WAREHOUSE INSURANCE PROGRAM LOCATION LOSS EXPOSURE ESTIMATOR NAME OF

warehouse insurance program location loss exposure estimator name of applicant: location #: location address: stree

WAREHOUSE INSURANCE PROGRAM
LOCATION LOSS EXPOSURE ESTIMATOR
NAME OF APPLICANT:
LOCATION #:
LOCATION ADDRESS:
Street
City State Zip
TOTAL AREA OF THE BUILDING: Square Feet
“LL” IS THE LOSS LIMITATION FACTOR STATED IN THE WAREHOUSE RECEIPT
FORM. THIS MAY BE A DIFFERENT FACTOR FOR DIFFERENT CUSTOMERS. STORAGE
RECEIPTS IS THE MOST COMMON UNIT OF MEASURE. OTHER POSSIBLE UNITS OF
MEASURE:
PER LIQUID GALLON (GAL)
PER 100 LBS. OF WEIGHT (CWT)
PER CUBIC FOOT (CFT)
PER PALLET (PT)
OTHER MEANS, PLEASE DESCRIBE:
IF THE EXPOSURE IS BASED ON STORAGE RECEIPTS, THE PROPER LIMIT OF
INSURANCE WOULD BE THE FACTOR MULTIPLIED BY THE MONTHLY STORAGE
RECEIPTS.
SOME CUSTOMERS DO NOT ACCEPT THE STANDARD WAREHOUSE RECEIPT. IF A
WAREHOUSE HAS ENTERED INTO A CONTRACT TO INSURE FOR EITHER FULL VALUE
(KNOWN AS A FULL VALUE CONTRACT, “FVC”), OR SELLING PRICE (KNOWN AS A
SELLING PRICE CONTRACT, “SPC”), THEN YOU NEED TO KNOW THE MAXIMUM
VALUES AT RISK EXPECTED THROUGHOUT THE NEXT 12 MONTHS.
WAREHOUSE INSURANCE PROGRAM
EXPOSURE ESTIMATOR WORKSHEET
USE THIS WORKSHEET TO CALCULATE THE WAREHOUSE LEGAL LIABILITY EXPOSURE
AT EACH LOCATION TO BE INSURED. IF IT IS THE SAME FOR ALL CUSTOMERS,
SIMPLY WRITE “ALL”, DO NOT LIST EACH CUSTOMER.
PART A
CUSTOMER
LOSS LIMITATION “LL”
UNITS
OF
MEASURE
EXPOSURE
X
=
X
=
X
=
X
=
X
=
X
=
X
=
X
=
SUBTOTAL
=
PART B
CUSTOMER
INDICATE “FVC” OR “SPC”
VALUE
EXPOSURE
X
=
X
=
X
=
X
=
X
=
X
=
X
=
X
=
SUBTOTAL
=
TOTAL EXPOSURE
A + B
=
DATE
APPLICANT’S SIGNATURE
AGENT’S SIGNATURE