Indemnitee (Party A): xxx
identifier
Right holder of compensation (Party B): xxx
identifier
Authorized agent:
ID number:
On 2065438+X, X, 2004, Party B Li xx was driving a two-wheeled moped in the town.
This section collided with a three-wheeled freight motorcycle driven by Party A's Zhang xx, causing Party B to be injured and hospitalized. For this traffic accident, the traffic police brigade of xx County Public Security Bureau determined in the traffic accident certificate that Zhang xx was mainly responsible for the wrong behavior and Li xx was secondary responsible for the wrong facts. Party A and Party B have reached the following agreement on traffic accident compensation through equal consultation:
Party A shall compensate Party B for medical expenses, nursing expenses, lost time, transportation expenses, accident car compensation, follow-up treatment expenses, mental damage compensation and disability compensation in a lump sum of RMB one hundred thousand Yuan only, and Party A shall pay Party B RMB one hundred thousand Yuan in cash from the date of signing this Agreement.
Ten thousand yuan.
For compulsory insurance and commercial third party liability insurance insured by Party B, Party A shall entrust an agent ad litem to claim compensation from the insurance company, and the compensation obtained shall be owned by Party B.. ..
Three. After the signing of this agreement, the civil, criminal and administrative responsibilities caused by the traffic accident will be terminated once and for all, and Party B shall not claim any rights from Party A for any reason.
Four. After this agreement comes into effect, Party B shall issue a letter of understanding to the relevant judicial authorities.
Verb (abbreviation of verb) This agreement shall come into effect after being signed by both parties.
This agreement is made in triplicate, one for each party and one for the public security organ.
The compensation obligor (Party A) shall compensate the obligee (Party B).
Witness:
date month year
Legal basis: Article 469 of the Civil Code of People's Republic of China (PRC), the parties may conclude a contract in written form, orally or in other forms.
Written form refers to contracts, letters, telegrams, telexes, faxes and other forms that can tangibly express the contents contained.
A data message that can tangibly express its content through electronic data interchange, e-mail, etc. , and can be retrieved at any time, are considered in writing.
Article 470th of the Civil Code of People's Republic of China (PRC) stipulates the contents of a contract, which generally includes the following clauses:
(1) The name and domicile of the party concerned;
(2) Subject matter;
(3) quantity;
(4) quality;
(5) Price or remuneration;
(6) Time limit, place and method of performance;
(7) Liability for breach of contract;
(8) Methods for resolving disputes.
The parties may conclude a contract by referring to the model texts of various contracts.