ACKNOWLEDGEMENT OF LOAN OF ART

OR OTHER PERSONAL PROPERTY

Stanford University - Stanford, California

Name of Owner: ____________________________________________

Address of Owner: ________________ Telephone No.: _____________

Name and Description of Exhibition and/or Purpose of Loan:_________________

Dates of Showing or Loan of Property: _______________

Description of Item(s)	Location	Agreed Insurable Value

Who is to provide insurance in transit (to and from Stanford University)?

 

Who is to provide insurance during the exhibition or loan?

 

Note: If Stanford University is to provide insurance, such insurance will cover only the perils of fire, theft, vandalism, breakage, marring, scratching and the usual perils afforded by the Extended Coverage Endorsement (windstorm, smoke, and explosion). The amount of insurance will not exceed the above agreed upon value. The insurance excludes earthquake damage.

Agreed upon by Owner: _________________________________________

Received for Stanford University by:_________________________________

Department: ___________________________________________________

Date: ________________________________________________________

 

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