Certificate of Insurance Request – Fine Arts

Use this form for Fine Arts on loan to the University of Rhode Island. The completed and signed Fine Art Loan Agreement Form must also be on file and retained by the department receiving the loan. URI Certificates of Insurance (COI) will be processed within 3 business days and will be emailed directly to the University member requesting the certificate.

URI Certificate of Insurance Request – Fine Arts

URI Department Name(Required)

Department Contact Person:(Required)

First Last

Department Email Address:(Required)

Art Ownership(Required)

URI Owned Fine Art(Required)

Artist

Description

Current Market Value

Fine Art on Loan to URI:(Required)

Name of Lender

Beginning Date of Loan

Ending Date of Loan

Display Location

Name

This field is for validation purposes and should be left unchanged.