State of Wisconsin
Department of Administration
DOA-6414 (R06/2001) / / Bureau of State Risk Management
101 E Wilson Street, 5th Floor
P.O. Box 77008
Madison, WI 53707-1008
(608) 266-0168
Art Exhibit Protection Memorandum
(Attach this form to each lender)

General Your property is protected by the State of Wisconsin Self-Funded Property Program for the replacement value at the time of loss. The maximum dollar amount that would be paid out is shown after each item on the attached list provided by artist/exhibitor. This does not mean that the maximum will be paid out automatically.

In order to determine the value at the time of loss, opinions of experts, general availability, intrinsic value, and any other relevant information should be considered. It is recommended to have a professional appraisal of any items that are extremely rare or even irreplaceable before these items are put on exhibit.

Art Exhibits Owned by an Art Gallery Works of art accepted for display belonging to an art gallery shall generally have the usual commission paid to the gallery deducted from any loss. Galleries are expected to have documentation as to price paid for the piece of art and the selling price of similar works of art by the same artist.

Art Exhibits Owned by the Professional Artist(s) Generally, one-man shows or group shows will fall under this category. In case of loss, the artist will be required to furnish proof of previous sales of similar works to document the value placed on the exhibit. Commissions, if any, paid to the exhibiting gallery will be deducted from the value of the lost item.

Exhibits by Art Collectors This category refers to those shows that are owned by an individual and collected over a period of time. To verify values, the collector will be expected to show sales receipts or professional appraisals of remaining works, previous awards, and cost of materials.

Art Exhibits by Non-Professionals Unless the artist has had previous sales or similar works of art, the value must be negotiated between the State of Wisconsin Self-Funded Property Program and the artist, using such information as appraisals of remaining works, previous awards, and cost of materials.

Note: The State Self-Funded Property Program applies a $500 deduction to any loss.

I Understand the Provisions of This Notice
Printed Name of Artist or Exhibitor
Artist or Exhibitor's Signature & Date / Exhibition Dates
From / To
Attach an itemized list of artworks with individual values.
State Agency or Department / Person in Charge of Exhibit / Phone No.
( )
Property Coverage Dates. Enter inclusive dates for the showing of the exhibit. / Possession Dates. Enter the dates the exhibit will be in the State's possession. For multiple lenders, use the earliest date.
From / To / From / To
Number of Artwork (pieces)
(Itemized list must be attached) / Aggregate Value ($) / Location(s) of the Exhibit (Bldg. Name & Address)
Department Approval / Date (mm/dd/ccyy)