DECLARATION OF VALUE

THE CLIENT MUST SELECT ONE OF THE OPTIONS BELOW. IN THE EVENT THE CLIENT DOES NOT SELECT ONE OF THESE OPTIONS THE CARRIER'S MAXIMUM LIABILITY FOR LOSS AND/OR DAMAGE SHALL BE AN AMOUNT EQUAL TO THE MAXIMUM VALUE OF $1.25 FOR EACH LBS OF WEIGHT OF THE SHIPMENT

1)DECLARED VALUE OF .60 PER LBS PER ARTICLE BASED ON OUR MAXIMUM WEIGHT FOR EACH ITEM. THERE IS NO CHARGE FOR THIS OPTION

2)A DECLARED LUMP SUM VALUE OF $_______________ BASED ON A MINIMUM OF $1.25 PER LBS. CARRIER WILL APPLY DEPRECIATION TO ANY CLAIM MADE UNDER THIS OPTION. THE CHARGE FOR OPTION 2 IS $2.00 PER $100 OF VALUATION

THIS DOES NOT REPRESENT INSURANCE

I HEREBY SELECT OPTION _____________ MUST BE INSERTED BY CLIENTS HANDWRITING

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