall be paid to Party B after Party B cooperates with Party A to settle the claim. The specific cooperation work of Party B refers to the agreement in Article 6 of this Agreement. If Party B does not cooperate with Party A's work, Party A has the right to refuse to pay the remaining amount.

4. The compensation involved in this Agreement is a one-time termination of compensation. After Party A pays Party B's expenses, Party B shall not claim any rights to Party A for any reason in the future, and Party A shall no longer bear any liability for compensation.

5. At the time of signing this Agreement, both parties signed under voluntary circumstances. There is no major misunderstanding or fairness. Party A and Party B shall not rebut the agreement for any reason.

6. After Party A compensates Party B, Party B shall actively cooperate with the work of Party A and the insurance company when it makes a claim to the insurance company. The contents include the identification of the disabled, the provision of all the bills, etc., if Party B does not cooperate with Party A. When the work causes Party A not to claim compensation from the insurance company, Party B shall return the amount equivalent to the insurance company's claim settlement to Party A.

7. This Agreement shall enter into force upon signature by both parties.

8. This Agreement is made in two copies, one for each of Party A and Party B.

person A person B:

Year, month, day, year, month, day

The second part: Traffic accident private agreement

Party A: XXX

Party B: XXX, XXX, XXX, XXX, XXX, XXX

At 17:00 on May 7th, 2008, when driving a small bus from west to east at 1.5km west of the intersection of xx and xx national highway in Beijing xx area, the vehicle entered the north side of the road and collided with the road tree, causing the king. Xx rescue invalid death. The six close relatives of XX and Wang XX have reached the following agreement on the compensation for death of Wang XX on the basis of equality, voluntariness and fairness.

1. Party A shall pay a total of RMB 10,000 to the compensation for the death of six persons and the living expenses of the dependents.

2. Party A shall remit the above-mentioned RMB 10,000 yuan to the bank account number designated by the six parties within the day after the signing of this Agreement. The account number is:

3. After the above fees are paid to Party B's six persons, the six parties shall be allocated and handled by themselves internally. The manner of distribution, handling and consequences shall not be related to Party A.

4. After Party A fulfills the remittance obligation, any one of Party B guarantees that it will not ask Party A for any other expenses in respect of the death of Wang xx in any form or for any reason.

5. After Party A fulfills its remittance obligation, it will terminate the matter and there will be no rights or obligations between Party A and Party B. The results derived from this event will also be borne by Party B. Party A will no longer bear any responsibility for this.

6. This Agreement is the result of equal and voluntary negotiations between the two parties and is the true meaning of both parties and is fair and reasonable.

VII. Contents of this Agreement A total of seven persons from Party A and Party B have read and understood in full. A total of seven parties from Party A and Party B understand the consequences of this agreement, and both parties are fully satisfied with the results of this agreement.

8. This Agreement is a one-time termination agreement,

9. This Agreement shall enter into force when a total of seven parties are signed by both parties. This Agreement is in seven copies, and each of the parties shall hold one copy.

person A person B:

year month day

The third article: Traffic accident private agreement

Party A: XXX

Party B: XXX, XXX, XXX, XXX, XXX, XXX

At 17:00 on May 7th, 2008, when driving a small bus from west to east at 1.5km west of the intersection of xx and xx national highway in Beijing xx area, the vehicle entered the north side of the road and collided with the road tree, causing the king. Xx rescue invalid death. Now the six close relatives of XX and Wang XX have made the following agreement on the compensation for death of Wang XX in accordance with the principle of equality, voluntariness and fairness.

Party A: XXX

Party B: XXX, XXX, XXX, XXX, XXX, XXX

At 17:00 on May 7th, 2008, when driving a small bus from west to east at 1.5km west of the intersection of xx and xx national highway in Beijing xx area, the vehicle entered the north side of the road and collided with the road tree, causing the king. Xx rescue invalid death. The six close relatives of XX and Wang XX have reached the following agreement on the compensation for death of Wang XX on the basis of equality, voluntariness and fairness.

The identification of the accident: ___ The traffic police team made the following determination on the basis of finding out the facts. ______ Violation of the provisions of paragraph __ of Article __ of the Law of the People's Republic of China on Road Traffic Safety is the main cause of accidents and should bear the primary responsibility for this accident; ___ Violation of the Law of the People's Republic of China on Road Traffic Safety The provisions of paragraph __ __ are the secondary causes of accidents and should be responsible for the secondary responsibility of the accident; the occupant ___ has no responsibility.

2. According to the accident identification of the traffic police team, under the auspices of the traffic police team, the following parties have reached the following mediation traffic accident agreement:

1. As confirmed by both parties, the expenses for the property damage and personnel disability caused by the accident are as follows:

Party A vehicle maintenance fee and other miscellaneous expenses ___ yuan; ___ Injury hospitalization medical expenses, lost time, nursing expenses, food allowance, transportation, accommodation, disability compensation, follow-up treatment, etc. __yuan.

Party B vehicle maintenance fee and other miscellaneous expenses ___ yuan; ___ Injury hospitalization medical expenses, lost time, nursing expenses, transportation expenses, accommodation fees, food allowance, disability compensation, follow-up treatment fees, etc. __ _yuan.

Party C ___ Injury hospitalization medical expenses, lost time, nursing expenses, transportation expenses, accommodation expenses, food allowance, disability compensation, follow-up treatment fees, etc., total ___ yuan.

The above fees total ___ yuan.

2. After negotiation between the two parties, Party A shall bear 60% of the above-mentioned expenses, accounting for ___ yuan; Party B shall bear 40% of the above-mentioned expenses, accounting for ___ yuan; Party A shall pay Party B in addition to its own loss expenses _ __ yuan; pay the party ___ yuan.

3. Ding Fang shall bear 80% of the expenses for Party A's compensation, and shall bear 75% of the expenses for Party B's compensation and payment. Ding Fang shall pay the compensation for both Party A and Party B according to the above standards, and shall pay Party A and Party C for payment on behalf of Party A. section.

4. The above fees and settlements shall be settled and settled as soon as the date of signing this Agreement.

5. The three parties shall actively cooperate with Dingfang to handle insurance claims, and provide timely information such as traffic accident confirmation documents and medical expenses invoices required by Dingfang.

5. After the fulfillment of this Agreement, except as otherwise provided in this Agreement, the liability for the compensation of Party A, Party B and Party shall be completed, and neither party may impose additional claims and other requirements on any other party for any reason.

6. If the injured person in this case is further deteriorated due to the accident, the treatment cost is much higher than the estimated amount of this agreement. If the injured person exceeds the estimated 10,000 yuan, the injured person will be responsible for it. The cost of more than 10,000 yuan will be issued by the injured person and the provincial hospital certificate and other It can be proved that the deterioration of the condition is evidence caused by the accident. It can be paid separately by Party A and Party B, and Party A and Party B can share the compensation according to the standard of compensation determined in this agreement.

3. This Agreement shall enter into force on the date of signature and seal of the parties to the Agreement.

4. If the parties to the agreement have disputes in the performance of this Agreement, they may first negotiate and fail to negotiate, and may submit the arbitration to the _________ Arbitration Commission.

5. The essay on the traffic accident agreement is four pages in five copies, one for each party to the agreement, and one for the ______ traffic police team for future reference.

person A person B:

Year, month, day, month, day

Party C: Ding Fang:

Year, month, day, month, day

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