Wine Collection Risk Evaluation

What is your first name?

What is your last name?

What is your email address?

What is your phone number?

General Information

Do you collect wine for investment or consumption?

Investment
Consumption

Storage Location

Where do you store your wine collection?

In a Wine Refrigerator at Home
In a Wine Cellar at Home
A Professional Wine Storage Facility

What is the address of the home where you store your wine?

Street Address Address Line 2 City State ZIP Code

What is the name of the professional storage facility?

What is the address of the professional wine storage facility?

Street Address Address Line 2 City State ZIP Code

What is the professional storage facility's website address?

Please select the strategies you utilize to protect your wine collection stored in a wine cellar.

Please select the strategies utilized to protect your wine collection stored in a wine cellar.

Central Station Fire Alarm
Central Station Burlgar Alarm
Multi-Layered Burglar Alarm
Inventory Controls
Humidity Controls
Water Leak Detection
Standby Back-up Generator

Is the wine stored below grade? (i.e. In a basement)

Yes
No

Is there a stand-by back-up generator where the wine is stored?

Yes
No
Not sure

Is the wine collection located in an earthquake prone area?

Yes
No

Are earthquake mitigated storage racks with straps or bottle leashes utilized?

Yes
No

Collection Management

How were the wine bottle values established?

How often are the values of the wine reviewed?

Shipping

Do you utilize a professional transit company when bottles need to be shipped?

Yes
No

Does the professional transit company utilize refrigerated trucks?

Yes
No

Please describe the method(s) you use to ship bottles.

Documents and Comments

Please use this field to upload any relevant insurance documents.

Drop files here or

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Please enter any additional remarks in the space below.

<font size="2" color="gray">Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.*

Disclaimer: This online questionnaire is a tool used to gather information. It is not an application for insurance. No insurance coverage will be bound or put into effect by submitting this form.

Consumer disclosure: By checking the box below you authorize the Agency who supplied this form to you to contact you via phone, email, and text messaging; to save and share with business partners the information you provided; to obtain consumer reports that may include credit-based reports (where legally allowed), public records, claims history, and driving records so that they can give you accurate insurance quotes.

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Wine Collection Risk Evaluation

General Information

Storage Location

Collection Management

Shipping

Documents and Comments

Gates Skene

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Wine Collection Risk Evaluation

General Information

Storage Location

Collection Management

Shipping

Documents and Comments

Gates Skene

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RiskRevu^TM Newsletter