¶¡ÏãÔ°AV

Fine arts certificate of insurance request form

Part A: Your ¶¡ÏãÔ°AV Contact Information

Items from this section will not appear on the COI

Position

Part B: Certificate holder information

(The owner of the artwork who is requesting the COI from you)

You must submit a seperate request for each owner

Who is requesting proof of insurance from ¶¡ÏãÔ°AV?

Who is your primary contact at the requesting organization?

Part C: Description of the activity

Part D: Transportation of the artwork

Pre-show

Post-show

Part E: Required insurance coverage

Please provide a description of each item to be insured including, where possible, the artist's name, artwork title, medium, size, value, and photo. 

 
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