Shipper Deceleration of Value Coverage
 
Full value protection provides coverage based on current replacement value at the time of loss or damage, up to the dollar amount of valuation declared by you. The cost is based on the actual value of the goods, and the deductible declared by you. Carrier shall have the option of repairing or restoration to the original condition or replacement in the same condition or better.
 
Prior to touching any of your items you must agree to this opportunity, sign, and make this separate purchase or you will receive the standard default conditions.
 
You must decide upon a dollar amount that covers everything that is being moved. This must be no less than $5000.00 per room including hallways, attics, garage, patio, bedrooms, living, kitchen, family, etc. A separate storage unit is considered a room.
 
Adjusters will investigate and inspect.
 
Cost is $6.00 per $1000.00 of declared value.
 
Example: $40,000.00 of value / $1000.00 = $6.00 = $240.00
 
Default Option
 
If you decline and choose not to sign, at our discretion you will receive repair, restoration, replacement, or payment up to $0.60 per pound.


SAMPLE

ADDENDUM TO UNIFORM
HOUSEHOLD GOODS
BILL OF LADING


SHIPPER DELCLARATION OF VALUE

IMPORTANT: There are 2 options available to cover loss and/or damages:

OPTION #1 - DEFAULT COVERAGE: Unless otherwise specified, customer expressly releases the shipment to a declare value of $0.60 per pound per article, and shall continue during all services rendered. Carriers maximum liability for loss and damage will be $0.60 per pound per article by default unless OPITION #2 is selected, signed below, and charge is paid in full. Carrier shall have the option of repairing or restoration up to a maximum of the $0.60 per pound per item.

OPTION #2 - FULL VALUE PROTECTION: This option provides full coverage based on current replacement value at the time of loss or damage, up to the dollar amount of valuation declared by you. The cost is based on the total value of ALL of the goods, declared by you, at no less than $5000 per room including halls, attics, garage, baths, etc. Carrier shall have the option of repairing and or restoration to the original condition.


DECLARATION

Prior to the move the shipper must select one of the options listed below. If the shipper refuses to select one of these options, the carrier will not be required to perform the move. You may sign and pay the day of your service before any services are performed. Your “Lead Man” will have these forms on hand for your convenience if your is lost or misplaced.

Shipper hereby releases the entire shipment to a value not exceeding:

OPTION #1 – DEFAULT COVERAGE: $0.60 per pound per item.

X_____________________________________            ____________________
Signature of Shipper                                             Date

OPTION #2 – FULL VALUE PROTECTION: $______________________with no deductible at a charge of $6.00 per $1000.00 of declared value which results an a additional charge of $_____________________.


X_______________________________________           ___________________
Signature of Shipper                                               Date


*REMINDER:The cost is based on the total value of ALL of the goods, declared by you, at no less than $5000 per room including halls, attics, garage, baths, etc. Carrier shall have the option of repairing and or restoration to the original condition.

If carrier fails fails to require shipper to choose one of the above Liability Options and/ or the carrier did not request coverage, the shipper will be considered to have chosen
OPTION #1 - DEFAULT COVERAGE.


NAME OF SHIPPER:_______________________________________ DATE:__________________

DATES OF SERVICES:_______________________________________ ORDER #______________

CARRIER REPRESENTATIVE: _________________________________________________

SIGNATURE REPRESENTATIVE: X_________________________________________________
 
 
 
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