Please Attach a Signed and Dated Statement of Values. Statement of Values (Spreadsheet) should include the following information: Building Location of Property Property Number/Fixed Asset Number Value Construction (Concrete, Steal, Wood, Manufactured Metal, etc.) Occupancy (School, Warehouse, Meeting Hall, Office Complex, Gymnasium, etc.) Square Footage Personal Property/Contents/Equipment/Hardware/Software Location Value Type of Property (Contents - Desk, Tables, Computers, etc.), Contractor’s Equipment (Backhoe, Front End Loaders, etc.) Fine Arts Location Value Owned/Borrowed/Leased? (Should your Program/Department Acquire New Building and/or Property in the middle of the Policy Year, Please Contact Our Office Immediately to Report the New Property and its Value) A. Do you have any Personal Property of Others? B. If yes, please indicate type of property, value and how long the property is in your care: C. Are you responsible for insuring any Personal Property of Others? D. If yes, please indicate type and value: E. Does the Chapter Utilize or Plan on Utilizing Drones? Yes No Signature Date , (Name,Title)
Please Attach a Signed and Dated Statement of Values. Statement of Values (Spreadsheet) should include the following information: Building Location of Property Property Number/Fixed Asset Number Value Construction (Concrete, Steal, Wood, Manufactured Metal, etc.) Occupancy (School, Warehouse, Meeting Hall, Office Complex, Gymnasium, etc.) Square Footage Personal Property/Contents/Equipment/Hardware/Software Location Value Type of Property (Contents - Desk, Tables, Computers, etc.), Contractor’s Equipment (Backhoe, Front End Loaders, etc.) Fine Arts Location Value Owned/Borrowed/Leased? (Should your Program/Department Acquire New Building and/or Property in the middle of the Policy Year, Please Contact Our Office Immediately to Report the New Property and its Value) A. Do you have any Personal Property of Others? B. If yes, please indicate type of property, value and how long the property is in your care: C. Are you responsible for insuring any Personal Property of Others? D. If yes, please indicate type and value: E. Does the Chapter Utilize or Plan on Utilizing Drones? Yes No Signature Date (Name,Title) ,
FY2019%20NN-UES%20Chapters.docx