1. Read the DECLARATION and evaluate your needs.
2. Declare a specific valuation.
To select OPTION 1 – “Full Value Protection” at $6.00 per pound per article (minimum $10,000) initial line 1.
To select OPTION 1 – “Full Value Protection” for an amount different than under 1, initial line 2 and write on line 3 or 4, either: A higher lump sum dollar amount (for example, $30,000) OR a per pound amount which cannot be less than $6.00 per pound.
An additional charge applies when you select this option (see the Full Value Protection Options). This higher level of valuation is much more likely to cover the value of your entire shipment and all of the articles included in your shipment. When you select Option 1, you must also choose one of the three deductible levels of coverage. To do so, you must initial on: Line 5 to select no deductible; line 6 for a $250 deductible or line 7 for a $500 deductible.
To select Option 2 – “Minimal Protection of 60 Cents Per Pound Per Article,” write the words “60 cents per pound” on Line 8. Remember, this option is provided for you at no additional charge; however, the protection provided by this option is considerably less than the average value of typical household goods, and you should understand that any recovery from Atlas for damage or loss will be nominal. Please check with your household or renters insurance carrier to see if your interstate move is already covered by your policy.
3. You must sign and DATE the CUSTOMER’S DECLARATION OF VALUE on lines 9 and 10.
4. Be certain that you understand the material contained in this brochure and if you do not, as your Atlas Agent