Free Art Gallery Insurance Form Template
Art Gallery Insurance Form
This form is used to provide insurance coverage for artwork submitted to the gallery.
Artist Name
Phone Number
Insurance Details
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Artwork Title |
Artwork Details |
Year Created |
Value |
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Total Value of Artwork Submitted:
Insurance Provider Name
Insurance Policy Number
Coverage Type
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Damage
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Theft
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Loss
Artist Responsibilities
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Delivery and Transit Insurance: The artist is responsible for insuring the artwork during transportation to and from the gallery. The gallery’s insurance will only cover the artwork once it has been received and documented.
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Condition Report: The artist agrees to inspect the artwork upon delivery and upon collection from the gallery. Any damage must be documented immediately. The gallery will provide its own condition report upon receipt of the artwork.
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Insurance Limitations: The gallery’s insurance covers the agreed value of the artwork only while it is physically located at the gallery premises. Any damage that occurs during handling by third-party shippers or couriers must be claimed through the artist’s own insurance provider.
Declaration by the Artist
By signing below, I confirm that the information provided above is accurate, and I agree to the gallery’s insurance policies and terms. I understand my responsibility to provide insurance for the transportation of my artwork.
Name:
Date:
Thank you for your submission!
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