Mailing Address: including full address and zip code
How did you hear about us?
Covered Location: including full address and zip code NO P.O. BOX Is the Covered location same as mailing address?
Yes No
Is the location in a designated Flood Zone?
Other Locations and Transit Limit are 25% of the Premises Limit unless otherwise requested below. Other Location Limit applies to locations not exceeding 90 days; otherwise, all such locations must be scheduled.
Fire-Resistant Non-combustible Frame
Wiring year
Plumbing year
Roofing year
Heating year
Is covered property stored in basement?
Is there is history of a back-up drain and/or a sewer?
Is the building protected by a fire and or smoke detection /alarm system?
Does your alarm system ring to a central station?
Is there an automatic sprinkler system on premises?
Is your property within 1000 Feet of a public fire hydrant and within 5 miles of a fire department?
Is it a volunteer fire department?
Art Storage, Standard Storage or Self Storage are these facilities climate controlled?
Do you have 24-hour human guard security?
Are security personnel stationed at all entrances and exits to the building during open hours?
Is the loading area fully enclosed?
Do you have an electronic security alarm system in operation throughout the building?
Does your electronic alarm system ring to a central station?
Do you have a UL approved safe?
Did the persons responsible for crating and packing receive training to do their job?
Are items ever transported via personal conveyance?
Does the register or curator travel with the exhibition?
None Yes, describe below
Art Insurance Now, Bernard Fleischer & Sons, Inc 29 Broadway, Suite 1511 New York, NY 800.921.1008
