Name of Lender/Owner:  _______________________________Telephone:___________________

Address:________________________________________________________________________

City_________________ State_________ Zip________________

Date of arrival to Museum:__________________ Date to be returned:________________________

Purpose of loan:__________________________________________________________________

Method of shipment:_______________________________________________________________

Description of Items: (Attach Continuation Sheet, if necessary)­­­­­­______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Value:___________________________________________________________________________________________________________________________________________________________

Objects loaned to the Chicago Culinary Museum will receive the same degree of care and preservation given to objects owned by the Museum. Objects will be insured by the Museum. The insurance policy contains the usual exclusions of loss or damage due to such causes as earthquake, war, flood, gradual deterioration, faulty or defective workmanship or nuclear damage. A certificate of

insurance will be sent upon request.

If the Lender elects to maintain his/her own insurance, the Museum must be supplied with a

certificate of insurance naming the Museum as an additional insured or waiving rights of subrogation.

Costs of transportation and packing will be borne by the Museum unless the loan is at the Lender's request. The Lender will assure that said objects are adequately and securely packed.

Objects will be returned packed in the same or similar materials as received. Unless otherwise notified in writing, the Museum will release the objects only to the Lender. In the Museum's efforts to contact the Lender, within a reasonable period following the expiration of the loan, are unsuccessful, the objects will be placed in storage at the Lender's risk and expense.

In case of change of legal ownership during the period of the loan, the new owner is required to

establish his legal right by proof satisfactory to the Museum within one year.

Lender:
Signature:_____________________________________ Date:____________________

Museum:
Name/Title:____________________________________ Date:____________________

 
Signature:_________________________________________________________________