Jewelry & Art Insurance

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Christiana Cain
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1 Jewelry & Art Insurance Revised Declarations Effective 11/18/2013 to 08/27/2014 YOUR AGENT Your Declarations summarizes your coverage and premium. Please read your policy, any attached forms and endorsements and your Declarations for a full description of your coverage. ABC Agency 123 Main Street White Plains, NY NAME & ADDRESS OF INSURED Joseph Member Jane Member 123 Pure Drive Larchmont, NY Policy Number Change Effective Date Policy Term Issuing Company CO /18/2013 To 08/27/2014 at 12:01 AM 08/27/2013 To 08/27/2014 at 12:01 AM Privilege Underwriters Reciprocal Exchange 800 Corporate Dr., Suite 420 Fort Lauderdale, FL INSURED LOCATION 123 Pure Drive Larchmont, NY SUMMARY OF COVERAGE Jewelry Blanket Coverage Blanket Coverage Single Article Limit Bank Vaulted Jewelry $74,991 Blanket Coverage $262,775 Blanket Coverage Single Article Limit $65,694 Coins, Silver, Stamps, Furs Blanket Coverage Wine Blanket Coverage Blanket Coverage Single Article Limit Blanket Coverage Single Article Limit Miscellaneous JAA-999-NY (03/2008) Page 1

2 JAA-999-NY (03/2008) Page 1

3 Jewelry and Art Insurance Page 2 Joseph Member Jane Member Policy Number CO FORMS & ENDORSEMENTS The following forms and endorsements are attached for this policy. NAME FORM NUMBER EDITION DATE Collections Declarations Page JAA-999-NY 03/01/2008 CREDITS & SURCHARGES Central Reporting Fire Alarm Credit Central Reporting Burglar Alarm Credit Home Safe Credit PURE Marketing Group Credit Home Companion Credit Construction Type Yes Yes N/A Yes Frame Protection Class 4 Seasonal Surcharge No Underwriting Tier Prior Annual Premium $152 Revised Annual Premium $400 Surplus Contribution $16 Grand Total $416 YOU WILL BE BILLED SEPARATELY FOR ANY PREMIUM DUE. Authorized Company Representative JAA-999-NY (03/2008) Page 2

4 Jewelry and Art Insurance Page 3 Joseph Member Jane Member Policy Number CO SCHEDULED ITEMS ITEM # DESCRIPTION/TITLE COVERAGE AMOUNT APPRAISAL DATE 1 AN ORIENTAL CARVED GILT WOOD AND POLYCHROME PAINTED TEMPLE FIGURE, PROBABLY 19TH CENTURY. THE FIGURE STANDS WEARING A LONG SANGHATI, HIS HAIR ARRANGED IN ROWS OF TIGHT SNAIL SHELL CURLS, HIS FACE WITH FINELY OUTLINED MOUTH AND EYEBROWS, DOWNCAST EYES, ON RECTANGULAR RED PAINTED WOOD BASE, GROSS HEIGHT 27 1/4" $4,303 2 A SOUTHEAST ASIAN PATINATED BRONZE FIGURAL ALTER-PIECE OF VISHNU, PROBABLY 19TH CENTURY, THE CENTRAL FIGURE OF VISHNU STANDING IN SAMBHANGA ON A LOTUS, THE RIGHT HAND IN VARADA MUDRA, HIS UPPER HANDS HOLDING THE CAKRA AND SANKHA, WEARING DHOTI, FLANKED BY GARUDA AND A FEMALE CAURI BEARER THE TRIAD STANDING ON A MOLDED PEDASTAL WITH FOUR FEET, ON SHAPED BASE, HEIGHT 5" LENGTH 4" $3,688 JAA-999-NY (03/2008) Page 3

5 3 A SOUTHEAST ASIAN PATINATED BRONZE FIGURE OF SIVA NATARAJA, 19TH CENTURY, THE FIGURE STANDS ON A DWARF, ON DOMED LOTUS BASE, HIS LEFT LEG RAISED, HIS PRIMARY HANDS IN ABHAYA AND LOLA MUDRA, HIS UPPER HANDS HOLDING A DAMARU AND AGNI, THE PIERCED AUREOLE WITH FLAME BORDER, ON OVAL LOTUS BASE. HEIGHT 6 3/4 INCHES $3,073 4 A SOUTHEAST ASIAN LACQUER AND POLYCHROME TRAVELING SHRINE, 19TH CENTURY, THE FIGURE OF BUDDHA STANDING ON AN INVERTED LOTUS BASE, WITH RIGHT HAND IN ABHAYA MUDRA, THE FACE WITH DOWNCASE MEDITATIVE EXPRESSION. THE INTERIOR OF THE DOORS DECORATED WITH FLOWERS, IN GOLD LACQUER WITH BROWN PAINT. GROSS HEIGHT 16 1/2" $3,688 5 A GOOD FRENCH MAHOGANY ORMOLU MOUNTED MARBLE TOP TALL CHEST, FIRST HALF 19TH CENTURY, THE VARIEGATED GRAYISH WHITISH RECTANGULAR MARBLE TOP ABOVE A FRIEZE FITTED WITH A SINGLE FRIEZE DRAWER, DESCENDING TO SIX LOCKING DRAWERS FLANKED AT EITHER SIDEBY ORMOLU MOUNTED COLUMNS, SET ON BALL FORM FEET, HEIGHT 57 1/2", WIDTH 39 1/2", DEPTH 20" NOTE: OLD REPAIR AT RIGHT REAR CORNER OF MARBLE TOP. $9,835 JAA-999-NY (03/2008) Page 4

6 6 "PORTRAIT OF A GENTLEMAN" OIL ON CANVAS, INDISTINGUISHABLY SIGNED AND DATED AT LOWER LEFT. 32 X 26", CARVED GILT WOOD FRAME. $3,688 7 A FINE CONTINENTAL TORTOISESHELL VENEERED, SATINWOOD INLAID, WALNUT, AND EBONIZED CABINET, PROBABLY 19TH CENTURY, THE SHAPED PIERCED CAST BRASS GALLERY MOLDED AND WITH TURNED WOOD FINIALS ABOVE A MOLDED BREAKFRONT FORM EBONIZED CORNICE. OVER A CABINET FITTED WITH EIGHT SHORT MOLDED LOCKING DRAWERS EACH FACED WITH TORTOISESHELL VENEER AND WITH FANCY CROWN MOUNTED CAST BRASS KEYHOLE ESCUTCHEON, CENTERING AN OUTSET CENTRAL SECTION WITH ELABORATE BRASS MOUNTED TORTOISESHELL AND EBONIZED $24,588 8 A TIBETAN WATERCOLOR AND GOUACHE ON SILK THANG-KA, 18TH CENTURY, DEPICTING SA-SKYA PANDITA SEATED ON A THRONE, WITH THE TEMPLE DEVOTED TO BODHISSATVA AVALOKITESVARABEHIND, YACODHVAJA AT UPPER RIGHT, THE GOD ACALA AT BOTTOM LEFT. $3,688 JAA-999-NY (03/2008) Page 5

7 9 A LOUIS PHILIP ACAJOU MAHOGANY VENEERED MARBLE TOP CHEST OF DRAWERS, THIRD QUARTER 19TH CENTURY, THE RECTANGULAR MARBLE TOP ABOVE A CASE FITTED WITH FOUR LONG DRAWERS, MOLDED BASE, RAISED ON TOP FORM FEET, HEIGHT 32 3/4" DEPTH 18". NOTE: LOSSES TO BASE MOLDING AT LEFT AND RIGHT SIDE OF CASE. $4, AN ORIENTAL CARVED WOOD AND COLOURED GLASS MOUNTED FIGURE, PROBABLY 19TH CENTURY, THE FIGURE STANDS IN ELABORATE DRESS, THE LEFT HAND IN LOLA MUNDRA, THE RIGHT HAND IN VITARKA MUDRA, HEIGHT 33" $9, A PAIR OF ANTIQUE CARVED MAPLE ARMCHAIRS, PROBABLY AMERICAN, 19TH CENTURY, EACH WITH WAVY LADDER BACK FLANKED BY CIRCULAR TAPEREING STILES AND SHAPED FINIALS, ISSUING SCROLLED ARMS ABOVE A RUSH SEAT, RAISED ON CIRCULAR TURNED LEGS, JOINED BY BALUSTER AND RING TURNED FRONT STRETCHER AND TURNED SIDE STRETCHER. $4,917 JAA-999-NY (03/2008) Page 6

ANTIQUE AND MODERN FURNITURE WEDNESDAY 30TH NOVEMBER 12H00

ANTIQUE AND MODERN FURNITURE WEDNESDAY 30TH NOVEMBER 12H00 581. AN EARLY 20 TH CENTURY BELGIAN OAK DISPLAY CABINET ON CUPBOARD, the domed outset pediment above glazed doors, lower section with panel and frame doors, on scroll feet. 185x128x49cm. R3500/5000 582.