Non-Negotiable Valuation Declaration Contract

This contract is part of the . For terms and conditions, refer to your Bill of Lading.

Please review the following options that are available for you to add valuation coverage to your upcoming move with Arthur Werner Moving & Storage, Inc. and select one of the three options below:

Option A: Declared Value of $.30 per pound per article for moves within New York or $.60 per pound per article for all others. All are subject to $2,000 maximum value. There is no charge for this option.

Option B: Select Valuation – With this option, you can select specific articles to be covered at the full value. The remaining parts of the shipment will be valued at $.30 per pound per article within New York and $.60 per pound per article for all others. Customer must list each article to be covered and its value. The cost for this coverage is $10 per $1,000 of coverage requested with a $250 deductible.

Option C: Lump Sum Coverage – With this option, you can choose to cover the entire shipment with one lump sum. Customer must declare the value of the entire shipment. Failure to declare the full value will result in limited carrier liability. Customer must list each article or box packed by owner that exceeds $5,000 in value. The cost of this coverage is $10 per $1,000 of coverage with a $250 deductible. Failure to declare articles with value exceeding $5,000 will result in limited carrier liability to a maximum of $100 per pound per article.

I have read the above and chosen:    

If you have chosen Option B, list all articles you would like to have covered at the full value.

If you have chosen Option C, declare the lump sum amount. $ . In addition, you must declare each article that exceeds $5,000 in value below.

Item DescriptionValueItem DescriptionValue

*This contract is void unless it is also written, signed and dated on the Bill of Lading
by customer prior to beginning of move.

   


New York
802 East 140th Street
Bronx, N.Y. 10454
212-831-6789

Connecticut
127 Manhattan Street
Stamford, Ct. 06902
203-325-1289

New Jersey
55 Madison Ave.
Morristown, N.J. 07960
973-539-9585