Certificate Request

ACE – Fine Art & Collectibles
Enterprises

Certificate Request Form

Please fill out this form and we will get in touch with you shortly.

    Name of Insured:

    Name of Additional Insured/Loss Payee:

    Address of Certificate Holder Loss Payee:

    Dates Required:

    Transit insurance required?
    Method of transit:

    Transit company:

    Who is packing artwork?

    Duration of transit:

    Waver of subrogation required?

    Information About Artwork

    Artist:

    Name of work:

    Value of work:

    Dimensions:

    Description of work:

    Contact Info

    First Name*:

    Last Name*:

    Email*:

    Phone*: